Inside: 2 | Portal Update 3 | One Mind Summit 5 | CENTER-TBI 8 | Donate! Update Spring 2015 GEMINI PROGRAM PROGRESS We are proud to report that One Mind is making headway to radically accelerate the development and implementation of improved diagnostics, treatments and cures for brain disease and illness. As part of our Gemini Program, we are currently in year one of a three-year study that combines the TRACKTBI and CENTER-TBI studies. This impressive collaboration is leveraging millions of dollars of brain research funding, which although funds the basic research, does not support bringing these studies together. Studies we are bringing together include: • • • TRACK-TBI – $18.5M grant uniting 11 universities, plus an additional nine sites through a TBI Endpoints Development (TED) grant CENTER-TBI – €30M study with funding from the European Union focused on 60 sites. One Mind is providing support with neuroinformatics. Additional TBI Studies – $130M for three different National Institute of Health, Department of Defense, and Veteran Affairs studies Our initial goal is to investigate disease progression for earlier, more accurate diagnosis and treatment. Towards this end, TRACK-TBI started collecting data in April 2014 with 713 patients enrolled as of early March 2015. At this rate we will surpass our overall of 3,000 by March 2017. CENTERTBI started collecting data as of Dec. 2014 with 114 people enrolled as of early March 2015, with an overall goal of 5,400 by Dec. 2017. (You can read more details on this in the TRACK-TBI Update article on page 6). The impact of providing patient stipends and transportation costs for follow-up patient visits has been significant. TRACKTBI researchers are reporting an impressive 80% overall return rate. That has the effect of doubling the investment by providing twice the data sets to draw upon as they get close to discovering new, more accurate, diagnostics. In turn, this raises the possibility of accelerating new treatments, and some day cures, for brain disease and injury. Another key goal is to identify biological indicators of the causes and effects of diseases, or pathology, which is central to our mission here at One Mind. As the TRACK-TBI genome article on page 6 attests, this is already starting to happen. Yet, there is still much more to do, and we need your help to make this happen. Please consider investing in One Mind. Our ability to leverage the million-dollar government studies above is paying off for researchers and hopefully those afflicted with brain disease and injury. Your contribution can support: • • • Patient stipends and transportation to increase the sample size and findings for TBI patients Ensuring data is being collected in the same way so studies can be compared Accelerating the discovery of new diagnostics, treatments and cures for brain illness and injury Our Development staff will be happy to talk with you and find a meaningful way you can support brain research and collaboration. Please contact Sharon London, Director of Development, at [email protected] or 206-946-1769 for more information. ONE MIND | onemind.org 1 WE ARE PLEASED TO WELCOME SHARON LONDON! The One Mind team is excited to introduce Sharon London to its ranks as the Director of Development. Sharon brings an extensive background in nonprofit leadership and fundraising. She has worked internationally, with 4.5 years in Southeast Asia where she was the Protected Area Advisor for the World Wide Fund for Nature in Laos, and a U.S. Peace Corps volunteer at the National Park in Thailand. Most recently, Sharon was the Director of Strategic Initiative at EarthCorps. We are looking forward to the development strategies that Sharon will bring to One Mind, and know that her skill set will help us reach the fundraising goals that we have set for 2015 and beyond. Please feel free to contact Sharon to discuss any fundraising initiatives or ideas that you may have. Welcome aboard Sharon! ONE MIND PORTAL (APOLLO) UPDATE This spring brings an important milestone for the One Mind Portal – the completion of the tranSMART analytics platform integration with the Portal’s marketplace. The marketplace is the community-driven analytics platform for collaborative translational biomedical research that allows researchers to explore curated clinical and outcomes data, neuroimaging, and molecular measures through a single analytics environment. P O R TA L The completed integration of tranSMART with the marketplace will allow researchers to share datasets with the community in conjunction with an environment where researchers can collaboratively explore and interrogate these data. The tranSMART integration would not be possible without our partnership with Thomson Reuters, who has been busy developing a number of data curation tools for the tranSMART platform. Thank you Thomson Reuters for all of your work on this! We have enjoyed working with the tranSMART community (e.g. through participation in the 2014 tranSMART Foundation Annual Meeting) and Thomson Reuters in reaching this important milestone. SHOP AMAZONSMILE – GIVE TO ONE MIND Amazon will donate 0.5% of the price of eligible AmazonSmile purchases to One Mind. Same products, same prices, same service at smile.amazon.com. 2 4th ANNUAL ONE MIND SUMMIT COMING SOON! Excitement is building as we prepare for the 4th Annual One Mind Summit on May 27th-29th in Arlington, VA. Open Science and Collaboration in Action is the focus of this invitational conference, which brings together an international coalition of renowned neuroscientists, policy makers and advocates, all striving to end brainrelated illnesses in our lifetime – with the needs of the patient as the guiding principle. This year’s Summit is intended to build on the actions captured at the 2014 One Mind Summit. We will highlight what can be accomplished to help patients with brain illness and injury when researchers adopt new models. Our goals are to report on progress in the field of TBI and the collaborative models One Mind has helped to establish, as well as the technological tools we are developing to enable collaboration that we believe will be broadly applicable in neuroscience. Leaders will also be brought together from other neuroscience disease areas to learn from each other and further develop innovative and cost effective methods of conducting research to more rapidly advance diagnostics, treatments, and better patient outcomes. Specific topics will include: • One Mind CEO Update: Goals and Strategy • Advancing Knowledge from Patient Experiences • TBI – A Field Moving From Competition to Collaboration • Technological Tools for Open Science and Collaboration • TRACK-TBI and TED – Big Benefits From Collaboration • Scientific Opportunities for Collaboration Around Common Mechanisms • Other Models of Collaboration and Open Science • 21st Century Cures • From Discovery to Clinical Practice – Narrowing the Gaps and Connecting the Dots We look forward to posting the Summit Proceedings in June. ONE MIND | onemind.org 3 ONE MIND SUMMIT SPONSORSHIP OPPORTUNITIES The 4th Annual One Mind Summit, entitled “Open Science and Collaboration in Action,” will take place on May 27-29, 2015 in Arlington, VA. Last year’s Summit examined incentives and disincentives for data sharing in neuroscience research and the challenges with the way that research is conducted today. This year’s Summit will highlight what can be accomplished to help patients with brain illness and injury when researchers adopt new models. Please consider becoming a sponsor for the One Mind Summit. Your support would showcase your commitment to the collaboration model for innovation that One Mind strives to accelerate and implement. For more information regarding sponsorship, or if you are ready to make a commitment, please contact Sharon London, Director of Development, at [email protected] or 206-946-1769. JOIN ONE MIND AT THE 2015 TBI CONFERENCE Join TBI, concussion and PTS researchers, and policy makers as they review and discuss the latest news and trends in research and funding at the 5th Annual TBI Conference. New for 2015: TBI Day, April 14 Registration, info and agenda: www.tbiconference.com We are always looking for more partners. If you are interested, please contact [email protected] or call 206-946-1769. 4 CENTER-TBI HAPPENINGS Observational Study The CENTER-TBI observational study is picking up speed on its journey towards the recruitment target of 5,400 patients in the core cohort (full study protocol testing) and 20,000 in the registry (basic testing – patients who are recorded as presenting a traumatic brain injury (TBI) upon arrival to the site). There are now 43 sites across Europe, in 17 countries with active recruitment. To date, a total of 114 patients have been entered into the core data collection and 261 into the registry. We wish the sites success with their efforts and look forward to all sites becoming active within the next month! We are happy to report that because of One Mind’s funding of the CENTER-TBI neuroinformatics piece it is functioning very well at the International Neuroinformatics Coordinating Facility (INCF) in Stockholm. Specifically, One Mind is funding the following: • Electronic case report form (eCRF) • Data storing • Analytics platform In the coming weeks work will continue to enhance the platform by integrating tools for the analysis of the rapidly incoming data. Big Data Analysis International Workshop In February, CENTER-TBI organized an international workshop in Amsterdam that focused on Big Data Analysis in TBI. This provided opportunities for faceto-face discussion between international experts from other TBI studies, experts on data analysis, and technical solution providers. This was the first workshop in a series of three, where the opportunities of harnessing the power of big data and predictive modeling to advance diagnostics, treatments and cures for TBI will be discussed. Global TBI Data Collection Connecting the power of high-performance computing and high-dimensional clinical data, biomarker and neuroimaging data will undoubtedly transform the field of TBI, but will require state-of-the art technologies to make sense of the large data sets. CENTER-TBI is collaborating on a global scale and joining forces with other large TBI studies, such as TRACK-TBI in the U.S., and sister studies in China, India and Australia. Thus, the aggregated TBI data that is to be collected globally will be one of the richest in medicine. CENTER-TBI’s next steps will be to develop the analytics platform – with the goal being future access to the One Mind Portal, and advocating for openness to enable the analysis of these massive amounts of data. There has been a lot of buzz about “big data” and how the analysis of big data has the potential to accelerate the pace of discovery in science and medicine as we extract knowledge and insights from large and complex collections of digital data. ONE MIND | onemind.org 5 TRACK-TBI UPDATE Getting further, faster by sharing data and collaborating! TRACK-TBI investigators have teamed up with researchers from the Citicoline Brain Injury Treatment Trial (COBRIT) and other top neurogenetic researchers to examine how genetic factors may influence recovery after traumatic brain injury (TBI). In January 2015, they published a landmark study, “Association of a common genetic variant within ANKK1 with six-month cognitive performance after traumatic brain injury” in the journal Neurogenetics. The goal of the research was to better understand the factors that contribute to better or worse outcomes following TBI. Currently, the only factors known to correlate with outcome are age and injury severity, and these factors do not fully explain the wide variability in recovery that has been observed in TBI patients. This study is important for a number of reasons. First, it further confirms and establishes a role for a subtype of a gene we all have, called ANKK1, to predict outcomes following TBI. ANKK1 is involved in the regulation of dopamine, a neurotransmitter that propels reward-motivated behavior and motor control, among other brain functions. The study findings extend previously reported results that a particular variation in ANKK1 that some people have may adversely impact recovery following TBI as measured by patients’ performance on cognitive tests. This represents a major step toward identifying a subset of patients that may have a genetic predisposition to an unfavorable outcome, and could help us to both develop new therapies and to identify patients most likely to respond to targeted therapies. Importantly, the results may help the field to refine our current classification of TBI as mild, moderate, or severe. Using a novel approach, the investigators combined data from two independent, multicenter studies, the TRACK-TBI Pilot study and the COBRIT investigation to demonstrate that the previously reported observation regarding the ANKK1 gene was generalized in a larger and more diverse TBI patient population. By combining data, they saved millions of dollars and at least three years of duplicative research to verify the original findings. As well, this is the first study to use the National Institutes of Neurological Disorders and Stroke (NINDS) TBI Common Data Elements to harmonize data across studies and to use the combined dataset to test new hypotheses. Finally, by including investigators from the TRACK-TBI and COBRIT study teams, as well as others in the research and publication, they demonstrated the value of team science in expanding our TBI knowledge base. This impressive research is just the beginning of future collaborative efforts that the teams will be embarking on in 2015, and that One Mind will continue to support in the future. “The impact of providing patient stipends and transportation costs for follow-up patient visits has been significant. TRACK-TBI researchers are reporting an impressive 80% overall return rate.” - Pete Chiarelli, CEO of One Mind, General, U.S. Army (Retired) 6 CONCUSSION SCREENING AND INFORMATION (CSI) PROJECT Taking a Page Out of the Military’s and NFL’s Concussion Care Playbook In 2009, former Vice Chief of Staff of the U.S. Army, General Peter Chiarelli (Ret.), led the Department of Defense (DoD) efforts on the “invisible wounds of war” – traumatic brain injury (TBI), post-traumatic stress (PTS), and suicide prevention. He championed a battlefield-to-bed side protocol to identify service members with suspected brain trauma and provide expert medical care. The National Football League (NFL) has also convened experts to address concerns about sports-related concussions. These experts have developed best practice protocols to ensure appropriate screening, identification, and follow-up for players on the field who sustain a concussion or TBI. Both organizations use these expert-consensus guidelines to make return-to-play or duty decisions. It is time to turn our attention to the “fight at home,” to bring expert concussion screening and patient discharge information to the more than 2.5 million Americans who go to emergency or urgent care centers every year. Children and adults who play sports, ride bicycles and engage in other recreational activities, or who fall or have accidents resulting in brain trauma, should all receive the benefits afforded to NFL players and service members. “Use of a standard concussion screening form and patient discharge instructions in emergency care centers throughout the U.S. will hasten recovery and minimize complications for the millions of people who sustain traumatic brain injuries.” - Dr. Ramona Hicks, Chief Scientific Officer, One Mind However, emergency care centers face unique challenges because of the life-threatening injuries many of the patients endure, and the wide range of financial, social and family support available to them after discharge. A concussion screening form suitable for emergency care centers needs to be short, relevant to decision making, and ideally integrated into electronic health systems. The patient discharge information needs to provide practical, helpful guidelines on what to expect and how to manage symptoms based on best available evidence. In order to facilitate adoption of standardized concussion screening and discharge information throughout the U.S., One Mind, in collaboration with the Center for Disease Control (CDC), DoD, NFL, National Institutes of Health (NIH), Defense and Veterans Brain Injury Center (DVBIC), General Electric and clinical experts, are adapting the military and NFL screening tools to make them relevant and easy to implement in emergency care centers. These forms will be evaluated in a few of the TRACK-TBI centers to evaluate their performance within the next few months. This will be followed by a coordinated effort aimed at dissemination and implementation. Even while exciting new research trials of better diagnostics and improved treatments for TBI are ongoing, widespread adoption of these screening tools and information sheets has the potential to promote recovery now. TBI is an equal opportunity health condition. Let’s help to ensure that everyone suspected to have a concussion is properly screened so they can be informed about their condition and followed over time, and the concussion does not evolve into a life-altering event. ONE MIND | onemind.org 7 DEVELOPMENT If you or someone you know is interested in supporting One Mind, please contact Sharon London, Director of Development, at [email protected] or 206-946-1769. DONATE NOW Our work at One Mind is possible because of you. Visit donate.onemind.org to make your contribution to accelerating the development of improved diagnostics, treatments, and cures for brain health. Yes! I would like to make a gift in support of One Mind. Name: _________________________________ ___ Check enclosed payable to One Mind for Research, Inc. Address: _________________________________ ___ Please charge my credit card: City/State/Zip: _________________________________ Credit Card Number: Email: _________________________________ ________– ________– ________– ________ Phone: _________________________________ CVV: ________ Amount of Gift: _________________________________ Exp Date: ________ / ________ ___ I prefer to make a recurring gift. Please charge my credit card $ _______ per month. Please send donations to: One Mind 120 Lakeside Ave., Suite 200 Seattle, WA 98122 Thank you for your support! If you have questions about your gift, please contact Sharon London, Director of Development, at [email protected] or call 206-946-1769. 8
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