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3rd Cell & Gene Therapy Conference

 
  July 11, 2016  
     
 


GTCbio, Boston, MA
2016/09/12-2016/09/13


Day 1 - Monday, September 12, 2016
  
7:00Registration & Continental Breakfast
  
Keynote Presentation
  
  
 KEYNOTE PRESENTATION
  
8:00Clinical Development of Gene Therapy for Hemophilia B
 
Marcus Carr 
Vice President Clinical Hematology
Rare Disease Research Unit
Pfizer
  
  
Pre-clinical Research
  
8:45

Hy Levitsky 
Executive Vice President & Chief Scientific Officer 
Juno Therapeutics
  
9:10Vector 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.
  
9:35Large Animal Models of Cardiovascular Diseases for Cell and Gene Therapy

 



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.
  
10:00Morning Networking Break
  
10:30The Future of Biotherapeutics
 

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.
  
Emerging Technologies
  
10:55Next Gen HSV Vectors for Persistent Transgene Expression in the Nervous System
 

Joseph Glorioso
Professor, Microbiology & Molecular Genetics
University of Pittsburgh

 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
  
11:20Gene Switches for Gene Therapies
 

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).
  
11:45

Stephen Chang
Vice President, Research & Development 
NY Stem Cell Foundation
  
12:10Lunch on Your Own
  
1:30Directed 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.
  
1:55Synthetic 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.
  
2:20Building 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
  
 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.
  
  
2:45Therapeutic Gene Editing with CRISPR/CAS9
  
 

TJ Cradick

Head of Genome Editing
CRISPR Therapeutics
  
 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.
  
3:10Afternoon Networking Break
  
3:40Receptor 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.
  
4:05

Devyn Smith 
Head of Strategy, Pharmatherapeutics Research & Development 
Pfizer
  
Clinical Development.
  
4:30Retroviral 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
  
 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.
  
4:55Preclinical 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.
  
5:20

Katherine High
Co-Founder, President and Chief Scientific Officer 
Spark Therapeutics 
  
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.
  
6:05Networking Reception & Poster Session
  
Day 1Day 2
  
Day 2 - Tuesday, September 13, 2016
  
7:30Continental Breakfast
  
Clinical Development (Continued).
  
 FEATURED PRESENTATION
8:00
Charles Bridges 
Vice President, Johnson and Johnson Medical Devices  
Professor of Cardiovascular Surgery, 
Mount Sinai School of Medicine  
  
  
8:25
Mehdi Gasmi 
Chief Technology Officer
Adverum Biotechnologies, Inc.

  
8:50
Brian Kaspar
 

Chief Scientific Officer, AveXis
Principal Investigator
, The Center for Gene Therapy at Nationwide Children's Hospital
  
9:15Anti-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.
  
9:40
Mark Shearman 
Chief Scientific Officer 
Applied Genetic Technologies Corporation
  
10:05Morning Networking Break
  
Regulatory Challenges.
  
10:35

Anne-Virginie Eggimann 
Vice President, Regulatory Science 
bluebird bio
  
11:00

TBD
  
Funding / Finance for Cell & Gene Therapy.
  
11:25 
 
Organized by: GTCbio
Invited Speakers:
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

 
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
 
Deadline for Abstracts: 2016-08-12
 
Registration: https://www.gtcbio.com/register/cell-gene-therapy
E-mail: infogtcbio@gtcbio.com
 
   
 
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