Monthly Archives: September 2021

Opinion | Amy Coney Barrett Is Right About Problems With the Media. She Has a Chance to Fix It. – POLITICO

Posted: September 17, 2021 at 8:54 pm

Barretts speech, at the McConnell Center at the University of Louisville, was before an invite-only crowd at an event with limited media, no recording for dissemination and no heads-up to the Supreme Court press corps.

Her fellow conservative, Justice Clarence Thomas, similarly blasted the media a few days later in a speech at the University of Notre Dame. Once again, there was no livestream of his remarks for the public, though at least there is now video available.

If media coverage and the perception of the court is a real issue, the best solution cant be keeping people away from the justices own remarks.

In 2014, Barretts former boss, Justice Antonin Scalia, quoted James Madison in a speech on civic education: A popular Government without popular information, or at least the means of acquiring it, is but a Prologue to a Farce or a Tragedy; or, perhaps both.

We are well on our way to a farce. According to the University of Pennsylvanias annual Annenberg Civics Knowledge Survey, more than half of the participants incorrectly believe Facebook is required to allow all Americans freedom of expression under the First Amendment. (Reminder: The First Amendment prohibits such censorship by the government, not social networks.)

There is clearly a knowledge void among the populace about our laws and the Supreme Courts job in interpreting them. A problem, to be sure, but also an opportunity. Instead of blaming the media for failing to bridge the gap between court and countrymen, the justices themselves should do more to shed light on their approach. Who better to educate the people on the workings of the court than its members?

Here are three steps the Supreme Court can take right now that would go a long way toward building its credibility with the American people.

The court recently announced that it will take the bench in person next month for the first time since the pandemic began, but the public is not allowed in for public health reasons. Some journalists will have access, but only those with full-time press credentials issued by the courts Public Information Office. While the court will continue to livestream oral argument audio, people will not be able to watch the court do its workincluding debate a host of contentious issues like the future of Roe v. Wade and the Second Amendment.

Oral argument is the only chance to observe the courts deliberative process. A video livestream would be a ready-made civics lesson on the courts procedures and how the justices consider a question before them. With cameras in the courtroom, not only could the public observeand learnin real time, but it would allow justices to essentially speak directly to the people rather than rely on the media as a middleman.

Lately, not every major decision has an oral argument. An increasing number of substantive decisions arrive in the middle of the night through the shadow docket via an unsigned, bedrock-breaking single-paragraph order, as was the case for abortion rights in Texas.

If the court ultimately guts Roe v. Wade entirely next spring, after hearing oral argument in November, the practical effect of that decision would be largely the same for pregnant people in Texas right now. Clinics would turn people away and many would likely close. But, presumably, the courts decision would accompany a lengthy written explanation and a list of the justices making up the majority. The decision would reflect, if not reveal, the courts deliberative process.

When the justices hear a case on their regular docket, it marinates. Counsel for both sides file multiple briefs explaining their positions and responding to the other sides arguments. Third parties file supporting amicus briefs, sometimes dozens. Each side gets at least 30 minutes of oral argument before the nine. The justices have time to deeply consider their decision, draft detailed opinions that guide not only the parties but the lower courts, and sometimes are moved to change their votes. It is a lengthy process that takes months.

Shadow docket rulings take days, if not hours. The public has virtually no window into the courts decision-making process. Nor is there a requirement to explain the decision or even say which justices made it. The shadow docket functions this way often because the emergency relief requested warrants the pace. But the public would benefit from more transparency about how the court reaches these decisions and who signs them. The court directly communicating more information to the public means less interpretation by the press that makes the decisions seem results-oriented, as Barrett said.

The fact that Barretts speech happened without notification to the designated Supreme Court press corps is not unusual. It is often the case that justices appear in public with no notice. Further, no recording was allowed. Also, not unusual.

That should change, and justices should promote the heck out of their appearances. These events are an opportunity to educate, illuminate and solidify public trust in the institution of the court, and that teachable moment is lost when people are excluded. Why not invite us all to learn in the Louisville classroom?

This week, Justice Stephen Breyer said to the Washington Post, I've seen how long it's taken to earn enough trust of the American people so that they will and almost automatically follow what the court said. Its true. The court has no power to enforce its decisions. It relies on the American people to obey the rule of law. But that trust should go both ways. The court needs to trust the American people to see more, hear more and understand more about the courts deliberative process.

These changes would not only assuage the justices concerns about how the media portrays the court. It would further the Madisonian principle that giving the American people information, or at least the means of acquiring it, ensures the continuation of our democratic experiment.

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Opinion | Amy Coney Barrett Is Right About Problems With the Media. She Has a Chance to Fix It. - POLITICO

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Abingworth, Gimv and Pfizer back stealthy Swiss startup’s $61M round to crack gene therapy delivery – FierceBiotech

Posted: at 8:53 pm

In 2017, Jol de Beer dropped out of his Ph.D. program and began trying to build a leading genetic medicines company from a site the size of a parking space. After working quietly for several years to realize the vision, de Beers Anjarium Biosciences has now broken cover with 55.5 million Swiss francs ($61 million) from top-tier investors including Abingworth, Gimv and Pfizer Ventures.

Anjarium secured the series A funding by persuading investors it could be the company that cracks the challenge of delivering nucleic acid payloads. Viral vectors have enabled early successes in the gene therapy space, but their immunogenicity, limited payload capacity and complex manufacturing are headwinds for the field. Anjarium is squarely focused on those challenges.

We wanted to set up this one-stop-shop for non-viral gene therapy with three aspirations: using the most potent cargo, safely delivering enough of it into the right tissue with every application and, very importantly, being able to manufacture at scale in order to not leave anybody behind, de Beer, founder and chief scientific officer of Anjarium, said.

Anjarium is aiming to address those shortcomings with a non-viral gene therapy delivery vehicle. A few companies are already active in the space, such as Fierce 15 winner Carmine Therapeutics, but Anjarium has put its own spin on the idea of getting nucleic acids into human cells without using viruses.

RELATED: Hopkins team invents non-viral system for getting gene therapy into cells

We do this by combining this new DNA vector, which allows for bespoke expression of the genes in the right tissue, with a very deep expertise around synthetic and natural delivery systems in order to get it to the right tissue. We're really at the interface of genetic medicine, synthetic biology and nanoparticle engineering, de Beer said.

De Beer cites lipid nanoparticles and exosomes as technologies that have influenced Anjarium. The biotech also looked to viruses for inspiration. Mimicking viruses, which have evolved to get nucleic acids into human cells, using synthetic materials may lower immunogenicity and allow repeat dosing, thereby addressing two of the main limitations of current delivery methods. Anjarium is aiming to overcome those limitations while also enabling the delivery of larger payloads.

You can start to address indications that are beyond the reach of what is possible today with many of the viral approaches. And then if you can really have individualized dosing and multiple dosing, I think it's a paradigm shift in how we view gene therapy in general, de Beer said.

Investors share de Beers optimism about the impact of the technology. Abingworth and Gimv co-led the series A round with the support of Omega Funds, Pfizer Ventures and Surveyor Capital. Anjarium will use the money to move its early discovery pipeline toward the clinic while working to unlock further aspects of its technology and strengthen its manufacturing, which has been supported to date by a grant from the Swiss government.

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Albert Einstein College of Medicine awarded $5 million for research on intellectual and developmental disabilities – EurekAlert

Posted: at 8:53 pm

image:Steven Walkley, D.V.M, Ph.D. view more

Credit: Albert Einstein College of Medicine

September 15, 2021 (BRONX, NY) Albert Einstein College of Medicine has received a five-year, $5 million grant from the National Institutes of Health (NIH) to support the Rose F. Kennedy Intellectual and Developmental Disabilities Research Center (RFK IDDRC), which has been at the forefront of research on normal and abnormal brain development for more than 50 years. The funding will sustain and deepen collaborations between Einstein scientists and clinicians at Montefiore Health System aimed at improving the care and treatment of children with intellectual and developmental disabilities (IDD), including those stemming from rare diseases.

Our center is home to dozens of basic science and translational researchers who investigate the biological pathways and neurological mechanisms that underlie a range of intellectual and developmental disabilities, said Sophie Molholm, Ph.D., co-primary investigator on the grant and co-director of the RFK IDDRC. But ultimately, our sights are set on helping the children with IDDs in the Bronx and empowering their families and caregivers, a goal this new grant will help us achieve, added Dr. Molholm, who is professor of pediatrics, in the Dominick P. Purpura Department of Neuroscience, and of psychiatry and behavioral sciences at Einstein.

Investigating Gene Mutations

Previous NIH support helped establish a research program on 22q11.2 Deletion Syndrome (22q11.2DS), an incurable genetic disorder associated with delayed intellectual development and psychiatric conditions. Thisnew grants research focus involves the X chromosome'sKDM5Cgene, which plays a central role in brain development and behavior. Mutationsin theKDM5Cgene lead to intellectual disabilities and other conditions, particularly in males although females can also be affected.

In 2020, the IDDRCs annual Rare Disease Day event featured a special program in which 12 families with children who have a KDM5C variant came together from around the country and from England to meet for the first time. They learned about recent findings and the RFK IDDRC partnerships at Montefiore and Einstein that are addressing research and care. Hayden Hatch, an M.D./Ph.D. student at Einstein, spearheaded the effort.

Julie Secombe, Ph.D., professor of genetics and in the Dominick P. Purpura Department of Neuroscience, will lead basic science studies on KDM5C, along with Bryen Jordan, Ph.D., associate professor in the Dominick P. Purpura Department of Neuroscience and associate professor of psychiatry and behavioral sciences. The translational and clinical aspects of the work will be led by Dr. Molholm and Lisa Shulman, M.D., professor of pediatrics at Einstein, interim director of the Rose F. Kennedy Childrens Evaluation and Rehabilitation Center (CERC) at the Childrens Hospital at Montefiore, and a developmental pediatrician at Montefiore.

Advancing IDD Research and Collaboration

Einstein is one of 15 IDDRCs funded by the NIH and was among the first such centers established in the 1960s. More than 100 researchers study neurodevelopmental conditions including autism spectrum disorders, attention-deficit hyperactivity disorder, Rett and Williams syndromes, Niemann-Pick and other lysosomal storage diseases, neurocutaneous disorders, and infantile and childhood seizures. The RFK IDDRC also has more than 20 clinical partners in neurology and pediatrics.

Were in the unique position of having many different IDD-focused programs under one roof, said Steven Walkley, D.V.M, Ph.D., co-director of the IDDRC, co-primary investigator on the grant, professor in the Dominick P. Purpura Department of Neuroscience, of pathology, and in theSaul R. Korey Department of Neurology.In addition to the IDDRC, the Rose F. Kennedy Center includes CERC, which is part of our University Center for Excellence in Developmental Disabilities; the NIH-funded healthcare professional training program known as LEND (Leadership Education in Neurodevelopmental and Related Disabilities); and a postdoctoral fellowship training program. Were truly at the forefront of patient-oriented science both for the Bronx community and beyond.

The new grant also funds the centers four interdisciplinary scientific cores, which support biomedical, clinical, and translational research on IDDs. The cores include resources for clinical phenotyping, epigenetic and genomic analyses, and neural cell engineering and imaging.

The grant, titled Support for the Rose F. Kennedy IDDRC P50, is funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, part of the National Institutes of Health (1 P50 HD105352-01).

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About Albert Einstein College of Medicine

Albert Einstein College of Medicineis one of the nations premier centers for research, medical education and clinical investigation. During the 2020-21 academic year, Einstein is home to 721M.D.students, 178Ph.D.students, 109 students in thecombined M.D./Ph.D. program, and 265postdoctoral research fellows. The College of Medicine has more than 1,900 full-time faculty members located on the main campus and at itsclinical affiliates. In 2020, Einstein received more than $197 million in awards from the National Institutes of Health (NIH). This includes the funding of majorresearch centersat Einstein in aging, intellectual development disorders, diabetes, cancer, clinical and translational research, liver disease, and AIDS. Other areas where the College of Medicine is concentrating its efforts include developmental brain research, neuroscience, cardiac disease, and initiatives to reduce and eliminate ethnic and racial health disparities. Its partnership withMontefiore, the University Hospital and academic medical center for Einstein, advances clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies that benefit patients. Einstein runs one of the largest residency and fellowship training programs in the medical and dental professions in the United States through Montefiore and an affiliation network involving hospitals and medical centers in the Bronx, Brooklyn and on Long Island. For more information, please visiteinsteinmed.org, read ourblog, followus onTwitter, like us onFacebook,and view us onYouTube.

About Montefiore Health System

Montefiore Health System is one of New Yorks premier academic health systems and is a recognized leader in providing exceptional quality and personalized, accountable care to approximately three million people in communities across the Bronx, Westchester and the Hudson Valley. It is comprised of 11 hospitals, including the Childrens Hospital at Montefiore, Burke Rehabilitation Hospital and more than 200 outpatient ambulatory care sites. The advanced clinical and translational research at its medical school, Albert Einstein College of Medicine, directly informs patient care and improves outcomes. From the Montefiore-Einstein Centers of Excellence in cancer, cardiology and vascular care, pediatrics, and transplantation, to its preeminent school-based health program, Montefiore is a fully integrated healthcare delivery system providing coordinated, comprehensive care to patients and their families. For more information please visitwww.montefiore.org. Followus onTwitterand view us onFacebookandYouTube.

About RFK IDDRC

The Rose F. Kennedy Center at Einstein and Montefiore includes the RFK UCEDD and CERC. Annually, CERC serves about 5,000 patients with IDD and provides medical, psychiatric, and dental services, along with social services and speech language, occupational, and physical therapies. Most of its patients are children, but the center also serves people older than age 18 with IDD who have transitioned from pediatric care. They receive services in its Harold Diner Special Needs Dentistry program, Adult Literacy program, and a new primary care program.

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ONLINE: When Gene Therapy Meets Reality – Isthmus

Posted: at 8:53 pm

press release: Virtual Saving Sight Session: When Gene Therapy Meets Reality

Thursday, September 30, 6pm

Hosted by Melanie Schmitt, MD, assistant professor // pediatric ophthalmology and adult strabismus

Saving Sight Sessions are community events featuring leading research from the Department of Ophthalmology and Visual Sciences. Please join us online for this exciting discussion.

The event is free but registration is required.

Melanie Schmitt, MD

John W. and Helen Doolittle Professor, pediatric ophthalmology and adult strabismus specialist, director of the pediatric inherited retinal degeneration clinic, co-director of the ocular genetics program

Dr. Melanie Schmitt is a respected pediatric ophthalmologist and adult strabismus specialist. Her research focuses on inherited retinal degenerations. In this engaging session, Dr. Schmitt will present on gene therapy that is available for a rare genetic eye disorder, Leber congenital amaurosis.

Dr. Schmitt earned her medical degree at the University of Wisconsin School of Medicine and Public Health. She completed her internship year and ophthalmology residency at Beaumont Hospital in Royal Oak, Michigan, followed by a pediatric ophthalmology and adult strabismus fellowship at Cole Eye Institute in Cleveland, Ohio. She joined the DOVS faculty in 2014.

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AGC boost pDNA and mRNA capacity with expansion – BioProcess Insider – BioProcess Insider

Posted: at 8:53 pm

CDMO AGC Bio will expand its Heidelberg, Germany facility to increase its manufacturing capacities for customer pDNA and mRNA projects.

The expansion, of which financial details have not been disclosed, sees contract development manufacturing organization (CDMO) AGC Biologics boost its current production capacity for plasmid-DNA (pDNA) and messenger RNA (mRNA) by adding an additional manufacturing line.

The Heidelberg expansion will also include additional warehouse capacity, a cleanroom for mRNA development and production, and a process development lab for microbial protein and cell and gene therapy projects.

Image: Stock Photo Secrets

Cell and gene therapy products have brought new promising treatments in multiple areas of high unmet medical needs. However, a record-breaking cell and gene therapy pipeline is creating vast market opportunities yet causing a manufacturing capacity shortage, a spokesperson for AGC told BioProcess Insider.

Creating new manufacturing capacity requires investments, lead time, and technical expertise. [The expansion] puts AGC Biologics in a unique position as one of the few CDMOs in the world that can provide end-to-end services for the development and manufacturing of cell and gene therapies.

The Alliance for Regenerative Medicine reported that this year there are currently 1,320 industry-sponsored regenerative medicines and advanced therapies trials ongoing globally.

According to AGC Bio, the expansion also builds on the firms decision to buy a 622,000 square-foot cell and gene therapy facility in Longmont north of Denver, Colorado from Novartis in July.

A year prior to this, AGC Bio acquired a cell and gene therapy site in Milan, Italy, added through the 240 million ($284 million) acquisition of Molecular Medicine (Molmed).

The facilitys added capabilities are expected to be fully operational in 2023 and the CDMO said it will continue to invest in our Heidelberg facility and new jobs will be created as a result of this latest expansion.

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Vaccines in your salad? Scientists growing medicine-filled plants to replace injections – Study Finds

Posted: at 8:53 pm

RIVERSIDE, Calif. Vaccinations can be a controversial subject for many people, especially when it comes to injections. So what if you could replace your next shot with a salad instead? Researchers at the University of California-Riverside are working on a way to grow edible plants that carry the same medication as an mRNA vaccine.

The COVID-19 vaccine is one of the many inoculations which use messenger RNA (mRNA) technology to defeat viruses. They work by teaching cells from the immune system to recognize and attack a certain infectious disease. Unfortunately, mRNA vaccines have to stay in cold storage until use or they lose stability. The UC-Riverside team says if theyre successful, the public could eat plant-based mRNA vaccines which could also survive at room temperature.

Thanks to a $500,000 grant from the National Science Foundation, researchers are now looking accomplish three goals. First, the team will try to successfully deliver DNA containing mRNA vaccines into plant cells, where they can replicate. Next, the study authors want to show that plants can actually produce enough mRNA to replace a traditional injection. Finally, the team will need to determine the right dosage people will need to eat to properly replace vaccinations.

Ideally, a single plant would produce enough mRNA to vaccinate a single person, says Juan Pablo Giraldo, an associate professor in UCRs Department of Botany and Plant Sciences, in a university release.

We are testing this approach with spinach and lettuce and have long-term goals of people growing it in their own gardens, Giraldo adds. Farmers could also eventually grow entire fields of it.

Giraldo and a team of scientists from UC-San Diego and Carnegie Mellon University say the key to making edible vaccines are chloroplasts. These are small organs inside plant cells which help convert sunlight into energy.

Theyre tiny, solar-powered factories that produce sugar and other molecules which allow the plant to grow, Giraldo explains. Theyre also an untapped source for making desirable molecules.

Previous studies have shown that its possible for chloroplasts to express genes which are not a natural part of that plant. Giraldos team accomplished this by sending genetic material inside of a protective casing into plant cells.

In the new study, Giraldo teamed with UC-San Diegos Professor Nicole Steinmetz to use nanotechnology to deliver more genetic material into chloroplasts.

Our idea is to repurpose naturally occurring nanoparticles, namely plant viruses, for gene delivery to plants, Steinmetz says. Some engineering goes into this to make the nanoparticles go to the chloroplasts and also to render them non-infectious toward the plants.

One of the reasons I started working in nanotechnology was so I could apply it to plants and create new technology solutions. Not just for food, but for high-value products as well, like pharmaceuticals, Giraldo adds.

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How to beat cancer? Find the genes that help it hide – Scope

Posted: at 8:53 pm

Even after decades of research, cancer cells still have secrets to spill. To that end, Stanford Medicine researchers have set out to discover the hidden drivers of cancer's insidious nature.

In a recent study led by Roarke Kamber, a postdoctoral scholar in the lab of Michael Bassik, the team identified hundreds of potential targets for cancer therapies using a new screening strategy that allows for the systematic activation and deactivation of thousands of genes -- molecular instructions that dictate a cell's fate -- in both cancer cells and immune cells.

Powered by a cutting-edge gene-editing technology known as CRISPR, the team discovered a new function for a little-researched gene called APMAP that they're hoping will lead to a new cancer treatment.

Normally, when a pathogen invades the body, the immune system quickly recognizes it as foreign. Part of the immune system known as an antibody latches on to the intruder, marking it with a molecular post-it note that says "Hey! Over here!" which signals to other immune cells, particularly macrophages, that the body needs to rid itself of this new enemy. That process is called phagocytosis -- essentially, a macrophage engulfs and eats the intruder.

Cancer has a particularly nasty ability to disguise itself so that immune cells can't recognize it as "other," and don't attack it. One of the main drivers of this invisibility is a protein called CD47, a molecular signal that scientists often refer to as a "don't eat me" signal. Cancer cells produce CD47, a deceitful signal to macrophages that the cancer cells are friend, not foe, and they don't need to be eaten. Drugs that inhibit CD47 are starting to show promising results in clinical trials, but the treatment is not foolproof and there can be problematic side effects.

"We knew that many cancer cells are still resistant to phagocytosis, even if we block the 'don't eat me' signal," said Kamber." There was a sense there are additional signals out there that have not been discovered. So we set out to find them using systematic screening."

The team published the results in Nature on September 8. Bassik is the senior author of the study and Kamber is the lead author.

Using CRISPR, Kamber and his team developed a screening method through which they individually deleted or activated each gene in a cancer cell one-by-one as it was exposed to a hungry macrophage. Then, they did the same to the genes of the macrophage to see which genes played a role in gobbling up cancer cells.

"We used CRISPR to remove every gene in the human genome, one by one, to determine which of those genes were required for cancer cells to resist phagocytosis," said Kamber.

If the team removed a particular gene and the cancer cell suddenly became "edible" to a macrophage, they knew they had found a gene that was involved in cancer cell survival.

The team identified hundreds of genes that seemed to play a role in protecting cancer cells from phagocytosis, or conversely, making them more vulnerable to it, including the one that encodes CD47. While much more research is needed to investigate the potential drug targets, the scientists zeroed in on one they found particularly intriguing.

"What was really surprising is that one of the strongest regulators of this process is a gene that's been little studied called APMAP," said Kamber. "The gene has never been linked to phagocytosis regulation before and not too much is known about what it does."

It could be an ideal candidate for a drug because without APMAP, the team found, the cancer cells were very susceptible to phagocytosis. More than 90% of cancer cells were phagocytosed in vitro without APMAP, compared to only 10-15% when the gene is active.

The team wants to pursue APMAP as a therapeutic target for cancer -- small molecules could, in theory, be used to block APMAP from working, said Kamber. Plus, he added, "It appears to have certain advantages in terms of therapy -- it's not required for the growth of normal cells." That means inhibiting APMAP would likely be safe for the body and would not cause the immune system to falsely attack any of its own healthy cells.

In addition to identifying this promising drug target, Bassik emphasized that the CRISPR-based screening strategy could be applied to a wide variety of pressing questions.

"The work not only reveals an exciting new therapeutic target," he said, "it also establishes a general strategy for investigating cell-cell interactions in diverse systems."

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Vertex Announces Letter of Intent With pan-Canadian Pharmaceutical Alliance for Public Reimbursement of CFTR Modulators Extended to Include…

Posted: at 8:53 pm

TORONTO, Sept. 17, 2021 /CNW/ - Vertex Pharmaceuticals Incorporated (Canada) (Nasdaq: VRTX) today announced that it has signed a Letter of Intent (LOI) with the pan-Canadian Pharmaceutical Alliance (pCPA), which represents an agreement in principle regarding the public reimbursement of PrTRIKAFTA (elexacaftor/tezacaftor/ivacaftor and ivacaftor) for eligible patients with cystic fibrosis (CF).

Vertex Pharmaceuticals Incorporated (Canada) Logo (CNW Group/Vertex Pharmaceuticals Incorporated (Canada))

This is an extension of the LOI with the pCPA including PrKALYDECO (ivacaftor) and PrORKAMBI (lumacaftor/ivacaftor).

"This is a significant milestone for patients with CF in Canada," said Duncan McKechnie, Senior Vice President, North America Commercial Operations, Vertex Pharmaceuticals. "We would like to thank the pCPA and the participating jurisdictions for their collaborative approach. We share the urgency of the CF community to bring this process to a successful conclusion, and we will continue our work with all the provinces and territories so that eligible people with CF have the opportunity to receive TRIKAFTA, KALYDECO and ORKAMBI."

This extension of the LOI follows the positive clinical recommendation for TRIKAFTA by both the Canadian Agency for Drugs and Technology in Health (CADTH) and l'Institut national d'excellence en sant et en services sociaux (INESSS) in Quebec.

About TRIKAFTA

TRIKAFTA (elexacaftor/tezacaftor/ivacaftor and ivacaftor) is a prescription medicine used for the treatment of cystic fibrosis (CF) in patients ages 12 years and older who have at least one copy of the F508del mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. TRIKAFTA is designed to increase the quantity and function of the F508del-CFTR protein at the cell surface. The approval of TRIKAFTA was supported by positive results of three global Phase 3 studies in people ages 12 years and older with CF: a 24-week Phase 3 study (Study 445-102) in 403 people with one F508del mutation and one minimal function mutation (F/MF), a four-week Phase 3 study (Study 445-103) in 107 people with two F508del mutations (F/F), and a Phase 3 study (Study 445-104) in 258 people heterozygous for the F508del-CFTR mutation and a CFTR gating mutation (F/G) or a residual function mutation (F/RF).

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About Cystic Fibrosis

Cystic fibrosis (CF) is a rare, life-shortening genetic disease affecting more than 80,000 people globally. CF is a progressive, multi-system disease that affects the lungs, liver, GI tract, sinuses, sweat glands, pancreas and reproductive tract. CF is caused by a defective and/or missing CFTR protein resulting from certain mutations in the CFTR gene. Children must inherit two defective CFTR genes one from each parent to have CF. While there are many different types of CFTR mutations that can cause the disease, the vast majority of all people with CF have at least one F508del mutation. These mutations, which can be determined by a genetic test, or genotyping test, lead to CF by creating non-working and/or too few CFTR proteins at the cell surface. The defective function and/or absence of CFTR protein results in poor flow of salt and water into and out of the cells in a number of organs. In the lungs, this leads to the buildup of abnormally thick, sticky mucus that can cause chronic lung infections and progressive lung damage in many patients that eventually leads to death. The median age of death is in the early 30s.

About Vertex

Vertex is a global biotechnology company that invests in scientific innovation to create transformative medicines for people with serious diseases. The company has multiple approved medicines that treat the underlying cause of cystic fibrosis (CF) a rare, life-threatening genetic disease and has several ongoing clinical and research programs in CF. Beyond CF, Vertex has a robust pipeline of investigational small molecule medicines in other serious diseases where it has deep insight into causal human biology, including pain, alpha-1 antitrypsin deficiency and APOL1-mediated kidney diseases. In addition, Vertex has a rapidly expanding pipeline of cell and genetic therapies for diseases such as sickle cell disease, beta thalassemia, Duchenne muscular dystrophy and type 1 diabetes mellitus.

Founded in 1989 in Cambridge, Mass., Vertex's global headquarters is now located in Boston's Innovation District and its international headquarters is in London. Additionally, the company has research and development sites and commercial offices in North America, Europe, Australia and Latin America. Vertex is consistently recognized as one of the industry's top places to work, including 11 consecutive years on Science magazine's Top Employers list and a best place to work for LGBTQ equality by the Human Rights Campaign.

Special Note Regarding Forward-Looking Statements

This press release contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995, including, without limitation, statements made by Duncan McKechnie in this press release and statements regarding our expectations that eligible people with CF in Canada will have access to TRIKAFTA. While Vertex believes the forward-looking statements contained in this press release are accurate, these forward-looking statements represent the company's beliefs only as of the date of this press release and there are a number of risks and uncertainties that could cause actual events or results to differ materially from those expressed or implied by such forward-looking statements. Those risks and uncertainties include, among other things, that the company ultimately may not be able to secure reimbursement in Canada, that data from the company's development programs may not support registration or further development of its compounds due to safety, efficacy or other reasons, and other risks listed under the heading "Risk Factors" in Vertex's most recent annual report and subsequent quarterly reports filed with the Securities and Exchange Commission at http://www.sec.gov and available through the company's website at http://www.vrtx.com. You should not place undue reliance on these statements. Vertex disclaims any obligation to update the information contained in this press release as new information becomes available.

(VRTX-GEN)

Vertex Pharmaceuticals Incorporated

SOURCE Vertex Pharmaceuticals Incorporated (Canada)

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JUDITH FEBRUARY: The ANC in government is a walking contradiction – Eyewitness News

Posted: at 8:52 pm

OPINION

There never seems to be a week in South Africa which does not hold some serious political consequence.

Whilst in the midst of dealing with the COVID-19 pandemic and trying to increase the momentum of our vaccination drive, the ANC has held its lekgotla, Carl Niehaus (the Radical Economic Transformer-in-Chief) has been fired by the ANC (the party is now literally financially bankrupt, to add to its ethical bankruptcy), and Jacob Zuma has been granted medical parole. Anyone who didnt see that coming has not been paying attention.

After much legal wrangling, the local government election date has been set for 1 November 2021. This was not without controversy after the Constitutional Court was asked to rule on whether elections were to take place this year.

There were no written reasons given the urgency of the matter, however, the ConCourt will be providing those in due course. This has created some confusion as to whether the order allowed for the reopening of candidate registration. The IEC has now reopened candidate registration, and this is now the subject of a legal challenge by the Democratic Alliance.

The IEC maintains that it is within its rights to reopen candidate registration given that the ConCourt said it could publish such amendments to the current timetable as may be reasonably necessary. The ConCourt will yet again be seized with the matter given the DAs urgent application.

Our ConCourt has served us well and has been a bulwark between our society and a complete collapse of the rule of law.

The Presidency released a statement this week which set out the process for the appointment of the new Chief Justice. It includes public participation and an eminent persons panel which will shortlist candidates. Ultimately, however the President decides which candidates he will refer to the Judicial Service Commission. It is important that Ramaphosa gets this one big decision right. One suspects that the public participation process, together with the eminent persons panel, is Ramaphosas way of shielding himself against the internal wrangling which will doubtless arise on this appointment within his own party.

Whoever is appointed will need to provide the requisite leadership both intellectual and administrative, to our apex court. It is fair comment that the court is in need of such leadership.

Adding to the pressure on our constitutional framework and the rule of law, Jacob Zuma is now on medical parole, a cynical act by the National Commissioner of Correctional Services, Arthur Fraser, whose contract ends soon. Fraser was moved to Correctional Services, presumably because it was a softer position than his previous one in state security?

He is anything but a dispassionate player in this saga. He is the former Director-General of the State Security Agency and the Zondo Commission has heard that Fraser was involved in marshalling a private intelligence army on Zumas behalf. It was also Fraser who was alleged to have given the so-called spy tapes to Zuma which contained details of how his arms deal corruption prosecution by the National Prosecuting Authority may have been politically tainted.

The irony, of course, is that the previous commissioner, Tom Moyane went on to head SARS with disastrous consequences. This is what happens when presidents and political parties play musical chairs with positions of import. It eventually comes back to bite.

The most obvious question would be what were Frasers reasons for rescinding the order of the Medical Parole Advisory Board who had earlier denied Zuma parole and declared that he was in a stable condition? Fraser has been quite brazenly prepared to defend his decision to over-rule the Parole Board and has granted media interviews stating that there were no legal or procedural flaws in his decision.

This decision will be taken on review - and rightly so because the public has the right to know and understand whether the decision to release Zuma on medical parole was legally rational or not?

Yet, one wonders how much more strain our legal system can endure, being consistently placed in the arena where our democratic institutions fail us and where those who are in positions of power often act with impunity

If one were being equally cynical and uncharitable, one would say that it appears that Fraser was part of the stitch-up to ensure that Zuma does not serve his prison sentence.

For his part, President Ramaphosa welcomed Zumas medical parole and wished him well. That seemed just a little obsequious when South Africans may be justified in thinking that if one ensures enough violence and mayhem, eventually ones political friends will find a way out of the sticky legal situation.

Given that Zumas former financial advisor, Schabir Shaik, was released on medical parole and was seen on the golf course not long thereafter, it is also unsurprising that South Africans are sceptical of Zumas sudden and possibly terminal illness. We know that Zuma believes he is above the law. He has repeatedly cocked a snook at the courts as well as the Zondo Commission and has shown little appetite for accounting to anyone despite his repeated claim that he longs for his day in court.

In its judgment on Zumas contempt, Justice Khampepe wrote then, If we do not intervene immediately to send a clear message to the public that this conduct stands to be rebuked in the strongest terms, there is a real and imminent risk that a mockery will be made of this court and the judicial process in the eyes of the public. The vigour with which Mr Zuma is peddling his disdain for this court and the judicial process carries the further risk that he will inspire or incite others to similarly defy this court, the judicial process and the rule of law.

How right she was. A Sunday newspaper has reported that Ramaphosa was consulted before Fraser made the decision. We need to know if that was the case and if so, the President needs to be held to account for his involvement. Has Ramaphosa himself now buckled under pressure to have his predecessor released? That would be the ultimate travesty in a country well-used to travesties of justice.

Stories are doing the rounds that Zumas supporters are preparing to give him a rousing welcome when he returns to Nkandla. If Zuma is then seen doing his usual song and dance routine and complaining about the conspiracy against him, will we still be asked to believe that he is a candidate for medical parole? A case of, Who are you gonna believe, me or your lying eyes??

During his speech at the recent ANC lekgotla, President Ramaphosa mentioned many things, including expanding the social security net. Our socio-economic reality is dire, with the most recent Quarterly Labour Force Survey making for dismal reading, with 7.8 million people unemployed in our country, 584,000 more than in the first quarter of this year. A statistic that should scream, Crisis! to any government. Yet, Ramaphosa and the ANC seem so consumed with internal crises and internal party unity that it constantly feels as if we are a country walking in treacle.

Of the violence of July, Ramaphosa said, Those that are responsible for the organising, coordinating and inciting this violence must still be brought to book. Our priority is to ensure that we do not allow such criminal behaviour to recur, and on comprehensive social security, Further work needs to be done towards the achievement of Comprehensive Social Security to ensure that all South Africans can live in comfort and dignity. This necessarily requires better alignment and linkages between social security policies and labour market policies so that beneficiaries of social support can move more readily into employment. Subject to long-term affordability, serious consideration should be given to extending further support to the unemployed, and those who are structurally marginalised.

We are mostly inured to such promises. As recent Afrobarometer data indicated, trust in democratic institutions is at an all-time low. We are also inured to the Presidents promises because, quite simply, we cannot believe that he will do as he says, or that he will commandeer those around him to do as instructed. As for those who planned the insurrection, they walk freely amongst us, unfettered by the law. This is a country where words like full might of the law are unfortunately meaningless.

This past week Public Works and Infrastructure Minister, Patricia De Lille, talked again about smart cities. Only the most sanguine amongst us would believe that a party incapable of paying its staff or registering candidates for local government elections could be a vehicle for the radical social change this country needs, let alone a smart city. We need desperately to get the little things right and then dream big. For the governing ANC that means regaining peoples trust on the little things.

Impunity is a strategy which has a limited lifespan. As we see Ace Magashule on the periphery, fighting legal battles, Niehaus dismissed and other RET forces being dealt mini blows, these have been some consequences of Ramaphosas clean-up. But we need to survey the damage that has been caused along the way and whether out of this ANC wreckage, something new can be rebirthed?

Its hard to imagine that a party cannabalising itself can be rebirthed. It certainly will not be able to hold itself together for much longer. This local government election will be instructive. We are not far away from increased coalition government. That will bring with it a new set of challenges. Surely too, the time for the almighty split within the governing party has come? Then, we might ask as Yeats did,

"And what rough beast, its hour come round at last,

Slouches towards Bethlehem to be born?"

The ANC in government is a walking contradiction and inflicts its wounds on an already wounded society.

Judith February is a lawyer, governance specialist and Visiting Fellow at the Wits School of Governance. She is the author of 'Turning and turning: exploring the complexities of South Africas democracy'. Follow her on Twitter: @judith_february

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The most successful companies infuse their business with design. Now they need to think bigger – Fast Company

Posted: at 8:51 pm

We should not underestimate the crucial importance of leadership and design joining forces. Our global future depends on it. We will either design our way through the deadly challenges of this century, or we wont make it. For our institutionsin truth, for our civilizationto survive and prosper, we must solve extremely complex problems and cope with many bewildering dilemmas. We cannot assume that, following our present path, we will simply evolve toward a better world. But we can design that better world. That is why designers need to become leaders, and why leaders need to become designers.Richard Farson, Management by Design, 2000

The year was 1997. Looking back now, it seems like prehistoric times: pre-YouTube, pre-Facebook, 10 years before Apples launch of the iPhone. It was therein a conference room of one of my corporate clientsthat I first saw a publication titled Fast Company. That particular issue featured clever cover art mimicking the iconic Tide laundry detergent. As I inched over, I saw that the headline The Brand Called You took the place of the classic P&G nomenclature. I was intrigued. I riffled through to Tom Peterss cover story and read his declaration that a new construction of our corporate selves was required in the modern marketplace. As sexy as it seemed at the time, Im not sure anyone understood the gravity of Peterss proclamation. In hindsight, this became the entry point to living our lives publicly, punctuated with a constant barrage of personal pixels. And Fast Company had the scoop.

[Photo: Celine Grouard for Fast Company]By then the magazine was nearly two years old. I was newly minted in the branding business, and the first sentence of Peterss articleIts a new brand worldbecame my mantra. I adopted Fast Company as my business bible, as it identified and revealed the cultural concepts that have continued to define the zeitgeist. My growing knowledge was further influenced by another early Fast Company writer, Roger Martin, then dean of the Rotman School of Management at the University of Toronto. His pronouncement, Business people dont just need to understand designers betterthey need to become designers, became my rallying cry.

Its hard to imagine that Martin knew the extent to which business would ultimately embrace design, but 25 years later our entire culture is now immersed in a universe fueled by creativity. Behemoth corporations including P&G, Kraft, and Coca-Cola have shown us that scale alone is not nearly enough to thrive in a world where markets are rapidly globalizing and have proven that incremental improvement on its own cant deliver a robust return on investment. Companies, such as Apple, Nike, and Target, have proven that to succeed, prosper, and make a meaningful difference in todays world the most valuable contribution comes from using the designers foremost competitive weapon: innovation.

[Photo: Celine Grouard for Fast Company]We are living in a time where business skills and design skills have now converged in ways even Roger Martin couldnt have anticipated. And the stock market agrees: A Design Management Institute study showed that companies that put design at the core of their business strategy outperformed the market by a significant margin. Fifteen rigorously selected companies institutionally using design as a strategic tool beat the S&P by 228% from 2004 to 2014. And in 2018, McKinsey & Company reported that companies using design increased their revenues and total returns to shareholders substantially faster than industry counterparts that did not.

Now, if you are developing a marketing strategy, or streamlining a manufacturing operation, or building a new system for distributionif you work almost anywhere in the world of business todayyou must be engaged in the discipline of design. This bilingual ability has resulted in companies creating superior and elegantly refined products that not only taste different, feel different, and look different; these products are also attempting to make a difference in peoples lives.

[Photo: Celine Grouard for Fast Company]The biggest, boldest, most innovative products being created today come from companies that respond to compelling needs to redesign, improve, and change the way we livehow we travel, eat, enjoy music, or support causes we believe in. In addition, for the first time in our history as a modern civilization, design has become democratized. Motivated citizens are designing their own messages and creating brands to signify their beliefs. The Black Lives Matter movement, the Pussyhat Project, and the Extinction Rebellion are non-consumer-based initiatives to redesign society to reflect the type of world like-minded individuals want to live in. The condition of branding is beginning to reflect the condition of our culture.

[Photo: Celine Grouard for Fast Company]But it is still not enough. Democratized movements and superior products are beneficial but can only do so much. In order to survive and, more importantly, to thrive, the global economy must transform itself radically. Our institutions, organizations, and communities are facing complex challenges while coping with a global pandemic, climate crisis, blatant racism, financial volatility and inequality, and political unrest. We are facing a water shortage of epic proportions and unprecedented weather disruptions. Design and business must become inextricably linked to the way in which society, culture, the environment, and politics interact. The very fate of humanity is at stake. We can no longer assume that if we follow our present path, the world will simply evolve into a better place. The way toward that better place must be carefully considered and navigated by business leaders and designers alike. We must redesign the way we think, collaborate, and innovate. We must redesign the way we live and what we value.

This essay was excerpted from the book Fast Company Innovation by Design: Creative Ideas That Transform The Way We Live and Work on sale September 21. Pre-order a copy here.

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