Lili M. Portilla, MPA Acting Director, Office of Policy, Communications and Strategic Alliances National Center for Advancing Translational Sciences

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Lili M. Portilla, MPA Acting Director, Office of Policy, Communications and Strategic Alliances National Center for Advancing Translational Sciences (NCATS), NIH GUIRR Meeting, October 9, 2012

Established on December 23, 2011 Part of Consolidated Appropriations Act 2012 (PL 112-74)

To catalyze the generation of innovative methods and technologies that will enhance the development, testing, and implementation of diagnostics and therapeutics across a wide range of human diseases and conditions.

Clinical and Translational Science Activities Clinical and Translational Science Awards Rare Diseases Research and Therapeutics Therapeutics for Rare and Neglected Diseases Office of Rare Diseases Research Bridging Interventional Development Gaps Re-engineering Translational Sciences NIH Chemical Genomics Center Toxicology in the 21st Century

NCI NHLBI NIAID OD NIDCR NEI NIA NLM CC NIDDK NIAMS NIDA FIC CIT NHGRI NICHD NCATS NIEHS NIBIB CSR NIAAA NIDCD NINDS NIMH NCCAM NINR NIGMS NIMHD

Biotech Academia Advocacy Groups Complements does not compete with the work of others Revolutionizes the process of translation by promoting innovative research Pharma NCATS FDA Non- Profits Galvanizes and supports new partnerships Supports and augments regulatory science and its application Expands the precompetitive space

COUNCIL/ CAN BOARD OFFICE OF THE DIRECTOR Christopher Austin, M.D. (Director) Kathy Hudson, Ph.D. (Acting Deputy Director) EXECUTIVE OFFICE Erin Shannon, M.B.A. (Acting Executive Officer) OFFICE OF GRANTS MANAGEMENT & SCIENTIFIC REVIEW Jane Steinberg, Ph.D. (Acting Director) OFFICE OF RARE DISEASES RESEARCH Stephen Groft, Pharm.D. (Director) OFFICE OF POLICY, COMMUNICATIONS & STRATEGIC ALLIANCES Kathy Hudson, Ph.D. (Acting Director) DIVISION OF PRE- CLINICAL INNOVATION (Vacant) DIVISION OF CLINICAL INNOVATION Josephine Briggs, M.D. (Acting Director)

Therapeutics for Rare and Neglected Diseases (TRND) Toxicology in the 21st Century (Tox21) Bridging Interventional Development Gaps (BrIDGs) Molecular Libraries Probe Production Center RNA interference (RNAi) DPI currently has 300+ collaborations with investigators across the U.S. and around the world.

Bridging Interventional Development Gaps (BrIDGs) Program Model: Contract access collaboration between DPI and extramural labs (Formerly NIH-RAID Program) Projects Enter with clinical candidate identified Any disease eligible Gap analysis followed by data generation using DPI contracts to generate data necessary for IND filing Exit at or before IND Milestone driven Therapeutic modalities: any (small molecules, peptides, oligonucleotides, gene therapy, antibodies, recombinant proteins) Eligible Applicants Academic (US and Ex-US), Non-Profit, SBIR eligible businesses

180 applications submitted since 2005 34 approved 19 completed projects (two in FY12) 12/12 submitted INDs approved 5 projects in Phase 1, three in Phase II 5 agents licensed during or after BrIDGs involvement

Therapeutics for Rare and Neglected Diseases (TRND) Program Model: Comprehensive drug development collaboration between DPI and extramural labs with disease-area / target expertise Projects May enter at various stages of preclinical development Disease must meet FDA orphan or WHO neglected tropical disease criteria Taken to stage needed to attract external organization to adopt to complete clinical development/registration, max 2a Milestone driven Therapeutic modalities: small molecules, proteins Serve to develop new generally applicable platform technologies and paradigms Eligible Applicants Academic, Non-Profit, Government Lab, Biotech / Pharma Ex-U.S. applicants accepted

TRND Highlights 14 projects through pilot phase & 2 public solicitations since 2009 Mix of small molecules and biologics Two innovative platform technologies 3 investigational drugs taken into humans CLL: IND filed with US FDA 7/12/11, approved 8/5/11 Phase I trial commenced 9/11 SCD: IND filed 10/14/11, approved 11/10/11 Phase I trial commenced 12/11 HIBM: Complete response filed 7/27/12, approved 8/24/12 Phase 1 trial in patients commenced 9/13/12 Initiated first natural history study HIBM: NIH Clinical Center, 1 st patient enrolled September 2011 Every project is a unique Public-Private partnership Many include foundation and patient advocacy input

Approximately 2/3 of funds derived from GCRC program with balance from Common Fund; Twelve sites funded in 2006, with 5 to 10 new sites each year through 2011 Maximum site budgets determined by legacy funding from GCRC s and related training programs Site budgets range from $4.0 to $23 M NCATS 2012 CTSA budget is $461 M Approximately 65% of NIH extramural funding goes to institutions that have a CTSA IOM study mandated by Congress, evaluation report due June 2013

An consortium-based infrastructure that facilitates a more effective implementation of clinical studies, particularly multisite studies An enriched pipeline of novel therapeutics and diagnostics, moving from basic laboratories (particularly NIH-supported laboratories) into clinical testing Innovation in translational research methods, including novel strategies to promote community and patient engagement in the research process National leadership engaged in protecting human subjects to improve oversight and minimize burden and delays in clinical trials National leadership in developing informatics standards to promote intra-operability of data resources and research tools

Address significant bottlenecks in the process of translation Highly collaborative across NIH, other government agencies, and with the private sector Quick to respond to needs of biomedical researchers

Collaborative pilot program matching researchers with compounds in an effort to find new uses for patients Creation of template agreements to streamline negotiations between researchers and pharmaceutical companies 58 compounds from eight companies: Abbott AstraZeneca Bristol-Myers Squibb Company Eli Lilly and Company GlaxoSmithKline Janssen Pharmaceutical Research & Development, L.L.C. Pfizer Inc. Sanofi

June 2012: Funding announcement issued August 2012: X02 pre-applications received December 2012: Full applications due May 2013: Applications to council May/June 2013: Awards to be issued Program will be evaluated for success: Does the use of template agreements speed negotiation time? Does the pilot advance disease understanding? Does the pilot result in promising new therapeutics?

Aims to develop tissue chips that mimic human physiology to screen for safe, effective drugs using best ideas in engineering, biology, toxicology NIH Investment (NCATS + Common Fund) = $70M/5 years DARPA Investment = $75M/5 years FDA Investment = Regulatory and toxicology expertise NCATS and DARPA independently manage and fund separate, but highly coordinated programs FY12 Appropriated and Reimbursable Funds = $13.9M

November 2011: Funding announcements issued RFA RM-11-022: Integrated Microphysiological Systems for Drug Efficacy and Toxicity Testing in Human Health and Disease (UH2/UH3) RFA RM-12-001: Stem/Progenitor Cell-Derived Human Microorgans and -tissues (U18) July 2012: 17 awards issued plus two additional awards funded by other NIH Institutes/Centers

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