Thirusha Lane, Lead Nurse at the NAC and David Hutt, Lead Nuclear Medicine Technician, arrive at John O'Groats at the end of their charity bike ride that raised nearly £100,000 for a new MRI suite at the NAC National Amyloidosis Centre News ISSUE 5: February 2015 Visit our new NAC online patient support forum at www.amyloidosis.org.uk/forum. Patients with amyloidosis sometimes feel isolated and appreciate the chance to meet others in a similar situation. We hope the forum will provide a channel for patients with amyloidosis, family, friends and carers from all over the UK to connect, communicate and help each other. Introduction Diagnosis and treatment of amyloidosis are never static. Our understanding of the underlying disease and of how best to treat patients is constantly evolving, thanks to the busy research programmes at the NAC and the Wolfson Drug Discovery Unit. This newsletter includes reports on some highlights of recent NAC publications. These help to illustrate how active the NAC team are in advancing knowledge and understanding of diverse aspects of amyloidosis. Two of these papers raise hopes that newly available treatment directions may benefit even high risk patients with AL amyloidosis. We also report on the recently published new guidelines for treatment of AL amyloidosis, authored by the NAC doctors. We hope that these will help all AL amyloidosis patients in the UK to receive the best possible standard of care. Other recent NAC publications mentioned here include a review of a very rare type of hereditary amyloidosis called AGel amyloidosis and a study showing how cardiac MRI findings can help predict patient outcomes. The NAC staff are very grateful to the many fundraisers who have been so busy recently and much of this newsletter is devoted to reports on their activities. The Land’s End to John O’Groats bike ride was a huge success, raising both money and amyloidosis awareness across the length and breadth of the UK. Patients and families turned out to support the NAC team and to ride alongside them all through their gruelling journey. Press coverage of the ride included a radio interview on BBC Radio Tees and several articles in local newspapers along the route, which we have reprinted on pages 6-8 of the newsletter. So far the ride has raised nearly £100,000 towards the establishment of an MRI suite at the NAC. The NAC team are very excited about this development, as ongoing research is constantly highlighting the value of MRI in evaluating patients with amyloidosis in the heart. Once an MRI facility is built at the NAC, it will be possible to scan more patients, waiting times will be shorter and research studies will be facilitated. IN THIS ISSUE Introduction 1 Highlights of Recent NAC Publications New AL guidelines AL treatment studies AGel amyloidosis study MRI of the heart helps predict survival in AL amyloidosis 2 2 3 3 Fundraising News LeJoG Martin’s tour de force Pattie Wilson’s 28 mile walk in aid of amyloidosis research 11 Donations 12 National Amyloidosis Centre, UCL Division of Medicine, Royal Free Campus, Rowland Hill Street, London NW3 2PF, UK www.ucl.ac.uk/amyloidosis 4 9 2 Issue 5: February 2015 National Amyloidosis Centre News Highlights of Recent NAC Publications New AL guidelines In October 2014 The British Journal of Haematology published new guidelines on the diagnosis, investigation and management of AL amyloidosis. The new guidelines were compiled by the National Amyloidosis Centre consultants together with senior haematologists from a number of hospitals around the UK. The authors reviewed clinical trials and other publications in the medical literature between 1975 and May 2014 and abstracts from international amyloidosis meetings held between 1998 and 2014. The draft guideline was then reviewed by around 50 UK haematologists and their comments were incorporated where appropriate. The previous guidelines were published in 2004 and over the intervening 10 years, treatment of AL amyloidosis has progressed considerably. The 2014 guidelines are comprehensive and provide doctors with clear, up to date guidance on the best way to manage patients with AL amyloidosis. We hope that doctors throughout the UK will find the guidelines useful and that patients will benefit from optimal care. AL treatment studies Stem cell transplantation – could it help a wider variety of patients? Some patients with AL amyloidosis respond excellently to autologous stem cell transplant (ASCT), surviving and enjoying good health for many years, often over a decade. But old NAC results from a study of patients who received ASCT between 1994 and 2004 showed that severe side effects from the treatment were common and a significant number of patients died soon after ASCT before they could experience its benefits. This is known as transplant related mortality (TRM). Patients with more advanced disease at the time of diagnosis (reduced function of heart, kidney and other organs) have a greater risk of TRM than those with good organ function at diagnosis. Fears of TRM have limited the use of ASCT for AL amyloidosis in the UK over the last decade. But a recently published study by the NAC consultants suggests that, for a number of reasons, ASCT may come back into favour. Over the years, patient selection criteria have been greatly refined, so that ASCT is now only offered to those patients who really stand a good chance of benefiting. As a consequence, rates of TRM have dropped dramatically. The researchers looked at the outcomes of all 90 patients in the NAC database who underwent ASCT for AL amyloidosis between January 2003 and September 2012. The results were excellent – most patients were symptom free for at least four years after ASCT; about two thirds survived over five years and many survived for up to 10 years. Importantly, TRM was very low – occurring in only six out of the 90 patients. The results of this study are very encouraging for a variety of different patients. They confirm that many patients with good organ function at the time of diagnosis stand a very good chance of long term benefit from ASCT. However, the diagnosis of AL amyloidosis is often delayed. Only around 15% of patients seen at the NAC actually have good enough organ function to fit this category and fulfil the selection criteria for “upfront” ASCT (“upfront” means the first line of treatment offered at diagnosis). What about the other 85% of patients? Around two thirds of the patients in this study had poor organ function at diagnosis and at this stage did not fit the selection criteria for ASCT. They received standard “low dose” chemotherapy at diagnosis, and had a good initial response, including improvement in organ function. When their AL amyloidosis later relapsed, they did fulfil the selection criteria for ASCT, and received it as second line treatment. Importantly, both those who received “upfront” ASCT and those who received ASCT as second line treatment for relapsed disease were followed for similar periods of time after ASCT – around four years, and both patient groups did well. Their survival rates without symptoms were very similar. These results offer hope of good outcomes not just to patients who are diagnosed early with low risk disease, but also to some patients who are high risk at diagnosis. The low dose chemotherapy regimes that we recommend at the NAC are being refined and improved all the time, leading to better response and survival rates with the years. So if high risk patients can be treated initially with low dose chemotherapy and attain sufficient improvement in organ function, ASCT may subsequently provide very real long term benefits. National Amyloidosis Centre News Lenalidomide-dexamethasone: good for relapsed/refractory AL amyloidosis; unexpectedly good for the kidney Sometimes AL amyloidosis does not respond to the first chemotherapy regime. This is known as refractory disease. Sometimes there is an early response but later the disease returns. This is known as relapsed disease. The NAC doctors recently published a report on the outcomes of lenalidomide-dexamethasone treatment in 84 patients with relapsed or refractory AL amyloidosis. Some patients had relapsed more than once and experienced more than one change in chemotherapy regime. The results were good - nearly two thirds of patients had a haematological response (drop in free light chain concentration), many experienced improved organ function and overall survival rates were good. In some patients, long term kidney responses were unexpectedly good, better than those reported with other chemotherapy regimes. It is possible that lenalidomide may modulate cellular functions that contribute to clearance of amyloid deposits from the kidneys. AGel amyloidosis study Hereditary gelsolin (AGel) amyloidosis is also known as Finnish type (FAF) amyloidosis because it was originally described in Finland in 1969. Since then, cases have been reported all round the world. Doctors from the NAC and scientists from the Wolfson Drug Discovery Unit recently published the first large series of UK patients with this condition. The 10 patients described have been followed at the NAC since 1996. Their disease mainly affected the nerves and the kidneys, with symptoms starting in middle age and most being referred to the NAC around seven years after first becoming ill. Although it is rare, the authors of the paper recommended that AGel amyloidosis should be considered in patients with amyloid deposits in the kidneys in whom standard immunohistochemistry typing tests do not give a clear diagnosis. The patients in this series overall had a good prognosis, living with the condition for up to 15 years after referral, indicating that this type of amyloidosis progresses slowly. Issue 5: February 2015 3 MRI of the heart helps predict survival in AL amyloidosis Cardiac MRI has become more and more useful in evaluating patients with amyloidosis, thanks to the combined efforts of the NAC doctors and colleagues at centres such as the London Heart Hospital and the Oxford Centre for Clinical Magnetic Resonance Research. Blood tests called serum biomarkers (NT-proBNP and Troponin T) form the basis of current staging systems for assessing the prognosis of patients with AL amyloidosis. But these tests are far from perfect because the results may be unreliable if there are problems with kidney function. Such problems are very common, occurring in a quarter of all patients with AL amyloidosis. Several factors can also limit the usefulness of ECG and echocardiography findings in predicting patient outcomes. A recently published study holds out hope that newly developed cardiac MRI techniques may be the way forward in filling this gap. Previous NAC research showed that cardiac MRI findings can detect early heart disease in AL amyloidosis and assess the size of amyloid deposits. The recent study was the largest yet of its type, including 100 patients with AL amyloidosis and 54 healthy control subjects for comparison. The new MRI technique, called T1 mapping, was shown to have ‘real-world’ clinical significance as a predictor of outcome in AL amyloidosis, over and above the value of existing clinical parameters for patient assessment. Establishment of an MRI suite at the NAC will allow further exciting advances and refinements of MRI techniques, and more patients will be able to benefit from scanning. Cardiac MRI images of the heart, before and after administration of contrast material National Amyloidosis Centre News 4 Issue 5: February 2015 Fundraising News Land’s End to John O’Groats: Nearly £100,000 and a thousand mile long ribbon of awareness On the 6 July 2014 a team of staff and patients from the UK National Amyloidosis Centre (NAC), led by John Plant (patient), Thirusha Lane (Lead Nurse) and David Hutt (Lead Nuclear Medicine Technician), started cycling from Land’s End to help raise funds towards the purchase of an MRI scanner. Fourteen days later, Thirusha and David arrived in John O’Groats having covered 977 miles and climbed 50,300 feet (almost twice the height of Mount Everest). Unfortunately John had to drop out due to ill health. But all the way along the ride, NAC patients and their relatives joined in. Some rode together with the team for part of the way, some hosted and fed them and others helped with publicity and fundraising along the way. Thirusha and David kept a blog at http://amyloidosismri.blogspot.co.uk/ that charted the highs and lows, the trials, tribulations and jubilations that they experienced during the ride. The blog includes photos of stunning scenery that they passed as well as sometimes chilling descriptions of the wind, rain, hills and sore muscles. Highlights from the Blog (a selection of Thirusha’s thoughts and John’s commentary) Day 1: A perfect cycling day - dry, sunny, warm, with a tail wind. We left Land's End at 09:00 and cycled via Penzance, Marazion, Leedstown, and St Austell to Fowey. Total distance was 72 miles with around 5600 feet of climbing. A hard day. Day 2: Day 2 is perhaps the hardest day of the tour. Starting at Fowey we crossed the river by ferry to hit the first of many tough climbs. The Plym Valley Trail was a delight - an old railway properly surfaced with an illuminated tunnel. Using it we gained height steadily to reach Yelverton, a coffee stop, Dartmoor, and the first of many ponies. Dartmoor National Park included ~20 bleak miles and ~2 hellish and soul-destroying hours of relentless hills and terrifying descents as we crawled through Dartmoor in the depressing greyness and wetness. Thirusha wrote that by the time she got to Moretonhampstead she was soaking wet, freezing cold, had numb feet, and pins and needles in both hands. Day 3: Day 3 began with a harsh 128 metre sharp climb out of Moretonhampstead, followed by another longer, sharper climb shortly after. Thirusha’s legs felt like lead! However, the team was complete today with David joining, and so spirits were up. While riding through Exeter, John unfortunately became ill and had to pull out of the ride. He continued to keep in close contact with Thirusha and David and helped them to keep the blog updated as he recovered. Day 4: Another day of glorious sunshine! Riding over the Severn Bridge was great, and descending into Monmouth was beautiful. Coming out of Wells was the challenge of the day - it was one of those hills that was so National Amyloidosis Centre News mean and nasty because it gave you a false sense of completion as you reached a little plateau, but then as you turned the corner there was EVEN MORE hill, and with a steeper gradient. A tea and cake stop at the lovely coffee shop at the Tintern Abbey Ruins was essential! Day 5: Another day of lovely sunshine as we left Wales and returned to England. Herefordshire is a beautiful farming county and we really enjoyed the views. It reminded us of Tamworth in New South Wales, Australia, where David’s parents live. There were quite a few 'cheeky' hills this afternoon, so it wasn’t an 'easy' ride but Thirusha certainly felt it was the easiest day so far. That was probably due to a combination of factors - great company, glorious weather, beautiful scenery, quiet country roads, lower mileage, fewer nasty hills ... and dare I say it ... stronger legs?? Day 6: This day comes as a shock after the short and wonderfully scenic day from Monmouth to Clun. It is on this day that the riders meet 80+ miles for the first time. Navigation is difficult and traffic volume can be high. Having cycled more than 80 miles before, Thirusha wasn't expecting today to be tough, but it was. In the sweltering heat, the 44 miles after lunch seemed to loom endlessly, and motivation ebbed. Today everyone really struggled with the heat. Not even stopping for photos we ploughed through to try to get to our destination as soon as possible. Day 7: Runcorn to Conder Green: 70 miles, elevation gain 3300 feet. Difficulty: hard (this is debatable!) A lot of today's ride was through busy built-up areas, requiring concentration and at times tricky navigation. Pleasant weather and pleasant scenery followed in the afternoon. Day 8: Conder Green to Keswick: 60 miles, elevation gain 3600 feet. Difficulty: moderate. We stopped at Staveley for lunch and were met by the Staveley Festival in full swing with parades, costumes, drum bands, bunting, people on stilts. After that we headed off towards Kendal. Beautiful scenery followed and we could hardly complain about the hilly terrain. The ride along the lake at Thirlmere is one of the best parts of the ride. Day 9: A momentous day: Scotland is reached at last! Keswick to Moffat: 73 miles, elevation gain 3000 feet. Difficulty: hard (yep!). Scotland welcomed us with four hours worth of rain, strong winds and hideous road surfaces, making for a pretty miserable afternoon's riding. Day 10: Moffat to Loch Lomond (Balloch): 79 miles, elevation gain 2900 feet. Difficulty: hard. This is a long Issue 5: February 2015 5 day with rough road surfaces that create terrible vibration for the rider. Hands tingle and teeth rattle incessantly, making life hard. Glasgow is complex navigationally. The ride from Moffat to Glasgow was excruciating. On such road surfaces not only does your bottom take a beating, your entire body does, as the impact of every vibration goes through you. Thirusha wrote that at one point her hands, wrists and elbows were so sore she almost let go of the handle bars. Day 11: Loch Lomond (Balloch) to Glencoe. 69 miles, elevation gain 3100 feet. Difficulty: moderate (no, this was HARD). Today was tough. It didn't just rain - it poured and pelted - and another 'p' word - down on us. The gusty wind tried its hardest to push us off our bikes. The ride out of Balloch along Loch Lomond is meant to be one of the most scenic of the entire two weeks, however, we could see little more than rain and cloud for the first one and a half hours. Thirusha wrote that coming over the Pass of Glencoe she had a moment of pure awe and joy that almost brought tears to her eyes. That moment was totally worth the five preceding hours of torture. Day 12: Spectacularly beautiful scenery dominated the day today as we cycled along Loch Linnhe, Loch Lochy and Loch Oich and eventually Loch Ness. Only two days left now and the prevailing feeling is one of tiredness. Day 13: Inverness to Altnaharra: 73 miles. Difficulty: moderate. What a lovely penultimate day. A few hills but nothing too awful. Great weather. BREATHTAKING highland scenery as we followed Loch Shin and then cycled through woods and high moorland to the Crask and then on to Altnaharra. Every day that we have cycled through Scotland has surpassed the previous for spectacular scenery, and today was no different. Day 14: Altnaharra to John O'Groats: 75 miles, elevation gain: 3980 feet. Difficulty: HARD!! They made it! At the end of a long day, much of which was into headwinds, the amazing duo reached John O’Groats and still managed a smile. Perhaps helped by a glass or two of bubbly! 6 Issue 5: February 2015 National Amyloidosis Centre News Amazingly, the challenge has so far raised nearly £100,000 and promoted awareness about amyloidosis along the way. We’ve included some local newspaper coverage of the ride on the following three pages of the newsletter. Thanks to the bespoke cycling shirts designed by John Plant, countless people along the route asked the team about amyloidosis. Brigid Press, a BBC Tees radio presenter who herself has amyloidosis, interviewed Lisa Garlick about the ride on the BBC Tees Sunday morning programme. Lisa is a patient whose relatives rode with the team in the Lake District and the radio interview enabled her to help spread the word about amyloidosis to a wider audience. Also included are some photos of patients, families and friends who came to meet the riders along the way. Some showed their support by riding along for part of the way, while others provided much appreciated food, drink and most importantly, moral support that encouraged Thirusha and David whenever things were tough. Often a friendly face appeared at a particularly hard part of a day which lifted them more than you can imagine. Amyloidosis and the related rare and ultra-rare periodic fever syndromes can be isolating for sufferers and their families due to their rareness. Another lovely thing emerging from this ride is that patients got to meet each other and therefore, hopefully, took something important and special away. David and Thirusha ended many days in awe of the dedication of patients and their friends and relatives to this cause, and felt humbled by the overwhelming support they received. National Amyloidosis Centre News Issue 5: February 2015 7 Bunting and “buns” at the Vicary’s Graham Pugh Team Garlick – Daz & Andy National Amyloidosis Centre News 8 Issue 5: February 2015 Margaret Rogerson & Family Louise Ray and the narrowest hotel in the world Mark McConway, Gail Hogg & George Turner Anne & Cathy Smart National Amyloidosis Centre News Issue 5: February 2015 9 Martin’s Tour de Force Dedicated fundraiser overshoots £20,000 target! By Pat Pinchin When Cheryl Bolton-Smith was diagnosed with AL amyloidosis in 2011, her husband Martin set himself a target of raising £20,000 for the National Amyloidosis Centre UCL Amyloidosis Research Fund, known as the ARF. Since then he has organised and taken part in three years of charity events. In addition to the West Sussex barbeque and the London to Brighton cycle ride described in the reports on this page, he has promoted several social events, completed other cycle rides, clay pigeon shoots, run the Barnes Green half marathon, the Brighton marathon and swum the distance of the channel in 12 weeks in Horsham pool. By day Martin is a London cabbie and for the past three years has organised a cabbies’ collection at Heathrow airport. He is very grateful to his colleagues who have donated about £3,000 to the Amyloidosis Research Fund. Martin is the first to say that none of this would have been possible without the help and support of local businesses and a band of volunteer helpers. Martin has exceeded his target by raising around £23,000, a significant achievement which has also helped to raise much needed awareness of the disease and inspired others from the NAC community to engage in fundraising too. His two most recent achievements were a summer barbeque that raised over £4,000 in one afternoon and completing the Doitforcharity London to Brighton cycle ride in September. Bangers and burgers in West Sussex raises £4,347 for amyloidosis The glorious June weather on the 21st provided the perfect afternoon for just over 100 paying guests who were all only too pleased to have bought BBQ tickets in support of the research at The National Amyloidosis Centre. The venue for the BBQ was the garden of The Dragon Inn, Colgate, West Sussex. Martin was full of praise for the great help - especially with the delicious food - he received from Landlord and Landlady Robin and Nikki. The continuing support of Martin and Cheryl’s family and friends for amyloidosis fundraising events was, as always, remarkable in ensuring that so many volunteered to help with all the jobs from erecting “amyloidosis awareness” signs, to clearing away rubbish. So many people contributed willingly to the success of a very enjoyable afternoon. Martin, (also known locally as “The pest with the raffle book”), has the wizardry to wheedle raffle prizes out of local businesses, friends and family alike, all of them generous in their unstinting support of the extraordinary charity work Martin does for amyloidosis. Having bought raffle tickets, many returned home very pleased with their winnings. A courageous Cheryl was able to enjoy part of the afternoon despite suffering with amyloidosis symptoms affecting multiple organs. After the BBQ she said, “It was my best day out in ages. I wanted it to go on for ever”. All present gave Cheryl their heartfelt good wishes for the success of the new treatments on the horizon. The BBQ which raised £4,347 for the Amyloidosis Research Fund is the type of “easy fundraising event” Martin hopes “will inspire others to organise for amyloidosis”. 10 Issue 5: February 2015 After the BBQ, Martin busied himself getting fit for his biggest charity event this year - the London to Brighton cycle ride on September 7th. Family duo conquer Ditchling Beacon in aid of amyloidosis research “Everything went so well” was Martin Bolton-Smith’s verdict at the end of the Doitforcharity London to Brighton cycle ride on September 7th. He had chosen this event in aid of the UCL Amyloidosis Research Fund as a family fundraising challenge. Cheryl’s cousin Jodey-Marie Wilson and her husband Barry wanted to join Martin in supporting the Fund and they raised £570 through JustGiving. Their daughter Abbie, aged 6, even made a special amyloidosis awareness bracelet for the occasion. Martin and Jodey joined 3,000 competitors riding for various charities and Barry provided support in the back up vehicle. The organisers expected participants to raise over 1 million pounds for various charities. National Amyloidosis Centre News many other competitors decided to take it easy and walk the steepest section. Summing up three years of giving Before Cheryl’s illness Martin was more of a sports spectator than a participant so the sporting events were a personal challenge. The shock of Cheryl’s diagnosis with a rare, incurable disease persuaded Martin that he had to actively try and help her fight her cruel illness by doing something positive himself to support the work of doctors and scientists at the NAC. They held the key to finding better treatment for sufferers so support for their work was crucial. It became clear to Martin that rare diseases often struggle for funding from medical grants and do not receive large charitable donations in the way that professional health charities do. Martin proved to himself that the challenges of fitness training for the various sporting events, painful as some of them were, did not compare with Cheryl’s suffering. He also derived much pleasure and satisfaction from both the activities and his efforts to add to the Amyloidosis Research Fund. Professor Sir Mark Pepys summed up the significance of Martin’s charity work for the Amyloidosis Research Fund with these words: “The Amyloidosis Research Fund plays an invaluable role by enabling us to move swiftly to seize whatever opportunities arise, whether it is to purchase an essential piece of equipment or a special chemical or other reagents for experiments, or to obtain specialist expertise or services, or employ a new person to do a specific and necessary job in the laboratory or the clinic. “We started as a team, rode as a team and finished as a team”, said Martin after the event. They had got up at 3.00 am on the morning of the event to drive to Clapham Common for the early start. It was a lovely September day for the 54 mile ride across the beautiful Sussex countryside and challenging South Downs. Martin had bought himself a new bike several months before the event. Cycling a distance event needed several months of training to build up fitness and endurance. A particular challenge was Ditchling Beacon (elevation 248 metres), notorious for losing riders from the professional pelotons in the UK stage of The Tour de France and also in the Tour of Britain. Martin was delighted to have ridden all the way, though Jodey, like I cannot overemphasise the importance of having this priceless flexibility. It has contributed on a daily basis to all the progress we have made, which is reflected by our many high impact publications, our new inventions and patents, our uniquely strong relationships with GSK, representing the pharmaceutical industry without which there would be no drugs, our many high value research grants from the MRC, the Welcome Trust and other bodies, and, of course, our entirely NHS-funded clinical service which exists to care for the patients who are at the heart of everything we do. Every single person who has donated to the Fund and every individual who has helped to stimulate and organise these donations should be very proud of what they have done”. National Amyloidosis Centre News With ground breaking treatments for amyloidosis on the horizon, Martin feels that there are no words that speak louder and more powerfully than those of Professor Sir Mark. They make every arduous training session and even his desperate crab crawl over the line at the end of the Brighton Marathon worthwhile. Issue 5: February 2015 11 The London to Brighton cycle ride was Martin’s last fundraising challenge for the time being. After organising and taking part in three years of charity events, he has decided to take a well-earned break. But there are many who are saying that for a man like Martin, “he’ll be back”! Pattie Wilson’s 28 mile walk in aid of amyloidosis research Inspired by notices on the wall in the NAC waiting room about fundraising, I felt that I needed to do something. We need a CURE FOR AMYLOIDOSIS. It is really helpful to do positive things as one feels so helpless when you are with someone you love who you see suffering with all sorts of symptoms. My husband John has been under the care of the NAC for about 10 years. Before that it took two years of visiting many consultants before he was diagnosed with ATTR amyloidosis. He then had to take early retirement from the judiciary. I decided that walking was something I could do. Despite being nearly 70 years old I was determined that my fundraising activity would not just be “a walk in the park”! We have local Shepherds’ Walks organised as challenges, so that is what I opted for - a 28 mile walk within 12 hours from Carter Bar to Yetholm in the Scotland/England border country. How naïve I was! Hill after hill, they all felt like the Matterhorn! The weather was terrible and there was rough terrain all the way. Fortunately my daughter Olivia and her husband Tom decided to join me. I think they knew what was in store and decided to be there to pick up the pieces! Early on Tom took my heavy rucksack, full of water and snacks, and carried it with his own the whole way. What a complete star! I could not have completed the day without them. Such team spirit. We arrived at Yetholm at 9.20 pm wet, hurting, crawling and crying tears of joy at completing such a gruelling challenge. The generosity of friends, family, colleagues and strangers has been overwhelming. My target was to raise £5,000 and to date my JustGiving page has raised £7,710 plus over £1,000 in gift aid! Hopefully more individuals are now becoming aware of this dreadful disease. Let’s hope we can raise the profile to keep raising money for more research. I now have to think of a new challenge, perhaps something less physical! National Amyloidosis Centre News 12 Issue 5: February 2015 Donations To ensure that your donations go directly and exclusively to the NAC, please send directly to us or contact Beth Jones on 020 7433 2802 or beth.jones@ucl.ac.uk. All university based medical research depends on funds that are fought for in open competition (grants) from the Government-funded Medical Research Council and other charitable bodies. Their renewal depends on a successful research programme and the NAC has an excellent track record in this respect. However, there are constant shortfalls and every penny from other sources is received with sincere gratitude, and is used specifically and in its entirety for amyloidosis research. You can make an online donation at: http://www.ucl.ac.uk/amyloidosis/support-us or make a donation by post. Gift aid forms are available online or from: Beth Jones National Amyloidosis Centre Division of Medicine, Royal Free Campus University College London Rowland Hill Street London NW3 2PF UK UCL Medical School is part of University College London (UCL) which is a registered charity and qualifies for the Gift Aid Scheme. This increases the amount of the gift by 25% without any extra cost to the donor. It does so by allowing UCL to claim back the basic rate tax paid by the donor. To qualify for Gift Aid the donor must be a UK taxpayer and his/her combined income and capital gains tax bill must equal or exceed the amount UCL claims back on the gift. The gift can be for any amount and applies to one-off gifts and regular gifts made over a number of years. For UCL to claim the tax benefits the donor must make a "Gift Aid Declaration". One declaration will cover all future gifts and may be cancelled at any time. Cheques should be drawn in favour of "UCL Development Fund". This money is then transferred to the Amyloidosis Research Fund together with the reclaimed tax. If a donor does not qualify for the Gift Aid Scheme or does not wish to contribute in this way, cheques should be made payable to: "UCL Amyloidosis Research Fund". Newsletter funded by a bequest from Laura Lock