Advancing Drug Development in ATTR Amyloidosis in an Evolving Treatment Landscape

June 21, 2023 | FDA White Oak Campus | Zoom

The first generation of drug approvals in ATTR amyloidosis has reshaped the research landscape creating the need to reconsider how to effectively design trials against a backdrop of treatments that slow progression of the disease. This Forum meeting will set the stage by sharing the advancements, evaluating the impact and unmet needs that currently exist, and identifying key initiatives with the aim of leveraging cross-stakeholder resources to collaboratively act on field-shaping priorities.

Public Private Partnership with FDA

Faculty

Moderators

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Frederick L. Ruberg, MD
Moderator
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Isabelle Lousada
Host & Moderator
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Mathew S. Maurer, MD
Meeting Chair & Moderator
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Prem Soman, MD, PhD
Moderator
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Preston Dunnmon, MD, MBA
Moderator
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Rosalyn Adigun, MD, PharmD, MSc (FDA)
Host & Moderator
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Speakers

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Adrian Hernandez, MD
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Ahmad Masri, MD, MS
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Alanna Morris, MD, MSc
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Amy Feinberg
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Andrew Slugg
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Angela Dispenzieri, MD
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Benjamin Booth, PhD (FDA)
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Bob Gibson
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Charu Gandotra, MD (FDA)
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Clemens Mittmann, MD (EMA)
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Cynthia Welsh, MD (FDA)
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Dalia Dawoud, MD (NICE)
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Dhruv Kazi, MD, MSc, MS
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Emmanouil Zouridakis, MD (MHRA)
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Franca Angeli, MD, PhD
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Francesca Cunningham, PharmD (VA)
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George “Hoss” Christensen
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James Signorovich, PhD
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Jean-Michel Race, MD (EMA)
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Jeffery Kelly, PhD
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Jie (Jenni) Li, PhD (FDA)
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John Berk, MD
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Jonathan Fox, MD, PhD
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Julian Gillmore, MBBS, MD, PhD
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Keith C. Ferdinand, MD
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Ken Sakushima, MD, MPH, PhD (PMDA)
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Keyur Shah, MD
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Kristen Hsu
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Kristen McCausland, PhD, MPH
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Laura Jawidzik, MD (FDA)
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L.J. Wei, PhD
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Lynnette Henshaw, PharmD, BCOP
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Martha Grogan, MD
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Matt Meldorf, MD
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Martin Cowie, MD
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Mazen Hanna, MD
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Megan Azzarone, PharmD
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Michael Lane
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Michael Maitland, MD, PhD
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Michael Polydefkis, MD
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Michael J. Roberts, PhD
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Michele Mercuri, MD, PhD
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Michelle Campbell, MD (FDA)
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Michelle Kittleson, MD
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Mona Fiuzat, PharmD
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Motiur Rahman, PhD, MPharm, MS (FDA)
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Norman Stockbridge, MD, PhD (FDA)
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Pablo Garcia-Pavia, MD
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Renée P. Bullock-Palmer, MD, FACC, FAHA, FASNC, FASE, FSCCT
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Rhea A. Lloyd, MD (FDA)
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Robyn Bent, MS (FDA)
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Sam Tsimikas, MD
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Sharmila Dorbala, MD, MPH, MASNC
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Sylvia Kuehn, MD (EMA)
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Victoria Sanjurjo, MD, PhD
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Wiley A. Chambers, MD (FDA)
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Agenda

(Draft Agenda, changes possible)

8:00 am
Registration Open
8:30 am
Welcome and Introductions
Isabelle Lousada, Rosalyn Adigun, & Mat Maurer
8:40 am
Overview of ATTR Amyloidosis and Treatment Advances
Moderator: Mat Maurer
Presenter: Julian Gillmore
Discussants: Michael Polydefkis, Prem Soman
9:10 am
How Will Shifts in the Stage of Patients with ATTR-CA Affect Ongoing and Future Clinical Trials?
Moderator: Prem Soman
Presenter: Mazen Hanna
Discussants: Clemens Mittmann, Cynthia Welsh, Emmanouil Zouridakis, Franca Angeli, Jean-Michele Race, Jonathan Fox, Martha Grogan, Michael Polydefkis, Pablo Garcia-Pavia, Sam Tsimikas
9:50 am
Moderated Discussion: What can we collectively do for non-cardiac ATTR drug development?
Moderators: Rosalyn Adigun, Preston Dunnmon
Discussants: Andrew Slugg, Benjamin Booth, Jeff Kelly, Jie (Jenni) Li, John Berk, Ken Sakushima, Laura Jawidzik, Michael Polydefkis, Michael Roberts, Michelle Campbell, Motiur Rahman, Norman Stockbridge, Pablo Garcia-Pavia, Rhea Lloyd, Sylvia Kuehn, Wiley Chambers
10:20 am
Break
10:30 am
Racial and Ethnic Disparities in ATTR
Moderator: Frederick Ruberg
Presenter: Michelle Kittleson
Discussants: Keith Ferdinand, Keyur Shah, Victoria Sanjurjo
11:00 am
Patient Perspectives: Today’s Unmet Need
Moderator: Isabelle Lousada
Presenters: Amy Feinberg, George “Hoss” Christensen, Kristen Hsu, Michael Lane, Robert “Bob” Gibson
Discussants: Kristen McCausland, Robyn Bent
12:20 pm
Moderated Discussion: What Aspect of this Disease Have We Heard from Patients that are Not Being Measured?
Moderator: Mat Maurer
Discussants: Julian Gillmore, Martha Grogan, Mazen Hanna, Michael Polydefkis

12:40 pm
Lunch
1:30 pm
Approaches to Future Clinical Trial Design
Moderator: Prem Soman
Presenters: Adrian Hernandez, James Signorovitch, LJ Wei, & Pablo Garcia-Pavia
Discussants: Ahmad Masri, Charu Gandotra, Clemens Mittmann, Dalia Dawoud, Emmanouil Zouridakis, Fran Cunningham, Jean-Michele Race, Julian Gillmore, Laura Jawidzik, Mat Maurer, Matt Meldorf, Michael Maitland, Michael Polydefkis, Michele Mercuri, Michelle Campbell, Sylvia Kuehn
3:00 pm
Break
3:10 pm
Moderated Discussion: Diversity in Research
Moderator: Frederick L. Ruberg
Presenter: Isabelle Lousada
Discussants: Alanna Morris, Keyur Shah, Mona Fiuzat, Renée Bullock-Palmer, Victoria Sanjurjo
3:40 pm
Clinical Trials, Drug Development, and Access
Moderator: Mathew S. Maurer
Presenters: Sharmila Dorbala & Dhruv Kazi
Discussants: Ahmad Masri, Dalia Dawoud, Fran Cunningham, Lynnette Henshaw, Megan Azzarone, Martin Cowie
4:20 pm
Closing Remarks
Isabelle Lousada & Rosalyn Adigun
4:25 pm
Adjourn

Recordings

Recording of the Morning Sessions
Recording of the Afternoon Sessions

How We Work

The Amyloidosis Forum has established a collaborative framework with appropriate stakeholders, including government, academic, scientific, patient, and industry organizations, to foster scientific collaborations. The Forum convenes regular meetings and has defined both workstreams and working groups to focus on key areas. The Forum is committed to publishing the outcomes from these initiatives.

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Funding for this conference was made possible in part by an R13 grant from the NIH’s National Institute on Aging. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

 
 
 

About the Fourm

In 2019, the Amyloidosis Research Consortium established a public private partnership with the FDA, named the Amyloidosis Forum with the goal of bringing together the entire amyloidosis community to identify and bridge scientific gaps that are acting as barriers to drug discovery and development for the treatment of amyloidosis. The Forum has held a number of meetings over the past few years and have several workstreams currently ongoing, including work to develop a multidomain composite endpoint, evaluating the performance of key biomarkers as surrogate endpoints, and establishing pathways for the development of imaging measures to serve as endpoints in clinical trials for AL and ATTR amyloidosis. The work through the Amyloidosis Forum is a collaborative effort led by clinicians, researchers, patients, regulators across the US, Europe, and UK, and industry.

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