BIOMARKERS IN THE SPECTRUM OF AUTOIMMUNE DISEASES
Objectives
- Review current state of biomarkers for autoimmune diseases, including type 1 diabetes,
multiple sclerosis, scleroderma, and systemic lupus erythematosis
- Determine criteria for identification, development, and validation of biomarkers for
disease risk, diagnosis, disease activity or stage, immune activity, and response to
therapy
- What are our gold standards?
- What are the criteria and approaches for defining and validating a biomarker?
- Discuss advantages and disadvantages of genetic, immunologic, inflammation,
quality-of-life, and end-organ specific biomarkers for diagnosis, staging, and evaluation
of therapy of autoimmune diseases in general and of specific diseases
- Identify opportunities for potential new biomarkers for autoimmune diseases, research
approaches to develop these, and pathways for transition of new biomarkers from basic
research to clinical research to clinical practice
- Evaluate the possibility for clinical trials for new agents for prevention and treatment
of autoimmune disease to be done in a timely, cost-effective, and definitive manner with
available biomarkers
- Identify the roles of government, industry, academia, clinicians, and health care payers
in the development and validation of new biomarkers
Agenda
Moderator: David S. Pisetsky, M.D., Ph.D., Duke University
Discussant: Elaine Collier, M.D., National Institute of Allergy and Infectious Diseases
Biomarkers in Lung Disease in Scleroderma
Barbara White, M.D., University of Maryland and Veterans Affairs Medical Center, Baltimore
Antigen-Specific Proliferation and Cytokine Expression as Surrogate Markers for
Highly Specific and Global Immunotherapies of Autoimmune Diseases
Roland Martin, M.D., National Institute of Neurological Diseases and Stroke
Immunologic Staging of Multiple Sclerosis
Howard L. Weiner, M.D., Harvard University and Brigham and Womens Hospital
Type 1 Diabetes Mellitus, Addison's Disease, and Celiac Disease
George S. Eisenbarth, M.D., Ph.D., University of Colorado Health Sciences Center
A Correlate Does Not a Surrogate Make: Autoantibodies and Beta-Cell Function in
Prevention of Type 1 Diabetes
Carla J. Greenbaum, M.D., University of Washington
Biomarkers and Surrogate Endpoints in Systemic Lupus Erythematosus
Arthur Kavanaugh, M.D., University of Texas Southwestern Medical Center
Outcome Measures in Systemic Lupus Erythematosis Clinical Trials
Michelle Petri, M.D., Johns Hopkins University School of Medicine
Biomarkers in Rheumatoid Arthritis
David S. Pisetsky, M.D., Ph.D.
Discussant: Michael B. Stewart, M.D., Bristol-Myers Squibb
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