Title
2018 CEoT Program
Thursday, February 8, 2018
1:45 PM
Welcome Remarks
Anil Chandraker, MD, FASN, FAST, FRCP, Brigham and Women’s Hospital
Kenneth Newell, MD, PhD, FAST, Emory University
2:00 - 3:30 PM
Session 1: Xenotransplantation, Are We Finally Ready? A Field, Challenging and Challenged by Regulation
Moderators: Andrew Adams, MD, PhD
James Allan, MD, MBA, FAST
Joseph Tector, MD, PhD
2:30 PM We’re Close but We Need to Consider the Following Issues Before Sinking in Your Money
Andrew Adams, MD, PhD
2:55 PM Hold on Here, Your Money Might be Better Invested Somewhere Else
Ronald Gill, PhD
Break
4:00 - 5:30 PM
Session 2: Defining True Innovation - Lessons from Transplantation’s Past
Moderators: Kenneth Newell, MD, PhD, FAST
Anil Chandraker, MD, FASN, FAST, FRCP
4:05 PM Innovation in Surgical Technique – Living Donor Liver Transplantation
Jean Emond, MD
4:20 PM Innovation in Immunosuppression
Arthur Matas, MD
4:35 PM Innovation in Organ Donation
Darren Malinoski, MD
4:50 PM Innovation in Regulatory Framework – the National Academy of Science Study
Alexandra Glazier, JD, MPH
5:45 - 7:00
Poster and Welcome Reception
Friday, February 9, 2018
7:30 AM
Breakfast
8:00 – 10:00 AM
Session 3: Option One, OPTN/UNOS Policies and Organ Utilization - Necessary and Beneficial, or Obstacles to Growth & Innovation? *
Moderator: Richard Formica, MD
Deceased Donors Starting Living Donor Chains
8:00 AM The Rationale and Potential Benefit for Using Deceased Donors to Start KPD Chains
Nicole Turgeon, MD
8:10 AM The Legal and Regulatory Issues Posed by Using Deceased Donors to Start KPD Chains
David Klassen, MD
New Paradigms for Allocating Organs - When Should Utility Override Equity?
8:30 AM European Perspective on Expedited Allocation
Axel Rahmel, PhD
8:40 AM Novel Ideas for Expedited Allocation
Darren Stewart, MS
8:50 AM Proposing a New Paradigm -Less Choice, More Allocation
Jesse Schold, PhD, M. Stat, M.Ed
Re-Envisioning OPTN/UNOS
9:20 AM People and Data
Brian Shepard, MBA
Richard Formica, MD
9:40 AM HRSA Role as a Force Innovation in Transplantation
Melissa Greenwald, MD
9:50 AM UNOS Labs: Leveraging Behavioral Science to Improve Organ Allocation
Darren Stewart, MS
8:00 – 10:00 AM
Session 3: Option Two, Heart Track: Rise of the Machines - Regulatory Considerations in MCS Therapy*
Moderators: Liviu Klein, MD
Rondalyn Ford-McLean, MD
8:00 AM LVADs as Destination Therapy- When Best Practice Criteria Meets the Real World
Farooq Sheikh, MD
8:15 AM The Total Artificial Heart – What Metrics Should be Met for Standard Use? For Future Technology
Francisco Arabia, MD
8:30 AM ECMO and Short Term Support -Utilization Guidelines and Impact of the New Heart Allocation Sytem
Jeffrey Teuteberg, MD
8:45 AM MCS Complications-Understanding Risks and Rewards in the Context of Appropriate Use Benchmarks
Liviu Klein, MD
9:00 AM DEBATE:
Innovation in MCS Technology is Helped by Regulation
Palak Shah, MD
Innovation in MCS Technology is Hindered by Regulation
O.H. Frazier, MD
9:30 AM The Cost of Success vs the Cost of Failure – Financial Considerations in Advancing Innovation
Simon Maltais, MD
8:00 – 10:00 AM
Session 3: Option Three, Lung Track: The Evolution of Lung Support Devices - Regulatory Considerations in Lung Transplantation*
Moderators: Sangeeta Bhorade, MD
Christopher Wigfield, MD
8:00 AM DEBATE: ECMO as a Bridge to Transplant Should be Exempt from 1 Year Mortality Outcomes in Lung Transplant
Charles Hoopes, MD
Duane Davis, MD
8:40 AM DEBATE: Ex Vivo Lung Perfusion is an Essential Tool for Donor Optimization
Shaf Keshavjee, MD
Thomas Egan, MD, MSc
9:20 AM The Regulatory Imperative – Impact on the Practice of Lung Transplant
Christopher Wigfield, MD
9:35 AM Regulatory Realities – Redefining Benefit of Lung Transplant in the Current Era
Gundeep Dhillon, MD, MS
Break
10:15 – 12:15 PM Session 5: Option One, Program-Specific Reports: Past, Present and Future. Where do we go from here?*
Moderators: Jesse Schold, PhD, M. Stat, M. Ed
John Gill, MD, MS
10:15 AM The Past
Bertram Kasiske, MD
10:45 AM The Present
Jon Snyder, PhD
11:15 AM The Future – What Would an Ideal Report Card Look Like?
Jesse Schold, PhD, M.Stat, M. Ed
10:15 – 12:15 PM
Session 5: Option Two, Heart Track: Alternatives to Heart Transplantation - Overcoming Barriers to Success*
Moderators: Joren Madsen, MD
Shelley Hall, MD
10:15 AM DCD Heart Donation – Understanding the Regulatory and Ethical Issues
Val Jeevanandum, MD
10:35 AM Xenotransplantation – Promise and Pragmatism
Robin Pierson, MD
10:55 AM Whole Organ Engineering – Science and Sensibility
Doris Taylor, MD
11:15 AM Stem Cell Therapy – Engineering Process
Lawrence Czer, MD
11:35 AM Ex Vivo Heart Perfusion – Removing Time and Distance Barriers
Abbas Ardehali, MD
10:15 – 12:15 PM
Session 5: Option Three, Lung Track: Trials, Tribulations and Triumphs in Lung Transplant Innovations
Moderators: Martin Zamora, MD
Duane Davis, MD
10:15 AM Cell Free DNA and Other Immune Monitoring Techniques in Lung Transplantation – Are We There Yet?
David Neujhar, MD
10:35 AM Controlled Donation After Determination of Circulatory Death (cDCDD) – Improving Yield
Michael Smith, MD
10:55 AM Xeno Lung Transplantation – The Path Forward
Agnes Azimzadeh, PhD
11:15 AM Extracorporeal Lung Support – A Bridge Too Far?
Jonathan D’Cunha, MD
11:35 AM The Artificial Lung – Can it be Realized?
Williams Federspiel, PhD
12:15 – 1:00 PM Congressional Keynote Speaker
The Honorable Congresswoman Jaime Herrera Beutler (R-WA)
U.S. House of Representatives
1:15 – 2:30 PM
Satellite Symposium presented by CareDx, Inc
This is not an official function of the CEoT meeting and is not endorsed by the AST.
2:15 PM Inaugural AST Innovation Award Presentation
Anil Chandraker, MD, FASN, FAST, FRCP
This new award was created to showcase a project or program that exemplifies the spirit of innovation on which transplantation was founded. Join us to honor the recipient, and hear a brief presentation on the program's successful, outside-the-box approach that earned it the first Innovation Award.
2:45 PM Break
3:00 PM Advocacy
3:30 – 4:00 PM Congressional Keynote Speaker
The Honorable Congressman Eric Swalwell (D-CA)
U.S. House of Representatives
Saturday, February 10, 2018
7:00 – 8:15 AM
Satellite Symposium presented by One Lambda Inc., A Thermo Fischer Scientific Brand
This is not an official function of the CEoT meeting and is not endorsed by the AST.
8:15 AM
Break
8:30 – 10:00 AM
Session 6: Option One, Clinical Therapeutics to Improve Patient Outcomes - The Tribulations of Trials in Transplantation*
Moderator: Roy Bloom, MD
Roslyn Mannon, MD
8:30 AM Tracking Transplant Treatment Trials - Where Are We and What are the Barriers
Roy Bloom, MD
9:00 AM Victims of Success- Do We Still Need Clinical Trials and If So, What are Our Needs
Robert Gaston, MD
9:30 AM Can We Get There? Re-Thinking Clinical Trial Design
Jesse Schold, PhD
9:45 AM Panel Discussion with:
Renata Albrecht, MD
Peter Maag, PhD
Kevin Campbell
8:30 – 10:00 AM
Session 6: Option Two, Case Studies in Thoracic Transplantation - Integrating Innovation
Moderators: Jon Kobashigawa, MD
Nicholas Braus, MD
8:30 AM Extended Criteria Heart vs Destination LVAD
Liviu Klein, MD and Mahwash Kassi, MD
8:45 AM Hep-C Heart and Lung Transplantation
Shelley Hall, MD and Luke Cunningham, MD
9:00 AM Ex Vivo Lung
Jonathan D’Cunha, MD and Lara Schaheen, MD
9:15 AM Ex Vivo Heart
Jason Smith, MD and Tori Lennox, MD
9:30 AM DCD Lung
Martin Zamora and Nicholas Braus, MD
10:00 AM
Break
10:30 – 12:00 PM
Session 7: Approaches to Facilitating the Approval of New Therapeutics in Transplantation *
Moderators: Kenneth Newell, MD, PhD, FAST
Anil Chandraker, MD, FASN, FAST, FRCP
10:30 AM Low and Not So Low Hanging Fruit – New Study Endpoints and Biomarkers
Ulf Meier-Kriesche, MD
Mark Stegall, MD
11:10 AM PROs – New Opportunities to Measure Something That Matters to Patients
Stephen Joel Coons, PhD
12:15 PM – 1:30 PM
Lunch
1:30 – 3:00 PM
Session 8: Out of Synch - How Can Factors That Drive OPO and Transplant Center Practice be Aligned to Increase the Number of Patients Who Receive a Transplant*
Moderators: John Gill, MD, MS
Dave Foley, MD, FACS
1:30 PM Critique of the Current OPO Performance Metrics and Proposed Improvement
Characteristics of an Optimal OPO Metric
David Goldberg, MD, MSCE
Elling Eidbo, MBA
Kevin O’Connor, MS, PA
Matthew Cooper, MD
2:15 PM Reaction to the Proposed Solutions
Brian Shepard, MBA
2:30 PM Panel Discussion with:
Jon Snyder, PhD
3:00 – 3:30 PM
Session 9: Summary Heart/Lung Track
Jon Kobashigawa, MD
Sangeeta Bhorade, MD
3:30 - 4:00 PM
Session 10: Summary and Next Steps
Anil Chandraker, MD, FASN, FAST, FRCP
Kenneth Newell, MD, PhD, FAST
4:00 – 4:15 PM
Closing
Anil Chandraker, MD, FASN, FAST, FRCP
Kenneth Newell, MD, PhD, FAST
5:00 PM
Poolside Reception