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Conference Documentation: Asthma & COPD II

Published by: SMI Publishing, Ltd

Published: Apr. 26, 2006


Table of Contents


Day 1




8.30 Registration & Coffee




9.00 Chairman's Opening Remarks

Dr Steven Kesten, Therapeutic Area Director, Respiratory, Boehringer Ingelheim .




9.10 REGULATORY GUIDELINES

European regulatory guidelines for asthma dn COPD


Current status

Guidelines for asthma

Guidelines for COPD


Dr John Warren, Medical Assessor, Medicines & Healthcare products Regulatory Agency (MHRA).




9.50 IMPROVING EFFICIENCY IN THE DEVELOPMENT OF INHALED DRUGS


Smart selection of formulation, device and inhalation route

Streamlining drug development timelines through integrated study design

Approaches in the evaluation of inhaled drug delivery: right place, right time, right level?

Better delivery, better patient compliance - case studies


Mr Mark Egerton, Chief Executive Officer, Pharmaceutical Profiles Ltd..




10.30 Morning Coffee




10.50 DEVELOPMENT OF A NOVEL SMALL MOLCULE ANTAGONIST FOR INFLAMMATION AND ATOPY

The role of chemoattractants in allergic and inflammatory disorders of lung and skin


Novel target validation and the discovery of suitable small molecule antagonists

Actimis Pharmaceutical’s novel anti-inflammatory compound

Pharmacological efficacy and preclinical development overview


Dr Kevin Bacon, Founder, Chief Scientific Officer, & Head, Research & Development, Actimis.




11.30 LONG-ACTING ANTICHOLINERGIC AGENTS

Novel advances in COPD management


Bronchodilators and anticholinergics are the mainstays of COPD treatment

Abnormal inflammatory response in the lung

Cholinergic bronchoconstriction plays a significant role in the severity of COPD symptoms

Anticholinergic agents antagonise the airway bronchoconstrictive action of acetylcholine

Inhaled bronchodilators alleviate symptoms, improve airflow and decrease hyperinflation


Mr Craig Conoscenti, Associate Director , Boehringer Ingelheim




12.10 THE LABA ASTHMA DEBATE

A case study in ICS/LABA combination therapy


Review of risk/benefit and positioning of LABA in asthma management

The salmeterol SMART study and response by regulatory authorities

The potential impact on positioning of LABA in asthma management


Dr Dzelal Serdarevic, Director, A&R Therapeutic Area, Clinical R&D, , Pfizer Ltd.




12.50 Networking Lunch




2.20 ADAPTATION OF ASTHMA MODELS TO MEET PRECLINICAL NEEDS


Current preclinical asthma models

Development of more rapid/sensitive readouts

Visualisation of the immune response as it occurs in asthma

Identification of mode of action in situ and in real time


Dr Alison Kerr, Director, Respiratory Inflammations, MD Biosciences.




3.00 PROTEASE INHIBITORS IN THE TREATMENT OF COPD AND CF

Potential disease-modifying agents in COPD


Human clinical studies with protease inhibitors


Dr Malinda Longphre, Medical Science Liaison & Head, Medical Affairs, Aerovance Inc.




3.40 Afternoon Tea




4.00 PHASE IV: REACHING THE PATIENT

Clinical endpoints through to market


Meeting international regulations

Getting the right patients into the right studies

Efficacy and safety

Other strategies for late phase studies

Reducing long-term side-effects and introducing prompt counter-measures


Dr Alan Davies, European Medical Director, Kendle.




4.40 LUNG FUNCTION PARAMETERS

Respiratory clinical trials - blow by blow


Measuring lung functions and the relevant parameters differentiating asthma and COPD

Variables influencing LFTs

Identifying abnormalities and deducing their causes

The value of centralised spirometry over-reading

Case studies


Dr Aleck Harrison, Consultant Clinical Scientist, AJH Partners.




5.00 Chairman’s Closing Remarks and Close of Day One




Day 2




8.30 Registration & Coffee




9.00 Chairman's Opening Remarks

Dr Noel Snell, Global Medical Science Director, AstraZeneca R&D.




9.10 COMPARATIVE PATHOPHYSIOLOGY OF ASTHMA AND COPD

Novel therapeutic approaches


Asthma and COPD - similarities and differences

Asthma - pathophysiology and potential therapeutic targets

COPD - pathophysiology and potential therapeutic targets

‘Excluded’ trial subjects in obstructive lung disease - are we missing something important?


Dr Noel Snell, Global Medical Science Director, AstraZeneca R&D.




9.50 PHOSPHODIESTERASE-4 INHIBITORS

A new class of drugs in asthma and COPD


PDE4 as an important target for the development of anti-inflammatory therapy for airway disease

Mechanism of action in preclinical models

Efficacy and safety of PDE4 inhibitors under development - how might they change future treatment algorithms for asthma and COPD?

Profile of Roflumilast as a PDE4 inhibitor in late phase III development


Dr Dirk Bredenbroeker, Head, Clinical Research Pulmonology, ALTANA AG.




10.30 Morning Coffee




11.00 BIOLOGICALS IN THE TREATMENT OF ASTHMA AND COPD

Novel concepts in the treatment of moderate to severe asthma


Targeting IgE and TNFa

Review of the clinical data available to date

Strong scientific rationale, no clinical efficacy

Anti-TNFa in COPD


Dr Rozsa Schlenker Herceg, General Medicine, Centocor Incorporated Corporate Headquarters.




11.40 IMMUNE SYSTEM TARGETS IN THE TREATMENT OF ASTHMA

Targeting IgE and T-cells for asthma therapies


Update on clinical experiences with Xolair®

Update on the immunomodulatory effects of long term Xolair® therapy

Review advances in the understanding of the role of T- cells in asthma pathophysiology

Describe the potential benefits and risks of targeting T- cells as a new therapeutic approach for asthma

Case study: Daclizumab (Zenapax®)


Dr David Valacer, Senior Medical Director, Genentech Inc.




12.20 Networking Lunch




1.50 ANTI-INFLAMMATORY CORTICOSTEROIDS IN ASTHMA AND COPD

Inhaled corticosteroid therapy


Characteristics of an ideal inhaled corticosteroid

Pharmacological attributes predicting topical efficacy and systemic safety

Corticosteroid sensitivity and sub-sensitivity

Current research and development


Dr Malcolm Johnson, Global Director, Respiratory Science, GlaxoSmithKline.




2.30 INHALER DEVICES FOR PULMONARY DELIVERY

Understanding and delivering future requirements


Inhalation market trends and impact on device selection

Understanding patient, clinical, industry and regulatory requirements

How can current/future device technology meet these needs?

What is required for success in the future marketplace?


Dr Peter Scholes, Manager, Early Pharmaceutics & Technology, Drug Delivery Systems Division, 3M Healthcare.




3.10 Afternoon Tea




3.40 PATIENTS' ATTITUDES TO INHALATION THERAPY

A review of patients needs and expectations


Practical aspects of inhaled therapy

Factors that contribute to poor compliance in inhaled therapy

Lessons learned in delivering value to patients


Mr Keith Allan, Director, Respiratory Products, Novartis.

Mrs Monica Fletcher, Chief Executive Officer, Education for Health.




4.20 DEVELOPMENTS IN DRY POWDER INHALERS

Why are there so many DPIs in development?


What are the drivers for DPI development

What is coming next?

Emerging device overview

What might the future hold?

Will electronic devices ever be commercially viable?

Can Asthma and COPD benefit from more advanced platforms?


Mr David Whitaker, Consultant, PA Consulting Group.




5.00 Chairman’s Closing Remarks and Close of Day One

Abstract

With the proliferation of chronic lung conditions, pharmaceutical companies and research institutions need to continuously find new innovative therapeutic solutions. Inseparable from the issues concerning Asthma, the problems associated with Chronic Obstructive Pulmonary Disease (COPD) are striking. These diseases combined, form one of the biggest potential killers in the coming decades.

SMi’s Asthma & COPD II Conference will uncover the latest developments in clinical research and uncover new advances delivery technologies. Special emphasis will be given to problems being faced in a global market, the acceleration of new drug concepts, the similarities and differences in the two diseases, as well as the various drug classes assigned to combat progressive symptoms.

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