Welcome to the National Gaucher Foundation’s Gaucher Conference 2010 Through science, technology and research, we look forward to brighter futures for our children. This conference is being held for families and individuals affected by Gaucher disease, so that they can make informed decisions concerning their treatment and management of their disease. Gaucher Conference 2010 – November 7 and 8 Presented by the National Gaucher Foundation CONFERENCE PROGRAM BOOK INDEX Speaker/Presenter Page Conference Agenda Rhonda P. Buyers CEO/Executive Director, NGF Welcome and Opening Remarks…………………………………………………..1 Dr. John A. Barranger Perspectives on the Disease for the Gaucher Patient……………………………..2-3 Dr. Pramod K. Mistry Therapeutic Goals, Evaluation, Management and Assessment………………….4-5 Drug Therapies Panel Members/Speakers: Dr. Greg Pastores - Panel Leader…………………………………………………….6 Dr. Gregory Grabowski………………………………………………………………7 Dr. John Barranger……. …………………………………………………………… 8-9 Dr. Ari Zimran…………………………………………………………….…………10 I Gaucher Conference 2010 – November 7 and 8 Presented by the National Gaucher Foundation CONFERENCE PROGRAM BOOK INDEX Speaker/Presenter Page Drug Therapies Additional Speakers Actelion Dr. Rajiv Patni U.S. Executive Medical Officer, Actelion…………………………………………...11 Genzyme Dr. Richard Moscicki Chief Medical Officer, Genzyme Corporation………………………………………12 Shire Dr. Norm Barton Senior Fellow Disease Expert, Shire…………………………………………………13 Dr. Judith Peterschmitt Clinical Trials - Oral Medication Eliglustat tartrate - Research Updates……..14 Dr. Joel Charrow Research and Clinical Trials…………………………………………………….....15-16 Dr. Gregory Grabowski Bone Involvement and Bone Repair…………………………………………….…17-18 Dr. Paige Kaplan Unique Issues in Treating Type 1 Children……………………………………….19-20 Dr. Rafael Schiffmann Gaucher Type 2 & 3/Treating the Neuronopathic Aspects of the Disease……………………………………………..21-22 II Gaucher Conference 2010 – November 7 and 8 Presented by the National Gaucher Foundation CONFERENCE PROGRAM BOOK INDEX Speaker/Presenter Page Dr. Ozlem Goker-Alpan Making Leaders of Ourselves: A National Initiative for Gaucher Disease……………………………………………………..23-24 Dr. Ellen Sidransky…………………………………………………………………..25-26 Gaucher and Parkinson’s Dr. Grisel Lopez……………………………………………………………………...27 Dr. Roscoe Brady Technical Aspects of Gaucher Disease…………………………………………….28-29 Dr. Neal Weinreb Gaucher Registry…………………………………………………………………...30-31 Karen Grinzaid, MS, CGC, CCRC Regional Gaucher Centers as They Relate to the Registry……………………...32-33 Wayne Rosenfield, Ph.D. Psycho-Social Issues Related to Gaucher Disease………………………………..34 Betsy Simon and Rosalie Borovetz Parenting a Child with Gaucher Disease/ Growing up with Gaucher………….35 Rhonda P. Buyers CEO/ Executive Director, NGF Health Reform and Insurance…………………………………………………….36 Rosina Papantonio Marketing Director, NGF Patients/groups/organizations in other countries and issues they face relative to Gaucher disease.………………………………..37 III Gaucher Conference 2010 Agenda – November 7 and 8 Presented by the National Gaucher Foundation AGENDA – DAY ONE 8:30 – 4:30 PM Breakfast: 8:00 am and Snacks all day 10-minute Q & A after each presentation with the exception of Drug Therapies 8:30 – 8:40 am Rhonda P. Buyers CEO/Executive Director, NGF Welcome and Opening Remarks 8:40 – 9:30 am Dr. John Barranger Perspectives on the Disease for the Gaucher Patient 9:30 – 10:20 am Dr. Pramod Mistry Therapeutic Goals, Evaluation, Management and Assessment 10:20 - 12:30am 30-Minute Q & A during this session Drug Therapies (Includes FDA approved treatments and treatment protocols) Panel Members/Speakers: • Dr. Gregory Grabowski, Cincinnati Children's Hospital Medical Center • Dr. Greg Pastores - Panel Leader - NYU Medical Center • Dr. John Barranger - University of Pittsburgh • Dr.Ari Zimran - Shaare Zedek Medical Center Additional Speakers Actelion Dr. Rajiv Patni U.S. Executive Medical Officer, Actelion Genzyme Dr. Richard Moscicki Chief Medical Officer, Genzyme Corporation Shire Dr. Norm Barton Senior Fellow Disease Expert, Shire 12:30-1:30 pm Lunch & Optional Break Out 1:30-2:05 pm Dr. Judith Peterschmitt Clinical Trials - Oral Medication Eliglustat tartrate - research updates 2:05-2:40 pm Dr. Joel Charrow Research and Clinical Trials 2:40-3:30 pm Dr. Gregory Grabowski Bone Involvement and Bone Repair 3:30-4:30 pm Optional Break-Out Sessions Gaucher patients may use the break-out room for discussions. No media or pharmaceutical corporate executives are permitted in these discussions Day One Meeting Ends – Group Dinner 6:30 PM AGENDA – DAY TWO 8:30 - 4:30 pm Breakfast: 8:00 am "Snacks all day" 8:30-9:05 am Dr. Paige Kaplan Unique Issues in Treating Type 1 Children 9:05-9:40 am Dr. Raphael Schiffmann Gaucher Type 2 & 3/Treating the Neuronopathic Aspects of the Disease 9:40-10:15 am Dr. Ozlem Goker-Alpan Making Leaders of Ourselves: A National Initiative for Gaucher Disease 10:15-10:50 am Dr. Ellen Sidransky Dr. Grisel Lopez Gaucher and Parkinson’s 10:50-11:25 am Dr. Roscoe Brady Scientist Emeritis – NIH Technical Aspects of Gaucher Disease 11:25-12:15 pm Dr. Neal Weinreb Gaucher Registry 12:15-1:15 pm Lunch Break & Optional Break-Out Patients may use break-out room for discussions. No media or pharmaceutical corporate executives are permitted in these discussions 1:15-2:15 pm Karen Grinzaid, MS, CGC, CCRC Regional Gaucher Centers as They Relate to the Registry 2:15-2:50 pm Wayne Rosenfield, Ph.D. Psycho-Social Issues Related to Gaucher Disease 2:50-3:25 pm Betsy Simon and Rosalie Borovetz Parenting a Child with Gaucher Disease / Growing up with Gaucher Betsy Simon, Patient, Gaucher Advocate & Mentor and Rosalie Borovetz, Mother of Betsy & Mentor 3:25-4:00 pm Rhonda P. Buyers CEO / Executive Director, NGF Health Reform and Insurance 4:00-4:30 pm Rosina Papantonio Marketing Director, NGF Patients/groups/organizations in other countries and issues they face relative to the United States 4:30 -4:45 pm Rhonda P. Buyers CEO Executive Director Brief Meeting Wrap Up Gaucher 2010 Conference Sponsors Gaucher Conference Schedule National Gaucher Foundation 2010 Conference Saturday, November 6 Reception/Registration: 5:00 PM to 8:00 PM Sunday, November 7 Registration: 7:30 AM to 8:30 AM Breakfast: 8:00 AM Conference: 8:30 AM to 4:30 PM Lunch: 12:30 PM to 1:30 PM Optional break-out: 3:30 PM to 4:30 PM Group Dinner: 6:30 PM Monday, November 8 Breakfast: 8:00 AM Lunch: 12:15 PM to 1:15 PM Conference: 8:30 AM to 4:45 PM Optional break-out: 4:45 PM to 5:30 PM 1 Presentation Information Rhonda P. Buyers CEO/Executive Director - National Gaucher Foundation Date: November 7, 2010 Topic: Welcome and Opening Remarks Time: 8:30-8:40 am Rhonda P. Buyers Title: CEO/Executive Director National Gaucher Foundation Tucker, GA Biography: Rhonda Buyers has worked for the National Gaucher Foundation (NGF) for the past 16 + years. She began her career as Director of Development and moved on to become its CEO and Executive Director. Her responsibilities to the Foundation are myriad and include duties seemingly divergent from one another. Primarily, Rhonda Buyers oversees the day-to-day operation of the NGF and oversees the entire budget for the National Gaucher Foundation. She is responsible for allocations of all monies to programs such as Patient Resources, patient meetings, awareness and education programs, as well as research. She attends many of the patient meetings and speaks at many conferences and seminars. For many years, her interests and concerns have evolved to include many other Lysosomal Storage Disorders. She has coordinated many programs with other genetic disease foundations, assisted them with their programs and has been an outspoken advocate on insurance and legislative issues relative to genetic diseases. Her experience enabled her to serve on many boards and become an advisor to many rare genetic disease organizations. Rhonda’s enthusiasm and knowledge has assisted both national and global organizations to flourish and grow and was a leader in helping to unite those with similar missions and interests. Because of treatments developed by these pharmaceutical companies, children may no longer have to suffer the consequences and debilitating effects of Gaucher disease Type 1. Thank You To Our Gaucher Conference Sponsors National Gaucher Foundation 2 Presentation Information John A. Barranger, M.D., Ph.D. Date: November 7, 2010 Topic: Perspectives on Disease for the Gaucher Patient Time: 8:40-9:30 am John A. Barranger, M.D., Ph.D. Title: Professor, University of Pittsburgh Department of Human Genetics Pittsburgh, Pennsylvania Consultant, Genzyme Corporation Biography: Dr. John A. Barranger is a professor of Human Genetics at the University of Pittsburgh. In 2004, he increased consulting activities to expand his role in Gaucher disease and other lysosomal diseases. In this consulting work, he collaborates with other scientists on cell and original models useful for improving existing, as well as, developing new therapies for lysosomal diseases. He is also involved in the planning and evaluation of a variety of clinical trials. In this consulting role, he travels extensively to train and educate. He evaluates testing laboratories and instructs laboratory directors and technicians on the execution of diagnostic studies for lysosomal disorders. In clinical outreach work, he provides education on clinical diagnosis and treatment that impacts many hundreds of patients. Prior to 2004, Dr. Barranger was a professor in the Department of Human Genetics and was Acting Chair. He held appointments in Molecular Genetics and Biochemistry, and Pediatrics at the University of Pittsburgh where he developed and directed the Human Gene Therapy Applications Laboratory, the Center for the Study and Treatment of Jewish Genetic Diseases, and the Comprehensive Gaucher Disease Treatment Center. He was co-director of the Human Gene Therapy Center, and Medical Director of the Molecular Medicine Institute. Previously, Dr. Barranger was a scientist at the National Institutes of Health (NIH), where, from 1976 to 1978, he served in the Clinical Investigations and Therapeutics Section, Developmental and Metabolic Neurology Branch (DMNB), National Institute of Neurological and Communicative Disorders and Stroke. He ultimately became Chief of the Molecular and Medical Genetics Section of the DMNB and Associate Branch Chief. Dr. Barranger received a Ph.D. and M.D. from the University of Southern California Los Angeles, and completed an internship and residency in pediatrics at the University of Minnesota and a fellowship in Genetics at the NIH. Later, he returned to LA to lead the Division of Genetics at CHLA. Dr. John A. Barranger 3 Dr. Barranger has devoted his professional career to the study of inherited metabolic diseases, particularly lysosomal storage disorders. His research interests include biochemical and molecular genetics, enzyme therapy, gene transfer, and models of genetic disease. As a result of his investigation of the structure of glucocerebrosidase and receptors on macrophages, Dr. Barranger developed successful enzyme replacement therapy for Gaucher disease, an inherited, disabling lysosomal disorder that affects more than 10,000 people in the United States. This work spawned the emergence of a new biotechnology industry which began with Genzyme Corporation. The first enzyme replacement therapy received Food and Drug Administration approval in 1991 and serves as a treatment model for more than 50 related lysosomal storage disorders. It is the paradigm of the practical accomplishments of translational research. He has published more than 450 papers and abstracts. Included among Dr. Barranger's honors are the March of Dimes Health Career Award, the United States Public Health Service Commendation Medal, the Arthur S. Flemming Award, and the Scientific Achievement Award of the National Gaucher Foundation. In addition to consulting for government and industry, Dr. Barranger is a member of numerous professional organizations, including the Alpha Omega Alpha, American Society of Biochemistry and Molecular Biology, American Society of Human Genetics, Society for Inherited Metabolic Disorders, the Society for Pediatric Research, the American College of Medical Genetics, and the Ashkenazi Jewish Genetic Disease Consortium Disclosures: Defined the structure of glucocerebrosidase Invented the drug delivery system for glucocerebrosidase (GC) Provided the proof of principle of ERT in the first patient Cloned the gene for glucocerebrosidase Described the most common mutations in the GC gene Developed a commercial lab for LSD enzymatic and molecular diagnosis Developed first LSD Treatment Center at a University Summary Talk: The talk will briefly summarize the biology and treatment of Gaucher disease – its successes and its challenges…from the start to “the future.” Dr. John A. Barranger 4 Presentation Information Pramod K. Mistry, M.D., Ph.D. Date: November 7, 2010 Topic: Therapeutic Goals Evaluation and Assessment Time: 9:30-10:20 am Pramod K. Mistry, M.D. , Ph.D. Title: Prof. of Pediatrics & Internal Medicine Chief, Department of Pediatric GI/Hepatology Yale University School of Medicine New Haven, CT Consultant, Genzyme Corporation Biography: Pramod K. Mistry, M.D., Ph.D., received his medical degree from University of London’s Royal Free Hospital School of Medicine, London, and did his post-graduate training in Cambridge, England. Dr. Mistry is the Director of National Gaucher Disease Treatment Center and Professor of Pediatrics and Medicine at Yale School of Medicine, New Haven, Connecticut. He is Board Certified in Internal Medicine and Gastroenterology. He is a member of the American Association for Study of the Liver, American Society of Human Genetics and the European Working Group on Gaucher Disease. He is a regional coordinator of the ICGG and member of medical advisory boards of the National Gaucher Foundation and the Gaucher Association (UK). Dr. Mistry is the Chairman of the Medical Advisory Board of the American Liver Foundation (CT Chapter) and serves on the advisory committees of the National Gaucher Foundation, Gaucher Association (UK) and Cure GSD Children’s Fund. Dr. Mistry has authored numerous journal articles, book chapters and reviews on Gaucher disease. He has received several awards for his work on Gaucher disease, including the Alan Gordon Memorial Award, Physician of the Year Award from Genetic Disease Foundation of New York and Fellowship of the Royal College of Physicians of London. Dr. Pram Mistry 5 Dr. Mistry’s research is focused on natural course of Gaucher’s disease, pulmonary hypertension and liver disease complicating Gaucher disease and biomarkers. His lab is developing a new animal model of Gaucher disease. Dr. Mistry’s research is funded by the National Institutes of Health. Topic Summary: Therapeutic Goals Evaluation and Assessment - Gaucher Clinical Care and Evaluation - Management of the Disease - Follow-up evaluations with your physicians and when and what to monitor - Treatment Goals for Type 1 Gaucher Disease - Assessing improvements over the long term - Gaucher testing and evaluation of those tests - Using biomarkers to evaluate progress Dr. Pram Mistry www.genzyme.com Genzyme is dedicated to making a major positive impact on the lives of patients around the world with serious diseases through innovative products and services. Proud to support the National Gaucher Foundation. 6 Presentation Information Gregory M. Pastores, M.D. Date: November 7, 2010 Topic: Drug Therapies Panel Leader Time: 10:20 am-12:30 pm Gregory M. Pastores, M.D. Title: Associate Professor of Neurology and Pediatrics at the NYU School of Medicine New York, NY Director of the Neurogenetics Laboratory for the Department of Neurology at NYU New York, NY National Gaucher Foundation Medical Board Biography: Gregory M. Pastores, M.D., is an Associate Professor of Neurology and Pediatrics at the NYU School of Medicine in New York, and Director of the Neurogenetics Laboratory for the Department of Neurology at NYU. He graduated from the University of Sto. Tomas in Manila (1983) and received his training in Pediatrics and Genetics at the Mount Sinai Medical Center in New York (1989) and at the Mayo Clinic in Minnesota (1991). While at Mount Sinai, he received the Young Pediatric Investigator Award, Mount Sinai Child Health Research Center, NIH (5 P30 HD28822), 1993-1996, and the Clinical Associate Physician Award, Mount Sinai General Clinical Research Center, National Center for Research Resources, NIH (5M01-RR0071), 1996-1997. Dr. Pastores is Board Certified in Pediatrics (1989), Clinical Genetics (1993) and Clinical Molecular Genetics (1993). He has extensive clinical and research experience in the diagnosis and management of patients with the lysosomal storage disorders, and had been engaged in the development and testing of treatments for Gaucher, Fabry, MPS I and VI, Pompe disease and a late (adult)-onset form of Tay-Sachs disease (GM2-gangliosidosis). He has published over 135 papers, 15 book chapters and two textbooks. 7 Presentation Information Gregory A. Grabowski, M.D. Date: November 7, 2010 Topic: Drug Therapies Panel Member Time: 10:20 am -12:30 pm Gregory A. Grabowski, M.D. Title: The A. Graeme Mitchell Chair in Human Genetics Professor and Director, Division of Human Genetics Professor, Pediatrics and Molecular Genetics, Biochemistry, and Microbiology Founding Scientist of the STAR Lysosomal Disease Center Cincinnati Children’s Hospital Medical Center (CCHMC) Cincinnati, OH National Gaucher Foundation Medical Board Member Biography: Dr. Gregory A. Grabowski has been Professor and Director of the Division of Human Genetics at CCHMC since 1992. He completed his training in Pediatrics and Medical Genetics/Biochemical Genetics/Clinical Molecular Genetics at the University of Minnesota from 1974-79. He then rose from Assistant, to Associate to Full Professor (tenured) at the Mount Sinai School of Medicine in New York City from 1979-1992. During that time he established his international reputation in the areas of lysosomal storage diseases and treatment of genetic diseases. He moved to CCHMC to direct and build the Division of Human Genetics in 1992, which now has 27 faculty and represents all aspects of Medical/Human Genetics. He serves/has served on numerous National and International Advisory Boards, Study Sections, and Philanthropic agencies (e.g., Project Hope). He established the STAR (Service, Treatment, Advocacy, and Research) Lysosomal Disease Center at CCHMC in 1994. The STAR LSD Center cares for and provides therapy to over 350 patients/families afflicted with lysosomal diseases. His personal research activities are directed to the pathogenetic and molecular mechanisms of heritable diseases, the genetic bases of penetrance, and mechanism-based small molecule therapies for in situ protein engineering. The NIH and other national agencies have funded him for the last three decades for such research studies. He has authored over 270 journal publications and other scholarly works. In addition, he maintains an active clinical practice focused on the lysosomal storage diseases including Gaucher disease, Fabry disease, Pompe disease, the mucopolysaccharidoses, and other lysosomal diseases. 8 Presentation Information John A. Barranger, M.D., Ph.D. Date: November 7, 2010 Topic: Drug Therapies Panel Member Time: 8:40-9:30 am John A. Barranger, M.D., Ph.D. Title: Professor, University of Pittsburgh Department of Human Genetics Pittsburgh, Pennsylvania Consultant, Genzyme Corporation National Gaucher Foundation Medical Board Biography: Dr. John A. Barranger is a professor of Human Genetics at the University of Pittsburgh. In 2004, he increased consulting activities to expand his role in Gaucher disease and other lysosomal diseases. In this consulting work, he collaborates with other scientists on cell and original models useful for improving existing, as well as, developing new therapies for lysosomal diseases. He is also involved in the planning and evaluation of a variety of clinical trials. In this consulting role, he travels extensively to train and educate. He evaluates testing laboratories and instructs laboratory directors and technicians on the execution of diagnostic studies for lysosomal disorders. In clinical outreach work, he provides education on clinical diagnosis and treatment that impacts many hundreds of patients. Prior to 2004, Dr. Barranger was a professor in the Department of Human Genetics and was Acting Chair. He held appointments in Molecular Genetics and Biochemistry, and Pediatrics at the University of Pittsburgh where he developed and directed the Human Gene Therapy Applications Laboratory, the Center for the Study and Treatment of Jewish Genetic Diseases, and the Comprehensive Gaucher Disease Treatment Center. He was co-director of the Human Gene Therapy Center, and Medical Director of the Molecular Medicine Institute. Previously, Dr. Barranger was a scientist at the National Institutes of Health (NIH), where, from 1976 to 1978, he served in the Clinical Investigations and Therapeutics Section, Developmental and Metabolic Neurology Branch (DMNB), National Institute of Neurological and Communicative Disorders and Stroke. He ultimately became Chief of the Molecular and Medical Genetics Section of the DMNB and Associate Branch Chief. Dr. Barranger received a Ph.D. and M.D. from the University of Southern California Los Angeles, and completed an internship and residency in pediatrics at the University of Minnesota and a fellowship in Genetics at the NIH. Later, he returned to LA to lead the Division of Genetics at CHLA. Dr. John A. Barranger 9 Dr. Barranger has devoted his professional career to the study of inherited metabolic diseases, particularly lysosomal storage disorders. His research interests include biochemical and molecular genetics, enzyme therapy, gene transfer, and models of genetic disease. As a result of his investigation of the structure of glucocerebrosidase and receptors on macrophages, Dr. Barranger developed successful enzyme replacement therapy for Gaucher disease, an inherited, disabling lysosomal disorder that affects more than 10,000 people in the United States. This work spawned the emergence of a new biotechnology industry which began with Genzyme Corporation. The first enzyme replacement therapy received Food and Drug Administration approval in 1991 and serves as a treatment model for more than 50 related lysosomal storage disorders. It is the paradigm of the practical accomplishments of translational research. He has published more than 450 papers and abstracts. Included among Dr. Barranger's honors are the March of Dimes Health Career Award, the United States Public Health Service Commendation Medal, the Arthur S. Flemming Award, and the Scientific Achievement Award of the National Gaucher Foundation. In addition to consulting for government and industry, Dr. Barranger is a member of numerous professional organizations, including the Alpha Omega Alpha, American Society of Biochemistry and Molecular Biology, American Society of Human Genetics, Society for Inherited Metabolic Disorders, the Society for Pediatric Research, the American College of Medical Genetics, and the Ashkenazi Jewish Genetic Disease Consortium Disclosures: Defined the structure of glucocerebrosidase Invented the drug delivery system for glucocerebrosidase (GC) Provided the proof of principle of ERT in the first patient Cloned the gene for glucocerebrosidase Described the most common mutations in the GC gene Developed a commercial lab for LSD enzymatic and molecular diagnosis Developed first LSD Treatment Center at a University Dr. John A. Barranger 10 Presentation Information Ari Zimran, M.D. Date: November 7, 2010 Topic: Drug Therapies Panel Member Time: 10:20 am-12:30 pm Ari Zimran, M.D. Title: Associate Professor of Medicine The Hebrew University and Hadassah School of Medicine Director, Gaucher Clinic Department of Medicine Shaare Zedek Medical Center, Jerusalem Biography: Dr. Ari Zimran graduated from the Hebrew University, Hadassah Medical School, Jerusalem, Israel in 1975, and completed his internship in Rambam Hospital Haifa in 1976. He then served several years as a medical officer in the Israeli army, prior to completing his residency in Internal Medicine at Shaare Zedek Medical Center in Jerusalem in 1986. During three years of research fellowship at the Scripps Research Institute in La-Jolla, under the mentorship of Prof. Ernest Beutler, he gained interest in both molecular and clinical aspects of Gaucher disease. Upon return to Israel he founded a referral center for patients with Gaucher disease, where over 650 patients have been followed. He participated in several clinical trials that led to market approval of new treatments for patients with Gaucher disease, both multi-center and single center studies. He published over 200 papers and edited three books; the third one in 2007, together with Prof. Tony Futerman from the Weizmann Institute, is a most up-to-date and comprehensive textbook on Gaucher disease. Disclosure: Receives consultancy fees from Shire Human Genetic Therapies; receives consultancy fees and has options in Protalix Biotherapeutics and sits on their Scientific Advisory Board; receives support from Genzyme Therapeutics for participation in the ICGG registry; and participates in the Speakers’ Bureau for Actelion Pharmaceuticals LASERS PRINTED AT 100% courage and your triumphs. Proud sponsor of the National Gaucher Foundation www.actelion.com © 2010 Actelion Pharmaceuticals US, Inc. All rights reserved. 10 356 01 00 0810 ACTZA6493_GaucherConfProAd_Mv02.indd 1 8/30/10 1:15 PM ACTZA6493 Gaucher Conference Program Book Ad Colors: 4CP Bleed: no bleed Trim: 7.25"w x 10"h Live: 6.75"w x 9.5"h Output @ 100% Giant Creative Strategy We honor your 11 Presentation Information Rajiv Patni, M.D. Date: November 7, 2010 Topic: Actelion Drug Therapies Representative Time: 10:20 am-12:30 pm Rajiv Patni, M.D. Title: U.S. Executive Medical Director Actelion Pharmaceuticals US, Inc Biography: Dr. Rajiv Patni is Actelion Pharmaceuticals US, Inc.'s lead medical officer. Dr. Patni is a Board Certified internist and cardiologist who has held positions in clinical development and medical affairs at Pfizer, Novartis, and Roche. Over his 11 year tenure in the pharmaceutical industry, he has led multiple development programs and supported product launches for diseases including essential hypertension, type 2 diabetes mellitus, acute and chronic heart failure, and pulmonary arterial hypertension. Prior to joining the pharmaceutical industry, Dr. Rajiv was an academic physician at the Albert Einstein College of Medicine in New York, where he completed his residency and fellowship. He received his M.D. from the Mount Sinai School of Medicine and his B.S. from the Sophie Davis School of Biomedical Education, an accelerated BS/MD Program with the City University of New York. 12 Presentation Information Richard A. Moscicki, M.D. Date: November 7, 2010 Topic: Genzyme Drug Therapies Representative Time: 10:20 am-12:30 pm Richard A. Moscicki, M.D. Title: Chief Medical Officer Sr. Vice President, Clinical Research & Medical Affairs Genzyme Corporation Biography: Richard A. Moscicki, M.D., is currently Chief Medical Officer and Senior Vice President, Clinical Development and Medical Affairs at Genzyme Corporation, Cambridge, MA. He joined the company in 1992 as Medical Director. In his current role at Genzyme, he assumes worldwide responsibility for all aspects of clinical research and medical affairs. Prior to joining Genzyme, Dr. Moscicki served as a staff physician at Massachusetts General Hospital and was Director of training program in Allergy and Clinical Immunology for several years. At MGH, his research has been supported by several NIH awards. Dr. Moscicki has served on the faculty of Harvard Medical School since 1979. Dr. Moscicki received his medical degree from Northwestern University in 1976. He served his internship in categorical medicine (1976-77) and residency in internal medicine (1977-79) at the Medical Center Hospital of Vermont. From 1979 to 1983, he held clinical and research fellowships at MGH and Harvard Medical School in clinical immunology and immunopathology. He is Board Certified in Internal Medicine; Allergy and Immunology; and Diagnostic Laboratory Immunology. Dr. Moscicki is a member of numerous professional societies and is an active member of committees of those societies and has served as an advisor to USP. He has more than 60 publications and has provided editorial support for several professional journals. 13 Presentation Information Norman Barton, M.D. Date: November 7, 2010 Topic: Shire Drug Therapies Representative Time: 10:30 am-12:30 pm Norman Barton, M.D. Title: Senior Fellow and Disease Expert, Shire HGT Biography: Dr. Norman Barton’s biomedical research career spans 30 years with leadership responsibility for clinical research programs in both the academic and industrial sectors. The unifying principle throughout his career has been the research and development of therapeutics for genetic and metabolic disorders including, but not limited to: Gaucher disease, Fabry disease, Niemann-Pick disease and intractable gout. Relevant to our discussion today, Dr. Barton designed the clinical development program that lead to the approval of the first enzyme replacement product for type 1 Gaucher disease. Recognition for this contribution included the Meritorious Service Medal from the Public Health Service, the Outstanding Achievement Award from the National Gaucher Foundation and the Alumni Fellow Award from Pennsylvania State University. Topic Summary: Dr. Barton will review the efficacy and safety data of VPRIV, as well as the timeline of the clinical development program. The benefit of community is support The result of support is a stronger community Shire continues its commitment to providing assistance for people with life-altering conditions. OnePath is a service mark of Shire Human Genetic Therapies, Inc. Shire Human Genetic Therapies, Inc. • 700 Main Street • Cambridge, MA 02139 • www.shire.com ©2010 Shire Human Genetic Therapies, Inc. US/COR-00194-Sep10 SVE-30XX_NGF_AD_M01.indd 1 8/31/10 12:32 PM 14 Presentation Information Judith Peterschmitt, M.D. Date: November 7, 2010 Topic: Clinical Trials- Oral Medication Time: 1:30-2:05 pm Judith Peterschmitt, M.D. Title: Medical Director in Clinical Research at Genzyme Corporation Biography: Dr. Peterschmitt currently oversees the eliglustat clinical trials in North and South America. She is a Board Certified pediatrician and has additional training in medical genetics and neurology. Prior to working at Genzyme, she was a full time staff geneticist and the Medical Director of the Center for Treatment of LSD and of the Newborn Screening Program at Prof. A. Posadas Hospital in Buenos Aires, Argentina. Dr Peterschmitt received her M.D. from the National University of Buenos Aires, Buenos Aires, Argentina, and her Masters in Medical Sciences (Clinical Investigation) from the combined program Harvard Medical School – MIT Topic Summary: Information on oral medication research updates. 15 Presentation Information Joel Charrow, M.D. Date: November 7, 2010 Topic: Research and Clinical Trials Time: 2:05-2:40 pm Joel Charrow, M.D. Title: Professor of Pediatrics Feinberg School of Medicine, Northwestern University Head, Division of Genetics, Birth Defects and Metabolism Children’s Memorial Hospital Chicago, IL Biography: Dr. Charrow is the director of the Division of Genetics, Birth Defects and Metabolism and the Genetics Laboratory at Children’s Memorial Hospital, and Professor of Pediatrics at the Feinberg School of Medicine, Northwestern University. He received his bachelor’s degree from Antioch College and his M.D. from the Mount Sinai School of Medicine. His post-doctoral training in pediatrics and clinical and biochemical genetics were at Children’s Memorial Hospital. He is Board Certified in Pediatrics, Clinical Genetics, and Biochemical Genetics. Dr. Charrow’s clinical interests are mainly in the area of biochemical genetics (inborn errors of metabolism), neurofibromatosis, and skeletal dysplasias. He has been involved with Jewish genetic disorders since the beginning of his career, directing both research and diagnostic laboratories in this area. He currently directs Comprehensive Gaucher, Fabry and Pompe Disease Programs at Children’s Memorial Hospital. He is a member of the North American and International Boards of the International Collaborative Gaucher Group and is also a member of the North American Fabry Registry Advisory Board. Dr. Charrow’s research interests include studying the natural history of genetic disorders, with concentration on neurofibromatosis, Gaucher disease, Fabry disease, and other lysosomal storage disorders, developing optimal strategies for treating lysosomal storage diseases, and studying the methods and pitfalls of population screening for genetic disorders. Dr. Joel Charrow 16 Dr. Charrow is a founding fellow of the American College of Medical Genetics, and is a member of the Society for Inherited Metabolic Disorders, the American Society of Human Genetics, and the American Academy of Pediatrics. He founded the Jewish Genetic Disorders Program at Children’s Memorial Hospital, and is a member of the Board of Directors and a founder of the Chicago Center for Jewish Genetic Disorders. He is currently chairman of the Illinois State Genetic and Metabolic Advisory Committee. His bibliography includes over 60 peer-reviewed publications on lysosomal storage disorders, neurofibromatosis and skeletal dysplasias. He has written over 25 book chapters and review articles. Dr. Charrow has received honoraria from Genzyme for his participation in the advisory boards of the Gaucher and Fabry registries, and for speaking engagements. He has received research funding from Genzyme, Shire, and Amicus to support his center’s participation in their clinical trials. Topic Summary: Dr. Charrow’s presentation will explore the basic principles underlying the approaches to treatment of Gaucher disease, including enzyme replacement therapy, substrate synthesis inhibition, and chaperone therapy. He will discuss current and past clinical trials for agents in current use and those under development. Dr. Joel Charrow We exist because you exist. As long as familes and individuals with Gaucher disease need help, we will be there. You’re not just a face in the crowd. We know that anyone can have Gaucher disease and each and every one of them is important to us. Supporting families and individuals with Gaucher disease since 1984 through resources and financial, educational, outreach and mentor programs. 2227 Idlewood Road, Suite 6, Tucker, GA 30084 800-504-3189 or 770-934-2910 email: ngf@gaucherdisease.org . www.gaucherdisease.org 17 Presentation Information Gregory A. Grabowski, M.D. Date: November 7, 2010 Topic: Bone Involvement and Bone Repair Time: 2:40-3:30 pm Gregory A. Grabowski, M.D. Title: The A. Graeme Mitchell Chair in Human Genetics Professor and Director, Division of Human Genetics Professor, Pediatrics and Molecular Genetics, Biochemistry, and Microbiology Founding Scientist of the STAR Lysosomal Disease Center Cincinnati Children’s Hospital Medical Center (CCHMC) Cincinnati, OH Biography: Dr. Gregory A. Grabowski has been Professor and Director of the Division of Human Genetics at CCHMC since 1992. He completed his training in Pediatrics and Medical Genetics/Biochemical Genetics/Clinical Molecular Genetics at the University of Minnesota from 1974-79. He then rose from Assistant, to Associate to Full Professor (tenured) at the Mount Sinai School of Medicine in New York City from 1979-1992. During that time he established his international reputation in the areas of lysosomal storage diseases and treatment of genetic diseases. He moved to CCHMC to direct and build the Division of Human Genetics in 1992, which now has 27 faculty and represents all aspects of Medical/Human Genetics. He serves/has served on numerous National and International Advisory Boards, Study Sections, and Philanthropic agencies (e.g., Project Hope). He established the STAR (Service, Treatment, Advocacy, and Research) Lysosomal Disease Center at CCHMC in 1994. The STAR LSD Center cares for and provides therapy to over 350 patients/families afflicted with lysosomal diseases. His personal research activities are directed to the pathogenetic and molecular mechanisms of heritable diseases, the genetic bases of penetrance, and mechanism-based small molecule therapies for in situ protein engineering. The NIH and other national agencies have funded him for the last three decades for such research studies. He has authored over 270 journal publications and other scholarly works. In addition, he maintains an active clinical practice focused on the lysosomal storage diseases including Gaucher disease, Fabry disease, Pompe disease, the mucopolysaccharidoses, and other lysosomal diseases. Dr.Gregory A. Grabowski 18 Disclosures: National Institutes of Health: Basic and clinical research grants for the past 30 years that support his research personnel and salary. Genzyme Corporation: Basic research, clinical trial, and registry grants. Receives honoraria for scientific and patient oriented presentations. Dr. Grabowski is a paid consultant. Shire Human Genetic Therapies Corporation: Basic research, clinical trial, and registry grants. Receives honoraria for scientific and patient oriented presentations. Dr. Grabowski is a paid consultant on various aspects of lysosomal acid lipase deficiency diseases. Amicus Therapeutics Corporation: Previous basic research grants. Receives honoraria for participation on non-lysosomal disease advisory boards. Pfizer Corporation: Honoraria for the EPBU Medical Steering Committee. Project Hope Gaucher Disease Initiative: Travel expenses for board participation. No honoraria. Talk Summary: In the presentation, the distinction between bone marrow and cortical bone effects of ET will be discussed as will the timing of initiation of ET (children vs. adults) and its effects on skeletal disease manifestations. The issues of delivery of enzyme to bone will be discussed as will the comparative effects of ET, new substrate synthesis inhibition therapies (a.k.a. substrate reduction therapy), and bisphosphonates. The critical importance of follow-up and monitoring of these forms of therapy and their differential effects on the bone marrow and cortical bone will be emphasized. Dr. Gregory A. Grabowski 19 Presentation Information Paige (Berman) Kaplan, M.B.B.Ch. Date: November 8, 2010 Topic: Unique Issues in Treating Type I Children Time: 8:30 to 9:05 am Paige (Berman) Kaplan, M.B.B.Ch. Title: Paige (Berman) Kaplan M.B.B.Ch. Professor Emerita, Universiy of Pennsylvania School of Medicine. Section of Metabolic diseases, Division of Child Development, Rehabilitation and Metabolic diseases, The Children’s Hospital of Philadelphia Philadelphia, PA Biography: Medical school and internship: University of Witwatersrand, Johannesburg, South Africa Pediatric residency and genetics training: Montreal Children’s Hospital, Montreal, Quebec. 1983-87 Director of Clinical Genetics, Montreal Children’s Hospital Professional positions: 1987- present Children’s Hospital of Philadelphia - Senior Physician 1996 Professor of Pediatrics, University of Pennsylvania 2002 - 2006 Section chief, Section of Metabolic diseases Specialty Certifications: 1978 1982 1986 1993 Fellow of the Royal College of Physicians of Canada in Pediatrics American Board of Pediatrics Fellow of Canadian College of Medical Genetics Founding Fellow, American College of Medical Genetics Awards ● The Paige & Bernard Kaplan Award for Excellence in Clinical Teaching. Instituted by the Residents of the Montreal Children’s Hospital in September 1987. Awarded annually to the best teacher on the attending staff. ● First recipient of Charles & Michael Barnett Endowed Chair in Mitochondrial and Metabolic Diseases Dr. Paige Kaplan 20 Special interest in Gaucher disease and similar lysosomal diseases: Director of Comprehensive Lysosomal Center for children and adults, Children’s Hospital of Philadelphia: This offers diagnosis, testing, genetic counseling, and ongoing monitoring for all patients with lysosomal disorders (Gaucher, MPS , Fabry , Niemann Pick, Pompe, Tay Sachs) whether or not they are receiving enzyme replacement. ������ 1. N. American Board Advisor, International Collaborative Gaucher Registry Group (ICGG): The mission of the ICGG is to increase the knowledge of Gaucher. The ICGG has ● Published consensus statements & recommendations for monitoring & treating Gaucher disease. ● Analyzed baseline data and outcomes on many aspects of childhood Gaucher disease. ● Analyzed outcomes of treatment with enzyme replacement 2. ● Analyzed outcomes of patients with Gaucher not receiving enzyme replacement treatment. 3. N. American representative, International Board of Advisors, International Collaborative Gaucher Registry Group (ICGG) 4. N. American Board of Advisors, MPS I Registry Other special interests: 1. Biochemical genetics disorders 2. Williams syndrome – Director of multispecialty clinic at Children’s Hospital of Philadelphia 3. Connective Tissues disorders (Marfan syndrome, Osteogensis Imperfecta, Ehlers Danlos syndromes) – 4. Director of multispecialty clinic at Children’s Hospital of Philadelphia Topic: Children with type I Gaucher disease have different problems and need special attention. Why should a lot of attention be paid to childhood type I Gaucher and what makes it different from the adult form? Are there any differences from the adult form? Many of the problems are the same BUT there are factors in children that are not relevant in adults, and some in adults that do not affect children. Children are not miniature adults An overview of general aspects of Gaucher disease will be discussed but special attention will be paid to specific problems that can develop in childhood, and how to diagnose, monitor and treat them. Screening and diagnosing a non-symptomatic child at risk for Gaucher – the benefits and pitfalls will be discussed. Dr. Paige Kaplan 21 Presentation Information Raphael Schiffmann, M.D., M.H.Sc. Date: November 8, 2010 Topic: Gaucher Type 2 & 3/ Treating the Neuronopathic aspects of the Disease Time: 9:05-9:40 am Raphael Schiffmann, M.D., M.H.Sc. Title: Director Institute of Metabolic Disease Baylor Research Institute Dallas, Texas Neurometabolic Associates Biography: Dr. Schiffmann attended the University of Liège, Belgium where he obtained his M.D. degree cum laude. He completed training in pediatrics at the Shaare Zedek Medical Center in Jerusalem, Israel and in pediatric neurology at the Boston City Hospital and Tufts New England Medical Center Hospitals (Boston Floating Hospital). He is specialty Board Certified in both pediatrics and pediatric neurology. After two and a half years as a staff pediatric neurologist at Hadassah University Medical Center, Jerusalem, Israel, he joined the National Institutes of Health. Between 1996 and 2007 he has been the Lead Investigator directing the clinical research efforts of the Developmental and Metabolic Neurology Branch in the National Institute of Neurological Disorders and Stroke, National Institutes of Health. In December 2000 he received the degree of Master of Health Science in Clinical Research from Duke University. He is currently the Director of Baylor Institute of Metabolic Disease at the Baylor Research Institute in Dallas, Texas. Dr. Schiffmann’s research has focused on neurogenetic disorders, and in particular on lysosomal storage diseases, making him a nationally and internationally recognized expert. He investigated the natural history, pathogenesis and treatment of Fabry disease, including pivotal studies that lead to the approval of enzyme replacement therapy for this disorder in 45 countries. He received the Merit Award from the National Institute of Neurological Disorders and Stroke for these contributions. He also investigated the pathogenesis of the neurological and neuropathological aspects of Gaucher disease and their response to enzyme replacement therapy and substance reduction therapy. Dr. Raphael Schiffmann 22 His studies on the neurogenetics of mucolipidosis type IV confirmed the clinical and biochemical homogeneity of this disease that provided an important step toward identifying the mucolipidosis IV gene. He discovered three new leukodystrophy syndromes including Childhood Ataxia with Central Nervous System Hypomyelination (CACH), which is now recognized as one of the most common leukodystrophies. Dr. Schiffmann has authored 170 peer-reviewed publications, 20 reviews and book chapters and has presented his research in numerous national and international meetings. Disclosures: Has received research funds and speaking honoraria from Shire Human Genetics Therapies, Amicus Therapeutics and Genzyme Corporation. Also did consulting work for Shire Human Genetics Therapies and Amicus Therapeutics. Topic Summary: Discussion will include the various aspects of Neuronopathic envelopment in Gaucher Disease relative to those individuals who have Gaucher Disease type 2 & 3. Dr. Raphael Schiffmann To Our Dear Josephine Our eyes are the window to our souls. Our minds are the keeper of memories. Our hearts hold love - for those here and gone. Together they keep you alive, dear Josephine. Josephine Rose Lampitt April 20, 2008 to February 16, 2009 Gaucher Type 2 Photo by Victoria Sutherland, February 9, 2009 In Loving Memory of Josephine Rose Lampitt This is for all of the doctors, researchers, nurses, geneticists, hospitals and other organizations who contributed to Josephine’s care and comfort throughout her life. If you ever lose sight of your importance to the hundreds of children whose lives you have enriched, please remember Josephine. We will forever be thankful for those who put their hearts into improving the quality of Josephine’s and other Gaucher patients’ lives. Sincerely, The Lampitts To read more about Josephine’s life and our journey with her, please log onto the Children’s Gaucher Research Fund website at www.CGRF.org In Memoriam November, 2010 To children in the U.S. whom we have lost to Gaucher disease Types 2 & 3 Jared Patrick Ashley: Florida, 5 days short of 1 year old (1998) Hannah Colwell: Ohio, 9 months and 5 days, (2001) Ryan James Conklin: South Carolina, 1 year & 4 months old (1999) James Tyler Cooper: Alabama 21 months old (2001) Joseph DeFacci: Illinois, 3 years 26 days (1996) Andrew Dennis Doran: Louisiana, 1 year and 6 months old (1998) Elsa Enomoto: Hawaii, 3 months old (2007) Grace Enomoto: Hawaii, 7 months old (2008) David Escobar: Florida, 7 months (2007) Grant and Garet Geyer: Oklahoma, 8 months & 24 days old (2000) Aaliyah Heinzelman: Michigan, 3 years (2008) Kyle: New York, Two years 1 month (1996) Josephine Rose Lampitt: Virginia, 9 months (Feb, 2009) Joseph Lyle Mueller: South Dakota, 6 months and 26 days (May, 2009) Gregory Macres: California, 4 years old (1997) Lauren Marsh: Maryland, 14 months old (1992) Emma Pozzobon: Washington, just shy of 6 years old (2002) Avery Marshall Plumber: 20 months (2004) Ryan Rich: Tennessee, 2 years old Noah Jerome Shaffer: New York, 20 months old (2001) Cameron Robert Watson: Georgia, 7 months old (1999) To learn more about Gaucher disease Types 2 and 3 visit these websites: Children’s Gaucher Research Fund www.childrensgaucher.org . email: research@childrensgaucher.org National Gaucher Foundation www.gaucherdisease.org . email: ngf@gaucherdisease.org Gaucher’s 2/3 Discussion List http://health.groups.yahoo.com/group/gauchers23 The tribute above lists the precious children whom the NGF knew about and for which information was available and permission given to include in this list. There are a number of blogs and websites that families with Gaucher Type 2 and 3 children have established. You can research Gaucher blogs and websites, or contact the Children’s Gaucher Research Fund at research@childrensgaucher.org to learn more. National Gaucher Foundation 23 Presentation Information Ozlem Goker-Alpan, M.D. Date: November 8, 2010 Topic: Making Leaders of Ourselves: A National initiative for Gaucher disease Time: 9:40-10:15 am Ozlem Goker-Alpan, M.D. Title: Lysosomal Disorders Research and Treatment Unit Center for Clinical Trials Springfield, VA President and Chief Medical Officer, O&O Alpan, LLC Springfield, VA Biography: Dr. Goker-Alpan received her M.D. degree in 1990 from Marmara University School of Medicine, Istanbul Turkey with the highest honors as first in her class. She trained in Pediatrics and then served as a Pediatric Chief Resident at SUNY at Stony Brook, New York. She received Clinical and Biochemical Genetics fellowship at the National Institutes of Health, Greater Washington Medical Genetics Program in 1999, and worked as an adjunct scientist at the National Child Health Institute. She completed her fellowship training in Lysosomal Storage Disorders and Gaucher disease at the Clinical Neuroscience Branch, NIMH. She coordinated NIH Gaucher Clinic at the Medical Genetics Branch of the National Human Genome Research Institute until her departure from the NIH in December, 2010. Currently, Dr. Alpan is the president and chief medical officer of Center for Clinical Trials, O&O Alpan LLC in Springfield VA, and the director of Lysosomal Research and Treatment Unit, whose missions include providing cutting edge medicine with a variety of clinical treatment protocols and high quality care by multi-specialty clinics and day-to-day community primary care for individuals with Gaucher and other Lysosomal Storage diseases. She is also a medical advisor for the recently established BaltimoreWashington Metropolitan Gaucher patient support group. Dr. Ozlem Goker-Alpan 24 Disclosures: Dr. Ozlem Goker-Alpan has been or is an investigator for the pharmaceutical trials sponsored by Shire HGT, Genzyme Inc, Amicus, and Pfizer-Protalix Biotherapeutics. She is a consultant and/or has received honoraria from Shire HGT and Pfizer-Protalix Biotherapeutics. She has received grant support from Shire-HGT. She is on the speaker bureaus of Shire-HGT and Genzyme Inc. Topic Summary: Dr. Ozlem Goker-Alpan will discuss the dire need of new drugs to treat different aspects of disease pathophysiology, and new tests to understand the occurrence and progression of different symptoms. Dr. Ozlem Goker-Alpan 25 Presentation Information Ellen Sidransky, M.D. Date: November 8, 2010 Topic: Gaucher and Parkinson’s Time: 10:15- 10:50 am Ellen Sidransky, M.D. Title: Chief of the Section of Molecular Neurogenetics and is a pediatrician and clinical geneticist in the Medical Genetics Branch of the National Human Genome Research Institute at the National Institutes of Health Bethesda, Maryland Biography: Dr. Ellen Sidransky is Chief of the Section of Molecular Neurogenetics and is a pediatrician and clinical geneticist in the Medical Genetics Branch of the National Human Genome Research Institute at the National Institutes of Health in Bethesda, Maryland. Dr. Sidransky received her B.A. in Biology from Brandeis University in 1977 and her M.D. from Tulane University in 1981. She then trained in pediatrics at Children's Memorial Hospital/Northwestern University, and received her fellowship training in clinical genetics at the NIH Inter-institute Genetics Training Program. Dr. Sidransky joined the NIH and began studying Gaucher disease in the laboratory of Dr. Edward Ginns. She has been a Senior Investigator since 1990. Dr. Sidransky's research includes both clinical and basic research aspects of Gaucher disease, studies of genotype/phenotype correlation, clinical insights from mouse models, and the development of new treatment strategies for the lysosomal storage disorders. More recently she has played a lead role in establishing the association between glucocerebrosidase and Parkinson disease. Her current research also focuses on understanding the complexity encountered in "simple" Mendelian disorders. Recently she spearheaded an international collaboration to establish the frequency of glucocerebrosidase mutations in patients with Parkinson disease which was published in the New England Journal of Medicine. The author of over 120 publications, Dr. Sidransky directs two NIH clinical protocols, one evaluating patients with lysososmal storage disorders and the second prospectively studying patients and relatives with Parkinson disease harboring GBA mutations. Dr. Ellen Sidransky 26 Topic Summary: Will discuss a new and unanticipated finding in the field of Gaucher disease, the association of mutations in the gene for Gaucher disease and Parkinsonism. We noted that occasional patients with Gaucher disease, as well as their close relatives, developed Parkinson disease. Then, we looked for mutations in glucocerebrosidase (GBA), the gene involved in Gaucher disease, in other groups of patients with Parkinson disease, and, to our surprise, discovered that a significant portion of these patients were carriers of GBA mutations. The results of multiple different studies confirm that mutations in this gene are the most frequent genetic risk factor found for Parkinson disease identified to date. A recent combined international collaborative study of more than 5000 patients published in the New England Journal of Medicine demonstrated that subjects with Parkinson disease were over five times more likely to carry a GBA mutation than the control group. However, the vast majority of patients and carriers of Gaucher disease never develop Parkinson disease, so this gene is only one of many risk factors for this neurological disorder. This association is a clear example of how studies of rare disease can, at times, lead to insights that are directly relevant to more common disorders. We will discuss ongoing research and clinical studies designed to better understand the basis for this association. Dr. Ellen Sidransky 27 Presentation Information Grisel J. Lopez, M.D. Date: November 8, 2010 Topic: Gaucher and Parkinson’s Time: 10:15-10:50 am Grisel J. Lopez, M.D. Title: Senior Staff Clinician, NIH Parkinson Disease Clinic Bethesda, Maryland Biography: Dr. Grisel Lopez is a Staff Clinician at the National Human Genome Research Institute, Medical Genetics Branch in Dr. Ellen Sidransky’s laboratory. She was previously working at the National Institute of Neurological Disorders and Stroke where she was the Director of the NIH Parkinson Disease Clinic. She is a neurologist and Principal Investigator in several clinical protocols relating to the genetics of Parkinson Disease. She is also a co-investigator in other clinical protocols relating to the understanding of monogenetic diseases and their association to complex trait disorders. She obtained her medical degree, residency training and post-doctoral training at the University of Kansas Medical Center. Prior to her work at the NIH, she was Assistant Professor at the University of Kansas Medical Center. She is currently working with Dr. Ellen Sidransky in research related to Gaucher disease and its association to Parkinsonism. Topic Summary: Dr. Lopez’s presentation will be a brief description of current research protocols under group’s supervision currently recruiting participants at the National Institutes of Health. Special Thanks to The National Gaucher Foundation For more than 25 years, the National Gaucher Foundation has helped thousands of families, individuals and organizations in assessing, resolving and navigating the many issues related to Gaucher disease. Through their commitment to educational, awareness and outreach programs those who once suffered from Gaucher disease have greater knowledge and understanding of the Disease and available treatment options. We appreciate your many years of service to the rare disease community and your efforts on behalf of individuals and families with Gaucher disease. We are grateful to the National Gaucher Foundation for hosting the 2010 Gaucher Conference and proud to be a part of it. Thank you www.protalix.com T. 972-4-902-8100 | F. 972-4-988-9489 | M. 972-52-844-3344 2 Snunit st., Science Park | POB 455, Carmiel 20100, Israel 28 Presentation Information Roscoe O. Brady, M.D. Date: November 8, 2010 Topic: Technical Aspects of Gaucher disease Time: 10:50-11:25 pm Roscoe O. Brady, M.D. Title: Scientist Emeritus, National Institues of Health Bethesda, Maryland Biography: Dr. Brady obtained his M.D. degree from Harvard Medical School. He interned at the Hospital of the University of Pennsylvania and was a post-doctoral fellow in the Department of Physiological Chemistry at the University of Pennsylvania School of Medicine and a fellow in clinical medicine in the Department of Medicine. Following two and one-half years on active duty in the U.S. Naval Medical Corps, he joined the National Institutes of Health (NIH) where he was Chief of the Developmental and Metabolic Neurology Branch in the National Institute of Neurological Disorders and Stroke from 1972 to 2006. Dr. Brady received the Lasker Foundation Award in 1982; the Kovalenko Medal from the National Academy of Sciences USA in 1991 and the Alpert Foundation Prize from Harvard Medical School in 1992. He received an honorary Ph.D. degree from the University of Uppsala in 2005. He was awarded the U.S. Presidential Medal for Science and Technology in 2008. He is a member of the National Academy of Sciences, USA and the Institute of Medicine of the National Academy of Sciences. Dr. Brady and his colleagues identified the enzymatic defects in Gaucher disease, Niemann-Pick disease, Fabry disease and the specific metabolic abnormality in Tay-Sachs disease. He and his associates developed diagnostic, carrier detection and prenatal tests for these conditions and developed effective enzyme replacement therapy for patients with Gaucher disease and Fabry disease. He is currently investigating substrate depletion, molecular chaperone and gene therapy for patients with metabolic storage disorders. Dr. Roscoe O. Brady 29 Disclosures: Consultant, Genzyme Corporation Topic Summary: “Gaucher Disease Technical” (a) The origins of glucocerebroside from white and red blood cells, platelets, various tissues in the body and the brain; (b)Mechanisms and the consequences of reducing the fomation of such precursor lipids in various tissues; (c) Involvement of organs and tissues such as kidney, heart, lungs, brain and skin in addition to bones, spleen and liver; (d) What chitotriosidase is, how and why it is produced and its effect on organs and tissues; and finally (d) How long I think it will take to develop a cure for Gaucher disease. Dr. Roscoe O. Brady We are proud to support the National Gaucher Foundation in its mission to provide financial assistance, services, support and resources to those living with Gaucher Disease, their families and caregivers. ADVERTISING • MARKETING • DIRECT RESPONSE 8003 Old York Road, Elkins Park, PA 19027 • 215-635-1000 30 Presentation Information Neal J. Weinreb, M.D., F.A.C.P. Date: November 8, 2010 Topic: Gaucher Registry Time: 11:25-12:15 pm Neal J. Weinreb, M.D., F.A.C.P. Titles: Voluntary Associate Professor of Medicine Miller School of Medicine University of Miami Miami, Florida Clinical Associate Professor of Medicine (Hematology) Nova Southeastern College of Osteopathic Medicine Davie, Florida Senior Physician Director, University Gaucher Disease-Fabry Disease-Pompe Disease Treatment Center Director, University Research Foundation for Lysosomal Storage Diseases, Inc. Northwest Oncology Hematology Associates, PA. Coral Springs, Florida Biography: Neal J. Weinreb, M.D., F.A.C.P., is Voluntary Associate Professor of Medicine at the University of Miami Miller School of Medicine in Miami, Florida and Clinical Associate Professor of Medicine (Hematology) at Nova Southeastern College of Osteopathic Medicine in Davie, Florida. He is also a Senior Physician and Director of the University Gaucher Disease-Fabry Disease-Pompe Disease Treatment Center and the University Research Foundation for Lysosomal Storage Diseases at Northwest Oncology Hematology Associates, PA, in Coral Springs, Florida. After earning his M.D. summa cum laude from the State University of New York Downstate Medical Center, Dr. Weinreb completed an internship and a residency in internal medicine at Albert Einstein College of Medicine, followed by a fellowship in hematology at Mount Sinai School of Medicine. Board Certified in internal medicine, hematology, medical oncology, and hospice and palliative care, Dr. Weinreb is currently focused on treating patients with lysosomal storage disorders, specifically Gaucher, Fabry and Pompe diseases. A leading expert and researcher on Gaucher disease, Dr. Weinreb developed an interest in the disease more than 40 years ago while working as a young research associate under Dr. Roscoe Brady at the National Institutes of Health, where he demonstrated that Gaucher disease is a lysosomal storage disorder and helped formulate some of the purification procedures that eventually led to the production of Cerezyme®. Dr. Neal J. Weinreb 31 Dr. Weinreb has presented widely on Gaucher disease in the United States and abroad, and has published extensively in leading medical journals. He presently serves as Chair of the North American section of the International Collaborative Gaucher Group (ICGG), the largest cooperative and observational registry on Gaucher disease, and as Co-Chair of the ICGG International Board of Scientific Advisors. Dr. Weinreb is also an active participant in the Fabry Registry. Dr. Weinreb is a member of several medical organizations, including the American Society of Hematology, American Society of Human Genetics, and Global Organization for Lysosomal Storage Diseases. He serves on the Ethics Committee of the Florida Society of Clinical Oncology. In 2006, Dr. Weinreb was recognized for his research accomplishments with the “See the Light” award from the Matthew Forbes Romer Foundation for children’s genetic diseases of the brain. Disclosures: Dr. Weinreb receives research support from Genzyme Corporation (Cambridge, MA) and from Shire HGT (Lexington, MA). He is on the Speakers’ Bureau and participates in medical advisory boards for Genzyme Corporation and for Shire HGT, and on the medical advisory board for Protalix/Pfizer. He receives honoraria from Genzyme for activities related to the ICGG Gaucher Registry. Topic summary: The International Collaborative Gaucher Group (ICGG) Gaucher Registry is the largest existing source of information on Gaucher disease natural history and the effect of disease-specific treatment. Currently, the Registry data base contains information on nearly 6,000 patients with Gaucher disease from all parts of the world. For nearly 20 years, through its participating physicians and dedicated staff, the Registry has successfully implemented its mission: to increase the understanding of Gaucher disease and improve the lives of those living with this sometimes debilitating disorder. This presentation will review some of the most important past accomplishments and current projects of the ICGG Gaucher Registry. This review will set the stage for a detailed description of an “extreme makeover” of the Registry platform (Registry NXT!) that, among other enhancements, will, for the first time, offer an opportunity for real time interaction with the Registry not only for participating physicians and other health care providers, but for individual patients as well. There will also be an opportunity to discuss how best to adapt the Registry concept to the rapidly evolving multiple choice Gaucher disease treatment environment. Dr. Neal J. Weinreb 32 Presentation Information Karen Grinzaid, MS, CGC, CCRC Date: November 8, 2010 Topic: Regional Gaucher Centers as they relate to the Registry Time: 1:15-2:15 pm Karen Grinzaid, MS, CGC, CCRC Title: Genetic Counselor, Clinical and Research Coordinator Jewish Genetic Disease Program Leader Emory University School of Medicine, Department of Human Genetics Atlanta, GA Biography: Karen is a Board Certified genetic counselor and clinical/research coordinator in the Lysosomal Storage Disease (LSD) Center at Emory University’s Department of Human Genetics. She has worked in this specialty area since 1993. Her responsibilities in the LSD Center include coordination of comprehensive care for patients with lysosomal storage diseases, management of clinical research trials involving Gaucher disease patients, and operation of a genetics infusion center for enzyme replacement therapies. She is also involved with planning and hosting of Gaucher patient meetings and other LSD events. She lectures frequently to the medical and lay communities about diagnosis, evaluation and treatment of the LSDs. Karen also serves as Program Director for Emory’s Jewish Genetic Disease Program. In this capacity, she coordinates educational efforts, provides genetic counseling services, and facilitates laboratory interface with patients and the community. Prior to her involvement with Emory’s Lysosomal Storage Disease Center and Jewish Genetic Disease Program, Karen provided genetic counseling services for prenatal, pediatric, newborn screening and several specialty clinic populations at the University of South Carolina and at Emory. Karen’s educational background includes a B.A. in Psychology from Northwestern University in Evanston, IL (1982) and an M.S. in Human Genetics from Sarah Lawrence College in Bronxville, NY (1984). She received her American Board of Medical Genetics/American Board of Genetic Counseling certification in 1987. She later received her certification as a Clinical Research Coordinator through the Association of Clinical Research Professionals in May 2007. Karen Grinzaid 33 Disclosures: Supported in part by clinical trial funding from the following companies: Actelion Pharmaceuticals, Amicus Therapeutics, Genzyme Therapeutics, Protalix Biotherapeutics, and Shire Human Gene Therapies. Topic Summary: Regional Gaucher Centers play an integral role in informing patients about the ICGG Registry, consenting and enrolling interested patients, coordinating patient care to include appropriate assessments, and entering accurate data from comprehensive visits. In most regional centers, the medical team includes a genetic counselor or nurse who coordinates patient care and oversees Registry activities. This session will address the roles of genetic counselors and other Regional Gaucher Center team members as they relate to the Registry. Karen Grinzaid Children’s Gaucher Research Fund. A place to turn for help, hope and a commitment to work for better tomorrows. Our Fund and Our Committment Children’s Gaucher Research Fund is a 501(c)(3) charitable organization that raises funds to coordinate and support research to find a cure for Type 2 and Type 3 Gaucher Disease. 100% of your charitable donation goes to medical research, period. This is a commitment you can count on. Our mission is to raise funds and unite families to find a cure for Gaucher disease Types 2 and 3 . To date, CGRF has raised over 1.6 million dollars. 100% of every dollar we receive goes to medical research. A cure for Gaucher disease Types 2 and 3 may lead to a cure for all lysosomal diseases. Gaucher Disease has served as a prototype disorder for understanding the molecular basis, pathophysiology and treatment of a class of inherited metabolic diseases termed “lysosomal storage diseases.” The Children’s Gaucher Research Fund hopes to continue this cutting-edge position for Gaucher Disease research. Previous and future studies of Gaucher Disease have had and will have continued impact on a broad range of fields including human genetics, complex lipid metabolism, novel therapeutic approaches and brain function. Would you donate a dollar if it could help save one life? You can help to make hope for a cure a reality by donating to the CGRF today! Children’s Gaucher Research Fund P.O. Box 2123, Granite Bay, California 95746-2123, (916) 797-3700 or cell: 916-996-3700 email: research@childrensgaucher.org . www.childrensgaucher.org 34 Presentation Information Wayne D. Rosenfield, Ph.D. Date: November 8, 2010 Topic: Psycho-Social Issues Related to Gaucher disease Time: 2:15-2:50 pm Wayne D. Rosenfield, Ph.D. Biography: Wayne Rosenfield is a professional psychologist who lives in Norwich, Connecticut. He has worked for about 33 years in schools, residential facilities, and hospitals. Most of his work has been with people with developmental disabilities and severe mental disorders. He provides disaster mental health services for the American Red Cross. He is currently working in the Emergency Departments of two community hospitals in eastern Connecticut, and is also providing inpatient services at one of those hospitals. He is the Treasurer for the Radio Amateur Society of Norwich, and was appointed by the City Council to the newly-formed Norwich Ethics Commission. He is the support group leader for the Yale Gaucher Center, where he is an occasional lecturer to the second-year students at the Yale School of Medicine. Also at Yale, he received his first infusions of velaglucerase during the clinical trials, before resuming home infusions. Topic Summary: Dr. Rosenfield will discuss the personality styles that are related to survival of serious illness. There will be a brief discussion of the effects of thoughts and behaviors upon adaptation to illness. Some examples will be included for the use of imagery, self-talk, and humor to enhance adaptation to illness. Further discussion will include the value for the individual of hobbies and social networks. A central theme will be the framing of illness and disability as an inconvenience rather than an end to productivity and enjoyment. 35 Presentation Information Betsy Simon and Rosalie Borovetz Date: November 8, 2010 Topic: Parenting a child with Gaucher disease / Growing up with Gaucher Time: 2:50-3:25 pm Betsy Simon and Rosalie Borovetz Biography: Rosalie had not heard of Gaucher until her younger child, Betsy, was diagnosed in 1982. The mother of two adult children, Rosalie has a Master's Degree in Social Work, with 24 years of experience in medical and managed care settings. She and her spouse have recently retired in order to spend more time with family. Rosalie is a Gaucher Disease mentor. Diagnosed at age 3, Betsy has always been aware that she has Gaucher Disease. Now married to a Rabbi and the mother of two daughters, Betsy has actively outreached to the Jewish Community about Gaucher Disease and is also a mentor. Together, this mother-daughter team will explore the multiple experiences of growing up with Gaucher Disease from a two generational perspective, including discussion of issues around diagnosis, parenting a child with a chronic genetic disorder, and the challenges of growing up with Gaucher Disease Topic Summary: A Mother-Daughter retrospective on the challenges of living and growing up with Gaucher Disease. We are proud to support the National Gaucher Foundation in its mission to provide financial assistance, services, support and resources to those living with Gaucher Disease, their families and caregivers. ADVERTISING • MARKETING • DIRECT RESPONSE 8003 Old York Road, Elkins Park, PA 19027 • 215-635-1000 36 Presentation Information Rhonda P. Buyers CEO/Executive Director-National Gaucher Foundation Topic: Healthcare Reform and Insurance Date: November 8, 2010 Time: 3:25-4:00 pm Rhonda P. Buyers Title: CEO/Executive Director National Gaucher Foundation Tucker, GA Biography: Rhonda Buyers has worked for the National Gaucher Foundation (NGF) for the past 16 + years. She began her career as Director of Development and moved on to become its CEO and Executive Director. Refer to page 1 for more regarding Rhonda P. Buyers’ Biography. Topic Summary: A discussion about particular sections of the Health Care Reform Bill as they specifically relate to the Gaucher community. 37 Presentation Information Rosina M. Papantonio Marketing Director-National Gaucher Foundation Date: November 8, 2010 Topic: Gaucher disease in other countries and issues they face relative to those in the United States. Time: 4:00-4:30 pm Rosina M. Papantonio Title: Marketing Director National Gaucher Foundation Gulf Breeze, FL Biography: Rosina Papantonio has worked for the National Gaucher Foundation (NGF) for the past 11 + years as the NGF’s Marketing Director. Her responsibilities to the Foundation are anything related to advertising and marketing and education and awareness of Gaucher disease. Rosina came to the National Gaucher Foundation with a vast background in advertising and marketing, LAN administration and graphic design. Her background has provided the experience required for many jobs that were once done by outside contractors. These include, producing and writing ads, scripts and articles for the Gaucher Community Newsletter. She also produces many of the NGF flyers, brochures and internet banners, purchases media and provides marketing proposals and statistical data vital to tracking performance of campaigns. Rosina is also the NGF’s website administrator and is responsible for providing all updates and changes to the webmaster and conceiving, planning and implementing online events. Her interests also lie in planning, implementing and creating collaterals for many of the NGF’s events such as golf tournaments, museum exhibits and conferences. Topic Summary: How other countries dealt with the drug shortage and what patients experienced during this time period. The differences between how Gaucher patients and organizations work together in other countries. Issues they face that may not affect patients and organizations in the U.S.