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CRSTI Research News

November 2002


A Healthy Heart is ESSENTIAL


It has become common knowledge that congestive heart failure is among the top leading causes of mortality in the United States. Over the past decade significant progress has been made in the treatment of heart failure patients who fit the New York Heart Association (NYHA) functional class I-III. Benefit has been shown from the use of angiotensin-converting enzyme inhibitors (ACEIs) and Beta-blocker agents. However, patients diagnosed with decompensated heart failure are not suited for treatment with beta-blocker therapy. For this patient population the treatment is confined to frequent inpatient hospitalizations or outpatient intravenous inotropic agent administrations. Both treatment options are expensive and taxing for patients and their families. CRSTI staff is excited about a new heart failure trial called ESSENTIAL. It is a multicenter study of oral ennoximone in advanced chronic heart failure patients sponsored by Myogen, Inc. This trial will be placebo-controlled. A placebo is a dummy treatment administered to the control group in a clinical trial in order that the specific and nonspecific effects of the experimental treatment can be distinguished, i.e., the experimental treatment, enoximone in this case, must produce better results than the placebo to be considered effective. Eligible subjects who enter the trial will be randomly assigned to one of the two treatment groups: enoximone tablet (25 mg three times a day) or a placebo tablet three times a day. The tablets will look identical and the study staff will be unaware of the assigned treatments to prevent bias in the study outcomes.

The primary study objective is to determine the safety and efficacy of low-dose enoximone therapy in subjects with advanced chronic heart failure. The study results will seek to demonstrate that, compared to placebo, low-dose enoximone will decrease hospitalization rates, decrease mortality and morbidity, improve quality of life, improve symptoms of heart failure and decrease the associated costs of caring for individuals with advanced heart failure. The minimum and maximum duration of the study is expected to be 12 and 30 months respectively, with an average participation of 21 months. Approximately 700 patients may take part in this study in North and South America. We are expecting to enroll 20-30 patients locally. CRSTI is the only participating site in the Dallas area and is looking forward to this clinical trial. Two of the CRSTI physicians are directly involved in the trial. Dr. Eric J. Eichhorn is the lead investigator for all of the involved sites worldwide and Dr. J. Edward Rosenthal is the primary investigator for the Medical City Dallas site.

Oral enoximone has undergone extensive clinical investigation over the past 15 years. Overall, there have been more than 80 separate studies conducted with this drug as part of the Phase II clinical development program. More than 5,000 subjects have been enrolled in these studies. It was shown that higher doses of enoximone, administered to stable heart failure subjects, may be associated with an adverse event rate in excess of that of placebo-treated subjects. However, when administered chronically in lower doses to pre-transplant patients with advanced heart failure, enoximone appeared to be well tolerated, allowed weaning from IV inotrope therapy, and was associated with a lowering of New York Heart Association functional class, and was not associated with increase in death rate compared to a control group at lower risk for morbidity and mortality. These data suggest that enoximone may be an effective palliative treatment for advanced heart failure and we, at CRSTI, are optimistic about our contribution to this important clinical trial.




Research Staff Profile

Natasha Magee, RN, BA
Clinical Research Coordinator

Natasha is a Clinical Research Coordinator for CRSTI. Formerly Senior Research Nurse for the Clinical Trials
Office (CTO) at the University of Texas Southwestern Medical Center, Natasha was involved in research studies for many different specialties including oncology, ENT, pulmonary medicine, dermatology and pediatric cardiology.

As Clinical Research Coordinator, Natasha will work closely with both physicians and patients, assuring
the studies are carried out according to the sponsor's protocol and federal regulations.

Natasha graduated from Odessa State University, Odessa, Ukraine, with a Bachelor of Art in English, minoring in linguistics. She then graduated with an Associate of Science Degree in Nursing from Southwestern Adventist University, Keene, Texas. Natasha has worked as a registered nurse in various nursing fields, concentrating most of her recent career in research.

Natasha will concentrate most of her time working on heart failure studies and is excited about expanding her cardiovascular research experience.



Calendar

MARCH
March 5 CME Dinner Lecture
March 7 March IRB Deadline for PHD
March 19 IRB Meeting at PHD
March 19-22 Cardiothoracic Techniques and Technologies (CTT)
Miami Beach, FL
March 24 April IRB Deadline for MCDH
March 27 IRB Meeting at MCDH
March 30-April 2 American College of Cardiology; Chicago, IL
APRIL
April 1 Abstract submission deadline to EACTS Annual Meeting
April 4 April IRB Deadline for PHD
April 7 Abstract submission deadline to STSA (Southern)
Annual Meeting
April 9-12 ISHLT Annual Meeting and Scientific Session
Vienna, Austria

April 14

  Abstract submission deadline to Heart Failure Society of
American Annual Scientific Meeting

April 16

 

IRB Meeting at PHD

April 24 IRB Meeting at MCDH

April 28

 

May IRB Deadline for MCDH

MAY
May 4-7 AATS Annual Meeting and Scientific Sessions
Boston, MA
May 9 May IRB Deadline for PHD
May 21 IRB Meeting at PHD
May 21-25   Outcomes 2003; Key West, FL

May 27

  June IRB deadline for MCDH
May 29 IRB Meeting at MCDH

 

MCD Hospital Investigator Meetings are held every Tuesday morning at 7:00 a.m.

PHD Hospital Investigator Meetings are held the second Monday of each month,
at 12 Noon

Denton Investigator Meetings are held the first and third Thursday of each month, at 12 Noon

Meeting schedule is subject to change.

For more information regarding investigator meetings, please call 972-566-4083.





2003 Intern Program:
Application Deadline Set for February


Applications will be accepted for the 2003 Internship program beginning February 1, 2003. A new addition to the program is the independent research position for those students who have completed the formal internship and would like to work again with CRSTI on a research project. These students will not follow the formal rotation system, but rather work exclusively on their project with the assistance of their physician and staff mentors. This program was created last year when three previous interns expressed an interest to
work with CRSTI again on a research project. A total of six students were involved in last year's summer programs; three participated as formal interns and three as independent research students. CRSTI Intern Program Director, Michelle Borg-Bruns, is not surprised, “The students have such a unique and positive experience here. It is understandable that they would want to come back again and again.”

As the program has evolved over the years, so have the number of applicants. The number of applications received has tripled in the past three years. Michelle Borg-Bruns believes this trend will continue, "Each year we have seen an significant increase in the number of students wanting to participate in our Internship program, the word is out there - we have a quality program that provides students with a rare and unique opportunity." It is expected that more than twenty students will apply for each intern position available.

Purpose
The CRSTI Student Intern Program is designed to introduce college and upper level high school students to the medical research environment. This will include concepts and applications of clinical and pre-clinical research, basic scientific principles, clinical outcomes, quality data collection and management, medical education and training programs and the administrative support of these activities relative to a Medical Research Organization.

Method
During the eight-week program (June 2 - July 25), students will rotate through several areas, experiencing the medical research environment. Each intern will spend three weeks in research, observing some of the
most technologically advanced systems being researched in relationship to cardiac disease.

Two weeks will be spent in Quality and Outcomes, experiencing the data collection, analysis, and statistical review used in improving patient care delivery. Students will spend one week of concentrated clinical experience, shadowing physicians and health care professionals who are recognized nationally and internationally as pioneers in the field of cardiovascular medicine; and observing procedures such as angiograms, bypass surgery and transplantation. And finally, two weeks are dedicated to the completion of a research project. Interns will be given a research project assigned at the beginning of the internship,
involving data collection, critical thinking, analysis and a written abstract.

For the 2003 program, CRSTI will accept applications throughout the month of February. After careful review of the applications, selected students will be granted an interview to be conducted during March.
Students will be notified of selection by April 7. Information regarding the Internship and the Independent Research Program is on the CRSTI web site. An on-line application is also available.



In Their Own Words . . .

"Interning with CRSTI exposed me first hand to aspects of the medical profession I had previously overlooked … I found the research rotation fascinating and continue my deep interest in cardiothoracics."

"CRSTI gave me an up close and personal look at so many aspects of the medical field…I saw it all! It gave me the opportunity to experiment before choosing a career path.
… I hope to be a pediatrician and research birth defects."

“This program was extremely beneficial to fostering my education about medicine, and helped to confirm and build my determination in entering the medical field.”

"I learned so much…a very beneficial experience."

"I have gained so much knowledge and experience from this internship. The program is truly valuable and beneficial to students who are interested in pursuing the medical field."

"I can't thank you all enough for giving me the opportunity to work CRSTI. It truly was an unbelievable and unforgettable experience."

“I learned more in eight weeks than I could ever learn in a semester at school, and the practical real-world experience is something I could never get from the classroom. This was truly an intensive, hands-on
experience that was very unique, and I am trhilled that I was able to participate in it.”


Happy Holidays

The CRSTI office will be closed on the following dates for the holidays:
November 28, 2002
November 29, 2002
December 24, 2002
December 25, 2002
January 1, 2003


See calendar for important conference dates, society meetings and IRB submissions and deadlines.



CRSTI Research Protocols

CRSTI currently maintains several protocols with active enrollment. CLICK HERE for a description of current protocols, including sponsors, investigators and designated sites.