Day 1 - Monday, September 12, 2016 |
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7:00 | Registration & Continental Breakfast |
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Keynote Presentation |
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| KEYNOTE PRESENTATION |
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8:00 | Clinical Development of Gene Therapy for Hemophilia B |
| | Marcus Carr Vice President Clinical Hematology Rare Disease Research Unit Pfizer |
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Pre-clinical Research |
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8:45 | |
Hy Levitsky Executive Vice President & Chief Scientific Officer Juno Therapeutics |
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9:10 | Vector Engineering to Overcome Barriers in Preclinical Gene Therapy for Proof-of-concept Studies |
| | Guangping Gao Professor & Director, Horae Gene Therapy Center Professor of Microbiology & Physiology Systems Penelope Booth Rockwell Professor in Biomedical Research University of Massachusetts Medical School |
| Efficient and safe gene delivery is the key for gene therapy. Among all different viral vectors available for gene delivery to date, adeno-associated virus (AAV)–based vector hold great promise for its high efficiency, stability, and low immunogenicity/toxicity. AAV vector-mediated efficient and stable gene delivery is the team work of both viral capsid and vector genome. This presentation will describe our efforts in gene therapy vector optimization through viral capsid and vector genome engineering to accomplish proof-of-concept efficacious and sustained preclinical gene therapy in animal models as and to probe mechanisms for disease pathology and gene therapy. |
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9:35 | Large Animal Models of Cardiovascular Diseases for Cell and Gene Therapy |
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Kiyotake Ishikawa Assistant Professor Icahn School of Medicine |
| Cardiovascular disease remains the leading cause of hospitalization and mortality in the US, despite recent pharmaceutical advancements and improved health care. Gene and stem therapy have emerged as promising approaches to change this paradigm and active research at the bench demonstrates promising results. In order to successfully translate these positive results toward the clinic, thorough evaluation of efficacy as well as safety is essential. To this end, several large animal models of cardiovascular disease that recapitulate clinical phenotypes have been developed in our laboratory. Representative models will be presented together with a recent successful example study using one of the models. |
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10:00 | Morning Networking Break |
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10:30 | The Future of Biotherapeutics |
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Michael Naso Scientific Director, Janssen Biotherapeutics Janssen R&D |
| We are rapidly progressing our basic understanding of molecules and pathways that drive health and disease. The logical outcome of these efforts will be the identification of therapeutic intervention strategies that are specific for those pathways that are at the heart of the disease state. As target identification and validation efforts progress, we will be challenged by the current limitations of our therapeutic drug platforms. Small molecule drugs and biologics (large molecules) each have several significant issues with regard to the type of molecules they can effectively modulate, as well as, the costs associated their discovery and development. Gene therapies have the potential to accommodate all of these limitations, and could eventually replace current small molecule and biologics as the therapeutic platform of choice. |
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Emerging Technologies |
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10:55 | Next Gen HSV Vectors for Persistent Transgene Expression in the Nervous System |
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Joseph Glorioso Professor, Microbiology & Molecular Genetics University of Pittsburgh
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| Gene therapy for nervous system disease requires long-term, targeted transgene expression in selected nerve cell populations. In many cases high capacity vectors are needed to accommodate multi- or large gene payloads. HSV is a neurotropic human virus that persists in neurons, however virus toxicity and failure to achieve robust durable transgene expression has proven difficult to achieve. We will describe a new generation of high capacity, non-cytotoxic defective HSV-1 vectors that exploit natural viral insulator sequences to achieve robust expression of reporter genes in multiple brain regions in rodents. These vectors are deleted for the reiterated joint sequences (~15kb) flanking the UL and US unique components and functionally devoid of all viral immediately early genes. Durable transgene expression was achieved in both neuronal and non-neuronal cells. Transgene expression could be highly restricted to specific nerve cell populations using both transductional and transcriptional targeting. These new generation HSV vectors fill a void in vector technology for gene therapy that can be applied to the treatment of complex degenerative disease |
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11:20 | Gene Switches for Gene Therapies |
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Ian Phillips Director, Center for Rare Disease Therapies Keck Graduate Institute of Applied Life Sciences |
| Gene therapies repair or replace mutated genes, stem cells replace entire cells. While gene therapies are becoming a reality, stem cells still have barriers to overcome. We have developed gene switches that can turn on and off transgene expression. The gene switch offers something new and advanced for gene therapy and stem cell therapies. Unlike CRISPR-cas9, Talens and zinc fingers which are irreversible, our gene switches are reversible (Phillips 2012).They could supply genes when needed.
For example we built a gene switch that senses oxygen levels in tissue. Under hypoxia at the cellular level, the gene switch detects low oxygen and switches on a hybrid protein that activates an upstream promoter sequences of an inserted gene. The effector genes are varied depending on the purpose : We have tested the gene switch for Myocardial ischemia, with the heme oxygenase 1 gene being activated to prevent apoptosis and reduce inflammation. .We used the gene switch to increase survival of autologous mesenchymal stem cells (MSCs) after transplantation (Tang et al, 2005). Normally 90% of MSCs die within 48 hours of transplantation but MSCs protected by the gene switch (“The Vigilant Vector”) functioned for at least 4weeks after transplantation in the heart .
The gene switch could aid automatic healing. During the Iraq war the US Army and DRTA supported the development of our gene switch as a “ Vigilant hemostat” a concept to cease hemorrhage in multiple internal wounds in combat before the wounded soldier could be rescued. The gene switch started automatically to stop bleeding with Factor 7 gene. The experiments ended with the war ending but we hope to pursue the idea of automatic healing with the newly awarded ( 2015) US patent (US patent #9,040,676). |
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11:45 | |
Stephen Chang Vice President, Research & Development NY Stem Cell Foundation |
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12:10 | Lunch on Your Own |
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1:30 | Directed Evolution of New Viruses for Therapeutic Gene Delivery |
| | David Schaffer Professor, Chemical and Biomolecular Engineering, Bioengineering, Molecular and Cell Biology, and the Helen Wills Neuroscience Institute University of California at Berkeley |
| Strong basic and translational efforts in the gene therapy field have culminated in successes in an increasing number of human trials involving viral vectors, particularly ones based on adeno-associated virus (AAV). These include trials for hemophilia B, Leber’s congenital amaurosis, Sanfilippo B, and lipoprotein lipase deficiency. AAV is thus capable of safe and therapeutic gene delivery to some targets; however, vectors in general face a number of challenges that limit their efficacy. These include anti-vector neutralizing antibodies, low transduction of some therapeutically relevant cells in vitro or in vivo, difficulty in overcoming cellular and physical barriers within complex tissue structures, and an inability for targeted delivery to specific cells. These challenges are not surprising, as nature did not evolve viruses for our convenience to use as human therapeutics, and thus “off the shelf” natural viruses do not meet a range of clinical needs. In most situations there is insufficient mechanistic knowledge of underlying virus structure-function relationships to empower rational design to improve such vectors; however, directed evolution has been emerging as a strategy to engineer novel viral variants that meet specific biomedical needs.
We were the first to develop and have since been implementing directed vector evolution – the iterative genetic diversification of a viral genome and functional selection for desired properties – to address a number of problems with AAV. Genetic diversification has included the random diversification of peptide sequences at defined locations in the capsid, random point mutagenesis of the cap gene, and recombination of cap genes from a number of parental serotypes to create random chimeras. Using a range of in vitro and in vivo selection strategies, we have evolved AAV for evasion of neutralizing antibodies, enhanced biodistribution and spread within a target tissue, greatly improved delivery efficiency, and targeted delivery in vitro and in vivo, thereby improving the vectors’ capacity to meet human therapeutic needs. |
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1:55 | Synthetic Viral Vector Design for Gene Therapy |
| | Luk Vandenberghe Assistant Professor in Ophthalmology Director, Gene Transfer Vector Core Harvard Medical School |
| To date, in vivo therapeutic gene transfer is most efficiently accomplished through the use of viral vectors. Historically, in gene therapy, viruses have been harvested and adapted as gene delivery vehicles. In this process, the desirable features viruses evolutionary have acquired are harnessed toward therapeutic benefit; however unfortunately, certain less favorable features are also carried over in this process. Here, we describe a process toward the rational design of viral-like particles that overcome this inherent limitation of the field currently. |
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2:20 | Building AAV Technology Platforms for Clinical Gene Therapy |
| | Aravind Asokan Interim Director , Gene Therapy Center Associate Professor of Genetics, School of Medicine The University of North Carolina at Chapel Hill |
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| Gene replacement, silencing and editing based therapies are poised to become the next generation of biologics to effectively treat and cure human disease. Viral vectors, such as AAV, have demonstrated the ability to deliver such gene-based therapeutics in patients. However, there is a critical need to re-engineer AAV vectors to address a broad spectrum of clinical challenges. We describe multiple AAV platform technologies to address unmet clinical needs in gene therapy and genome editing. |
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2:45 | Therapeutic Gene Editing with CRISPR/CAS9 |
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TJ Cradick Head of Genome Editing CRISPR Therapeutics |
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| CRISPR-Cas9 systems are programmable nucleases that can be designed to precisely edit the genome to correct disease-causing mutations. CRISPR/Cas systems have enabled a wide range of editing methods in humans and also have enabled genome editing in a long list of plant and animal species. CRISPR/Cas systems are being optimized to drive gene editing. Bioinformatics and design strategies are used to improve and ensure specificity. We will also discuss the use of new CRISPR ortholog systems. |
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3:10 | Afternoon Networking Break |
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3:40 | Receptor Targeted Cell Based Therapies for Cancer |
| | Khalid Shah Associate Professor, Harvard Medical School Director, Stem Cell Therapeutics & Imaging Massachusetts General Hospital |
| Stem cell-based therapies are emerging as a promising strategy to tackle cancer. Using our recently established invasive, recurrent and resection models of primary brain tumors and breast and melanoma metastatic tumors in the brain that mimic clinical settings, we have shown that receptor targeted engineered adult stem cells expressing novel bi-functional proteins or loaded with oncolytic viruses target both the primary and the invasive tumor deposits and have profound anti-tumor effects. These studies demonstrate the strength of employing engineered stem cells in preclinical-therapeutic tumor models and form the basis for their clinical translation. This presentation considers the current status of stem cell-based treatments for cancer and provides a rationale for translating the most promising preclinical studies into the clinic. |
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4:05 | |
Devyn Smith Head of Strategy, Pharmatherapeutics Research & Development Pfizer |
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Clinical Development. |
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4:30 | Retroviral Replicating Vectors for Gene Therapy and Immunotherapy of Cancer: Clinical Update and Mechanistic Analysis |
| | Noriyuki Kasahara Professor, Departments of Cell Biology & Pathology Co-Leader, Viral Oncology Program University of Miami |
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| First-in-human Phase 1 dose escalation studies involving 128 patients with high-grade glioma have been conducted using Toca 511 (vocimagene amiretrorepvec), a retroviral replicating vector (RRV). The vector, based on an amphotropic murine gamma-retrovirus, is highly selective for tumor cells and encodes an optimized yeast cytosine deaminase (CD) as a prodrug-converting enzyme. Infected cancer cells convert the orally-administered prodrug Toca FC (extended-release 5-fluorocytosine, 5-FC) into the antineoplastic drug 5-fluorouracil (5-FU). In preclinical studies, extensive infection of tumors by Toca 511 leads to long-term control of tumor growth in both xenograft and syngeneic models upon 5-FC treatment. In immunocompetent orthotopic tumor models, induction of durable antitumor immunity can also be achieved by several mechanisms, including local elimination of immunosuppressive myeloid cells, leading to apparent tumor eradication. Subcutaneous re-implantation of uninfected cancer cells did not lead to tumor growth in animals treated with Toca 511 + 5-FC up to a year before, whereas tumors did develop in control naïve animals. In clinical trials, Toca 511 has been delivered by intratumoral injection (NCT01156584), injection into the post-resection tumor bed (NCT01470794), or by IV administration (NCT01985256). In all of these studies, the treatment was well-tolerated, and there is good evidence of selective tumor infection by PCR, RT-PCR and immunohistochemistry. Clinical results showed a favorable safety profile and extended overall survival (OS) compared to historical controls. In a recently published study, (T. Cloughesy et al. 2016 Sci.Transl.Med.), median OS was 13.6 months compared to 7.1 months in a matched historical control, and OS at 24 months was 40% in the higher dose groups. In addition, an RNA expression signature that predicts long-term survival in trial subjects has been identified in pre-treatment resected tumors. Available data from these clinical trials are also consistent with anti-tumor immune responses playing a significant role in clinical efficacy. Based on these results, a multi-center international Phase 2/3 trial (Toca 5) for recurrent high-grade glioma has recently started recruitment (NCT02414165), and a new Phase 1 trial evaluating IV delivery of Toca 511 has also been initiated for a variety of different metastatic cancers. |
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4:55 | Preclinical and Clinical Experience with Genes and Viruses for GBM Immunotherapy |
| | E. Antonio Chiocca Harvey W. Cushing Professor of Neurosurgery Harvard Medical School |
| The use of genes and/or oncolytic viruses (OVs) is being tested in preclinical and clinical trials for cancers, including glioblastoma (GBM). We have recently completed a phase 2 clinical trial in patients with newly diagnosed GBM where we evaluated the cytotoxic and immunotherapy benefit of a gene mediated cytotoxic immunotherapy (Advantagene Inc., Auburndale, MA). It showed a highly encouraging benefit when compared to standard of care (SOC), albeit requiring further analysis via a randomized clinical trial. Preclinically, addition of immune checkpoint inhibition provides an augmented antiGBM effect. Oncolytic herpes simplex virus is also providing highly encouraging preclinical and clinical data related to antiGBM effects and will also be discussed. |
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5:20 | |
Katherine High Co-Founder, President and Chief Scientific Officer Spark Therapeutics
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5:45 | [Short Oral Presentation from Exemplary Submitted Abstracts] |
| To be considered for an oral presentation, please submit an abstract here by August 12, 2016. Selected presentations will be based on quality of abstract and availability. Presentation slots fill up fast so please submit your abstract ASAP. |
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6:05 | Networking Reception & Poster Session |
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Day 2 - Tuesday, September 13, 2016 |
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7:30 | Continental Breakfast |
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Clinical Development (Continued). |
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| FEATURED PRESENTATION |
8:00 | | Charles Bridges Vice President, Johnson and Johnson Medical Devices Professor of Cardiovascular Surgery, Mount Sinai School of Medicine
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8:25 | | Mehdi Gasmi Chief Technology Officer Adverum Biotechnologies, Inc.
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8:50 | | Brian Kaspar Chief Scientific Officer, AveXis Principal Investigator, The Center for Gene Therapy at Nationwide Children's Hospital |
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9:15 | Anti-sense Oligonucleotides for the Treatment of Neuromuscular Disorders |
| | Ed Kaye Chief Executive Officer (Interim) & Chief Medical Officer Sarepta Therapeutics |
| Exon skipping with anti-sense oligonucleotides has great potential in Duchenne muscular dystrophy. Deletion of an exon allows for the ability to turn an out-of-frame mutation into an in-frame mutation in mRNA which when translated produces an internally deleted protein. This smaller protein may allow for amelioration of the Duchenne phenotype into a milder Becker like phenotype. Results of a recent clinical trial demonstrated a 162 meter benefit in the 6MWT, a dramatic difference in loss of ambulation, and the production of novel dystrophin after 4 years of treatment using an exon skipping PMO when compared to untreated natural history control. Exon skipping may be used in other indications, such as SMA, where PMO’s can used for exon inclusion and restoration of the SMN2 protein. |
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9:40 | | Mark Shearman Chief Scientific Officer Applied Genetic Technologies Corporation |
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10:05 | Morning Networking Break |
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Regulatory Challenges. |
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10:35 | |
Anne-Virginie Eggimann Vice President, Regulatory Science bluebird bio |
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11:00 | |
TBD |
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Funding / Finance for Cell & Gene Therapy. |
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11:25 | |
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Organized by:
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GTCbio |
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Invited Speakers:
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2016 Keynote & Featured Speakers | | | Charles R. Bridges Vice President, Medical Devices, Cardiovascular Therapeutic Area Expert, Johnson and Johnson Medical Devices; Professor of Cardiovascular Surgery, Mount Sinai School of Medicine |
| | Marcus Carr Vice President Clinical Hematology Rare Disease Research Unit Pfizer |
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| | 2016 Distinguished Speaker | | Rahul Aras Co-Founder, President and Chief Executive Officer Juventas Therapeutics | | Aravind Asokan Interim Director , Gene Therapy Center; Associate Professor of Genetics, School of Medicine The University of North Carolina at Chapel Hill | | Stephen Chang Vice President, Research & Development NY Stem Cell Foundation | | E. Antonio Chiocca Harvey W. Cushing Professor of Neurosurgery Harvard Medical School
| | Reed Clark Head of Pharmaceutical Development Dimension Therapeutics
| | Diana Colleluori Senior Director, Quality Control Bluebird Bio | | TJ Cradick Head of Genome Editing CRISPR Therapeutics | | Anne-Virginie Eggimann Vice President, Regulatory Science bluebird bio | | Simon Ellison Head of Commercial Cell and Gene Therapy Catapult | | Guangping Gao Professor & Director, Horae Gene Therapy Center; Professor of Microbiology & Physiology Systems; Penelope Booth Rockwell Professor in Biomedical Research University of Massachusetts Medical School | | Mehdi Gasmi Chief Technology Officer Adverum Biotechnologies, Inc. | | Joseph Glorioso Professor, Microbiology & Molecular Genetics University of Pittsburgh | | Katherine High Co-Founder, President and Chief Scientific Officer Spark Therapeutics | | Kiyotake Ishikawa Assistant Professor Icahn School of Medicine |
| | Noriyuki Kasahara Professor, Departments of Cell Biology and Pathology; Co-Leader, Viral Oncology Program University of Miami | | Brian Kaspar Chief Scientific Officer, AveXis; Principal Investigator, The Center for Gene Therapy at Nationwide Children's Hospital | | Ed Kaye Chief Executive Officer (Interim) & Chief Medical Officer Sarepta Therapeutics | | Hy Levitsky Executive Vice President & Chief Scientific Officer Juno Therapeutics | | Sheila Mikhail Chief Executive Officer & Co-Founder Bamboo Therapeutics | | Michael Naso Scientific Director, Janssen Biotherapeutics Janssen R&D | | Neil Palmer President & Principal Consultant PDCI Market Access | | Ian Phillips Director, Center for Rare Disease Therapies Keck Graduate Institute of Applied Life Sciences | | Hasan Saleheen R&D Manager, Cell Therapy Technology GE Healthcare | | David Schaffer Professor, Chemical and Biomolecular Engineering, Bioengineering, Molecular and Cell Biology, and the Helen Wills Neuroscience Institute University of California at Berkeley | | Devyn Smith Head, Strategy for Pharmatherapeutics Worldwide R&D, Pfizer | | Khalid Shah Associate Professor, Harvard Medical School; Head, Molecular Neurotherapy & Imaging Laboratory; Director, Stem Cell Therapeutics & Imaging Program, Department of Radiology and Neurology,Massachusetts General Hospital | | Mark Shearman Chief Scientific Officer Applied Genetic Technologies Corporation | | Luk Vandenberghe Assistant Professor in Ophthalmology; Director, Gene Transfer Vector Core Harvard Medical School | | Nora Yang Director, Portfolio & Project Management, Strategic Operations National Center for Advancing Translational Sciences (NCATS), National Institutes of Health |
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Deadline for Abstracts:
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2016-08-12
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Registration:
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https://www.gtcbio.com/register/cell-gene-therapy
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E-mail:
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infogtcbio@gtcbio.com
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