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Final Program - American Society of Gene & Cell Therapy

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<strong>Program</strong> Schedule, Wednesday, May 15, 2013<br />

C<strong>of</strong>fee Break<br />

7:30 am – 8:00 am<br />

Scientific Symposium 100<br />

8:00 am - 10:00 am<br />

ROOM: BALLROOM D<br />

Challenges and Success <strong>of</strong> <strong>Gene</strong> <strong>Therapy</strong> Product Approval<br />

CO-CHAIRS: Dale G. Ando, MD and Barry J. Byrne, MD, PhD<br />

SPEAKERS<br />

Dale G. Ando, MD<br />

Clinical Studies <strong>of</strong> the Infusion <strong>of</strong> ZFN CCR5 Modiied Autologous CD4 T cells (SB-728T) in HIV Subjects<br />

CCR5 is the second receptor for HIV in R5 trophic HIV strains and the CCR5Δ32 gene mutation confers resistance to HIV infection in<br />

humans. This resistance to HIV infection can be recreated in CD4 T cells by ex-vivo modiication <strong>of</strong> the CCR5 gene locus by speciic<br />

Zinc Finger Nucleases Clinical studies treating HIV subjects with autologous CD4 T cells modiied at CCR5 by ZFN (SB-728T) in<br />

order to protect against HIV have been performed. Clinical data on the pharmacology, immunologic effects and safety <strong>of</strong> these<br />

treatments will be presented.<br />

Wednesday, May 15, 2013<br />

Theresa Chen, PhD<br />

CBER Regulatory/Preclinical Considerations for AAV Products<br />

The presentation will provide an overview <strong>of</strong> the current CBER perspective regarding the preclinical evaluation <strong>of</strong> AAV-based gene<br />

therapy products and discuss regulatory and scientiic challenges in the safety and activity assessment <strong>of</strong> these investigational<br />

products. According to 21 CFR 312.23 (a)(8), adequate information derived from pharmacology and toxicology studies is needed<br />

to support a clinical investigation that is reasonably safe and scientiically feasible. Thus, the data from preclinical studies should<br />

provide a better understanding <strong>of</strong> the activity, safety, vector biodistribution, and transgene expression proiles following product<br />

administration in appropriate animal models. These data will then be used to guide aspects <strong>of</strong> the design <strong>of</strong> early phase clinical<br />

trials <strong>of</strong> AAV-based products, including: 1) determination <strong>of</strong> a potentially safe starting dose level and dose escalation scheme; 2) an<br />

optimal route <strong>of</strong> administration/anatomic site <strong>of</strong> delivery; 3) subject eligibility criteria; and 4) an adequate clinical monitoring plan.<br />

Barry J. Byrne, MD, PhD<br />

Next <strong>Gene</strong>ration Therapies with AAV<br />

Evan Y. Snyder, MD PhD FAAP<br />

The Rationale Use <strong>of</strong> <strong>Cell</strong>-based Therapies - Viewpoint from a Scientist who Advises Regulatory Agencies<br />

Although it is true that regulatory agencies, when assessing applications for cell-based therapies, tend to focus primarily on issues<br />

<strong>of</strong> safety, they are inevitably cognizant <strong>of</strong> the rationale behind the use <strong>of</strong> particular cell type in a particular clinical context in order<br />

to determine whether the risk is justiied. In other words, they do pay attention to whether a presumed mechanism-<strong>of</strong>-action<br />

is scientiically valid and supportable by the data. Certainly the scientists and physicians who advise such regulatory agencies<br />

scrutinize such data. This talk will discuss both the rational and irrational use <strong>of</strong> cell therapy, particularly for the neurological<br />

disorders, including a number <strong>of</strong> misconceptions.<br />

Scientific Symposium 101<br />

8:00 am - 10:00 am<br />

ROOM: BALLROOM C<br />

From Blood to the Brain: <strong>Gene</strong> and <strong>Cell</strong> <strong>Therapy</strong> <strong>of</strong> <strong>Gene</strong>tic Diseases and Inborn Errors <strong>of</strong><br />

Metabolism<br />

CO-CHAIRS: Randy J. Chandler, PhD, MB and Denise Sabatino, PhD<br />

SPEAKERS<br />

Ian E. Alexander, MBBS, PhD<br />

Pre-Clinical <strong>Gene</strong> <strong>Therapy</strong> for Urea Cycle Disorders<br />

A critically important function <strong>of</strong> the liver is the detoxiication <strong>of</strong> ammonia via the urea cycle. Infants with severe urea cycle<br />

enzyme deiciencies commonly present early in life with life-threatening hyperammonemia, progressing to coma and death in<br />

the absence <strong>of</strong> medical intervention. Effective management remains challenging and necessitates liver transplantation. Ornithine<br />

transcarbamylase (OTC) deiciency, the most common urea cycle defect, has long been recognized as an ideal model for livertargeted<br />

gene therapy. This presentation will explore contemporary efforts to treat OTC and other urea cycle defects, placing these<br />

<strong>Final</strong> <strong>Program</strong> SALT LAKE CITY, UTAH May 15–18, 2013<br />

31

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