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Conference Documentation: Metabolic Diseases Forum: A Focus on Diabetes, Obesity & Related Disorders

Published by: SMI Publishing, Ltd

Published: Oct. 2, 2006


Table of Contents


Day 1




8.30 Registration & Coffee




9.00 Chairman's Opening Remarks




9.50 REGULATORY ISSUES IN THE DEVELOPMENT OF DRUGS FOR DIABETES AND METABOLIC DISORDERS

Completing trials and satisfying regulatory requirements


Metabolic Syndrome

Diabetes

Obesity - Adults


- Children/adolescents


Atherosclerosis


Conduct of trials/requirements for regulatory approval



Dr Satish Singh, Expert Clinical Assessor, MHRA.




10.30 Morning Coffee




11.00 DEVELOPING NOVEL TREATMENTS FOR AN EMERGING EPIDEMIC: TYPE II DIABETES

The gut - a sophisticated endocrine organ


Incretins as endogenous turbochargers

Augmenting the incretin effect by inhibiting DPP-IV

DPP-IV inhibitors - a crowded field?

Demonstrated clinical efficacy of DPP-IV inhibition

The therapeutic potential of DPP-IV inhibition


Dr Uwe Gudat, Global Brand Medical Director, Dyslipidemia & Diabetes, Novartis.




12.20 Networking Lunch




2.40 DPP-4 INHIBITION FOR THE TREATMENT OF TYPE 2 DIABETES

Discovery of Sitagliptin


Overview of DPP-4 Biology

Discovery of Sitagliptin

Preclinical profile of Sitagliptin, including effects on beta cells

Clinical studies with Sitaglipin

Profile/potential advantages of Januvia vs current therapy


Dr Nancy Thornberry, Executive Director, Metabolic Disorders, Merck Research Laboratories.




2.40 CASE STUDY: CETILISTAT - AN INVESTIGATIONAL DRUG FOR OBESITY AND CO-MORBIDITIES

Exploring current Phase II trial results


Target profile for an obesity drug in today’s environment

Cetilistat: evidence of efficacy and tolerability in obese adults?

Efficacy in obese diabetics

Superior tolerability profile and patient compliance

Challenges for the future in a global problem


Dr Richard Palmer, CEO, Alizyme P L C.




3.20 Afternoon Tea




3.40 MB06322 (CS-917)

A potent and selective inhibitor of fructose 1,6-bisphosphatase for controlling gluconeogenesis in Type II diabetes


Overview of gluconeogenesis in Type 2 diabetes mellitus

Inhibition of fructose-1,6-bisphosphatase as a means to decrease hepatic glucose output

Structure-guided drug design strategy in the discovery of CS-917

Review of animal models and clinical data showing the utility of CS-917 in providing long term glycemic control in the full spectrum of T2DM patients in the absence of weight gain


Dr Howard Foyt, Vice President, Clinical Development, Metabasis Therapeutics Inc.




3.40 SIBUTRAMINE - A 20:20 HINDSIGHT PERSPECTIVE ON ITS APPROVAL AND USE AS A DRUG TO TREAT OBESITY AND RELATED CO-MORBIDITIES

Case study


The marketing approval process

Efficacy in long-term obesity management

Beneficial effects of sibutramine in metabolic syndrome

The Sibutramine Cardiovascular OUTcome (SCOUT) trial


Professor David Heal, Director, Renasci Consultancy Ltd.




4.20 AMYLIN ANALOGUES: FOR THE TREATMENT OF DIABETES, OBESITY AND CARDIOVASCULAR DISEASE

A fascinating success story, including a progress report on Byetta


Amlyin analogues - mechanism of action

Hear an update on the preclinical and clinical development of pramlintide for obesity

Effect on patient weight loss/weight stabilisation

Gaining FDA approval for Type I and Type II diabetes -best practice advice

Case study: Symlin®

Filing for European regulatory approval: Pramlintide and it’s submission preparation to the European authorities

Byetta - why has this drug become so successful despite not being marketed directly to consumers?

Are there any plans for the non-diabetic study of this drug?

Seeking approval for the expanded use of BYETTA® - current status

Best practice advice - launching your product


Dr Matthew Wintle, Director, Medical Affairs Programmes, Amylin Pharmaceuticals Inc.




4.20 ASSESSING THE LATEST IN CLINICAL DEVELOPMENT FOR OBESITY RELATED METABOLIC DISORDERS

Case study: Rimonabant - Phase IIIb


A classic CB1 antagonist?

Review of clinical data - results from phase III trials and beyond

Comparing rimonabant at doses of 5mg and 20mg with placebo - what do we learn?

Can Rimonabant be well tolerated for long-term use?

The phase IIIb trial programme for Rimonabant - what indications are available for studies in patients with diabetes, dyslipidaemia and cardiovascular disease?

Achieving regulatory approval

Going to market - key strategies for success


Dr Douglas Greene, Senior Vice President, Chief Medical Office , Sanofi-Aventis.




5.00 Chairman’s Closing Remarks and Close of Day One




Day 2




8.30 Registration & Coffee




9.00 Chairman's Opening Remarks

Dr Elena Sebokova, Disease Area Head, Metabolic Diseases, F. Hoffmann-La Roche.




9.10 ADDRESSING UNMET NEEDS

Where do we go from here?


Assessing the need for effective anti-obesity/anti-diabetic drugs

What is the profile of an ideal therapy?

Novel approaches to drug discovery

Target-based therapies - what exciting treatments are on the horizon?

Combination therapies - will they be required?


Dr Simon Westbrook, Associate Research Fellow, Cardiovascular & Metabolic Diseases, Pfizer.




9.50 HOW TO STUDY NEW ANTI-DIABETIC AGENTS?

Best practice advice from the industry


How to overcome the challenges in developing novel anti-diabetic therapies?

Clinical evaluations and comparative studies

Novel concepts - anti-diabetic agents with cardioprotective mechanisms

New methods of improving clinical development for your organisation

Future prospects


Dr Richard Carr, Senior Director, Novo Nordisk.




10.30 Morning Coffee




11.00 ADVANCES IN CNS ANTI-OBESITY THERAPEUTICS

The identification of CNS targets for obesity therapeutics


CNS pathways regulating feeding and energy expenditure

Opposing regulation by melanocortin and NPY in the hypothalamus

Is grehlin a player?

Combinatorial effects on energy homeostasis


Dr Alison Strack, Senior Research Fellow, Merck & Co Inc.




11.40 NEXT GENERATION DRUGS

Developing novel targets for drug discovery


Current and upcoming targets for treating diabetes and obesity

Novel approaches that target multiple risk factors simultaneously

Options for treating the cardiovascular risk of patients with metabolic syndrome

Case examples

Challenges, benefits and limitations of these targets

The future outlook


Dr H. James Harwood, Principle Research Investigator, Pfizer.




12.20 Networking Lunch




1.50 MCH1R AS AN IDEAL TARGET FOR ANTI-OBESITY THERAPY


Understanding MCH biology in animals

MCH signalling influences food intake

Key differences in MCH receptors between animals and humans

Opportunities to address obesity in humans through manipulation of MCHR1


Alex Depaoli, Director Global Development, Amgen.

Dr Riccardo Perfetti, Associate Director, Medical Sciences, Amgen.




2.30 NEUROENDOCRINE AND METABOLIC FACTORS CONTROLLING APPETITE, OBESITY AND INSULIN RESISTANCE


Regulation of appetite and obesity by NPY and POMC pathway

Balance between NPY and POMC regulates insulin sensitivity

NPY and hepatic insulin resistance via sympathetic nervous system

Role of peripheral hormones in central regulation of appetite and insulin sensitivity

PYY redirects substrate utilization towards fat oxidation


Dr Anita Hoek, Research Scientist, Vascular and Metabolic Disease Research Department, TNO Prevention and Health.




3.10 Afternoon Tea




3.40 ALTERING THE EXPRESSION OF HEPATIC GENES INVOLVED IN LIPID METABOLISM IN ZDF RATS

Topiramate - a case example


In obese-associated Type II diabetic rodent models, topiramate (TPM) reduced the body weight gain, improved insulin sensitivity and enhanced insulin release

The molecular mechanisms of TPM anti-obesity and anti-diabetic effects remain unknown

DNA microarray data revealed that TPM treatment altered hepatic gene expression of metabolic enzymes and signaling regulatory proteins involved in energy metabolism

These gene expressions were independent of food intake as demonstrated by pair-feeding

TPM regulates hepatic expression of genes involved in lipid metabolism, which could be part of the mechanism by which TPM reduces plasma triglyceride levels and improves insulin sensitivity in obese-diabetic rodents


Dr Yin Liang, Principal Scientist, Metabolic Research Team, Johnson & Johnson.




4.20 THE GHRELIN PATHWAY IN THE CONTROL OF GLUCOSE HOMEOSTASIS

Ghrelin antagonists


Ghrelin is a gut-derived peptide that controls feeding and growth hormone release

Recent studies have shown that ghrelin/ghrelin receptor knockout mice are resistant to diet-induced obesity

These mice also have favourable metabolic parameters when faced with a metabolic stressor diet

Small molecule ghrelin antagonists have been generated that are potent (nM), selective and safe for in vivo use

Treatment with ghrelin antagonists improves glucose homeostasis in diet-stressed mice


Dr Peter DiStefano, Chief Scientific Officer, Elixir Pharmaceuticals, Inc..




5.00 Chairman’s Closing Remarks and Close of Conference

Abstract

Metabolic diseases affect millions of sufferers worldwide and are having an increasingly negative impact upon the health of our society as a whole. According to recent figures, type II diabetes affects more than 135 million people whilst those meeting the criteria set for obesity reaches 300 million respectively. Needless to say pharmaceutical companies are hot on the pursuit of lucrative solutions to aid in the prevention and/or management of major metabolic syndromes.

Following a series of well received events for the industry, SMi would like to announce it’s inaugural ‘Metabolic Diseases Forum’ designed specifically to uncover the latest market trends, challenges and emerging therapies. Understand the aetiology and epidemiology of key metabolic disorders whilst discovering new targets for drug discovery and hear reports from current and future clinical trials, including real clinical data, while we assess the clinical outlook for metabolic disease 2006 an beyond!

Enjoy our streamed sessions as we take a closer look at key disease specific drugs on track towards regulatory approval and market release. Learn how to complete your clinical trials whilst satisfying regulatory requirements and discover what is really expected in a new product application and how to achieve it. Join us and a host of leading experts including representatives from Sanofi-Aventis, Eli Lilly, Novo Nordisk, Pfizer, Amylin and many others at SMi’s Metabolic Diseases Forum 2006!

Our exceptional speaker line-up includes:
  • Dr Michael Mark, Vice President, Metabolic Diseases Research, Boehringer-Ingelheim
  • Dr Douglas Greene, Vice President, Regulatory Development, Sanofi-Aventis
  • Dr David Maggs, Vice President, Medical Affairs, Amylin Pharmaceuticals
  • Dr Howard Foyt, Vice President, Clinical Development, Metabasis Therapeutics
  • Dr Satish Singh, Expert Clinical Assessor, Medicine & Healthcare products Regulatory Agency (MHRA)
  • Dr Richard Palmer, Chief Executive Officer & Research & Development Director, Alizyme
  • Dr Nancy Thornberry, Executive Director, Metabolic Disorders, Merck Research Laboratories
  • Dr Richard Carr, Senior Director, Novo Nordisk
  • Dr Uwe Gudat, Global Brand Medical Director, Dyslipidemia & Diabetes, Novartis
  • Dr Alex De Paoli, Director, Global Development, Amgen
  • Dr Cristina Rondinone, Director, Research, Metabolic Diseases, Hoffmann-La Roche
  • Dr Andrew Swick, Director, Cardiovascular & Metabolic Diseases, Pfizer
Attend this industry specific forum to guarantee you hear international and expert perspectives on:
  • THE METABOLIC DISEASES MARKET: Hear discussion on the latest trends, challenges and emerging therapeutics together with a view to addressing current unmet clinical needs
  • REGULATORY GUIDELINES AND IMPLICATIONS FOR INDUSTRY: Can new regulatory standards reduce the time and cost of product development? Hear from the UK’s MHRA as they explain what can be expected in a new product application and how to achieve approval
  • NEXT GENERATION DRUGS: Explore the current and future targets for treating diabetes and obesity with novel approaches such as RNAi, MCH1R and pathogenic pathways with relevant molecular targets for drug discovery
  • TRANSLATIONAL MEDICINE: Understand how best to predict human efficacy based on preclinical data
  • ASSESSING CLINICAL DRUG DEVELOPMENT: Listen to the experts as they review key drug developments over the past year with a focus on challenges, limitations and how they can be overcome
  • CASE STUDIES: Hear from major industry players as they discuss real clinical data and what it means. Plus choose from two streams focussing on current and future therapies to alleviate diabetes and obesity
  • GOING TO MARKET: Follow the progress of Lilly/Amylin’s Byetta - why has this drug become so successful despite not being directly marketed to consumers? Hear from the experts as they discuss how best to launch a drug for major metabolic disease
  • THE METABOLIC SYNDROME: Attend our half-day Executive Briefing to understand why the metabolic syndrome is regarded as an unmet therapeutic need and a major commercial opportunity for many pharmaceutical companies


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