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Conference Documentation: Obesity & Related Disorders

Published by: SMI Publishing, Ltd

Published: Feb. 21, 2005


Table of Contents


Day 1

8.30 Registration & Coffee


9.00 Chairman's Opening Remarks


Dr Cord Dohrmann, Chief Scientific Officer, DeveloGen.


9.10 TARGET IDENTIFICATION AND VALIDATION


How should we validate targets for their ability to deliver anti-obesity drugs?

Identifying the central targets for anti-obesity drugs - leptin vs others

Current and novel targets

Requirement of a successful drug for the treatment of obesity

Challenges, benefits and limitations of these targets

Dr Tung Fong, Director, Metabolic Disorders, Merck.


9.50 EARLY STAGE DISCOVERY


Mechanisms and target choice

Most promising targets: overview

What about ghrelin?

Dr Monique Berwaer, Principal Scientist/ Team Leader, Johnson & Johnson.


10.30 Morning Coffee


11.00 GUT PEPTIDES


Do they signal hunger and satiety?

The gut can signal to the brain via nerves or hormones

Vagal nerve endings are sensitive to cholecystokinin, leptin and ghrelin

The hormone ghrelin can induce feeding

Systematically administered peptide YY can reduce food intake

It has been hypothesised that the gut signals hunger and satiety to the brain

Controversies concerning the actions of these peptides will be discussed

Dr Simon Luckman, Pricipal Investigator & Senior Lecturer, University of Manchester.


11.40 PANEL DISCUSSION


The role of ghrelin in regulating appetite - is the

Dr Monique Berwaer, Principal Scientist/ Team Leader, Johnson & Johnson.

Dr Simon Luckman, Pricipal Investigator & Senior Lecturer, University of Manchester.

Dr Klaus Dembowsky, Vice President, Drug Discovery, Ingenium Pharmaceuticals.


12.50 Networking Lunch


2.20 STIMULATION OF THERMOGENESIS AND OTHER INTERVENTIONS IN ENERGY METABOLISM


Alternatives to centrally acting anorectic agents

Why target metabolism?

Overview of physiological and biochemical mechanisms

Where and what are the targets?

Validation of metabolic targets

Expectations of thermogenic drugs

Professor Jon Arch, Professorial Research Fellow & Deputy Director, Metabolic Research, University of Buckingham.


3.00 SYSTEMIC APPROACH TO IDENTIFY NOVEL GENES RELEVANT FOR THE TREATMENT OF OBESITY


Phenotypic screening of mice treated with ENU for obesity relevant parameters

High throughput in vivo screen with ENU mutagenesis

Diseases vs therapy relevant genes for obesity

Results will be exemplified by the Chagall phenotype

Chagall mice have highly reduced adipose tissue and are resistant to high fat diet in the absence of gross metabolic changes

This phenotype is caused by a point mutation in a novel transmembrane transporter

Dr Klaus Dembowsky, Vice President, Drug Discovery, Ingenium Pharmaceuticals.


4.00 OBESITY DRUGS


Rationale for use and guidance for regulatory approval

Obesity as a chronic disease and extent of the problem

Rationale for use of obesity drugs, alone and in combination

Discrimination against obesity: effects on obesity drug approval and use

Characteristics and effectiveness of current obesity drugs

Categories of future agents to treat obesity

Elements of a successful clinical trial

Current FDA guidances and potential modifications for future drugs

Safety issues: balancing effectiveness and risks in using obesity drugs

Dr Richard Atkinson, President, American Obesity Association.


4.40 SEROTONIN NOREPINEPHRINE RE-UPTAKE INHIBITOR


Sibutramine

Approval process

Beneficial effects of Sibutramine on metabolic syndrome parameters

Response in non-diabetic and diabetic patients

Efficacy in long-term obesity management

Dr Terry Opgenorth, Divisional Vice President, Metabolic Disease Research, Abbott Laboratories.


5.00 Chairman’s Closing Remarks and Close of Day One




Day 2

8.30 Registration & Coffee


9.00 Chairman's Opening Remarks


Dr Klaus Dembowsky, Vice President, Drug Discovery, Ingenium Pharmaceuticals.


9.10 GLOBAL MARKET OVERVIEW


Insights into the obesity market

Understanding the aetiology and epidemiologyof the obesity crisis

The changing medical and popular perceptions of obesity

Classification and designation of obesity as a disease

Behaviour modification vs metabolic disorder: targeting school children and their families

Profile of the target market and their future medical needs

Obesity as underlying pathogenesis of diabetes and the metabolic syndrome

Dr Manfred Ganz, Assessment Strategy & Business Development, Global Diabetes Care, F. Hoffmann-La Roche.


9.50 IN VIVO EFFICACY TESTING OF ANTI-OBESITY


Diet induced obesity: rodent models (cafeteria diet, high-fat diet)

Examples of the use of non-rodent species

Sibutramine in Cynomolgus monkeys

Dexfenfluramine in Rhesus monkeys

Sibutramine in domestic pigs

Dr Marcus Schindler, Associate Director & Group Leader, Metabolic Diseases, Boehringer-Ingelheim.


10.30 Morning Coffee


11.00 ATL-962: A NOVEL GASTROINTESTINAL LIPASE INHIBITORY ANTI-OBESITY DRUG


Initial clinical development of ATL-962

Pharmacodynamic studies

Initial Phase IIb efficacy data from obese patients

Positioning in anti-obesity pharmacotherapy

Dr Richard Palmer, Executive Officer & Director, R & D, Alizyme.


11.40 INSULIN RESISTANCE AND ADIPOSE TISSUE


Insulin resistance and T2D

Adipose tissue as the primary site of insulin resistance?

Screening for targets involved in the regulation of fat metabolism

DG70 a novel kinase regulating insulin sensitivity

Development of DG70 inhibitors as insulin sensitisers

Dr Cord Dohrmann, Chief Scientific Officer, DeveloGen.


12.20 Networking Lunch


1.50 A DIET-INDUCED MARMOSET MODEL FOR OBESITY,


Results will be presented on the development, validation and utility of a diet-induced obese Marmoset model that offers a predictive non-human primate model of obesity and metabolic syndrome

Marmosets placed on a high-fat diet for three months exhibited a 27% increase in body weight

Both body composition changes and serum chemistry modulations mirror those observed in obese humans

Marmosets treated with the anti-obesity agents Rimonabant or Sibutramine for four weeks, demonstrated analogous changes in weight and serum chemistries as those achieved in the clinic

In summary, diet-induced obese Marmosets are excellent models for the study of both obesity and metabolic syndrome that can ultimately be used to accelerate the development of pharmaceuticals to treat these rising epidemics

Dr Mark Paulik, Group Leader, Metabolic Diseases, GlaxoSmithKline.


2.30 PGC-1: INSULIN RESISTANCE


The association between insulin resistance

Does obesity and physical inactivity aggravate insulin resistance?

The symptoms of insulin resistance

Causes of insulin resistance

Treatment of insulin resistance

Dr Richard Carr, Vice President, Discovery Management, Novo Nordisk, Library & Information Centre.

Ms Karin Rimvall, Senior Scientist, Department Head, Novo Nordisk, Library & Information Centre.


3.10 Afternoon Tea


3.40 COMMON METABOLIC DISEASES: OBESITY AND TYPE 2 DIABETES


New views on the progression from obesity to

Aspects of the metabolic syndrome

Understanding the physiological and biochemical factors underlying these metabolic disturbances

New genes, new pathways and new endocrinology

Discovering and validating potential new targets for obesity and diabetes

Current approaches and novel drug targets

Developing better therapeutic outcomes

Dr Andrew Eisen, Assistant Director & Head, Metabolic Disorders, Cura Gen Corporation.


4.20 OBESITY-INDUCED HYPERTENSION


The multifactorial and complex mechanisms

The prevalence of obesity-related hypertension

Adipocytokines and the pathogenesis of cardiovascular consequences of obesity

Systemic hemodynamics in obesity

Association of hyperinsulinema with obesity

Studies and figures

What this means for industry

Clinical strategies

Dr Yehonatan Sharabi, Head, Hypertension Unit, C. Sheba Medical Center.


5.00 Chairman’s Closing Remarks and Close of Day Two

Abstract

New opportunities in the treatment of obesity highlight significant commercial opportunities for the pharmaceutical industry today. The potential for anti-obesity treatment is extensive with an estimated clinically obese population of over 250 million globally in the year 2003. As a rapidly growing global epidemic, obesity is also a major factor for co-morbidities such as type II diabetes, cardiac disorders and hypertension, which now account for over 60% of the 56.5 million deaths per year around the world that are deemed preventable.

SMi’s 2nd Annual Conference on Obesity & Related Disorders will endeavour to review and evaluate the causes of obesity and associated chronic diseases, with a focus on the current and future opportunities in the anti-obesity drug market, disease management and product pipelines. This conference will also assess the success of anti-obesity drugs already released onto the market, current drivers and shapers and the future opportunities and novel mechanisms available to fight obesity.

Furthermore, SMi's Obesity & Related Disorders Conference will discuss the latest in regulatory guidelines, assessing both implication and implementation methods of achieving successful drug approvals.

A unique opportunity to learn from leading industry experts including:
  • Dr Terry Opgenorth, Divisional Vice President, Metabolic Disease Research, Abbott
  • Dr Tung Fong, Director, Metabolic Disorders, Merck
  • Dr Richard Carr, Scientific Director, Experimental Medicine, Novo Nordisk
  • Dr Monique Berwaer, Head, Metabolic Diseases, Johnson & Johnson
  • Dr Manfred Ganz, Specialist Internal Medicine, Diabetologist & Associate Professor, Clinical Management, University of Rome & Director & Head, Medical Assessment Strategy & Business Development, Roche Diagnostics
  • Dr Marcus Schindler, Associate Director & Group Leader, Metabolic Diseases, Boehringer-Ingelheim
  • Dr Andrew Swick, Director, Cardiovascular & Metabolic Diseases, Pfizer
  • Dr Yehonatan Sharabi, Head, Hypertension Unit, C. Sheba Medical Center & Investigator, National Institute of Neurological Disorders & Stroke (NINDS), National Institutes of Health


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