4/21/2016- Final Report Charles L Bennett MD PhD MPP, SmartState Chair, Medication Safety and Efficacy. (bennettc@sccp.sc.edu) Visiting Scholars Grant Obstetric and Pediatric Research Amount of Award: $6,000 (55% of the grant was returned to the Office of the Provost) Executive Summary: This Visiting Professor Grant supported two visits to the University of South Carolina of Donald Mattison MD, a member of the Institute of Medicine and an international leader in pharmaceutical safety research. The result of the Grant was two published manuscripts and three submitted grants focusing on training awards for junior faulty. Products of the Grant – two manuscripts: Bennett CL, Starko KM, Thomsen HS, Cowper S, Sartor AO, MacDougall I, Qureshi ZP, Bookstaver PB, Miller AD, Norris LB, Xirasagar S, Trenery A, Lopez I, Kahn A, Murday A, Luminari S, Cournoyer D, Locatelli F, Ray P, Mattison DR. Linking drugs to obscure illnesses: lessons from pure red cell aplasia, nephrogenic systemic fibrosis, and Reye’s syndrome. A report from the Southern Network on Adverse Reactions (SONAR). J Genl Intern Med, 2012 Dec;27(12):1697-703. doi: 10.1007/s11606-012-2098-1. Epub 2012 Jun 13. Chen B, Restaino J, Norris LB, Xirasagar S, Qureshi ZP, McKoy JM, Lopez I, Trenery A, Murday A, Kahn A, Mattison DR, Ray P, Sartor AO, Bennett CL. A tale of two citizens: a state attorney general and a hematologist facilitate translation of research into FDA actions. J Oncol Practice 2012. doi: 10.1200/JOP.2011.000504 This visiting scholar award supported two day-long visits by Donald Mattison MD to the University of South Carolina. Dr. Donald is currently the appointed Chief Medical Officer and Senior Vice President of Risk Sciences International and Associate Director of the McLaughlin Centre for Population Health Risk Assessment at the University of Ottawa- a position he was appointed to in 2012. Dr. Mattison has held advocacy, academic, clinical and research appointments, including; Senior Advisor to the Director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Medical Director of the March of Dimes; Dean of the Graduate School of Public Health at the University of Pittsburgh, Professor of Obstetrics and Gynecology and Interdisciplinary Toxicology at the University of Arkansas for Medical Sciences, and Director of Human Risk Assessment at the FDA National Center for Toxicological Research. Dr. Mattison earned a BA (Chemistry and Mathematics) from Augsburg College in Minneapolis, MN, an MS (Chemistry) from the Massachusetts Institute of Technology, Cambridge, MA and a MD from the College of Physicians and Surgeons, Columbia University, New York, NY. His clinical training in Obstetrics and Gynecology was at the Sloane Hospital for Women in the Columbia Presbyterian Medical Center in New York. His training in Pharmacology and Toxicology was at the National Institutes of Health, Bethesda, MD. In 1997, he was elected a Fellow of the American Association for the Advancement of Science, in 1999, a Fellow of the New York Academy of Medicine, in 2000 a member of the Institute of Medicine, in 2005 Distinguished Alumni of Augsburg College and in 2009 a Fellow of the Royal Society of Medicine. Dr. Mattison’s visitations focused on providing insights into pharmaceutical safety research and the FDA initiatives in this area. The visits consisted of one hour one-on-one sessions with junior and senior researchers affiliated with the SmartState Center of Economic Excellence (CoEE) for Medication Safety and Efficacy. Brian Chen JD PhD met with Dr. Mattison during these visits and built on the meetings to develop grant applications for pharmaceutical safety that have been submitted to the National Institutes of Health (K-award applications that received scores just below the funding line) and an under-review grant application to the Burroughs Wellcome Foundation on health policy and pharmaceutical safety. Dr. Mattison also advised the R01-grant, the Southern Network on Adverse Reactions (SONAR), on the feasibility of filing Citizen Petitions to support pharmaceutical safety research findings. This consultation resulted in the filing of two under-review Citizen Petitions with the FDA related to neuropsychiatric toxicities that occur following ciprofloxacin and levaquin administration. These Petitions remain under consideration by the FDA. The supporting work has been described in one journal publication (2016 in the Journal of Community and Supportive Oncology), 60 news interviews nationally (in most major cities), and at an FDA Advisory Committee Meeting in November 2015. The Advisory Committee voted 21-0 that the product labels for the two drugs should be revised- supporting inclusion of the SONAR findings into the revised labels. Dr. Mattison also led a workshop on pharmaceutical safety that was attended by faculty and students. This workshop provided an introduction into the FDA and pharmaceutical safety. The Visiting Professorship allowed junior and senior investigators to complete about ten manuscripts on pharmaceutical safety. Two of these manuscripts formally included Dr. Mattison as a co-author. The manuscripts included as co-authors faculty and post-doctoral students from the Arnold School of Public Health and the College of Pharmacy. Overall, this Visiting Professorship was very successful. It is my hope that the pending grant from Brian Chen JD PhD to the Burroughs Wellcome Foundation on pharmaceutical safety is favorably reviewed.