1 00:00:05,195 --> 00:00:07,998 SO THANK YOU AND WELCOME TO 2 00:00:07,998 --> 00:00:14,004 THE OPEN DIVISION OF THE 3 00:00:14,004 --> 00:00:17,908 DIVISION OF MICROBIOLOGY AND 4 00:00:17,908 --> 00:00:19,242 INFECTIOUS DISEASE SUBCOMMITTEE 5 00:00:19,242 --> 00:00:19,476 COUNCIL. 6 00:00:19,476 --> 00:00:21,378 THE AGENDA FOR THIS AFTERNOON IS 7 00:00:21,378 --> 00:00:21,912 ON THIS SLIDE. 8 00:00:21,912 --> 00:00:24,881 I'M GOING TO GIVE A BRIEF REPORT 9 00:00:24,881 --> 00:00:28,518 WITH A PERSONNEL UPDATE AS WELL 10 00:00:28,518 --> 00:00:33,657 AS A FEW HIGHLIGHTS OF OUR 11 00:00:33,657 --> 00:00:34,991 RESEARCH NEWS AND THINGS 12 00:00:34,991 --> 00:00:37,928 ANNOUNCED SINCE WE LAST MET. 13 00:00:37,928 --> 00:00:39,930 WE HAVE A NUMBER OF DMID 14 00:00:39,930 --> 00:00:41,465 CONCEPTS FOR APPROVAL. 15 00:00:41,465 --> 00:00:42,699 SIX OF THEM. 16 00:00:42,699 --> 00:00:44,100 LAST WE HAVE A CONCEPT FROM ONE 17 00:00:44,100 --> 00:00:46,002 OF OUR SISTER DIVISIONS THE 18 00:00:46,002 --> 00:00:48,071 DIVISION OF CLINICAL RESEARCH. 19 00:00:48,071 --> 00:00:53,043 WE HAVE A PRESENTATION ON THE 20 00:00:53,043 --> 00:00:56,446 CONTRACT CONCEPT FOR THAT 21 00:00:56,446 --> 00:00:56,713 DIVISION. 22 00:00:56,713 --> 00:00:59,216 SO, FIRST I WANTED TO INTRODUCE 23 00:00:59,216 --> 00:01:02,953 SOME NEW STAFF. 24 00:01:02,953 --> 00:01:07,791 I'LL INTRODUCE THEM VIRTUALLY AT 25 00:01:07,791 --> 00:01:07,991 LEAST. 26 00:01:07,991 --> 00:01:17,667 DR. GENEVIEVE HOLZAPEL IN THE 27 00:01:17,667 --> 00:01:20,103 VIROLOGY BRANCH AND A NEW 28 00:01:20,103 --> 00:01:21,805 PROGRAM OF COOPERATIVE 29 00:01:21,805 --> 00:01:22,906 AGREEMENTS THAT WILL FOCUS ON 30 00:01:22,906 --> 00:01:25,075 VIRAL FAMILIES THAT HAVE 31 00:01:25,075 --> 00:01:28,545 PANDEMIC POTENTIAL ON DEVELOPING 32 00:01:28,545 --> 00:01:29,813 VACCINES AND MONOCLONAL 33 00:01:29,813 --> 00:01:30,313 ANTIBODIES. 34 00:01:30,313 --> 00:01:32,582 SHE CAME FROM GSK VACCINES 35 00:01:32,582 --> 00:01:34,551 FOCUSSING ON PRE-CLINICAL 36 00:01:34,551 --> 00:01:35,952 VACCINE DISCOVERY. 37 00:01:35,952 --> 00:01:40,824 AND THEN ANNIE BRIDWELL FROM THE 38 00:01:40,824 --> 00:01:42,792 VIROLOGY BRANCH WORKING ON THE 39 00:01:42,792 --> 00:01:44,895 REVAMP PROGRAM AS WELL. 40 00:01:44,895 --> 00:01:45,829 SHE WAS IN THE THERAPEUTIC 41 00:01:45,829 --> 00:01:47,364 RESEARCH PROGRAM IN THE DIVISION 42 00:01:47,364 --> 00:01:50,367 OF AIDS RESPONSIBLE FOR TB 43 00:01:50,367 --> 00:01:52,168 FOCUSSED PORTFOLIO ON ANIMAL 44 00:01:52,168 --> 00:01:52,802 MODELS AND PRE CLINICAL DIRECT 45 00:01:52,802 --> 00:01:59,743 DEVELOPMENT. 46 00:01:59,743 --> 00:02:09,119 SHUSHMA BHLOSE WILL OVERSEE THE 47 00:02:09,119 --> 00:02:12,222 HEPATITIS PORTFOLIO. 48 00:02:12,222 --> 00:02:15,659 SHE WAS AN ASSOCIATE STUDY 49 00:02:15,659 --> 00:02:20,096 DIRECTOR AND LED THE DEVELOPMENT 50 00:02:20,096 --> 00:02:21,031 OF MICROPHYSIOLOGIC SYSTEMS AT 51 00:02:21,031 --> 00:02:22,599 THE HIGH CONTAINMENT LABORATORY 52 00:02:22,599 --> 00:02:24,401 AT IRF. 53 00:02:24,401 --> 00:02:29,673 SO THAT'S A BSL4 LAB IN 54 00:02:29,673 --> 00:02:32,676 FREDERICK THAT COUNTER MEASURES 55 00:02:32,676 --> 00:02:34,945 AGAINST HIGH-RISK VIRUSES. 56 00:02:34,945 --> 00:02:45,388 AND FEORILLO GALIVO WAS A 57 00:02:46,656 --> 00:02:48,858 PHARMACOLOGY AND TOXICOLOGY 58 00:02:48,858 --> 00:02:51,161 REVIEWER AND TEAM LEAD AND WAS 59 00:02:51,161 --> 00:02:53,830 FOCUSSED ON CELL AND GENE 60 00:02:53,830 --> 00:02:55,131 THERAPY THERAPEUTICS FOR 61 00:02:55,131 --> 00:02:56,666 ONCOLOGY AND NON-ONCOLOGY 62 00:02:56,666 --> 00:02:58,168 INDICATIONS. 63 00:02:58,168 --> 00:03:01,104 WELCOME TO THE VIROLOGY PROGRAM 64 00:03:01,104 --> 00:03:03,840 OFFICERS. 65 00:03:03,840 --> 00:03:14,384 WE ALSO WELCOME GEORGE JORGE 66 00:03:20,123 --> 00:03:21,124 MEJIA-GALVIS. 67 00:03:21,124 --> 00:03:22,826 HE'S HAD SEVERAL ROLES IN HIS 68 00:03:22,826 --> 00:03:25,362 CAREER IN CLINICAL TRIAL WORK 69 00:03:25,362 --> 00:03:28,465 AND DATA MANAGEMENT AND HE WAS A 70 00:03:28,465 --> 00:03:29,299 MEDICAL MONITOR WORKING WITH ONE 71 00:03:29,299 --> 00:03:39,643 OF OUR CONTRACTORS. 72 00:03:40,610 --> 00:03:46,583 DR. YUNUS ABDUL COMES TO US FROM 73 00:03:46,583 --> 00:03:49,653 THE ASPR IN ANOTHER HHS AGENCY 74 00:03:49,653 --> 00:03:52,255 WHERE HE SUPPORTED 75 00:03:52,255 --> 00:03:54,691 COMMERCIALIZATION OF COVID-19 76 00:03:54,691 --> 00:03:57,093 ANTIVIRALS AND VACCINES 77 00:03:57,093 --> 00:03:57,661 DEVELOPED IN OPERATION WARP 78 00:03:57,661 --> 00:04:05,635 SPEED. 79 00:04:05,635 --> 00:04:06,369 A LITTLE BIT OF RESEARCH NEWS 80 00:04:06,369 --> 00:04:07,437 FROM PROGRAMS WE SUPPORTED. 81 00:04:07,437 --> 00:04:11,875 THERE WAS AN ANNOUNCEMENT LAST 82 00:04:11,875 --> 00:04:17,113 MONTH PUBLISHED IN THE JOURNAL 83 00:04:17,113 --> 00:04:25,121 OF VACCINES THAT AN LASSA FEVER 84 00:04:25,121 --> 00:04:31,127 VIRUS VACCINE PROTECTED NONHUMAN 85 00:04:31,127 --> 00:04:34,431 PRIMATES FROM LETHAL DISEASE AND 86 00:04:34,431 --> 00:04:38,168 IT'S BEEN PRIMARILY IN WEST 87 00:04:38,168 --> 00:04:39,469 AFRICA IN THE BIOLOGIC THREAT 88 00:04:39,469 --> 00:04:40,570 LIST AND THERE'S NO VACCINE 89 00:04:40,570 --> 00:04:44,808 AVAILABLE BUT IS A HIGH PRIORITY 90 00:04:44,808 --> 00:04:55,118 FOR PUBLIC HEALTH. 91 00:05:06,296 --> 00:05:09,866 NON HUMAN PRIMATES WERE GIVEN 92 00:05:09,866 --> 00:05:11,067 THIS IN A PROJECT AND WE WERE 93 00:05:11,067 --> 00:05:14,771 PLEASED WITH THE SUCCESS OF THE 94 00:05:14,771 --> 00:05:15,004 PROJECT. 95 00:05:15,004 --> 00:05:15,705 YOU HEARD WE WERE FUNDING A 96 00:05:15,705 --> 00:05:21,111 NUMBER OF NEW PROJECTS IN 97 00:05:21,111 --> 00:05:22,312 SYPHILIS DIAGNOSTICS. 98 00:05:22,312 --> 00:05:25,181 IF YOU HAVE DIAGNOSED PATIENTS 99 00:05:25,181 --> 00:05:26,616 AND FOLLOWED THE DIAGNOSTICS ARE 100 00:05:26,616 --> 00:05:28,351 TERRIBLE AND MORE THAN 50 YEARS 101 00:05:28,351 --> 00:05:35,458 OLD AND HAVEN'T EVOLVED. 102 00:05:35,458 --> 00:05:38,661 THE AWARD FOR NEW TECHNOLOGIES 103 00:05:38,661 --> 00:05:40,463 THAT WILL LEAD TO BETTER 104 00:05:40,463 --> 00:05:42,031 PROCESSING IN CLINICAL SAMPLES 105 00:05:42,031 --> 00:05:44,334 SO THERE'S SMALL AMOUNTS OF 106 00:05:44,334 --> 00:05:48,204 NUCLEIC ACIDS CAN BE DETECTS. 107 00:05:48,204 --> 00:05:50,940 SOME FOCUS ON SPECIFIC 108 00:05:50,940 --> 00:05:52,675 SUBCLASSES OF ANTIBODIES THAT 109 00:05:52,675 --> 00:05:58,314 MAY BE GOOD DIAGNOSTIC TESTS. 110 00:05:58,314 --> 00:06:00,483 SOME FOCUS ON A GENERAL OMICS 111 00:06:00,483 --> 00:06:01,117 APPROACH HOSTING THE 112 00:06:01,117 --> 00:06:09,125 REPRESENTATION. 113 00:06:09,125 --> 00:06:11,795 SOME FOCUS ON CONGENITAL FOCUS 114 00:06:11,795 --> 00:06:13,129 AND WE'RE HOPEFUL IT WILL MOVE 115 00:06:13,129 --> 00:06:20,837 FORWARD WITH THE NEW PORTFOLIO. 116 00:06:20,837 --> 00:06:21,905 THEN ANOTHER RECENT CLINICAL 117 00:06:21,905 --> 00:06:28,444 TRIAL LAUNCHED YOU MIGHT RECALL 118 00:06:28,444 --> 00:06:30,246 OVER THE PAST 10 YEARS AT LEAST 119 00:06:30,246 --> 00:06:36,352 STARTING IN 2014 AND WHY EVERY 120 00:06:36,352 --> 00:06:39,956 OTHER YEAR NEW OUTBREAKS OF 121 00:06:39,956 --> 00:06:45,695 ACUTE FLACCID MYELITIS CASES 122 00:06:45,695 --> 00:06:48,464 USUALLY YOUNG CHILDREN, TODDLERS 123 00:06:48,464 --> 00:06:50,066 PRESENTING WITH PARALYSIS, ONE 124 00:06:50,066 --> 00:06:54,838 ARM OR ONE LEG OR MORE THAN THAT 125 00:06:54,838 --> 00:06:57,106 WITH SOME DOUBT THE PARALYSIS 126 00:06:57,106 --> 00:07:01,110 INVOLVED UPPER MOTOR NEURONS OR 127 00:07:01,110 --> 00:07:03,346 THE CRANIAL NERVES WHICH WAS 128 00:07:03,346 --> 00:07:06,850 ALSO A FEATURE IN SOME CASES. 129 00:07:06,850 --> 00:07:10,553 SO THIS WAS OBVIOUSLY A TERRIBLE 130 00:07:10,553 --> 00:07:13,122 PROBLEM FOR THESE YOUNG PEOPLE. 131 00:07:13,122 --> 00:07:16,960 WE STARTED TO WORK ON POTENTIAL 132 00:07:16,960 --> 00:07:24,767 COUNTER MEASURES FOR THIS FOR 133 00:07:24,767 --> 00:07:29,472 EBD6A THE AGENT CAUSING THE 134 00:07:29,472 --> 00:07:31,574 PARALYSIS. 135 00:07:31,574 --> 00:07:35,144 -- EV-D68 AND WE WERE ABLE TO 136 00:07:35,144 --> 00:07:39,349 DEVELOP A MONOCLONAL ANTIBODY 137 00:07:39,349 --> 00:07:43,052 AND A PROCESS TO CREATE IT IN 138 00:07:43,052 --> 00:07:44,687 GENETICALLY MODIFIED PLANT AND 139 00:07:44,687 --> 00:07:46,489 MAKE SUFFICIENT ANTIBODY THAT 140 00:07:46,489 --> 00:07:47,824 COULD BE USED IN CLINICAL 141 00:07:47,824 --> 00:07:48,057 TRIALS. 142 00:07:48,057 --> 00:07:53,196 THEY STARTED IN THE PAST FEW 143 00:07:53,196 --> 00:08:03,573 MONTHS AT VANDERBILT. 144 00:08:07,877 --> 00:08:09,879 SOME HOPING SOME MUSCLE FUNCTION 145 00:08:09,879 --> 00:08:11,915 CAN BE RESTORED IN THE CASE OF 146 00:08:11,915 --> 00:08:13,349 THE ANIMAL OF THE EXPERIMENTS IN 147 00:08:13,349 --> 00:08:15,585 THE LAB GET THE MONOCLONAL 148 00:08:15,585 --> 00:08:17,787 ANTIBODY INJECTED EVEN AFTER 149 00:08:17,787 --> 00:08:20,023 THEY'VE BEEN PARALYZED A SHORT 150 00:08:20,023 --> 00:08:20,623 PERIOD OF TIME. 151 00:08:20,623 --> 00:08:22,558 THE BELIEF OR HOPE IS THAT SOME 152 00:08:22,558 --> 00:08:25,061 DAY THIS COULD BE AN EFFECTIVE 153 00:08:25,061 --> 00:08:26,963 COUNTER MACHINE USED CLINICALLY. 154 00:08:26,963 --> 00:08:30,033 THE FIRST STEP IS TO DO A 155 00:08:30,033 --> 00:08:32,302 CLINICAL TRIAL THAT SHOWS IT'S 156 00:08:32,302 --> 00:08:36,272 PK AND PD DISTRIBUTION AND 157 00:08:36,272 --> 00:08:37,573 SAFETY IN ADULTS. 158 00:08:37,573 --> 00:08:39,542 YOU'LL NOTICE THIS WAS A BIG 159 00:08:39,542 --> 00:08:41,144 PROBLEM UP UNTIL 2018 AND THEN 160 00:08:41,144 --> 00:08:42,512 WITH THE PANDEMIC THE CASES WENT 161 00:08:42,512 --> 00:08:52,822 DOWN DRAMATICALLY. 162 00:08:59,162 --> 00:09:01,497 YOU DEVELOP THIS AND THEN IT 163 00:09:01,497 --> 00:09:03,766 GOES AWAY BUT WE HAVE A TRIAL IN 164 00:09:03,766 --> 00:09:14,210 CASE THE OUTBREAKS RECUR. 165 00:09:32,628 --> 00:09:36,499 AND WE'LL HAVE AMIR ZEITUNI TO 166 00:09:36,499 --> 00:09:46,642 PRESENT. 167 00:10:01,758 --> 00:10:01,958 THIS 168 00:10:01,958 --> 00:10:05,395 >> THANK YOU FOR ALLOWING ME TO 169 00:10:05,395 --> 00:10:07,530 PRESENT THE BROAD SPECTRUM 170 00:10:07,530 --> 00:10:11,401 PRODUCTS AGAINST MULTIPLE 171 00:10:11,401 --> 00:10:13,169 NEUROT 172 00:10:13,169 --> 00:10:23,546 NEUROTOXIC BOTULINUM. 173 00:10:37,060 --> 00:10:40,063 THE OBJECTIVE IS THE MEASURES 174 00:10:40,063 --> 00:10:42,765 FOR BOTULINUM AND WHAT CAN 175 00:10:42,765 --> 00:10:46,002 REVERSE THE BOTULINUM 176 00:10:46,002 --> 00:10:46,602 INTOXICATION. 177 00:10:46,602 --> 00:10:52,442 THE AGENTS WOULD COULD INCLUDING 178 00:10:52,442 --> 00:10:54,177 BIOLOGICS FOR DRUGS. 179 00:10:54,177 --> 00:10:57,980 WE'RE PROPOSING A BIPHASIC 180 00:10:57,980 --> 00:11:01,150 MECHANISMS TO ALLOW UP TO SIX 181 00:11:01,150 --> 00:11:06,556 R61 RESEARCH PROJECTS AND THEN 182 00:11:06,556 --> 00:11:09,158 THOSE WILL BE DOWN SELECTED WITH 183 00:11:09,158 --> 00:11:13,129 AGREED UPON MILESTONES R33 184 00:11:13,129 --> 00:11:13,396 PROJECTS. 185 00:11:13,396 --> 00:11:14,630 THE TOTAL COST FOR THE 186 00:11:14,630 --> 00:11:17,133 INITIATIVE IS ANTICIPATED TO BE 187 00:11:17,133 --> 00:11:21,404 $2.9 MILLION EACH YEAR FOR FIVE 188 00:11:21,404 --> 00:11:23,172 YEARS. 189 00:11:23,172 --> 00:11:24,707 FOR THE REST OF THE TALK I'M 190 00:11:24,707 --> 00:11:26,576 REFERRING TO THE PHASE OF THE 191 00:11:26,576 --> 00:11:27,076 AWARD. 192 00:11:27,076 --> 00:11:29,145 BUT ALL OF THESE ARE PRE 193 00:11:29,145 --> 00:11:30,947 CLINICAL IN NATURE. 194 00:11:30,947 --> 00:11:33,583 SO NO HUMAN CLINICAL TRIALS WILL 195 00:11:33,583 --> 00:11:40,590 BE SUPPORTED UNDER THE 196 00:11:40,590 --> 00:11:45,161 INITIATIVE. 197 00:11:45,161 --> 00:11:47,263 CLOSTRIDIUM BOTULINUM NEUROTOXIN 198 00:11:47,263 --> 00:11:48,764 ARE BIO THREATS AND EASY TO GROW 199 00:11:48,764 --> 00:11:53,136 AND MAKE THE MOST POTENT TOXINS 200 00:11:53,136 --> 00:11:53,336 KNOW. 201 00:11:53,336 --> 00:11:56,806 THERE'S SEVEN ESTABLISHED 202 00:11:56,806 --> 00:11:57,340 SEROTYPESA-G. 203 00:11:57,340 --> 00:12:06,282 IT CAN CAUSE FLACCID PARALYSIS 204 00:12:06,282 --> 00:12:10,319 AND AND SYMPTOMS START 6 TO 36 205 00:12:10,319 --> 00:12:11,654 HOURS AFTER EXPOSURE AND THE 206 00:12:11,654 --> 00:12:19,996 PRAL LIST PROGRESSES TO THE 207 00:12:19,996 --> 00:12:21,731 EXTREMITIES AND PARALYSIS TO THE 208 00:12:21,731 --> 00:12:23,366 RESPIRATORY SYSTEM. 209 00:12:23,366 --> 00:12:27,303 THERE'S A 5-10% WHEN PATIENTS 210 00:12:27,303 --> 00:12:30,673 ARE TREATED WITH MEASURES IN A 211 00:12:30,673 --> 00:12:34,610 GARDEN VARIETY EVENT USUALLY 212 00:12:34,610 --> 00:12:35,244 INGESTION. 213 00:12:35,244 --> 00:12:38,047 HOWEVER, IN AN INTENTIONAL 214 00:12:38,047 --> 00:12:43,486 RELEASE THIS MORTALITY RATE IS 215 00:12:43,486 --> 00:12:45,621 PROJECTED TO BE MUCH HIGHER. 216 00:12:45,621 --> 00:12:49,158 THE CURRENT COUNTER MEASURES ARE 217 00:12:49,158 --> 00:12:53,596 MECHANICAL VENTILATION AND THESE 218 00:12:53,596 --> 00:12:54,597 ARE STORED IN THE STRATEGIC 219 00:12:54,597 --> 00:12:55,831 NATIONAL STOCKPILE AND 220 00:12:55,831 --> 00:12:57,533 DISSEMINATED BY CDC. 221 00:12:57,533 --> 00:12:59,735 THEY'RE SPREAD AROUND THE UNITED 222 00:12:59,735 --> 00:13:04,640 STATES AND SO IF ANTI-TOXIN IS 223 00:13:04,640 --> 00:13:06,842 NEED FOR A PATIENT WITH 224 00:13:06,842 --> 00:13:10,112 SUSPECTED BOTULISM IT CAN BE 225 00:13:10,112 --> 00:13:10,780 PROVIDED TO A HOSPITAL ANYWHERE 226 00:13:10,780 --> 00:13:12,815 WHEREIN THE UNITED STATES. 227 00:13:12,815 --> 00:13:14,584 SO A LITTLE BIT MORE ABOUT THE 228 00:13:14,584 --> 00:13:16,619 COUNTER MEASURES THAT ARE 229 00:13:16,619 --> 00:13:17,720 CURRENTLY AVAILABLE. 230 00:13:17,720 --> 00:13:21,891 THE MAIN COUNTER MEASURES TO 231 00:13:21,891 --> 00:13:25,428 TREAT IN THE UNITED STATES ARE 232 00:13:25,428 --> 00:13:33,135 BAT, WHICH IS EQUINE PEPTO VEIL 233 00:13:33,135 --> 00:13:39,942 ENT AND IT'S A MONOCLONAL BASED 234 00:13:39,942 --> 00:13:44,146 ANTITOXIN WITH PROTECTION 235 00:13:44,146 --> 00:13:47,183 AGAINST THE TYPES A AND B. 236 00:13:47,183 --> 00:13:57,159 BAT AND BABY BIG ARE BOTH IV 237 00:13:57,159 --> 00:14:00,129 ADMINISTERED THEY MUST BE GIVEN 238 00:14:00,129 --> 00:14:04,634 WITH 6 TO 48 HOURS AND THIS 239 00:14:04,634 --> 00:14:09,438 TIGHT WINDOW NECESSITATES 240 00:14:09,438 --> 00:14:10,640 TREATMENT BASED ON CLINICAL 241 00:14:10,640 --> 00:14:11,240 SYMPTOMS. 242 00:14:11,240 --> 00:14:13,709 FURTHER, LAB CONFIRMATION TAKES 243 00:14:13,709 --> 00:14:15,811 ABOUT FIVE DAYS SO WAIT BEING 244 00:14:15,811 --> 00:14:17,446 FOR LAB CONFIRMATION WOULD PLACE 245 00:14:17,446 --> 00:14:19,148 A PATIENT BEYOND THE TREATMENT 246 00:14:19,148 --> 00:14:28,057 WINDOW FOR BAT AND BABY BIG WHY 247 00:14:28,057 --> 00:14:32,261 WE NEED A HEPTO VALENT TREATMENT 248 00:14:32,261 --> 00:14:34,664 AND IT NECESSITATES SOMEONE 249 00:14:34,664 --> 00:14:36,399 STAYING NEAR THE PATIENT WHO 250 00:14:36,399 --> 00:14:37,833 RECEIVE THE IV INFUSION TO 251 00:14:37,833 --> 00:14:39,702 MONITOR THE INFUSIONS. 252 00:14:39,702 --> 00:14:42,004 THIS POTENTIALLY LIMITS THE 253 00:14:42,004 --> 00:14:45,374 FUTILITY IN A MASS EXPOSURE 254 00:14:45,374 --> 00:14:49,145 EVENT. 255 00:14:49,145 --> 00:14:52,648 FINALLY, THOUGH THERE'S BATCH IT 256 00:14:52,648 --> 00:14:53,582 BATCH VARIATION. 257 00:14:53,582 --> 00:14:54,917 THERE'S NO COUNTER MEASURES 258 00:14:54,917 --> 00:15:00,556 AVAILABLE TO REVERSE 259 00:15:00,556 --> 00:15:01,223 INTOXICATION. 260 00:15:01,223 --> 00:15:05,127 PATIENTS EXPERIENCING BOTULINUM 261 00:15:05,127 --> 00:15:08,064 AND MUSCLE TOXINS WILL NEED 262 00:15:08,064 --> 00:15:10,666 SUPPORT WITH VENTILATORS AND 263 00:15:10,666 --> 00:15:13,035 FEEDING TUBES UNTIL THE NEURONS 264 00:15:13,035 --> 00:15:14,503 REGROW. 265 00:15:14,503 --> 00:15:16,072 THIS PROCESS CAN TAKE WEEKS OR 266 00:15:16,072 --> 00:15:17,807 MONTHS AND COULD STRESS A 267 00:15:17,807 --> 00:15:20,142 HOSPITAL'S ICU. 268 00:15:20,142 --> 00:15:22,645 AFTERWARDS, PATIENTS WHO DO 269 00:15:22,645 --> 00:15:26,549 SURVIVE BOTULISM MAY HAVE 270 00:15:26,549 --> 00:15:28,184 FATIGUE AND SHORTNESS OF BREATH 271 00:15:28,184 --> 00:15:30,853 FOR YEARS AND MAY NEED THERAPY 272 00:15:30,853 --> 00:15:35,157 TO HELP THEM FULLY RECOVER. 273 00:15:35,157 --> 00:15:37,660 THREES A CRITICAL NEED FOR THE 274 00:15:37,660 --> 00:15:38,894 COUNTER MEASURES. 275 00:15:38,894 --> 00:15:40,396 THESE COUNTER MEASURES WOULD 276 00:15:40,396 --> 00:15:41,697 POTENTIALLY WORK BY EITHER 277 00:15:41,697 --> 00:15:43,599 NEUTRALIZING CIRCULATING TOXIN 278 00:15:43,599 --> 00:15:47,803 OR DEGRADING TOXIN ONCE IT'S IN 279 00:15:47,803 --> 00:15:48,504 THE NEURON. 280 00:15:48,504 --> 00:15:51,640 THIS INITIATIVE SEEKS TO PROMOTE 281 00:15:51,640 --> 00:15:54,143 THE DEVELOPMENT OF ANTITOXINS 282 00:15:54,143 --> 00:15:57,179 THAT REVERSE INTOXICATION WHICH 283 00:15:57,179 --> 00:15:59,281 IS SOMETHING THAT THE CURRENT 284 00:15:59,281 --> 00:16:03,452 COUNTER MEASURES CANNOT DO. 285 00:16:03,452 --> 00:16:05,154 NOVEL THERAPEUTICS THAT CAN 286 00:16:05,154 --> 00:16:07,223 REVERSE NEURONAL INTOXICATION 287 00:16:07,223 --> 00:16:08,157 WOULD EXTEND THE THERAPEUTIC 288 00:16:08,157 --> 00:16:10,793 WINDOW AND GET PEOPLE OUT OF 289 00:16:10,793 --> 00:16:13,496 ICU. 290 00:16:13,496 --> 00:16:15,698 WE HAVE THE TROJAN HORSE 291 00:16:15,698 --> 00:16:19,168 CONCEPT. 292 00:16:19,168 --> 00:16:29,712 AN EXAMPLE IS SHOWN HERE IT'S A 293 00:16:30,346 --> 00:16:31,547 CHIMERIC FUSION PROTEIN THAT 294 00:16:31,547 --> 00:16:34,617 USES THE BOTULISM TO TARGET THE 295 00:16:34,617 --> 00:16:40,022 NEURON AND THEN IT WILL DEVELOP 296 00:16:40,022 --> 00:16:43,159 THE THERAPEUTIC PAY LOAD 297 00:16:43,159 --> 00:16:45,127 INTERNEURONALLY AND THERE'S 298 00:16:45,127 --> 00:16:47,596 MULTI-VALENT ANTIBODIES THAT 299 00:16:47,596 --> 00:16:49,698 TARGET SEROTYPES AND MOLECULES 300 00:16:49,698 --> 00:16:51,967 AND ENGINEERED NANO BODY 301 00:16:51,967 --> 00:16:52,334 PRODUCTS. 302 00:16:52,334 --> 00:16:53,436 THE INITIATIVE WOULD PROMOTE THE 303 00:16:53,436 --> 00:16:55,070 DEVELOPMENT AND REFINEMENT OF 304 00:16:55,070 --> 00:16:57,173 THERAPEUTIC AGENTS THAT ARE 305 00:16:57,173 --> 00:16:59,742 PLATFORM AGNOSTIC. 306 00:16:59,742 --> 00:17:00,810 AND THE RECENT ADVANCES IN 307 00:17:00,810 --> 00:17:03,813 TECHNOLOGY HAVE LAID THE 308 00:17:03,813 --> 00:17:05,581 FOUNDATIONAL WORK FOR THIS 309 00:17:05,581 --> 00:17:08,484 PROPOSED INITIATIVE. 310 00:17:08,484 --> 00:17:11,687 FINALLY, BARDA HAS SIGNALLED 311 00:17:11,687 --> 00:17:12,354 THEY'RE INTERESTED IN ADVANCING 312 00:17:12,354 --> 00:17:14,590 THE DEVELOPMENT AND POTENTIAL 313 00:17:14,590 --> 00:17:16,158 LICENSING OF NOVEL THERAPEUTICS 314 00:17:16,158 --> 00:17:19,361 FOR BOTULISM. 315 00:17:19,361 --> 00:17:22,631 HOWEVER, IT'S NIAID'S MANDATE TO 316 00:17:22,631 --> 00:17:23,833 DEVELOP THE NOVEL THERAPEUTICS 317 00:17:23,833 --> 00:17:27,636 BARDA WOULD BE PROCURING. 318 00:17:27,636 --> 00:17:30,940 AS I INDICATED EARLIER, THIS IS 319 00:17:30,940 --> 00:17:32,441 A BIPHASIC AWARD. 320 00:17:32,441 --> 00:17:34,543 BEFORE THE AWARD IS MADE, 321 00:17:34,543 --> 00:17:36,579 MILESTONES THAT ARE ALL 322 00:17:36,579 --> 00:17:40,449 PEER-REVIEWED WILL BE 323 00:17:40,449 --> 00:17:43,519 RENEGOTIATED AND WE ANTICIPATE 324 00:17:43,519 --> 00:17:45,788 THE R61 PHASE OF ACTIVITIES WILL 325 00:17:45,788 --> 00:17:47,590 BE MORE IN THE PROOF OF CONCEPT 326 00:17:47,590 --> 00:17:49,158 SCREENING AND IDENTIFICATION OF 327 00:17:49,158 --> 00:17:53,062 NEW THERAPEUTIC AGENTS, 328 00:17:53,062 --> 00:17:56,799 SYNTHESIZING AND PURIFYING DRUGS 329 00:17:56,799 --> 00:17:59,568 AND INHIBITORS AND LEAD 330 00:17:59,568 --> 00:18:01,303 CANDIDATE DOWN SELECTION REALM. 331 00:18:01,303 --> 00:18:02,771 AFTER TWO YEARS IN THE R61 332 00:18:02,771 --> 00:18:04,673 PHASE, APPLICATIONS THAT HAVE 333 00:18:04,673 --> 00:18:07,543 ACHIEVED THEIR TRANSITION 334 00:18:07,543 --> 00:18:08,077 MILESTONES AND FOLLOWING 335 00:18:08,077 --> 00:18:09,979 PROGRAMS INVOLVEMENT AND 336 00:18:09,979 --> 00:18:11,547 APPROVAL, COULD POTENTIALLY 337 00:18:11,547 --> 00:18:17,152 TRANSITION TO AN R33 PHASE. 338 00:18:17,152 --> 00:18:20,089 IT'S ANTICIPATED THE R31 PHASE 339 00:18:20,089 --> 00:18:21,190 WOULD BE MORE ADVANCED 340 00:18:21,190 --> 00:18:23,659 DEVELOPMENT ACTIVITIES. 341 00:18:23,659 --> 00:18:25,661 THESE WOULD INCLUDE PRE CLINICAL 342 00:18:25,661 --> 00:18:30,566 SAFETY AND EFFICACY STUDIES, 343 00:18:30,566 --> 00:18:33,736 PKPD AND PROCESS DEVELOPMENT FOR 344 00:18:33,736 --> 00:18:38,974 MANUFACTURE AND ULTIMATELY CMPG 345 00:18:38,974 --> 00:18:43,145 MANUFACTURE OF LEAD CANDIDATES. 346 00:18:43,145 --> 00:18:46,649 APPLICATIONS WILL ADDRESS A 347 00:18:46,649 --> 00:18:48,784 THERAPEUTIC NEED SPECIFIC TO 348 00:18:48,784 --> 00:18:52,221 BONT SUCH AS BUT NOT LIMITED TO 349 00:18:52,221 --> 00:18:56,525 BOTULINUM AGENTS, THERAPEUTICS 350 00:18:56,525 --> 00:19:02,865 THAT RESTORE MOTOR AND NEURON 351 00:19:02,865 --> 00:19:04,633 ACTIVITY FOLLOWING BOTULISM AND 352 00:19:04,633 --> 00:19:08,537 DELIVER MRRMZ. 353 00:19:08,537 --> 00:19:09,538 -- PLATFORMS. 354 00:19:09,538 --> 00:19:12,107 I'VE HAD A CHANCE TO DISCUSS 355 00:19:12,107 --> 00:19:19,682 THIS WITH DOCTORS TAYLOR AND 356 00:19:19,682 --> 00:19:21,150 BOTUSTEAD AND AGREE IT'S 357 00:19:21,150 --> 00:19:22,051 SOMETHING THAT IS NEEDED FOR 358 00:19:22,051 --> 00:19:27,590 PREPAREDNESS. 359 00:19:27,590 --> 00:19:33,963 WITH THAT I'M HAPPY TO TAKE ANY 360 00:19:33,963 --> 00:19:34,663 QUESTIONS. 361 00:19:44,540 --> 00:19:44,707 6: 362 00:19:44,707 --> 00:19:47,242 >> COMMENTS OR QUESTIONS FROM 363 00:19:47,242 --> 00:19:47,610 COUNCIL MEMBERS? 364 00:19:47,610 --> 00:19:50,045 HEARING NONE, THANK YOU, AMIR. 365 00:19:50,045 --> 00:19:50,412 >> THANK YOU. 366 00:19:50,412 --> 00:19:58,621 THANK YOU ALL FOR YOUR TIME. 367 00:19:58,621 --> 00:20:01,123 THE COUNCILS WILL NEED TO RECORD 368 00:20:01,123 --> 00:20:03,792 THEIR VOTES IN THE ELECTRIC 369 00:20:03,792 --> 00:20:04,193 COUNCIL BOOK. 370 00:20:04,193 --> 00:20:05,628 YOU CAN DO IT IN THE END SINCE 371 00:20:05,628 --> 00:20:07,730 WE DON'T HAVE A DROP DEAD TIME 372 00:20:07,730 --> 00:20:08,597 THIS AFTERNOON. 373 00:20:08,597 --> 00:20:12,534 SO OUR NEXT PRESENTER IS THERE 374 00:20:12,534 --> 00:20:13,435 KAITLYN MORABITO FROM THE 375 00:20:13,435 --> 00:20:14,203 VIROLOGY BRANCH. 376 00:20:14,203 --> 00:20:16,605 >> TODAY, I'M GOING TO TALK 377 00:20:16,605 --> 00:20:20,709 ABOUT OUR RENEWAL CONCEPT 378 00:20:20,709 --> 00:20:22,077 RATIONAL DESIGN OF VACCINES 379 00:20:22,077 --> 00:20:24,480 AGAINST HEPATITIS C VIRUS. 380 00:20:24,480 --> 00:20:27,683 THIS IS A RENEWAL AND TO 381 00:20:27,683 --> 00:20:33,155 OPTIMIZE BROADLY PROTECTIVE 382 00:20:33,155 --> 00:20:34,757 VACCINES FOR HCV AND 383 00:20:34,757 --> 00:20:38,160 SATISFACTION PROTECTION FOR 384 00:20:38,160 --> 00:20:41,163 CANDIDATE AGENTS AND 385 00:20:41,163 --> 00:20:42,865 METHODOLOGIES AND ENABLING 386 00:20:42,865 --> 00:20:45,100 STUDIES TO ENABLE MOVING THESE 387 00:20:45,100 --> 00:20:47,603 VACCINE CANDIDATES TOWARDS THE 388 00:20:47,603 --> 00:20:47,870 CLINIC. 389 00:20:47,870 --> 00:20:49,138 IT IS A RENEWAL. 390 00:20:49,138 --> 00:20:52,207 WE'LL USE A U-19 MECHANISM. 391 00:20:52,207 --> 00:20:56,278 WE'RE ANTICIPATING TWO TO FOUR 392 00:20:56,278 --> 00:20:59,882 AWARDS AND FIRST YEAR OF $8.3 393 00:20:59,882 --> 00:21:00,916 MILLION IN COST. 394 00:21:00,916 --> 00:21:03,786 FIRST ON HEPATITIS C. 395 00:21:03,786 --> 00:21:11,527 OR HCV IS A BLOODBORNE VIRUS AND 396 00:21:11,527 --> 00:21:15,297 THE ACUTE INFECTION IS LARGELY 397 00:21:15,297 --> 00:21:17,132 ASYSTEMATIC OR SOMETIMES MILD 398 00:21:17,132 --> 00:21:18,067 SYSTEMS. 399 00:21:18,067 --> 00:21:20,202 ONLY A SMALL FRACTION OF PEOPLE 400 00:21:20,202 --> 00:21:22,671 CLEAR THIS 10% TO 30% AND THE 401 00:21:22,671 --> 00:21:26,308 REST GO ON TO CLEAR CHRONIC 402 00:21:26,308 --> 00:21:28,210 HEPATITIS OF A THIRD GO ON TO 403 00:21:28,210 --> 00:21:31,480 HAVE CIRRHOSIS AND CAN LEAD TO 404 00:21:31,480 --> 00:21:32,047 CANCER AND END STAGE LIVER 405 00:21:32,047 --> 00:21:42,191 DISEASE. 406 00:21:48,363 --> 00:21:51,800 IT'S PREVALENT AROUND THE WORLD. 407 00:21:51,800 --> 00:21:56,605 THE W.H.O. HAS GOALS OF 408 00:21:56,605 --> 00:21:59,041 ELIMINATING AND IT INCLUDES 409 00:21:59,041 --> 00:22:01,310 PREVENTION OF HCV INFECTIONS AND 410 00:22:01,310 --> 00:22:09,918 INCLUDE RESEARCH OBJECTIVES. 411 00:22:09,918 --> 00:22:12,387 DESPITE THE FOCUS IN 412 00:22:12,387 --> 00:22:12,688 ELIMINATION. 413 00:22:12,688 --> 00:22:16,158 HCV HAS CONTINUED TO GROW. 414 00:22:16,158 --> 00:22:18,961 IT CORRESPONDS WITH GROWING 415 00:22:18,961 --> 00:22:19,928 OPIOID EPIDEMIC AND THERE'S BEEN 416 00:22:19,928 --> 00:22:23,832 ABOUT 125% INCREASE IN NEW HCV 417 00:22:23,832 --> 00:22:24,700 INFECTIONS IN THE UNITED STATES. 418 00:22:24,700 --> 00:22:25,734 THERE'S SOME HOPE IT TAILED OFF 419 00:22:25,734 --> 00:22:28,670 OR FLATTENED OUT IN THE PAST FEW 420 00:22:28,670 --> 00:22:33,142 YEARS BUT STILL WELL ABOVE THE 421 00:22:33,142 --> 00:22:43,652 STRATEGIC PLAN ANNUAL TARGET. 422 00:22:45,220 --> 00:22:46,655 THE ANTIVIRALS STOP CHRONIC 423 00:22:46,655 --> 00:22:48,023 INFECTION BUT STILL SUSCEPTIBLE 424 00:22:48,023 --> 00:22:51,627 TO RE-INFECTION. 425 00:22:51,627 --> 00:22:52,494 A POINT OF CARE DIAGNOSTIC WAS 426 00:22:52,494 --> 00:22:53,595 MADE AVAILABLE BUT THERE'S NO 427 00:22:53,595 --> 00:22:54,863 ROUTINE SCREENING SO A VACCINE 428 00:22:54,863 --> 00:22:56,899 IS NEEDED TO PREVENT ACUTE AND 429 00:22:56,899 --> 00:22:58,367 CHRONIC INFECTION AND HOPEFULLY 430 00:22:58,367 --> 00:23:05,107 LIMIT TRANSMISSION AS WELL. 431 00:23:05,107 --> 00:23:06,775 HCV VACCINE HAS ENCOUNTERED 432 00:23:06,775 --> 00:23:07,409 NUMEROUS CHALLENGES. 433 00:23:07,409 --> 00:23:09,178 AS MENTIONED BEFORE, ACUTE 434 00:23:09,178 --> 00:23:10,813 INFECTION CAN GO ON TO BE 435 00:23:10,813 --> 00:23:12,214 RESOLVED OR CHRONIC. 436 00:23:12,214 --> 00:23:14,283 AND EVEN THOSE WHO RESOLVE ACUTE 437 00:23:14,283 --> 00:23:17,052 INFECTION CAN GO ON TO BE 438 00:23:17,052 --> 00:23:17,352 RE-INFECTED. 439 00:23:17,352 --> 00:23:24,860 THIS HAS MADE IT DIFFICULT TO 440 00:23:24,860 --> 00:23:27,262 TEASE OUT WHAT IT LOOKS LIKE. 441 00:23:27,262 --> 00:23:28,664 IT'S HIGHLY DIVERSE. 442 00:23:28,664 --> 00:23:32,668 THERE'S PREDOMINANTLY SIX 443 00:23:32,668 --> 00:23:33,869 GENOTYPES THAT CIRCULATE. 444 00:23:33,869 --> 00:23:37,573 GENOTYPE 1 AND 3 ARE MOST 445 00:23:37,573 --> 00:23:39,441 PROMINENT WORLD WIDE IN THE 446 00:23:39,441 --> 00:23:40,309 UNITED STATES AND OTHERS ARE 447 00:23:40,309 --> 00:23:45,147 PROMINENT IN OTHER AREAS. 448 00:23:45,147 --> 00:23:47,049 AND IT'S DIFFICULT TO GROW AND 449 00:23:47,049 --> 00:23:48,517 CULTURE AND DOESN'T REPLICATE 450 00:23:48,517 --> 00:23:50,018 THE MOST AVAILABLE ANIMAL 451 00:23:50,018 --> 00:23:50,352 MODELS. 452 00:23:50,352 --> 00:23:52,821 THERE'S NO ANIMAL MODELS EASILY 453 00:23:52,821 --> 00:23:54,957 AVAILABLE TO EVALUATE EFFICACY 454 00:23:54,957 --> 00:23:58,093 AND NO STANDARDIZED REAGENTS OR 455 00:23:58,093 --> 00:23:58,327 ASSAYS. 456 00:23:58,327 --> 00:24:00,262 SO ALL TOGETHER IT'S LED TO A 457 00:24:00,262 --> 00:24:03,899 LACK OF DEFINED CORRELATES OF 458 00:24:03,899 --> 00:24:07,469 DETECTION AND FEW HCV VACCINES 459 00:24:07,469 --> 00:24:12,541 HAVE BEEN TESTED IN PHASE I AND 460 00:24:12,541 --> 00:24:15,177 II CLINICAL TRIALS. 461 00:24:15,177 --> 00:24:16,678 WE STARTED THE RATIONAL DESIGN 462 00:24:16,678 --> 00:24:19,948 OF VACCINES AGAINST HEPATITIS C 463 00:24:19,948 --> 00:24:20,148 VIRUS. 464 00:24:20,148 --> 00:24:24,052 THE OBJECTIVES TO LOOK AT BROAD 465 00:24:24,052 --> 00:24:27,089 IMMUNOLOGICAL PROTECTION AND 466 00:24:27,089 --> 00:24:27,856 ELUCIDATE PROTECTION FROM 467 00:24:27,856 --> 00:24:29,658 SAMPLES FROM COHORTS AND VACCINE 468 00:24:29,658 --> 00:24:32,194 STUDIES AND CONSTRUCTING 469 00:24:32,194 --> 00:24:34,696 VACCINES AND EVALUATING THEIR 470 00:24:34,696 --> 00:24:36,932 IMMUNOGENICITY AND DEVELOPING 471 00:24:36,932 --> 00:24:38,634 NEW ANIMAL MODELS. 472 00:24:38,634 --> 00:24:41,770 WE AWARDED THREE U-19 AWARDS. 473 00:24:41,770 --> 00:24:42,738 THEY'RE CURRENTLY IN THEIR 474 00:24:42,738 --> 00:24:44,873 FOURTH YEAR AND HAVE BEEN HIGHLY 475 00:24:44,873 --> 00:24:45,641 PRODUCTIVE WITH 27 PUBLICATIONS 476 00:24:45,641 --> 00:24:50,012 SINCE THE START. 477 00:24:50,012 --> 00:24:51,213 I'LL HIGHLIGHT A FEW 478 00:24:51,213 --> 00:24:52,447 ACCOMPLISHMENTS THAT SHAPED WHAT 479 00:24:52,447 --> 00:24:58,654 WE'RE THINKING FOR THE RENEWAL 480 00:24:58,654 --> 00:25:09,031 OF THIS THE E1 AND E2 481 00:25:11,233 --> 00:25:12,200 GLYCOPROTEIN THEY'VE DONE 482 00:25:12,200 --> 00:25:15,604 EPITOPE MATCHING AND WE KNOW 483 00:25:15,604 --> 00:25:19,908 ABOUT THE IMMUNE GENICITY OF THE 484 00:25:19,908 --> 00:25:22,411 VARIETY. 485 00:25:22,411 --> 00:25:25,147 AND LOOKED AT THE STRUCTURAL 486 00:25:25,147 --> 00:25:26,548 ANALYSIS AND GENETIC ANALYSIS. 487 00:25:26,548 --> 00:25:28,650 SO WE KNOW WHAT TYPES OF 488 00:25:28,650 --> 00:25:33,555 ANTIBODIES ARE PROTECTIVE. 489 00:25:33,555 --> 00:25:35,324 THEY'VE DONE SOME WORK TO LOOK 490 00:25:35,324 --> 00:25:37,125 AT DIFFERENTIAL RESPONSES TO 491 00:25:37,125 --> 00:25:40,095 PRIMARY INFECTION VERSUS 492 00:25:40,095 --> 00:25:40,696 SECONDARY INFECTION VERSUS 493 00:25:40,696 --> 00:25:42,364 VACCINATION AND UNDERSTANDING 494 00:25:42,364 --> 00:25:44,533 MORE IN THE IMMUNE AND ADAPTIVE 495 00:25:44,533 --> 00:25:45,434 IMMUNE RESPONSES. 496 00:25:45,434 --> 00:25:47,569 AND WORK HAS BEEN DONE TO 497 00:25:47,569 --> 00:25:49,137 UNDERSTAND AS I MENTIONED BEFORE 498 00:25:49,137 --> 00:25:50,572 CHRONIC INFECTION AND THEN 499 00:25:50,572 --> 00:25:54,276 THERE'S THERE IS RE-INFECTION 500 00:25:54,276 --> 00:25:56,311 THAT OCCURS. 501 00:25:56,311 --> 00:25:59,214 HOW VIREMIA RELATE TO DEPTH AND 502 00:25:59,214 --> 00:26:02,517 POTENCY FROM SERUM. 503 00:26:02,517 --> 00:26:04,086 THEY'VE ALSO BEEN ABLE TO 504 00:26:04,086 --> 00:26:06,421 GENERATE A NUMBER OF VACCINE 505 00:26:06,421 --> 00:26:09,057 CANDIDATES USING DIVERSE 506 00:26:09,057 --> 00:26:09,358 APPROACHES. 507 00:26:09,358 --> 00:26:10,192 SINCE THE CORRELATES HAVE NOT 508 00:26:10,192 --> 00:26:11,526 BEEN DEFINED. 509 00:26:11,526 --> 00:26:14,763 IT'S NOT CLEAR IF WE NEED B CELL 510 00:26:14,763 --> 00:26:17,866 OR T CELL RESPONSES OR BOTH AND 511 00:26:17,866 --> 00:26:19,334 STRATEGIES THAT FOCUS ON B CELL 512 00:26:19,334 --> 00:26:24,840 RESPONSES AND THE E1, E2 513 00:26:24,840 --> 00:26:27,142 HETERODIMER AND ANTIGENS AND 514 00:26:27,142 --> 00:26:28,677 THOSE THAT USED ANCESTRAL 515 00:26:28,677 --> 00:26:29,144 SEQUENCE. 516 00:26:29,144 --> 00:26:30,879 THERE'S BEEN A NUMBER OF 517 00:26:30,879 --> 00:26:32,047 PLATFORMS ON THE CONTINUUM OF B 518 00:26:32,047 --> 00:26:39,688 CELL TO T CELL RESPONSES. 519 00:26:39,688 --> 00:26:43,325 THE RATIONALE DESIGN AGAINST 520 00:26:43,325 --> 00:26:44,926 HCV1.0 HAS HAD AN EXPANSION OF 521 00:26:44,926 --> 00:26:45,694 FOUNDATIONAL KNOWLEDGE AND THE 522 00:26:45,694 --> 00:26:47,629 GOAL IS TO TAKE THAT EXPANSION 523 00:26:47,629 --> 00:26:49,364 OF FOUNDATIONAL KNOWLEDGE AND 524 00:26:49,364 --> 00:26:54,503 HARNESS IT TO MOVE SOME OF THE 525 00:26:54,503 --> 00:26:57,139 CANDIDATES TOWARDS THE CLINIC. 526 00:26:57,139 --> 00:26:59,508 TO THE AIM THE RENEWAL WILL HAVE 527 00:26:59,508 --> 00:27:00,242 CONTINUING OBJECTIVES. 528 00:27:00,242 --> 00:27:04,346 WE THINK THERE'S MORE TO 529 00:27:04,346 --> 00:27:06,548 UNDERSTAND IN STRUCTURAL AND 530 00:27:06,548 --> 00:27:07,716 IMMUNOLOGICAL BASIS AND USING 531 00:27:07,716 --> 00:27:09,151 THE VACCINE STUDIES HAVE BEEN 532 00:27:09,151 --> 00:27:10,652 IMPORTANT FOR UNDERSTANDING THE 533 00:27:10,652 --> 00:27:11,153 IMMUNE RESPONSE. 534 00:27:11,153 --> 00:27:11,753 THAT WILL CONTINUE TO BE AN 535 00:27:11,753 --> 00:27:13,622 OBJECTIVE. 536 00:27:13,622 --> 00:27:15,690 AND AS WELL AS THE DESIGN AND 537 00:27:15,690 --> 00:27:16,925 EVALUATION OF NOVEL ANTIBODY AND 538 00:27:16,925 --> 00:27:20,062 TX VACCINE APPROACHES. 539 00:27:20,062 --> 00:27:21,129 THE ADDITIONAL FOCUS IS HERE 540 00:27:21,129 --> 00:27:22,998 WILL BE IN THE OPTIMIZATION AND 541 00:27:22,998 --> 00:27:24,566 DOWN SELECTION OF VACCINE 542 00:27:24,566 --> 00:27:30,705 CANDIDATES BASED ON IMMUNOGE 543 00:27:30,705 --> 00:27:36,278 IMMUNOGENICITY AND TRANSFORMING 544 00:27:36,278 --> 00:27:38,180 TO EVALUATION. 545 00:27:38,180 --> 00:27:40,882 I THANK THOSE FOR HELPFUL 546 00:27:40,882 --> 00:27:41,216 CONVERSATIONS. 547 00:27:41,216 --> 00:27:46,655 A FEW THINGS THAT CAME UP THAT 548 00:27:46,655 --> 00:27:47,589 VACCINES ARE ADDRESSED IN THE 549 00:27:47,589 --> 00:27:50,392 W.H.O. HEPATITIS ELIMINATION 550 00:27:50,392 --> 00:27:51,293 PLAN AND STRATEGIC PLAN. 551 00:27:51,293 --> 00:27:54,930 ONE OF THE OTHER THINGS THAT IS 552 00:27:54,930 --> 00:27:56,698 DIFFERENT ABOUT 2.0 IS WE 553 00:27:56,698 --> 00:27:58,200 DECOUPLED ANIMAL MODEL 554 00:27:58,200 --> 00:27:59,367 DEVELOPMENT FROM THE VACCINE 555 00:27:59,367 --> 00:28:00,869 DEVELOPMENT AND I WANTED TO 556 00:28:00,869 --> 00:28:01,703 HIGHLIGHT WE HAD ANOTHER 557 00:28:01,703 --> 00:28:03,505 INITIATIVE THAT WAS RECENTLY 558 00:28:03,505 --> 00:28:05,607 AWARDED TO LOOK SPECIFICALLY AT 559 00:28:05,607 --> 00:28:10,312 ANIMAL MODELS FOR HEPATITIS B 560 00:28:10,312 --> 00:28:10,745 AND C. 561 00:28:10,745 --> 00:28:12,547 IN THE CONCEPT WE'LL LOOK FOR 562 00:28:12,547 --> 00:28:14,483 DOWN SELECTION OF VACCINE 563 00:28:14,483 --> 00:28:16,651 CANDIDATES BASED ON TARGETED 564 00:28:16,651 --> 00:28:21,890 IMMUNE RESPONSE. 565 00:28:21,890 --> 00:28:23,391 WE TALKED ABOUT POTENTIAL 566 00:28:23,391 --> 00:28:25,093 POPULATIONS AND GENOTYPES. 567 00:28:25,093 --> 00:28:25,794 WE HAVEN'T SPECIFIED IN THE CALL 568 00:28:25,794 --> 00:28:28,663 WHAT THE TARGET POPULATION OR 569 00:28:28,663 --> 00:28:32,134 WHAT GENOTYPE WOULD BE TARGETED 570 00:28:32,134 --> 00:28:33,135 BUT WOULD NEED TO BE LOOKED INTO 571 00:28:33,135 --> 00:28:37,772 FOR THE INVESTIGATORS. 572 00:28:37,772 --> 00:28:40,675 AND I'LL BE HAPPY TO TAKE ANY 573 00:28:40,675 --> 00:28:41,810 QUESTIONS. 574 00:28:41,810 --> 00:28:44,479 >> THANK YOU, KAITLYN. 575 00:28:44,479 --> 00:28:46,414 ANY QUESTIONS FROM COUNCIL 576 00:28:46,414 --> 00:28:46,948 MEMBERS OR ANY ADDITIONAL 577 00:28:46,948 --> 00:28:56,591 COMMENTS? 578 00:28:56,591 --> 00:28:58,193 >> I HAVE A QUESTION RELATED TO 579 00:28:58,193 --> 00:29:02,998 THE GENOTYPES WHAT IS KNOWN 580 00:29:02,998 --> 00:29:05,167 ABOUT THE DIFFERENCE BETWEEN HOW 581 00:29:05,167 --> 00:29:08,837 THE GENOTYPES DIFFER? 582 00:29:08,837 --> 00:29:10,672 ARE THEY SIMILAR OR DIFFERENT OR 583 00:29:10,672 --> 00:29:12,674 IS THAT KNOWN YET? 584 00:29:12,674 --> 00:29:15,544 >> THERE'S SOME SIMILARITIES AN 585 00:29:15,544 --> 00:29:17,345 DIFFERENCES AND GENOTYPE DOESN'T 586 00:29:17,345 --> 00:29:22,150 PREDICT WHETHER AN ANTIBODY 587 00:29:22,150 --> 00:29:24,186 WOULD NEUTRALIZE OR NOT SO IT'S 588 00:29:24,186 --> 00:29:24,586 COMPLICATED. 589 00:29:24,586 --> 00:29:27,756 >> THE GOAL IS EVEN IF IT 590 00:29:27,756 --> 00:29:29,524 FOCUSSED ON A SINGLE GENOTYPE 591 00:29:29,524 --> 00:29:30,158 THAT WOULD BE INTERESTED TO BE 592 00:29:30,158 --> 00:29:37,132 QUITE AN ADVANCE? 593 00:29:37,132 --> 00:29:40,235 GOODNIGHT 594 00:29:40,735 --> 00:29:49,444 GENOTYPE 1 AND 3 ARE MOST 595 00:29:49,444 --> 00:29:49,678 COMMON. 596 00:29:49,678 --> 00:29:57,118 >> ANY ADDITIONAL QUESTIONS? 597 00:29:57,118 --> 00:30:04,125 THANK YOU, KAITLYN. 598 00:30:04,125 --> 00:30:09,130 OUR NEXT FISCAL YEAR '26 CONCEPT 599 00:30:09,130 --> 00:30:12,400 WILL BE PRESENTED BY THAMES 600 00:30:12,400 --> 00:30:13,902 PICKETT FROM OBRRTR. 601 00:30:13,902 --> 00:30:15,770 THERE WE GO. 602 00:30:15,770 --> 00:30:17,872 >> GOOD AFTERNOON, EVERYONE. 603 00:30:17,872 --> 00:30:20,275 I'M THAMES PICKETT. 604 00:30:20,275 --> 00:30:22,310 I'M PRESENTING THE IN VITRO 605 00:30:22,310 --> 00:30:24,112 ASSESSMENTS OF ANTIMICROBIAL 606 00:30:24,112 --> 00:30:25,146 ACTIVITY CONCEPT. 607 00:30:25,146 --> 00:30:27,482 THE OBJECTIVES ARE TO SCREEN -- 608 00:30:27,482 --> 00:30:29,284 >> CAN YOU GET CLOSER TO THE 609 00:30:29,284 --> 00:30:29,584 MICROPHONE? 610 00:30:29,584 --> 00:30:31,453 >> SURE. 611 00:30:31,453 --> 00:30:33,121 THE OBJECTIVES ARE TO SCREEN 612 00:30:33,121 --> 00:30:36,024 THERAPEUTIC CANDIDATES MAINLY 613 00:30:36,024 --> 00:30:38,793 FOR EXTERNAL REQUESTERS, PRODUCT 614 00:30:38,793 --> 00:30:42,264 SPONSORS AND CHEMICAL COLLECTION 615 00:30:42,264 --> 00:30:45,834 OF INTEREST AND WELL 616 00:30:45,834 --> 00:30:49,104 CHARACTERIZED TRAVEL MATERIAL 617 00:30:49,104 --> 00:30:51,039 FOR PATHOGENS AND PRODUCE 618 00:30:51,039 --> 00:30:52,674 DEVELOP METHODS FOR GROWING 619 00:30:52,674 --> 00:30:55,243 DIFFICULT TO CULTURE ORGANISMS. 620 00:30:55,243 --> 00:30:57,912 THIS IS A RENEWAL OF INDEFINITE 621 00:30:57,912 --> 00:31:02,751 QUANT OR IDIQ CONTRACT OF THE 622 00:31:02,751 --> 00:31:07,055 SAME NAME AND WE PLAN TO AWARD 623 00:31:07,055 --> 00:31:09,124 BETWEEN 15 AND 25 BASE 624 00:31:09,124 --> 00:31:13,128 CONTRACTS. 625 00:31:13,128 --> 00:31:17,132 TO SUPPORT ITS MISSION, DMID 626 00:31:17,132 --> 00:31:18,566 PROVIDES A BROADBAND SUITE OF 627 00:31:18,566 --> 00:31:20,669 PRE CLINICAL SERVICES WHICH I 628 00:31:20,669 --> 00:31:22,637 MAY REFER TO AS PCS GOING 629 00:31:22,637 --> 00:31:23,838 FORWARD. 630 00:31:23,838 --> 00:31:25,607 THE SERVICES FACILITATE BASIC 631 00:31:25,607 --> 00:31:27,275 RESEARCH THROUGH ALL PHASES OF 632 00:31:27,275 --> 00:31:30,178 DEVELOPMENT AND INTENDED TO BE 633 00:31:30,178 --> 00:31:30,578 GAP FILLING. 634 00:31:30,578 --> 00:31:32,414 THERE'S NO PREREQUISITE TO HAVE 635 00:31:32,414 --> 00:31:34,482 NIH FUNDING AND THE SERVICES ARE 636 00:31:34,482 --> 00:31:35,450 FREE OF CHARGE. 637 00:31:35,450 --> 00:31:38,753 THE OUTPUT IS PRIMARILY PRODUCT 638 00:31:38,753 --> 00:31:40,689 SPECIFIC DATA GENERATED BY THE 639 00:31:40,689 --> 00:31:43,792 CONTRACTORS AND PROVIDED TO THE 640 00:31:43,792 --> 00:31:45,327 PRODUCT SPONSORS. 641 00:31:45,327 --> 00:31:46,695 IVAAA IS A CRITICAL COMPONENT OF 642 00:31:46,695 --> 00:31:49,130 THE SUITE OF SERVICES 643 00:31:49,130 --> 00:31:50,999 REPRESENTING THE EARLIEST PHASE 644 00:31:50,999 --> 00:31:52,701 IN PRECLINICAL TESTING AND IS 645 00:31:52,701 --> 00:31:54,436 OFTEN THE ENTRY POINT FOR FUTURE 646 00:31:54,436 --> 00:32:01,910 TESTING DEVELOPMENT. 647 00:32:01,910 --> 00:32:03,511 SO THIS GRAPHIC REPRESENTS THE 648 00:32:03,511 --> 00:32:05,146 FACT THAT IN VITRO CONTRACTS 649 00:32:05,146 --> 00:32:07,248 TEST A LARGE NUMBER OF PRODUCTS 650 00:32:07,248 --> 00:32:09,117 TO IDENTIFY A SMALL NUMBER WITH 651 00:32:09,117 --> 00:32:10,352 PROMISING ACTIVITY. 652 00:32:10,352 --> 00:32:12,687 IN THIS CASE SINCE 2019 SINCE 653 00:32:12,687 --> 00:32:14,622 THESE AWARDS WERE MADE FOR THE 654 00:32:14,622 --> 00:32:17,192 CURRENT CONTRACT, MORE THAN 655 00:32:17,192 --> 00:32:19,894 5,000 PRODUCTS HAVE BEEN TESTED 656 00:32:19,894 --> 00:32:22,430 AND 120 PROGRESSED TO IN VIVO 657 00:32:22,430 --> 00:32:24,265 TESTING THROUGH OTHER 658 00:32:24,265 --> 00:32:27,202 PRE-CLINICAL SERVICES PROGRAMS. 659 00:32:27,202 --> 00:32:29,104 THIS REPRESENTS 2.75% 660 00:32:29,104 --> 00:32:29,637 PROGRESSION IN TO IN VIVO 661 00:32:29,637 --> 00:32:36,845 TESTING. 662 00:32:36,845 --> 00:32:40,682 IN SOME FORM THIS CONTRACT 663 00:32:40,682 --> 00:32:43,818 PROGRAM HAS EXISTED SINCE 2003 664 00:32:43,818 --> 00:32:50,291 TO PROVIDE IN VITRO SCREENING 665 00:32:50,291 --> 00:32:50,558 SERVICES. 666 00:32:50,558 --> 00:32:54,863 IN 2023, 10 CONTRACTS WERE 667 00:32:54,863 --> 00:32:56,231 AWARDED THAT SUPPORTED IN VITRO 668 00:32:56,231 --> 00:32:58,566 AND IN VIVO TESTING AND CALLED 669 00:32:58,566 --> 00:33:09,144 AT THE TIME CATEGORY A THROUGH C 670 00:33:09,144 --> 00:33:13,148 TESTING AND OF THE 10 671 00:33:13,148 --> 00:33:14,015 CONTRACTORS FIVE WERE 672 00:33:14,015 --> 00:33:15,617 RESPONSIBLE FOR PERFORMING THE 673 00:33:15,617 --> 00:33:18,386 IN VITRO TESTING. 674 00:33:18,386 --> 00:33:21,623 IN 2011, 14 CONTRACT AWARD WERE 675 00:33:21,623 --> 00:33:27,729 MADE UNDER WHAT WAS NOW CALLED 676 00:33:27,729 --> 00:33:34,702 THE IN VITRO ASSESSMENT OF AN 677 00:33:34,702 --> 00:33:36,504 ANTIMICROBIAL ACTIVITY AND AT 678 00:33:36,504 --> 00:33:38,606 THIS POINT IT WAS MOVED TO A 679 00:33:38,606 --> 00:33:40,675 SEPARATE CONTRACT. 680 00:33:40,675 --> 00:33:41,476 EACH ITERATION INCLUDING THE 681 00:33:41,476 --> 00:33:44,446 CURRENT ONE THE BASE CONTRACTS 682 00:33:44,446 --> 00:33:47,782 HAVE HAD A SEVEN YEAR ORDERING. 683 00:33:47,782 --> 00:33:51,252 THE CURRENT IVAAA IDIQ CONTRACTS 684 00:33:51,252 --> 00:33:53,721 WERE AWARDED IN 2019. 685 00:33:53,721 --> 00:33:55,590 THE SCOPE WAS ALL PATHOGENS OF 686 00:33:55,590 --> 00:33:57,892 INTEREST TO DMID. 687 00:33:57,892 --> 00:33:59,160 14 CONTRACTS WERE AWARDED. 688 00:33:59,160 --> 00:34:04,165 THE CONTRACTOR POOL IN TOTAL IS 689 00:34:04,165 --> 00:34:04,566 14 CONTRACTORS. 690 00:34:04,566 --> 00:34:07,836 WHEN THE RFP WAS ISSUED THE PLAN 691 00:34:07,836 --> 00:34:10,038 WAS TO DIVIDE THE WORK INTO FIVE 692 00:34:10,038 --> 00:34:14,342 TEST AREAS. 693 00:34:14,342 --> 00:34:20,748 TESTING FOR ANTI-TOXINS, 694 00:34:20,748 --> 00:34:22,951 ANTIVIRALS AND COUNTER MEASURES 695 00:34:22,951 --> 00:34:31,926 AND TECHNOLOGIES AND DEVELOPIIN 696 00:34:31,926 --> 00:34:33,127 METHOD FOR DIFFICULT TO GROW 697 00:34:33,127 --> 00:34:33,728 PATHOGENS. 698 00:34:33,728 --> 00:34:36,464 NO PROPOSALS WERE RECEIVED FOR 699 00:34:36,464 --> 00:34:38,433 THE HOLLOW FIBER TECHNOLOGIES. 700 00:34:38,433 --> 00:34:40,201 THAT'S WHY IT'S GRAYED OUT. 701 00:34:40,201 --> 00:34:41,703 THE FINAL POOL HAD JUST FOUR 702 00:34:41,703 --> 00:34:44,772 TASK AREAS AND THOSE ARE THE 703 00:34:44,772 --> 00:34:46,341 SAME TASK AREAS THAT WILL BE 704 00:34:46,341 --> 00:34:49,143 CARRIED FORWARD UNDER THE 705 00:34:49,143 --> 00:34:51,246 CURRENT CONCEPT. 706 00:34:51,246 --> 00:34:53,481 SOME WERE AWARDED UNDER A 707 00:34:53,481 --> 00:34:57,118 SEPARATE IDIQ. 708 00:34:57,118 --> 00:35:00,288 THAT TECHNOLOGY IS COVERED. 709 00:35:00,288 --> 00:35:01,756 REQUESTS COME FROM ALL SECTORS 710 00:35:01,756 --> 00:35:03,925 AND FROM MORE THAN 20 COUNTRIES. 711 00:35:03,925 --> 00:35:05,994 OVER 50% OF REQUESTS ARE FROM 712 00:35:05,994 --> 00:35:07,896 INDUSTRY AND THE VAST MAJORITY 713 00:35:07,896 --> 00:35:12,166 ARE SMALL BUSINESSES AND 714 00:35:12,166 --> 00:35:14,702 PRIVATELY HELD BUSINESSES. 715 00:35:14,702 --> 00:35:16,671 MANY ARE START-UPS THAT RELY ON 716 00:35:16,671 --> 00:35:18,306 THE DATA TO MOVE FORWARD WITH 717 00:35:18,306 --> 00:35:22,944 THEIR IDEAS. 718 00:35:22,944 --> 00:35:26,180 ABOUT 30% OF REQUESTS COME FROM 719 00:35:26,180 --> 00:35:28,650 ACADEMIA AND THE REST ARE 720 00:35:28,650 --> 00:35:29,717 DIVIDED AMONG OTHER GOVERNMENT 721 00:35:29,717 --> 00:35:33,821 AGENCIES, NONPROFITS AND OTHERS. 722 00:35:33,821 --> 00:35:39,494 ABOUT TWO-THIRDS OF TESTING 723 00:35:39,494 --> 00:35:42,797 UNDER THIS PROGRAM IS ANTIVIRAL 724 00:35:42,797 --> 00:35:43,031 TESTING. 725 00:35:43,031 --> 00:35:46,367 THE VAST MAJORITY OF COUNTER 726 00:35:46,367 --> 00:35:47,502 MEASURES TESTED, 727 00:35:47,502 --> 00:35:48,336 HIGH-CONSEQUENCE PATHOGENS WE 728 00:35:48,336 --> 00:35:52,340 HEARD ABOUT ALL DAY INCLUDING 729 00:35:52,340 --> 00:35:53,107 VIRUSES HAVING PANDEMIC 730 00:35:53,107 --> 00:35:56,878 POTENTIAL, BACTERIA AND FUNGI 731 00:35:56,878 --> 00:36:01,115 LISTED IN THE CDC 2019 732 00:36:01,115 --> 00:36:04,319 ANTIMICROBIAL THREAT REPORT AND 733 00:36:04,319 --> 00:36:04,919 BACTERIA ON THE SELECT AGENT 734 00:36:04,919 --> 00:36:10,758 LIST. 735 00:36:10,758 --> 00:36:12,760 SO I HAVE DIVIDED FOR THE 736 00:36:12,760 --> 00:36:17,031 PURPOSE OF THIS TALK, I'VE 737 00:36:17,031 --> 00:36:21,135 DIVIDED THE EFFORTS TO SCREEN 738 00:36:21,135 --> 00:36:24,038 ANTIBACTERIAL, ANTI-FUNGAL 739 00:36:24,038 --> 00:36:25,139 PRODUCTS FOR THAT PERFORMED FOR 740 00:36:25,139 --> 00:36:26,941 PRODUCT SPONSORS AND THAT WHICH 741 00:36:26,941 --> 00:36:28,242 PERFORMED AS BROADER SCREENING 742 00:36:28,242 --> 00:36:33,715 AB ACTIVITIES. 743 00:36:33,715 --> 00:36:35,617 THERE'LL BE TESTING DEPICTED FOR 744 00:36:35,617 --> 00:36:36,985 PRODUCT SPONSORS. 745 00:36:36,985 --> 00:36:39,454 IT'S FOCUSSED ON AMR THREATS AND 746 00:36:39,454 --> 00:36:43,324 TIER 1 SELECT AGENTS. 747 00:36:43,324 --> 00:36:45,126 THE PREFERRED PRE REQUEST FOR 748 00:36:45,126 --> 00:36:47,895 PRODUCT SPONSORS IS EVIDENCE OF 749 00:36:47,895 --> 00:36:51,366 SOME IN VITRO ACTIVITY AGAINST A 750 00:36:51,366 --> 00:36:52,700 RELEVANT SPECIES OF BACTERIA OR 751 00:36:52,700 --> 00:36:56,437 FUNGI. 752 00:36:56,437 --> 00:36:58,706 THE EXPECTATION IS ANY POSITIVE 753 00:36:58,706 --> 00:37:01,075 DATA FROM THE TESTING ALONG WITH 754 00:37:01,075 --> 00:37:03,645 IN VIVO DATA WILL BE USED TO 755 00:37:03,645 --> 00:37:07,682 PROKUSE FURTHER FUNDING OR 756 00:37:07,682 --> 00:37:09,117 INVESTMENTS SUPPORT FOR FURTHER 757 00:37:09,117 --> 00:37:10,618 DEVELOPMENT. 758 00:37:10,618 --> 00:37:15,523 AS NOTED HERE, 52 REQUESTERS 759 00:37:15,523 --> 00:37:19,293 HAVE ASKED FOR ANTI-FUNGAL 760 00:37:19,293 --> 00:37:23,965 TESTING AND 68 FOR ANTIBACTERIA 761 00:37:23,965 --> 00:37:27,368 TESTING AND THE NUMBER THAT 762 00:37:27,368 --> 00:37:31,039 MOVED TO IN VIVO TESTING 763 00:37:31,039 --> 00:37:31,806 INTERCEPT QUITE AS HIGH. 764 00:37:31,806 --> 00:37:34,709 SO IN TERMS OF ACHIEVEMENTS IN 765 00:37:34,709 --> 00:37:40,682 THIS AREA, MORE THAN 10% OF THE 766 00:37:40,682 --> 00:37:43,251 ANTIBACTERIAL AND ANTI-FUNGAL 767 00:37:43,251 --> 00:37:43,851 PRODUCTS MOVED ON TO TESTING 768 00:37:43,851 --> 00:37:52,460 UNDER THE PROGRAM. 769 00:37:52,460 --> 00:37:53,828 IN VITRO DATA CAN HAVE SELECTION 770 00:37:53,828 --> 00:37:55,196 OF A PRIMARY INDICATION AND DATA 771 00:37:55,196 --> 00:37:58,700 HAVE BEEN USED DOWN THE LINE IN 772 00:37:58,700 --> 00:37:59,734 REGULATORY SUBMISSIONS. 773 00:37:59,734 --> 00:38:01,402 ONE INTERESTING ACHIEVEMENT IS 774 00:38:01,402 --> 00:38:06,641 THAT EVERY CLINICAL STAGE 775 00:38:06,641 --> 00:38:08,109 ANTIFUNGAL HAS BEEN TESTED 776 00:38:08,109 --> 00:38:16,684 EXCEPT ONE THROUGH IN VIVO 777 00:38:16,684 --> 00:38:18,586 CONTRACT IS. 778 00:38:18,586 --> 00:38:20,221 I'VE LITTED A COUPLE 779 00:38:20,221 --> 00:38:22,690 PUBLICATIONS DOCUMENTING THE 780 00:38:22,690 --> 00:38:24,158 FOUNDATIONAL IMPACT OF THE 781 00:38:24,158 --> 00:38:27,061 PROGRAM ON TWO OF THE DRUGS. 782 00:38:27,061 --> 00:38:30,064 FINALLY, THIS TESTING HAS 783 00:38:30,064 --> 00:38:31,733 SUPPORTED SEVERAL INVESTIGATORS 784 00:38:31,733 --> 00:38:35,136 IN THE CARBX PROGRAM BEING A 785 00:38:35,136 --> 00:38:40,108 GLOBAL NONPROFIT ACCELERATOR TO 786 00:38:40,108 --> 00:38:42,844 ADDRESS ANTIMICROBIAL 787 00:38:42,844 --> 00:38:44,645 RESISTANCE. 788 00:38:44,645 --> 00:38:47,982 NIAID S IN-KIND SERVICES TO 789 00:38:47,982 --> 00:38:49,951 SUPPORT INVESTIGATORS AND 790 00:38:49,951 --> 00:38:52,687 CURRENTLY FIVE CARB-X PROGRAMS 791 00:38:52,687 --> 00:38:53,488 GRADUATES HAVE BEEN SUPPORTED BY 792 00:38:53,488 --> 00:39:03,698 THE PROGRAM. 793 00:39:04,766 --> 00:39:05,066 AIN IN 794 00:39:07,702 --> 00:39:13,141 IN ADDITION, THE CONTRACT HAS 795 00:39:13,141 --> 00:39:15,643 PROVIDED MORE BROAD SCREENING OF 796 00:39:15,643 --> 00:39:17,178 PROMISING CHEMICAL COLLECTIONS. 797 00:39:17,178 --> 00:39:20,681 THE FIRST POINT IS IN A 798 00:39:20,681 --> 00:39:22,250 COLLABORATION WITH NATIONAL 799 00:39:22,250 --> 00:39:23,084 CANCER INSTITUTE A LARGE NATURAL 800 00:39:23,084 --> 00:39:25,553 PRODUCT SCREEN WAS UNDERTAKEN 801 00:39:25,553 --> 00:39:28,055 AGAINST A PANEL OF BACTERIAL AND 802 00:39:28,055 --> 00:39:28,689 FUNGAL SPECIES. 803 00:39:28,689 --> 00:39:32,627 AND IN THIS CASE 300,000 804 00:39:32,627 --> 00:39:33,494 PARTIALLY PURIFIED PRODUCT 805 00:39:33,494 --> 00:39:35,129 FRACTION TESTED. 806 00:39:35,129 --> 00:39:38,366 OVER 3,000 IDENTIFIED AS HAVING 807 00:39:38,366 --> 00:39:41,135 ANTI-FUNGAL ACTIVITY AND A 808 00:39:41,135 --> 00:39:46,541 SUBSET OF THESE WERE PURIFIED 809 00:39:46,541 --> 00:39:49,143 AND THEIR STRUCTURES ASSESSED 810 00:39:49,143 --> 00:39:54,515 AND FOUND TO REPRESENT HAVING 811 00:39:54,515 --> 00:39:58,119 ANTIMICROBIAL ACTIVITY THAT LAD 812 00:39:58,119 --> 00:40:00,121 NOT BEEN PREVIOUSLY IDENTIFIED. 813 00:40:00,121 --> 00:40:03,491 THE SECOND IS MIC SCREENING FOR 814 00:40:03,491 --> 00:40:06,627 THE CHEMISTRY CENTER FOR 815 00:40:06,627 --> 00:40:10,631 COMBATTING ANTIMOOISH YAL -- 816 00:40:17,205 --> 00:40:21,142 ANTIMICROBIAL MATTER IN DRUG 817 00:40:21,142 --> 00:40:22,476 DISCOVERY. 818 00:40:22,476 --> 00:40:25,112 IT'S PERFORMED A PANEL OF DRUG 819 00:40:25,112 --> 00:40:26,180 RESIST TAPT AND WILD TYPE 820 00:40:26,180 --> 00:40:29,350 STRAINS TO ALLOW THE PROVISION 821 00:40:29,350 --> 00:40:33,321 OF A COMMON BASELINE FOR FURTHER 822 00:40:33,321 --> 00:40:33,621 DEVELOPMENT. 823 00:40:33,621 --> 00:40:37,124 ALL MIC RESULTS ARE ADDED TO THE 824 00:40:37,124 --> 00:40:38,860 CC FOR CARB DATABASE AND 825 00:40:38,860 --> 00:40:41,362 PROVIDED TO INVESTIGATORS TO 826 00:40:41,362 --> 00:40:43,598 FACILITATE STRUCTURE ACTIVITY 827 00:40:43,598 --> 00:40:44,232 RELATIONSHIP STUDIES AND EARLY 828 00:40:44,232 --> 00:40:46,701 DEVELOPMENT. 829 00:40:46,701 --> 00:40:50,905 SO MOVING ON TO ANTIVIRAL 830 00:40:50,905 --> 00:40:51,372 SCREENING. 831 00:40:51,372 --> 00:40:54,876 THE GOAL IS TO IDENTIFY PRODUCTS 832 00:40:54,876 --> 00:40:56,244 EXHIBITING MAXIMAL VIRAL 833 00:40:56,244 --> 00:40:59,080 INHIBITION WITH MINIMAL 834 00:40:59,080 --> 00:40:59,714 TOXICITY. 835 00:40:59,714 --> 00:41:04,752 THESE ARE ALL CELL-BASED ASSAYS. 836 00:41:04,752 --> 00:41:07,822 THESE REPRESENT COST-EFFICIENCY 837 00:41:07,822 --> 00:41:08,990 AS WELL AS QUICK TURN AROUND 838 00:41:08,990 --> 00:41:10,358 WITH WHICH PARTICULARLY 839 00:41:10,358 --> 00:41:11,459 IMPORTANT TO GETTING INFORMATION 840 00:41:11,459 --> 00:41:16,197 BACK TO THE DEVELOPERS QUICKLY. 841 00:41:16,197 --> 00:41:18,065 THE FOCUS AS I MENTIONED BEFORE, 842 00:41:18,065 --> 00:41:21,736 MOST OF THE TESTING HAS BEEN 843 00:41:21,736 --> 00:41:23,504 DONE AGAINST PANDEMIC VIRUSES 844 00:41:23,504 --> 00:41:26,007 ALONG WITH OTHER VIRUSES BUT 845 00:41:26,007 --> 00:41:27,875 PRIMARILY THE SEVEN FAMILIES 846 00:41:27,875 --> 00:41:30,678 THAT HAVE BEEN IDENTIFIED AS 847 00:41:30,678 --> 00:41:32,480 HAVING PANDEMIC POTENTIAL. 848 00:41:32,480 --> 00:41:38,920 TESTING IS ORGANIZED INTO TIERS. 849 00:41:38,920 --> 00:41:40,688 PRIMARILY TESTING BEING 850 00:41:40,688 --> 00:41:42,657 CYTOPATHIC EFFECT AND SECOND IS 851 00:41:42,657 --> 00:41:45,159 VIRAL YIELD PRODUCTION AND 852 00:41:45,159 --> 00:41:48,996 TERTIARY IS TESTING FOR 853 00:41:48,996 --> 00:41:49,597 ANTIBODY-BASED PRODUCTS AND 854 00:41:49,597 --> 00:41:52,833 OTHER CHANGING CONDITIONS OF THE 855 00:41:52,833 --> 00:41:56,470 CULTURE. 856 00:41:56,470 --> 00:41:58,706 CY 857 00:41:58,706 --> 00:41:59,273 CY 858 00:41:59,273 --> 00:42:01,142 CY 859 00:42:01,142 --> 00:42:01,809 CY 860 00:42:01,809 --> 00:42:04,712 CY 861 00:42:04,712 --> 00:42:07,181 CY 862 00:42:07,181 --> 00:42:07,581 CY 863 00:42:07,581 --> 00:42:08,983 CYTOTOXICITY FOR TESTING AND 864 00:42:08,983 --> 00:42:16,924 INTO IN VIVO STUDIES. 865 00:42:16,924 --> 00:42:21,128 SO IN TERMS OF THE VOLUME OF 866 00:42:21,128 --> 00:42:24,198 THIS TESTING AS WELL AS AN 867 00:42:24,198 --> 00:42:28,703 EXAMPLE OF SUCCESS FROM 2019 TO 868 00:42:28,703 --> 00:42:30,905 2024 WERE REQUESTS FROM ALMOST 869 00:42:30,905 --> 00:42:32,306 1,000 UNIQUE REQUESTERS. 870 00:42:32,306 --> 00:42:34,709 MORE THAN 5,000 PRODUCTS HAVE 871 00:42:34,709 --> 00:42:36,877 BEEN TESTED IN THIS TIME FRAME. 872 00:42:36,877 --> 00:42:38,112 AS MENTIONED TESTING IS 873 00:42:38,112 --> 00:42:40,614 ORGANIZED INTO TIERS. 874 00:42:40,614 --> 00:42:43,451 AND IT'S REPRESENTED HERE 875 00:42:43,451 --> 00:42:45,453 OBVIOUSLY MANY MORE PRIMATES 876 00:42:45,453 --> 00:42:46,721 TESTED. 877 00:42:46,721 --> 00:42:49,724 YOU CAN SEE A FEW CAN GRADUATE 878 00:42:49,724 --> 00:42:53,127 TO SECONDARY TESTING. 879 00:42:53,127 --> 00:42:55,830 76 ANTIVIRAL PRODUCTS MOVED ON 880 00:42:55,830 --> 00:43:01,135 TO IN VIVO TESTING UNDER THE 881 00:43:01,135 --> 00:43:02,937 OTHER PCS CONTRACTS. 882 00:43:02,937 --> 00:43:07,408 IN 2015 AT THE MID POINT OF THE 883 00:43:07,408 --> 00:43:09,510 LAST ITERATION OF THE CONTRACT 884 00:43:09,510 --> 00:43:10,578 PROGRAM ALMOST THE EXACT NUMBER 885 00:43:10,578 --> 00:43:12,446 OF PRODUCTS HAD BEEN TESTED AND 886 00:43:12,446 --> 00:43:15,416 GONE TO IN VIVO STUDIES WHICH 887 00:43:15,416 --> 00:43:17,218 REPRESENTS THE CONSISTENCY OF 888 00:43:17,218 --> 00:43:18,119 THE PROGRAM. 889 00:43:18,119 --> 00:43:21,122 THE CONSISTENCY AND DEMAND ON 890 00:43:21,122 --> 00:43:25,126 THE PROGRAM. 891 00:43:25,126 --> 00:43:35,669 SO ONE AND ONE IS CYCLOPROPAVIR 892 00:43:39,407 --> 00:43:41,142 AND MESSED ON TO IN VIVO STUDIES 893 00:43:41,142 --> 00:43:43,711 UNDER ANOTHER CONTRACT PROGRAM 894 00:43:43,711 --> 00:43:49,150 AND WAS FOUND PROMISE BEING FOR 895 00:43:49,150 --> 00:43:51,185 MULTIPLE INDICATIONS. 896 00:43:51,185 --> 00:43:52,920 THIS SUCCESSFULLY COMPLETED 897 00:43:52,920 --> 00:43:54,522 PHASE I TRIAL AND THERE'S PLANS 898 00:43:54,522 --> 00:43:59,860 TO MOVE IT INTO A PHASE II TRIAL 899 00:43:59,860 --> 00:44:02,596 FOR TRANSPLANT RECIPIENTS. 900 00:44:02,596 --> 00:44:04,698 THIS IS NOT YET IN CLINICAL 901 00:44:04,698 --> 00:44:06,934 TRIALS.gov BUT STATED GOAL OF 902 00:44:06,934 --> 00:44:08,502 THE PRODUCT SPONSOR. 903 00:44:08,502 --> 00:44:10,171 ANOTHER STATED GOAL IS TO PURSUE 904 00:44:10,171 --> 00:44:14,041 CLINICAL DEVELOPMENT FOR 905 00:44:14,041 --> 00:44:17,978 ADENOVIRUS IN HUMAN HERPES VIRUS 906 00:44:17,978 --> 00:44:20,881 VI INDICATIONS. 907 00:44:20,881 --> 00:44:22,583 IT'S A BROAD SPECTRUM. 908 00:44:22,583 --> 00:44:25,119 I MUST MENTIONED THE IN VIVO 909 00:44:25,119 --> 00:44:28,522 RESPONSE TO SARS COV2. 910 00:44:28,522 --> 00:44:31,892 CONTRACTS OFFER FLEXIBILITY TO 911 00:44:31,892 --> 00:44:35,596 PIVOT QUICKLY TO ADDRESS MENTAL 912 00:44:35,596 --> 00:44:36,330 HEALTH EMERGENCIES LIKE THE 913 00:44:36,330 --> 00:44:40,134 COVID PANDEMIC AND STARTING IN 914 00:44:40,134 --> 00:44:41,268 2020 WAS ABLE TO RESPOND TO THE 915 00:44:41,268 --> 00:44:42,970 DEMANDS OF THE PANDEMIC. 916 00:44:42,970 --> 00:44:46,707 TO DATE 91 PRODUCTS WITH 46 917 00:44:46,707 --> 00:44:49,543 REQUESTERS HAVE BEEN TESTED 918 00:44:49,543 --> 00:44:51,078 SPECIFICALLY AGAINST SARS COV2. 919 00:44:51,078 --> 00:44:52,680 OF THESE 21 MOVED ON TO TESTING 920 00:44:52,680 --> 00:44:54,248 IN SMALL AN PLAL MODELS OF COVID 921 00:44:54,248 --> 00:45:03,324 INFECTION. 922 00:45:03,324 --> 00:45:09,063 I WANT TO THANK DOCTORS ESTES 923 00:45:09,063 --> 00:45:14,969 AND PALMER REMARKING ON THE 924 00:45:14,969 --> 00:45:15,436 SERVICE. 925 00:45:15,436 --> 00:45:16,337 BOTH IMPRESSED BY THE BROAD 926 00:45:16,337 --> 00:45:19,740 SCOPE OF PATHOGENS COVERED IF 927 00:45:19,740 --> 00:45:20,541 THE CONTRACT. 928 00:45:20,541 --> 00:45:22,710 THE LIBRARY AND CHEMICAL ENTITY 929 00:45:22,710 --> 00:45:24,211 COLLECTION IS OF PARTICULAR 930 00:45:24,211 --> 00:45:26,847 VALUE AND WORTHY OF INCREASED 931 00:45:26,847 --> 00:45:27,281 MESSING. 932 00:45:27,281 --> 00:45:29,550 BOTH DISCUSSED THE METRICS WE 933 00:45:29,550 --> 00:45:31,318 USED TO DETERMINE THE SUCCESS OF 934 00:45:31,318 --> 00:45:33,120 THE PROGRAM AND HOW WE DECIDED 935 00:45:33,120 --> 00:45:36,724 TO MOVE FORWARD WITH TESTING A 936 00:45:36,724 --> 00:45:37,625 PARTICULAR ENTITY. 937 00:45:37,625 --> 00:45:38,526 THE SPONSORS WHO REQUEST 938 00:45:38,526 --> 00:45:40,728 SERVICES AND THE TYPICAL AMOUNT 939 00:45:40,728 --> 00:45:42,997 OF TIME NEEDED TO AWARD SCORERS. 940 00:45:42,997 --> 00:45:44,665 AGAIN, THIS IS A RAPID TURN 941 00:45:44,665 --> 00:45:46,534 AROUND SO THAT WAS OF INTEREST 942 00:45:46,534 --> 00:45:47,301 AS WELL. 943 00:45:47,301 --> 00:45:49,136 DR. PALMER NOTED THE FLEXIBILITY 944 00:45:49,136 --> 00:45:53,440 AND RAPID RESPONSIVENESS ARE 945 00:45:53,440 --> 00:45:56,010 ESSENTIAL ELEMENTS OF THE 946 00:45:56,010 --> 00:45:58,512 PROGRAM FOR ADDRESSING PUBLIC 947 00:45:58,512 --> 00:46:01,015 HEALTH EMERGENCIES AND PROVIDING 948 00:46:01,015 --> 00:46:04,385 RESULTS FOR PRODUCT DEVELOPERS 949 00:46:04,385 --> 00:46:10,724 ON IN TIME GO/NO-GO PERFORMANCE 950 00:46:10,724 --> 00:46:14,862 AND WERE SUPPORTIVE EFFORTS AND 951 00:46:14,862 --> 00:46:16,964 ACKNOWLEDGED THE DRUG 952 00:46:16,964 --> 00:46:19,366 DEVELOPMENT IN THE AREA LAGS 953 00:46:19,366 --> 00:46:20,401 BETWEEN ANTIBACTERIAL AND 954 00:46:20,401 --> 00:46:21,135 ANTIBIOTIC DEVELOPMENT. 955 00:46:21,135 --> 00:46:22,570 RETURNING TO THE CONCEPT SLIDE 956 00:46:22,570 --> 00:46:23,070 I'M HAPPY TO ANSWER ANY 957 00:46:23,070 --> 00:46:33,247 QUESTIONS. 958 00:46:44,258 --> 00:46:47,561 >> ANY QUESTIONS OR COMMENTS? 959 00:46:47,561 --> 00:46:49,129 VERY CLEAR AND COMPREHENSIVE 960 00:46:49,129 --> 00:46:56,503 APPARENTLY. 961 00:46:56,503 --> 00:46:58,706 SO WE'RE MOVING EFFICIENTLY THIS 962 00:46:58,706 --> 00:46:59,139 AFTERNOON. 963 00:46:59,139 --> 00:47:02,109 OUR NEXT CONCEPT WILL BE 964 00:47:02,109 --> 00:47:03,677 PRESENTED BY MICHELLE ARNOLD 965 00:47:03,677 --> 00:47:04,445 FROM THE RESPIRATORY DISEASE 966 00:47:04,445 --> 00:47:05,012 BRANCH. 967 00:47:05,012 --> 00:47:06,880 >> THANK YOU FOR THE OPPORTUNITY 968 00:47:06,880 --> 00:47:09,116 TO PRESENT THIS INITIATIVE WHICH 969 00:47:09,116 --> 00:47:11,752 IS TITLED THE IMPACT OF INITIAL 970 00:47:11,752 --> 00:47:12,419 INFLUENZA EXPOSURE ON IMMUNITY 971 00:47:12,419 --> 00:47:22,630 AND INFANTS. 972 00:47:26,734 --> 00:47:29,103 THE OBJECTIVE IS TO DETERMINE 973 00:47:29,103 --> 00:47:33,140 HOW INFLUENZA INFECTIONS OR 974 00:47:33,140 --> 00:47:34,108 VACCINES SHAPES PROTECTIVE 975 00:47:34,108 --> 00:47:36,644 IMMUNITY TO FUTURE EXPOSURES IN 976 00:47:36,644 --> 00:47:37,745 LONGITUDINAL HUMAN INFANT 977 00:47:37,745 --> 00:47:38,379 COHORTS. 978 00:47:38,379 --> 00:47:40,614 THIS IS A RENEWAL INITIATIVE 979 00:47:40,614 --> 00:47:42,116 FIRST ESTABLISHED IN 2008. 980 00:47:42,116 --> 00:47:44,251 THERE ARE CURRENTLY TWO ACTIVE 981 00:47:44,251 --> 00:47:46,186 AWARDS BUT THIS WILL BE AN OPEN 982 00:47:46,186 --> 00:47:47,254 COMPETITION TO ALLOW RESEARCH 983 00:47:47,254 --> 00:47:50,758 TEAMS TO PROPOSE NEW OR 984 00:47:50,758 --> 00:47:52,526 CONTINUING SUPPORT OF EXISTING 985 00:47:52,526 --> 00:47:56,563 INFLUENZA INFANT COHORTS. 986 00:47:56,563 --> 00:47:58,732 AT LEAST TWO UL 1 COOPERATIVE 987 00:47:58,732 --> 00:48:00,968 AGREEMENTS ARE EXPECTED IN 988 00:48:00,968 --> 00:48:02,503 FISCAL 26 AND CO-MANAGED BETWEEN 989 00:48:02,503 --> 00:48:05,039 THE DIVISION OF MICROBIOLOGY AND 990 00:48:05,039 --> 00:48:09,310 INFECTIOUS DISEASES AND ALLERGY, 991 00:48:09,310 --> 00:48:12,880 IMMUNOLOGY AND TRANSPLANTATION. 992 00:48:12,880 --> 00:48:15,149 A CHILD'S FIRST EXPOSURE TO 993 00:48:15,149 --> 00:48:15,983 INFLUENZA BY INFECTION OR 994 00:48:15,983 --> 00:48:18,452 VACCINATION LEADS TO THE PRODUCT 995 00:48:18,452 --> 00:48:20,954 OF ANTIBODIES AND MEMORY B CELLS 996 00:48:20,954 --> 00:48:25,125 THAT RECOGNIZE ANTIGENIC 997 00:48:25,125 --> 00:48:32,132 EPITOPINGSS -- EPITOPES AND TH 998 00:48:32,132 --> 00:48:33,967 MEMORY B CELLS ARE ESSENTIAL TO 999 00:48:33,967 --> 00:48:38,439 RESPONDING TO FUTURE INFECTIONS. 1000 00:48:38,439 --> 00:48:39,606 INFLUENZA VIRUSES MUTATE AND 1001 00:48:39,606 --> 00:48:41,942 CHANGE OVER TIME RESULTING IN 1002 00:48:41,942 --> 00:48:44,044 DIFFERENCES TO THE SURFACE 1003 00:48:44,044 --> 00:48:44,311 PROTEINS. 1004 00:48:44,311 --> 00:48:46,747 EXPOSURE TO A RELATED ANTIGEN 1005 00:48:46,747 --> 00:48:49,883 FROM A SECOND OR THIRD INFLUENZA 1006 00:48:49,883 --> 00:48:51,285 INFECTION LEADS TO A MIXED 1007 00:48:51,285 --> 00:48:54,154 PRIMARY AND RECALL IMPRINTED 1008 00:48:54,154 --> 00:48:54,755 IMMUNE RESPONSE. 1009 00:48:54,755 --> 00:48:58,192 THE PRIMARY RESPONSE TO THE NEW 1010 00:48:58,192 --> 00:48:59,226 ANTIGEN EXPOSURE IS LESS 1011 00:48:59,226 --> 00:49:01,962 EFFICIENT AND OVERWHELMED BY THE 1012 00:49:01,962 --> 00:49:04,598 RAPID AND ROBUST MEMORY B CELL 1013 00:49:04,598 --> 00:49:07,735 CALL RESPONSE TO THE ANTIGENS. 1014 00:49:07,735 --> 00:49:10,137 THUS THE IMPRINTED ANTIBODY 1015 00:49:10,137 --> 00:49:14,274 RESPONSE IS MORE ROBUST THAN THE 1016 00:49:14,274 --> 00:49:15,342 NEW ANTIGEN. 1017 00:49:15,342 --> 00:49:20,080 HUMANS REMAIN THE PATTERN OF 1018 00:49:20,080 --> 00:49:20,714 HEIGHTENED REACTIVITY AGAINST 1019 00:49:20,714 --> 00:49:22,816 INFLUENZA VIRUS CIRCULATED 1020 00:49:22,816 --> 00:49:24,618 DURING THE CHILDHOOD. 1021 00:49:24,618 --> 00:49:27,988 WHILE THE RESPONSE IS KNOWN TO 1022 00:49:27,988 --> 00:49:31,058 OCCUR FOR VIRUSES LIKE INFLUENZA 1023 00:49:31,058 --> 00:49:35,295 AND SARS COV2 COULD BE 1024 00:49:35,295 --> 00:49:35,896 APPLICABLE TO OTHER MUCOSAL 1025 00:49:35,896 --> 00:49:43,737 PATHOGENS. 1026 00:49:43,737 --> 00:49:49,109 AND TO THE FIRST EXPOSURE WORKS 1027 00:49:49,109 --> 00:49:57,117 WITH AND IS IMPRINTING CAN BE 1028 00:49:57,117 --> 00:50:00,187 HARNESSED TO MAKE VACCINES FOR 1029 00:50:00,187 --> 00:50:05,793 INDIVIDUALS OR DO THE EFFECTS 1030 00:50:05,793 --> 00:50:07,494 NEED TO HAVE MORE EFFECTIVE AND 1031 00:50:07,494 --> 00:50:10,631 DURABLE VACCINES FOR ADULTS. 1032 00:50:10,631 --> 00:50:14,868 UNDERSTANDING IMPRINTING IS THE 1033 00:50:14,868 --> 00:50:15,702 IMPORTANT OBJECTIVE OF THE 1034 00:50:15,702 --> 00:50:17,137 INFLUENZA STRATEGIC PLAN 1035 00:50:17,137 --> 00:50:20,741 SPECIFICALLY OBJECTIVE 2.1 WHICH 1036 00:50:20,741 --> 00:50:23,610 AIMS TO UNDERSTAND HOW AND WHEN 1037 00:50:23,610 --> 00:50:26,280 EXPOSURE TO INFLUENZA ANTIGENS 1038 00:50:26,280 --> 00:50:28,315 SHAPE THE HOST RESPONSE TO 1039 00:50:28,315 --> 00:50:28,816 INFLUENZA INFECTION AND 1040 00:50:28,816 --> 00:50:32,553 VACCINATION. 1041 00:50:32,553 --> 00:50:34,721 THE CURRENT AWARDS IN THE 1042 00:50:34,721 --> 00:50:38,158 PORTFOLIO ALSO CONTRIBUTE TO THE 1043 00:50:38,158 --> 00:50:39,326 CROSS-CUTTING TOOLS TO IMPROVE 1044 00:50:39,326 --> 00:50:43,197 INFLUENZA VACCINES BY 1045 00:50:43,197 --> 00:50:45,966 ESTABLISHING LONGITUDINAL 1046 00:50:45,966 --> 00:50:47,334 COHORTS FOR INFLUENZA RESEARCH. 1047 00:50:47,334 --> 00:50:48,735 APPLICATION TO THE FIRST NOTICE 1048 00:50:48,735 --> 00:50:51,438 OF FUNDING OPPORTUNITY WERE 1049 00:50:51,438 --> 00:50:55,676 REVIEWED AND RECEIVED IN 2018. 1050 00:50:55,676 --> 00:50:57,110 TWO COOPERATIVE AGREEMENTS WERE 1051 00:50:57,110 --> 00:50:58,912 AWARDED IN APRIL OF 2019. 1052 00:50:58,912 --> 00:51:01,114 THESE WERE SEVEN-YEAR AWARDS TO 1053 00:51:01,114 --> 00:51:04,251 ENABLE THE ESTABLISHMENT OF 1054 00:51:04,251 --> 00:51:08,288 COHORTS AND TO TIME TO PROVIDE 1055 00:51:08,288 --> 00:51:10,524 TWO OR MORE EXPOSURES TO 1056 00:51:10,524 --> 00:51:12,292 INFLUENZA EITHER BY VACCINATION 1057 00:51:12,292 --> 00:51:13,026 OR INFECTION. 1058 00:51:13,026 --> 00:51:15,996 THE UNANTICIPATED SARS COV2 1059 00:51:15,996 --> 00:51:18,332 PANDEMIC EARLY IN THE AWARD 1060 00:51:18,332 --> 00:51:20,133 RESULTS IN FEW INFLUENZA CASES 1061 00:51:20,133 --> 00:51:24,037 IN 2020 TO 2021 AS WELL AS THE 1062 00:51:24,037 --> 00:51:25,939 2021 TO 2022 SEASONS. 1063 00:51:25,939 --> 00:51:29,109 THE ABSENCE OF INFLUENZA 1064 00:51:29,109 --> 00:51:30,978 INFECTIONS INITIALLY AFFECTED 1065 00:51:30,978 --> 00:51:34,681 THE ENROLLMENT OF PARTICIPANTS 1066 00:51:34,681 --> 00:51:36,517 EXPOSED BUT WITH RESEARCH FROM 1067 00:51:36,517 --> 00:51:40,454 THE PROGRAMS CONTRIBUTED TO 1068 00:51:40,454 --> 00:51:42,856 UNDERSTANDING SARS COV2 EARLY IN 1069 00:51:42,856 --> 00:51:47,060 THE PANDEMIC AND THEY HAVE 1070 00:51:47,060 --> 00:51:48,795 RECRUITED MORE PARTICIPANTS THAN 1071 00:51:48,795 --> 00:51:49,496 PLANNED TO PARTICIPATE IN THE 1072 00:51:49,496 --> 00:51:53,400 ORIGINAL STUDY DESIGN. 1073 00:51:53,400 --> 00:51:54,835 THE CURRENT COOPERATIVE 1074 00:51:54,835 --> 00:52:00,240 AGREEMENT THE DA VINCI OR 1075 00:52:00,240 --> 00:52:02,442 DISSECTION OF THE IMMUNITY 1076 00:52:02,442 --> 00:52:06,146 AWARDED TO PAUL TOMS AT ST. JUDE 1077 00:52:06,146 --> 00:52:07,014 CHILDREN'S RESEARCH HOSPITAL AND 1078 00:52:07,014 --> 00:52:07,848 UNIVERSITY OF MICHIGAN. 1079 00:52:07,848 --> 00:52:09,449 THE SECOND STUDY IS THE IMPACT 1080 00:52:09,449 --> 00:52:12,686 OR IMPACT OF THE INITIAL 1081 00:52:12,686 --> 00:52:14,221 INFLUENZA EXPOSURE ON THE 1082 00:52:14,221 --> 00:52:17,958 QUALITY, MAGNITUDE, BREADTH, 1083 00:52:17,958 --> 00:52:22,329 POTENCY AND IMMUNITY AWARDED TO 1084 00:52:22,329 --> 00:52:24,097 MARY STAT AT CINCINNATI 1085 00:52:24,097 --> 00:52:24,731 CHILDREN'S HOSPITAL. 1086 00:52:24,731 --> 00:52:27,801 THE DA VINCI STUDY COHORT HAVE A 1087 00:52:27,801 --> 00:52:30,571 TOTAL ENROLLMENT OF 1088 00:52:30,571 --> 00:52:31,238 APPROXIMATELY 2100 CHILDREN 1089 00:52:31,238 --> 00:52:34,641 ACROSS THE COHORTS INCLUDING 1090 00:52:34,641 --> 00:52:37,945 NICARAGUA COVERING THE SOUTHERN 1091 00:52:37,945 --> 00:52:39,012 HEMISPHERE, NEW ZEALAND COVERING 1092 00:52:39,012 --> 00:52:41,815 A TROPICAL LOCATION AND SOUTHERN 1093 00:52:41,815 --> 00:52:42,783 CALIFORNIA WHICH COVERS THE 1094 00:52:42,783 --> 00:52:43,951 NORTHERN HEMISPHERE. 1095 00:52:43,951 --> 00:52:46,753 THIS ALLOWS FOR YEAR ROUND 1096 00:52:46,753 --> 00:52:47,588 SAMPLE COLLECTION AND COVERAGE 1097 00:52:47,588 --> 00:52:51,758 OF INFECTIONS AND VACCINATION 1098 00:52:51,758 --> 00:52:52,025 EXPOSURES. 1099 00:52:52,025 --> 00:52:53,760 THE SITE OF NICARAGUA HAS A 1100 00:52:53,760 --> 00:53:00,434 COHORT THAT BEGAN IN 2011 RAAND 1101 00:53:00,434 --> 00:53:04,771 HAS AN ACTIVE ENROLLMENT OF 1102 00:53:04,771 --> 00:53:05,939 1,248 WITH 181 PARTICIPANTS 1103 00:53:05,939 --> 00:53:07,374 CONFIRMED TO HAVE MORE THAN ONE 1104 00:53:07,374 --> 00:53:10,577 EXPOSURE TO INFLUENZA. 1105 00:53:10,577 --> 00:53:14,114 THE NEW ZEALAND SITE AN ACTIVE 1106 00:53:14,114 --> 00:53:16,783 ENROLLMENT OF 652 CHILDREN WITH 1107 00:53:16,783 --> 00:53:17,484 228 PARTICIPANTS CONFIRMED TO 1108 00:53:17,484 --> 00:53:20,320 HAVE MORE THAN ONE EXPOSURE. 1109 00:53:20,320 --> 00:53:21,021 AND THE SOUTHERN CLINICAL 1110 00:53:21,021 --> 00:53:24,658 RESEARCH SITE HAS AN ACTIVE 1111 00:53:24,658 --> 00:53:28,095 ENROLLMENT OF 230 WITH 125 1112 00:53:28,095 --> 00:53:28,695 CONFIRMED SECOND EXPOSURES IN 1113 00:53:28,695 --> 00:53:39,172 THE CASE ALL BY VACCINATION. 1114 00:53:39,640 --> 00:53:41,541 THE SITE IN MEXICO HAS AN 1115 00:53:41,541 --> 00:53:45,679 ENROLLMENT OF 790 AND THE SITE 1116 00:53:45,679 --> 00:53:48,215 IN CINCINNATI HAS 1,490 1117 00:53:48,215 --> 00:53:49,116 ENROLLEES. 1118 00:53:49,116 --> 00:53:52,452 THE INCLUSION OF MOTHER-CHILD 1119 00:53:52,452 --> 00:53:54,488 PAIRS ALLOWS FOR THE ADDITIONAL 1120 00:53:54,488 --> 00:53:56,089 CONSIDERATION OF MATERNALLY 1121 00:53:56,089 --> 00:53:56,823 TRANSFERRED ANTIBODY. 1122 00:53:56,823 --> 00:54:00,227 THE LARGE COHORTS ARE NECESSARY 1123 00:54:00,227 --> 00:54:01,428 TO COLLECT STATISTICALLY 1124 00:54:01,428 --> 00:54:03,163 SIGNIFICANT NUMBER OF SECOND AND 1125 00:54:03,163 --> 00:54:04,231 THIRD EXPOSURES IN ORDER TO 1126 00:54:04,231 --> 00:54:06,266 UNDERSTAND THE EFFECTS OF 1127 00:54:06,266 --> 00:54:06,566 IMPRINTING. 1128 00:54:06,566 --> 00:54:09,002 AND THERE MAY BE DIFFERENCES TO 1129 00:54:09,002 --> 00:54:10,070 DISCOVER DEPENDING ON WHETHER 1130 00:54:10,070 --> 00:54:12,572 THE FIRST AND SECOND EXPOSURES 1131 00:54:12,572 --> 00:54:13,240 WERE EITHER BY VACCINATION OR BY 1132 00:54:13,240 --> 00:54:17,210 INFECTION. 1133 00:54:17,210 --> 00:54:21,081 AS THE COHORTS ENROLL AND FOLLOW 1134 00:54:21,081 --> 00:54:24,251 PARTICIPANTS THEY'RE COLLECTING 1135 00:54:24,251 --> 00:54:28,522 SAMPLES AND IN DEPTH ANALYSIS OF 1136 00:54:28,522 --> 00:54:29,956 ANTIBODY B CELL AND T CELL 1137 00:54:29,956 --> 00:54:30,223 RESPONSES. 1138 00:54:30,223 --> 00:54:31,358 THESE CURRENTLY ARE UNDERWAY 1139 00:54:31,358 --> 00:54:34,661 WITH CONFIRMED CASES OF FIRST 1140 00:54:34,661 --> 00:54:36,096 AND SECOND EXPOSURES TO 1141 00:54:36,096 --> 00:54:36,697 INFLUENZA VIRUS. 1142 00:54:36,697 --> 00:54:40,667 THE COMPREHENSIVE PANEL OF 1143 00:54:40,667 --> 00:54:42,536 ASSAYS WILL OFFER A DETAIL LEVEL 1144 00:54:42,536 --> 00:54:44,738 OF CHARACTERIZATION AND PROVIDE 1145 00:54:44,738 --> 00:54:51,745 AN UNPRECEDENTED DEGREE OF 1146 00:54:51,745 --> 00:54:52,279 RESOLUTIONS. 1147 00:54:52,279 --> 00:54:53,480 THE OUTCOMES ARE ESSENTIAL FOR 1148 00:54:53,480 --> 00:54:55,215 DETERMINING THE IMPACT OF FIRST 1149 00:54:55,215 --> 00:54:59,886 EXPOSURE ON THE IMMUNE RESPONSES 1150 00:54:59,886 --> 00:55:01,922 ON THE CELLULAR AND ANTIBODY 1151 00:55:01,922 --> 00:55:03,056 RESPONSES TO SUBSEQUENT 1152 00:55:03,056 --> 00:55:03,824 EXPOSURES. 1153 00:55:03,824 --> 00:55:05,025 GIVEN THE COMPLEXITY OF THE 1154 00:55:05,025 --> 00:55:06,359 EXPOSURES, THESE FINDINGS ARE 1155 00:55:06,359 --> 00:55:09,262 LIKELY TO BE ITERATIVE AS THE 1156 00:55:09,262 --> 00:55:10,230 ANALYSES EXPAND WITH THE 1157 00:55:10,230 --> 00:55:11,565 INCREASING NUMBER OF SAMPLES 1158 00:55:11,565 --> 00:55:15,202 BEING EVALUATED. 1159 00:55:15,202 --> 00:55:18,271 RESEARCH FROM THE DA VINCI STUDY 1160 00:55:18,271 --> 00:55:20,707 CONTRIBUTED TO 70 PUBLICATIONS 1161 00:55:20,707 --> 00:55:24,010 INCLUDING HIGH IMPACT 1162 00:55:24,010 --> 00:55:27,214 PUBLICATIONS ON THE NICARAGUAN 1163 00:55:27,214 --> 00:55:36,056 COHORTS PUBLISHED IN CLINICAL, 1164 00:55:36,056 --> 00:55:41,728 INFECTIOUS DISEASES AND 1165 00:55:41,728 --> 00:55:43,063 CORRELATES INDEPENDENT OF 1166 00:55:43,063 --> 00:55:46,767 SEROLOGY AND IMMUNOLOGY AND 1167 00:55:46,767 --> 00:55:49,536 BASAL STATE AND IMPLICATIONS FOR 1168 00:55:49,536 --> 00:55:49,936 DISEASE. 1169 00:55:49,936 --> 00:55:51,972 RESEARCH FROM THE IMPRINT STUDY 1170 00:55:51,972 --> 00:55:54,641 CONTRIBUTED TO 11 PUBLICATIONS 1171 00:55:54,641 --> 00:55:55,942 INCLUDING MULTI-OMICS ANALYSIS 1172 00:55:55,942 --> 00:55:58,779 OF MUCOSAL AND SYSTEMIC IMMUNITY 1173 00:55:58,779 --> 00:56:01,114 OF SARS COV2 AFTER BIRTH IN THE 1174 00:56:01,114 --> 00:56:05,285 CELL AND A STUDY OF THE FACTORS 1175 00:56:05,285 --> 00:56:08,054 WITH PROLONGED VIRUS PROTECTION 1176 00:56:08,054 --> 00:56:11,491 WITH PCR OF NASAL SPECIMENS 1177 00:56:11,491 --> 00:56:13,693 COLLECTED LONGITUDINALLY IN 1178 00:56:13,693 --> 00:56:14,895 HEALTHY CHILDREN IN A 1179 00:56:14,895 --> 00:56:17,564 U.S. COHORT IN THE JOURNAL OF 1180 00:56:17,564 --> 00:56:19,132 THE PEDIATRIC INFECTIOUS 1181 00:56:19,132 --> 00:56:20,901 DISEASES SOCIETY. 1182 00:56:20,901 --> 00:56:23,503 THE RENEWAL OF THIS INITIATIVE 1183 00:56:23,503 --> 00:56:25,772 NOW PROPOSES FIVE-YEAR AWARDS 1184 00:56:25,772 --> 00:56:28,775 WHICH ARE EXPECTED TO SUPPORT 1185 00:56:28,775 --> 00:56:29,376 THE ESTABLISHMENT OR 1186 00:56:29,376 --> 00:56:33,446 CONTINUATION OF INFANT COHORTS 1187 00:56:33,446 --> 00:56:36,750 TO DETERMINE HOW INITIAL NATURAL 1188 00:56:36,750 --> 00:56:40,620 INFLUENZA EXPOSURE OR 1189 00:56:40,620 --> 00:56:44,524 VACCINATION SHAPES IMMUNE 1190 00:56:44,524 --> 00:56:47,761 REASONS TO SUBSEQUENT EXPOSURES. 1191 00:56:47,761 --> 00:56:49,496 PROSPECTIVE COHORTS WILL BE 1192 00:56:49,496 --> 00:56:51,631 FOLLOWED PRIOR TO AND AFTER 1193 00:56:51,631 --> 00:56:52,833 RECEIVING THE INITIAL INFLUENZA 1194 00:56:52,833 --> 00:56:53,967 VACCINATIONS OR AFTER THE 1195 00:56:53,967 --> 00:56:56,169 CLINICAL DIAGNOSIS OF INFLUENZA 1196 00:56:56,169 --> 00:56:58,371 INFECTION PRIOR TO RECEIVING AN 1197 00:56:58,371 --> 00:57:06,279 INITIAL INFLUENZA VACCINATION. 1198 00:57:06,279 --> 00:57:08,315 RESEARCH PLANS ARE EXPECTED TO 1199 00:57:08,315 --> 00:57:10,817 ADDRESS THE EFFECTS OF REPEATED 1200 00:57:10,817 --> 00:57:12,552 EXPOSURES TO INFECTIONS OR 1201 00:57:12,552 --> 00:57:20,026 VACCINATIONS ON THE MAINTENANCE 1202 00:57:20,026 --> 00:57:28,535 ON IMMUNITY IN INFANTS AND 1203 00:57:28,535 --> 00:57:32,639 CHILDREN AND LOOK AT VACCINATION 1204 00:57:32,639 --> 00:57:35,442 VERSUS NATURAL INFECTION AND 1205 00:57:35,442 --> 00:57:39,512 TAKE OTHER VACCINATIONS INTO 1206 00:57:39,512 --> 00:57:40,180 CONSIDERATION BUT STILL MEASURE 1207 00:57:40,180 --> 00:57:46,820 RESPONSE TO INFLUENZA. 1208 00:57:46,820 --> 00:57:48,989 I WOULD LIKE TO THANK THE 1209 00:57:48,989 --> 00:57:50,123 COUNCIL MEMBERS WHO REVIEWED 1210 00:57:50,123 --> 00:57:53,927 THIS FOR THEIR TIME AND 1211 00:57:53,927 --> 00:57:54,361 COMMENTS. 1212 00:57:54,361 --> 00:57:57,864 AND NOTED RESEARCH PROGRAMS TO 1213 00:57:57,864 --> 00:57:58,632 UNDERSTAND EARLY IMMUNE 1214 00:57:58,632 --> 00:58:08,208 RESPONSES IN KNEEE JONIOO -- 1215 00:58:08,208 --> 00:58:10,977 SUPPORTED SUPPORT FOR COHORT 1216 00:58:10,977 --> 00:58:13,446 STUDIES PROVIDES FOUNDATIONAL 1217 00:58:13,446 --> 00:58:15,181 INFORMATION TO IMPROVE IMMUNE 1218 00:58:15,181 --> 00:58:24,157 HEALTH AND VACCINE EFFICACY. 1219 00:58:24,157 --> 00:58:25,258 I APPRECIATE THE SUPPORT ON THE 1220 00:58:25,258 --> 00:58:31,064 AND I CAN TAKE ANY QUESTIONS. 1221 00:58:31,064 --> 00:58:31,698 >> ANY QUESTIONS OR ADDITIONAL 1222 00:58:31,698 --> 00:58:33,166 COMMENTS? 1223 00:58:33,166 --> 00:58:34,000 >> I'LL COMMENT. 1224 00:58:34,000 --> 00:58:36,770 I THINK IT'S AMAZING FOR ALL THE 1225 00:58:36,770 --> 00:58:38,138 YEARS WE'VE STUDIED INFLUENZA 1226 00:58:38,138 --> 00:58:40,507 AND ALL THE RESEARCH THAT'S BEEN 1227 00:58:40,507 --> 00:58:46,680 DONE WE STILL DON'T REALLY 1228 00:58:46,680 --> 00:58:47,948 UNDERSTAND WHAT HAPPENS WITH 1229 00:58:47,948 --> 00:58:49,683 IMPRINTING FROM THE FIRST 1230 00:58:49,683 --> 00:58:50,650 INFECTION AND VACCINATION. 1231 00:58:50,650 --> 00:58:51,418 I THINK IT'S A VERY IMPORTANT 1232 00:58:51,418 --> 00:59:01,528 STUDY. 1233 00:59:08,768 --> 00:59:12,839 >> MOVING ON TO THE NEXT 1234 00:59:12,839 --> 00:59:14,074 CONCEPT, MICHAEL ISON FROM THE 1235 00:59:14,074 --> 00:59:16,843 RESPIRATORY DISEASE BRANCHING. 1236 00:59:16,843 --> 00:59:25,118 -- BRANCH.. 1237 00:59:25,118 --> 00:59:25,585 -- BRANCH. 1238 00:59:25,585 --> 00:59:31,624 >> IT'S MY HONOR TO TALK ABOUT 1239 00:59:31,624 --> 00:59:36,262 THE COLLABORATIVE INFLUENZA 1240 00:59:36,262 --> 00:59:37,864 VACCINE INNOVATION CENTER THE 1241 00:59:37,864 --> 00:59:43,203 CIVICS PROGRAM IS TO ADVANCE 1242 00:59:43,203 --> 00:59:44,938 IMPROVEMENTS ON SEASONAL VACCINE 1243 00:59:44,938 --> 00:59:48,141 AS WELL AS ACHIEVE OUR LONG-TERM 1244 00:59:48,141 --> 00:59:56,816 GOAL OF UNIVERSAL INFLUENZA 1245 00:59:56,816 --> 00:59:57,050 VACCINE. 1246 00:59:57,050 --> 00:59:57,717 MOVE THEM THROUGH MANUFACTURING 1247 00:59:57,717 --> 00:59:59,819 AND INTO THE CLINIC AND TAKE THE 1248 00:59:59,819 --> 01:00:04,224 DATA THAT IS GENERATED FROM THAT 1249 01:00:04,224 --> 01:00:10,830 PROGRAM BACK TO THE LAB TO 1250 01:00:10,830 --> 01:00:13,133 ITERATIVELY IMPROVE THE VACCINE. 1251 01:00:13,133 --> 01:00:15,835 WE'RE ANTICIPATING FIVE TO SIX 1252 01:00:15,835 --> 01:00:18,038 AWARDS FOR VACCINE DEVELOPMENT 1253 01:00:18,038 --> 01:00:19,105 AND DEVELOPMENT CENTERS. 1254 01:00:19,105 --> 01:00:20,740 AIL TALK THROUGH BACKGROUND AND 1255 01:00:20,740 --> 01:00:22,842 THE CURRENT PROGRAMS HERE OVER 1256 01:00:22,842 --> 01:00:25,111 THE NEXT MINUTE OR SO. 1257 01:00:25,111 --> 01:00:27,514 AS WE'RE SEEING MORE AND MORE 1258 01:00:27,514 --> 01:00:32,052 CASES OF H5N1 IN HUMANS AND 1259 01:00:32,052 --> 01:00:33,787 CASES IN ANIMALS, THERE'S A NED 1260 01:00:33,787 --> 01:00:36,556 FOR BROADLY PROTECTIVE INFLUENZA 1261 01:00:36,556 --> 01:00:39,426 VACCINE TO HELP US BE BETTER 1262 01:00:39,426 --> 01:00:41,061 PREPARED FOR FUTURE PANDEMICS. 1263 01:00:41,061 --> 01:00:43,496 INFLUENZA STILL CAUTIONS 1264 01:00:43,496 --> 01:00:44,064 SIGNIFICANT MORBIDITY AND 1265 01:00:44,064 --> 01:00:46,833 MORTALITY AND WHILE WE HAD A 1266 01:00:46,833 --> 01:00:49,602 LITTLE REPRIEVE DURING THE COVID 1267 01:00:49,602 --> 01:00:50,637 PANDEMIC IT'S ROARED BACK TO 1268 01:00:50,637 --> 01:00:55,742 PRE-PANDEMIC LEVELS. 1269 01:00:55,742 --> 01:01:00,280 ABOUT 18 TO 35 MILLION ILLNESSES 1270 01:01:00,280 --> 01:01:03,683 AND 16 MILLION MEDICAL VISITS 1271 01:01:03,683 --> 01:01:07,487 AND UP TO 440,000 HOSPITALIZINGS 1272 01:01:07,487 --> 01:01:14,094 AND UP TO 38,000 DEATHS. 1273 01:01:14,094 --> 01:01:18,765 WE HAVE VACCINATIONS AVAILABLE 1274 01:01:18,765 --> 01:01:25,538 BUT IT UP TAKE FLUCTUATES. 1275 01:01:25,538 --> 01:01:31,111 BACK IN 2018 NIAID OUTLINED THE 1276 01:01:31,111 --> 01:01:32,879 UNIVERSAL INFLUENZA VACCINE 1277 01:01:32,879 --> 01:01:36,783 STRATEGY HOPING TO DEVELOP A 1278 01:01:36,783 --> 01:01:38,051 UNIVERSAL FLU VACCINE 75% 1279 01:01:38,051 --> 01:01:40,820 EFFECTIVE IN PROTECTING ILLNESS 1280 01:01:40,820 --> 01:01:42,755 AND PROTECTING AGAINST GROUP 1 1281 01:01:42,755 --> 01:01:45,291 AND 2 AND DURABLE PROTECTION 1282 01:01:45,291 --> 01:01:47,994 THAT LASTS AT LEAST A YEAR AND 1283 01:01:47,994 --> 01:01:50,029 SUITABLE FOR ALL AGENTS AND 1284 01:01:50,029 --> 01:01:51,464 PATIENT TYPES. 1285 01:01:51,464 --> 01:01:54,234 MANY GROUPS AROUND THE WORLD USE 1286 01:01:54,234 --> 01:01:55,468 SLIGHTLY DIFFERENT ROLES IN 1287 01:01:55,468 --> 01:01:56,169 ACHIEVING THIS. 1288 01:01:56,169 --> 01:01:58,505 OUR GOAL AT NIAID IS TO STRIVE 1289 01:01:58,505 --> 01:02:00,807 FOR THE UNIVERSAL VACCINE THAT 1290 01:02:00,807 --> 01:02:04,844 PROTECTS BROADLY BUT ALSO MAKE 1291 01:02:04,844 --> 01:02:07,013 ADVANCES AGAINST STRAINS, 1292 01:02:07,013 --> 01:02:13,119 MULTIPLE SUB TYPES AND GROUP 1293 01:02:13,119 --> 01:02:13,353 VIRUSES. 1294 01:02:13,353 --> 01:02:23,730 TO THIS ENT A SINGLE 1295 01:02:24,998 --> 01:02:26,900 MANUFACTURING SITE AT DUKE, TWO 1296 01:02:26,900 --> 01:02:28,468 CLINICAL CORES AT DUKE AND THE 1297 01:02:28,468 --> 01:02:30,069 UNIVERSITY OF MARYLAND AND A 1298 01:02:30,069 --> 01:02:32,505 STATISTICAL DATA AND MANAGEMENT 1299 01:02:32,505 --> 01:02:36,743 AND COORDINATION CENTER 1300 01:02:36,743 --> 01:02:38,912 PRIMARILY RUN THROUGH DIGITAL 1301 01:02:38,912 --> 01:02:45,118 INFUSION BY DELOITTE AND MM SC. 1302 01:02:45,118 --> 01:02:47,887 THIS REPRESENTS A COLLABORATIVE 1303 01:02:47,887 --> 01:02:54,060 PROGRAM THROUGH DATE AND THE 1304 01:02:54,060 --> 01:03:02,535 DMID PROGRAMS. 1305 01:03:02,535 --> 01:03:06,639 WE'VE HAD STAGES OF PRECLINICAL 1306 01:03:06,639 --> 01:03:07,840 TESTING LEADING TO 13 PACKAGES 1307 01:03:07,840 --> 01:03:10,843 SUBMITTED FOR MANUFACTURING. 1308 01:03:10,843 --> 01:03:14,380 WE'VE MADE SIGNIFICANT PROGRESS 1309 01:03:14,380 --> 01:03:18,184 IN MOVING PRODUCTS THROUGH THE 1310 01:03:18,184 --> 01:03:20,653 CASCADE FROM DISCOVERY TO 1311 01:03:20,653 --> 01:03:22,522 PRE-TMP WORK AND PROCESS 1312 01:03:22,522 --> 01:03:24,290 DEVELOPMENT INTO GMP 1313 01:03:24,290 --> 01:03:26,025 MANUFACTURING AND JUST STARTING 1314 01:03:26,025 --> 01:03:31,898 TO TRANSITION INTO SOME OF THOSE 1315 01:03:31,898 --> 01:03:34,334 PROGRAMS INTO PHASE 1 TESTING. 1316 01:03:34,334 --> 01:03:37,136 WE'VE BEEN SUCCESSFUL AS WELL 1317 01:03:37,136 --> 01:03:40,306 MOVING TO CHALLENGE VIRUSES FOR 1318 01:03:40,306 --> 01:03:45,445 HUMAN CHALLENGE STUDIES FOR THE 1319 01:03:45,445 --> 01:03:47,880 H3N2 AND IS WIDELY AVAILABLE TO 1320 01:03:47,880 --> 01:03:52,852 THE RESEARCH COMMUNITY. 1321 01:03:52,852 --> 01:03:54,887 OUR H1N1 HUMAN VIRUS IS STILL 1322 01:03:54,887 --> 01:03:56,723 COMPLETING AND HOPEFULLY WILL 1323 01:03:56,723 --> 01:03:58,925 MOVE INTO CLINICAL TESTING TO 1324 01:03:58,925 --> 01:04:01,728 VALIDATE ITS UTILITY. 1325 01:04:01,728 --> 01:04:04,330 WE'VE MOVED ONE EXTERNAL 1326 01:04:04,330 --> 01:04:06,232 CANDIDATE FORWARD FOR PEDIATRIC 1327 01:04:06,232 --> 01:04:07,567 STUDIES AND THOSE RESULTS ARE 1328 01:04:07,567 --> 01:04:10,870 STILL PENDING. 1329 01:04:10,870 --> 01:04:12,839 IT'S IMPORTANT TO NOTE WE MOVED 1330 01:04:12,839 --> 01:04:16,276 A NUMBER OF NOVEL PRODUCTS WITH 1331 01:04:16,276 --> 01:04:21,447 MECHANISMS OF ACTION AND 1332 01:04:21,447 --> 01:04:27,220 BACKBONES AND LEVERAGES THE USE 1333 01:04:27,220 --> 01:04:30,123 OF CANDIDATE ADJUVANTS. 1334 01:04:30,123 --> 01:04:31,758 CLINICALLY WE'VE ACCOMPLISHED A 1335 01:04:31,758 --> 01:04:31,924 LOT. 1336 01:04:31,924 --> 01:04:33,660 WE HAVE SIX SITES CLINICALLY 1337 01:04:33,660 --> 01:04:36,396 ACTIVE THAT HAVE TO DATE 1338 01:04:36,396 --> 01:04:38,631 ENROLLED 550 INDIVIDUALS ACROSS 1339 01:04:38,631 --> 01:04:39,198 FIVE CLINICAL STUDIES SHOWN 1340 01:04:39,198 --> 01:04:49,309 HERE. 1341 01:04:56,282 --> 01:04:57,450 AND A CHALLENGE VIRUS IS NOW 1342 01:04:57,450 --> 01:04:58,117 AVAILABLE TO THE RESEARCH 1343 01:04:58,117 --> 01:04:59,585 COMMUNITY AND HOPEFULLY WILL 1344 01:04:59,585 --> 01:05:04,891 HAVE SOMETHING SIMILAR FOR H1N1 1345 01:05:04,891 --> 01:05:06,426 IN THE FUTURE. 1346 01:05:06,426 --> 01:05:07,827 ONE SIGNIFICANT DELIVERABLE FROM 1347 01:05:07,827 --> 01:05:09,629 THIS PROGRAM IS THE DEVELOPMENT 1348 01:05:09,629 --> 01:05:11,964 OF A LARGE AMOUNT OF DATA BOTH 1349 01:05:11,964 --> 01:05:16,436 FROM PRECLINICAL TO CLINICAL 1350 01:05:16,436 --> 01:05:20,440 TRIALS THAT ARE AVAILABLE TO THE 1351 01:05:20,440 --> 01:05:22,075 RESEARCH COMMUNITY. 1352 01:05:22,075 --> 01:05:24,877 DESPITE ALL OF THESE ADVANTAGES, 1353 01:05:24,877 --> 01:05:27,547 THE PROGRAM HAS HAD A NUMBER OF 1354 01:05:27,547 --> 01:05:27,847 CHALLENGES. 1355 01:05:27,847 --> 01:05:30,616 IT WAS A NEW TRANS DIVISIONAL 1356 01:05:30,616 --> 01:05:31,684 COLLABORATIVE PROGRAM WITH A 1357 01:05:31,684 --> 01:05:33,653 BROAD SCOPE OF RESEARCH 1358 01:05:33,653 --> 01:05:33,920 ACTIVITY. 1359 01:05:33,920 --> 01:05:36,556 SO IT TOOK LEARNING TO FIGURE 1360 01:05:36,556 --> 01:05:40,893 OUT HOW TO WORK EFFECTIVELY WITH 1361 01:05:40,893 --> 01:05:42,395 ONE ANOTHER AND MOVE TOGETHER IN 1362 01:05:42,395 --> 01:05:45,164 HARMONY AND WERE IMPACTED BY THE 1363 01:05:45,164 --> 01:05:47,734 SARS COV2 PANDEMIC DIRECTLY AND 1364 01:05:47,734 --> 01:05:48,501 INDIRECTLY THE CLEAR DIRECT 1365 01:05:48,501 --> 01:05:50,603 IMPACT IS ALL THE VACCINES WERE 1366 01:05:50,603 --> 01:05:55,975 ASKED TO TRANSITION AND FOCUS ON 1367 01:05:55,975 --> 01:05:56,642 SARS COV2 AND WE'LL CONTINUE TO 1368 01:05:56,642 --> 01:05:59,312 DO WORK ON THE PROGRAM. 1369 01:05:59,312 --> 01:06:01,114 ADDITIONALLY THERE WERE INDIRECT 1370 01:06:01,114 --> 01:06:04,550 THINGS LIKE DIFFICULTY FINDING 1371 01:06:04,550 --> 01:06:05,885 REAGENTS, ABILITY TO FIND THINGS 1372 01:06:05,885 --> 01:06:08,187 LIKE VIALS TO PRODUCE THE 1373 01:06:08,187 --> 01:06:10,056 VACCINES AND EVEN NOW STILL 1374 01:06:10,056 --> 01:06:11,357 CAUSING CHALLENGES WITH OUR 1375 01:06:11,357 --> 01:06:18,097 ABILITY TO PRODUCE VACCINES. 1376 01:06:18,097 --> 01:06:19,899 THE OTHER CHALLENGE IS WE 1377 01:06:19,899 --> 01:06:22,635 LEARNED A LOT ABOUT VACCINE 1378 01:06:22,635 --> 01:06:22,935 DEVELOPMENT. 1379 01:06:22,935 --> 01:06:26,672 WE HAD CHALLENGES IN THE PRODUCT 1380 01:06:26,672 --> 01:06:28,808 DEVELOPMENT AND STAGE OF THE 1381 01:06:28,808 --> 01:06:30,843 CENTERS THAT WERE DISCOVERING 1382 01:06:30,843 --> 01:06:32,111 THE VACCINES THAT WERE HANDED 1383 01:06:32,111 --> 01:06:34,881 AFTER TO DUKE OR OTHER PARTNERS 1384 01:06:34,881 --> 01:06:36,849 TO REALLY MOVE THE PRODUCT INTO 1385 01:06:36,849 --> 01:06:37,183 MANUFACTURING. 1386 01:06:37,183 --> 01:06:39,185 WHAT WE'VE LEARNED IS THIS NEEDS 1387 01:06:39,185 --> 01:06:44,690 TO BE AN ITERATIVE PROCESS WITH 1388 01:06:44,690 --> 01:06:46,492 EXPERT INPUT AND CLOSE 1389 01:06:46,492 --> 01:06:47,126 COLLABORATION WITH THE VACCINE 1390 01:06:47,126 --> 01:06:47,827 AND MANUFACTURING CENTER. 1391 01:06:47,827 --> 01:06:50,296 WE HAD SOME PRODUCTS THAT GOT 1392 01:06:50,296 --> 01:06:51,397 HUNG UP AT THAT STAGE. 1393 01:06:51,397 --> 01:06:53,132 WHEN WE WENT BACK AND TOLD THE 1394 01:06:53,132 --> 01:06:58,738 CENTER GO FIND A PARTNER TO WORK 1395 01:06:58,738 --> 01:07:01,107 WITH COLLABORATIVELY WE WERE 1396 01:07:01,107 --> 01:07:01,941 ABLE TO ACCELERATE THE PROGRAM. 1397 01:07:01,941 --> 01:07:03,609 WITH THIS RENEWAL WE HOPE TO 1398 01:07:03,609 --> 01:07:06,512 ADDRESS SOME OF THESE KEY 1399 01:07:06,512 --> 01:07:07,847 CHALLENGES BUT ALSO SIMPLIFYING 1400 01:07:07,847 --> 01:07:10,583 AND STREAMLINING THE PROGRAM 1401 01:07:10,583 --> 01:07:13,019 WHILE REMAINING ON FOCUS TO THE 1402 01:07:13,019 --> 01:07:14,587 PRODUCT DEVELOPMENT PLATFORM. 1403 01:07:14,587 --> 01:07:16,889 SO WE WANT THE GREAT SCIENCE TO 1404 01:07:16,889 --> 01:07:19,058 BE SUPPORTED BY THIS IN THE END 1405 01:07:19,058 --> 01:07:21,060 WE WANT VACCINE CANDIDATES THAT 1406 01:07:21,060 --> 01:07:25,097 MOVED THROUGH MANUFACTURING INTO 1407 01:07:25,097 --> 01:07:27,700 THE CLINICAL SETTING TO LEARN 1408 01:07:27,700 --> 01:07:28,868 AND IMPROVE ON VACCINES. 1409 01:07:28,868 --> 01:07:31,904 TO THIS END WE PROPOSED A 1410 01:07:31,904 --> 01:07:34,874 SIMPLIFIED PROGRAM OF THE CIVICS 1411 01:07:34,874 --> 01:07:35,541 PROGRAM. 1412 01:07:35,541 --> 01:07:36,809 . 1413 01:07:36,809 --> 01:07:40,880 IT WILL CONTINUE TO HAVE NIAID 1414 01:07:40,880 --> 01:07:45,451 CIVICS OVERSIGHT TEAM FOR A 1415 01:07:45,451 --> 01:07:46,085 COLLABORATIVE EFFORT BETWEEN 1416 01:07:46,085 --> 01:07:47,620 DATE AND DMID. 1417 01:07:47,620 --> 01:07:51,023 DATE WILL BE SUPPORTING AND 1418 01:07:51,023 --> 01:07:52,925 PRESENTING THE CONCEPT FOR THE 1419 01:07:52,925 --> 01:07:54,827 DATA MANAGEMENT AND COORDINATION 1420 01:07:54,827 --> 01:07:56,629 CENTER ALSO FUNDING THE EXTERNAL 1421 01:07:56,629 --> 01:07:58,898 ADVISORY GROUP. 1422 01:07:58,898 --> 01:08:03,402 THIS WILL BE AN EXTERNAL GROUP 1423 01:08:03,402 --> 01:08:06,706 OF EXPERTS TO ADVISE US ABOUT 1424 01:08:06,706 --> 01:08:09,976 THE VACCINE DEVELOPMENT. 1425 01:08:09,976 --> 01:08:15,381 THE CORNERSTONE OF THIS PROJECT 1426 01:08:15,381 --> 01:08:20,219 THAT WE'RE TALKING WE'RE 1427 01:08:20,219 --> 01:08:21,053 INCREASING THE NUMBERS FROM 1428 01:08:21,053 --> 01:08:22,421 THREE TO FIVE TO SIX WITH THE 1429 01:08:22,421 --> 01:08:25,091 GOAL OF HOPING TO HAVE MORE 1430 01:08:25,091 --> 01:08:26,692 GROUPS WORKING VERY CAREFULLY TO 1431 01:08:26,692 --> 01:08:30,463 MOVE PROJECTS FORWARD. 1432 01:08:30,463 --> 01:08:33,132 THE OTHER THING THAT'S GOING TO 1433 01:08:33,132 --> 01:08:34,734 CHANGE IS THE DUTY OF THE 1434 01:08:34,734 --> 01:08:35,401 VACCINE DEVELOPMENT CENTER TO 1435 01:08:35,401 --> 01:08:40,940 TAKE A CANDIDATE AND MOVE IT 1436 01:08:40,940 --> 01:08:45,912 THROUGH PROCESS INTO THE CLINIC. 1437 01:08:45,912 --> 01:08:49,315 THEY'LL HAVE TO PARTNER WITH 1438 01:08:49,315 --> 01:08:51,150 ORGANIZATIONS TO MOVE THIS 1439 01:08:51,150 --> 01:08:52,652 FORWARD. 1440 01:08:52,652 --> 01:08:57,123 WE'LL NOT BE FUNDING A SEPARATE 1441 01:08:57,123 --> 01:08:57,590 CORE. 1442 01:08:57,590 --> 01:08:58,891 WE'RE ALSO REQUESTING THE 1443 01:08:58,891 --> 01:09:01,427 CENTERS WHEN THEY COME INTO THE 1444 01:09:01,427 --> 01:09:06,032 GRANT THEY COME IN WITH WHAT'S 1445 01:09:06,032 --> 01:09:07,233 CALLED TECHNOLOGY READINESS 1446 01:09:07,233 --> 01:09:09,101 LEVEL 5 OR 6 CANDIDATE. 1447 01:09:09,101 --> 01:09:11,871 IT'S A CANDIDATE ARE THE WITHIN 1448 01:09:11,871 --> 01:09:21,047 A YEAR TO MOVE INTO GM P 1449 01:09:21,047 --> 01:09:21,380 MANUFACTURING. 1450 01:09:21,380 --> 01:09:31,857 SO THEY CAN MOVE FORWARD ON 1451 01:09:35,361 --> 01:09:37,096 OTHER VACCINE CANDIDATES. 1452 01:09:37,096 --> 01:09:38,297 WE'LL HAVE MANUFACTURING AND 1453 01:09:38,297 --> 01:09:42,868 PROCESS DEVELOPMENT AND TRIALS 1454 01:09:42,868 --> 01:09:46,572 AS SEPARATE OPTIONS AS THE 1455 01:09:46,572 --> 01:09:46,839 STRUCTURE. 1456 01:09:46,839 --> 01:09:49,175 EACH VACCINE DISCOVERY AND 1457 01:09:49,175 --> 01:09:51,644 DEVELOPMENT CENTER WILL NEED AN 1458 01:09:51,644 --> 01:09:55,848 ASSAY CORE RESPONSIBLE FOR 1459 01:09:55,848 --> 01:09:57,116 ASSAYS NOT PERFORMED BY THE 1460 01:09:57,116 --> 01:09:59,185 VACCINE TESTING SERVICES AND 1461 01:09:59,185 --> 01:10:01,120 THESE ARE THINGS THAT ARE 1462 01:10:01,120 --> 01:10:01,988 SPECIFIC TO THE INDIVIDUAL 1463 01:10:01,988 --> 01:10:04,290 VACCINE THEY ARE DEVELOPING. 1464 01:10:04,290 --> 01:10:06,459 THERE MAY BE SPECIFIC T AND B 1465 01:10:06,459 --> 01:10:09,128 CELL OR ANTIBODY RESPONSES 1466 01:10:09,128 --> 01:10:13,099 UNIQUE TO THEIR VACCINES NOT 1467 01:10:13,099 --> 01:10:15,568 PART OF TESTING ACROSS ALL 1468 01:10:15,568 --> 01:10:17,069 VACCINE CANDIDATE. 1469 01:10:17,069 --> 01:10:20,106 THOSE CONSISTENT TESTS WILL BE 1470 01:10:20,106 --> 01:10:26,712 PERFORMED BY THE VACCINE TESTING 1471 01:10:26,712 --> 01:10:28,948 SERVICES INCLUDING THE HA STOCK 1472 01:10:28,948 --> 01:10:31,651 AND INHIBITION ASSAYS. 1473 01:10:31,651 --> 01:10:35,755 IN ADDITION, THE VACCINE CENTERS 1474 01:10:35,755 --> 01:10:39,659 WILL BE ABLE TO WITH 1475 01:10:39,659 --> 01:10:41,127 CONSULTATION OF THE OVERSIGHT 1476 01:10:41,127 --> 01:10:44,664 TEAM TO USE GAP-FILLING TOOLS 1477 01:10:44,664 --> 01:10:47,466 THROUGHOUT THE NIAID SUPPORT 1478 01:10:47,466 --> 01:10:49,135 PROGRAM INCLUDING THINGS THROUGH 1479 01:10:49,135 --> 01:10:54,507 ADJUVANTS AND ANIMAL MODELS AND 1480 01:10:54,507 --> 01:10:54,874 STUDIES PLACED. 1481 01:10:54,874 --> 01:10:59,612 THEY'LL BE ABLE TO WORK WITH 1482 01:10:59,612 --> 01:11:01,113 VACCINE MANUFACTURING SERVICE TO 1483 01:11:01,113 --> 01:11:04,450 DEVELOP MASTER CELL BANKS AND 1484 01:11:04,450 --> 01:11:07,653 VIRUSES POTENTIALLY AND GMP 1485 01:11:07,653 --> 01:11:09,055 SUPPORT IF THEY AREN'T ABLE TO 1486 01:11:09,055 --> 01:11:12,425 FIND OTHER MECHANISMS TO MOVE 1487 01:11:12,425 --> 01:11:12,692 FORWARDS. 1488 01:11:12,692 --> 01:11:15,995 ANOTHER KEY CHANGE FOR THE 1489 01:11:15,995 --> 01:11:20,566 RENEWAL IS WE'LL BE LEVERAGING 1490 01:11:20,566 --> 01:11:22,935 THE NIAID INFRASTRUCTURE YOU'LL 1491 01:11:22,935 --> 01:11:24,537 HEAR ABOUT NEXT TO COMPLETE OUR 1492 01:11:24,537 --> 01:11:28,908 PHASE 2 AND TWO STUDIES. 1493 01:11:28,908 --> 01:11:31,343 IF WE DO CHALLENGE STUDIES IT 1494 01:11:31,343 --> 01:11:32,978 WILL STREAMLINE STORAGE AND 1495 01:11:32,978 --> 01:11:33,612 STATISTICAL MANAGEMENT OF THESE 1496 01:11:33,612 --> 01:11:38,084 STUDIES. 1497 01:11:38,084 --> 01:11:43,723 I HAD A WONDERFUL TIME CHATTING 1498 01:11:43,723 --> 01:11:45,891 WITH DR. ESTES AND PALMER AND 1499 01:11:45,891 --> 01:11:49,128 THEY CLARIFIED A FEW THINGS 1500 01:11:49,128 --> 01:11:52,932 HOPEFULLY I DID DURING THE 1501 01:11:52,932 --> 01:12:01,207 PRESENTATION AND TALK ABOUT WHAT 1502 01:12:01,207 --> 01:12:08,047 A TRL IS AND TAKING MORE 1503 01:12:08,047 --> 01:12:09,115 CONCEPTS FORWARD AND MOVE THINS 1504 01:12:09,115 --> 01:12:10,916 INTO PRODUCT DEVELOPMENT. 1505 01:12:10,916 --> 01:12:12,685 WITH THAT, THAT'S OUR RENEWAL. 1506 01:12:12,685 --> 01:12:13,385 HAPPY TO ANSWER ANY QUESTIONS 1507 01:12:13,385 --> 01:12:23,629 YOU MAY HAVE. 1508 01:12:25,998 --> 01:12:28,934 ANY QUESTIONS OR COMMENTS OR 1509 01:12:28,934 --> 01:12:39,211 COLLABORATIONS. 1510 01:12:39,979 --> 01:12:40,379 THANKS, MIKE. 1511 01:12:40,379 --> 01:12:42,848 OUR LAST DMID CONCEPT, SECOND TO 1512 01:12:42,848 --> 01:12:44,950 LAST OVER ALL IS GOING TO BE 1513 01:12:44,950 --> 01:12:46,719 PRESENTED BY ANDREW BURNHAM OF 1514 01:12:46,719 --> 01:12:55,795 THE OFFICE OF CLINICAL RESEARCH 1515 01:12:55,795 --> 01:12:56,328 RESOU 1516 01:12:56,328 --> 01:12:56,862 RESOURCES. 1517 01:12:56,862 --> 01:12:57,496 >> THANK YOU. 1518 01:12:57,496 --> 01:12:58,964 I'M A PROGRAM OFFICER IN THING 1519 01:12:58,964 --> 01:13:03,235 OFF OF CLINICAL RESEARCH 1520 01:13:03,235 --> 01:13:04,937 RESOURCES. 1521 01:13:04,937 --> 01:13:12,411 THIS IS CALLED THE CLINICAL 1522 01:13:12,411 --> 01:13:14,513 RESEARCH OPERATIONS CORE WITH 1523 01:13:14,513 --> 01:13:15,347 ACTIVITIES THAT ADDRESS 1524 01:13:15,347 --> 01:13:15,948 SCIENTIFIC PRIORITIES. 1525 01:13:15,948 --> 01:13:17,583 THE IS A NEW INITIATIVE AND 1526 01:13:17,583 --> 01:13:22,755 WE'LL BE USING A CONTRACT 1527 01:13:22,755 --> 01:13:23,556 MECHANISM. 1528 01:13:23,556 --> 01:13:24,723 WE ANTICIPATE MAKING ONE. 1529 01:13:24,723 --> 01:13:26,792 OF WAY AS BACKGROUND AS YOU SAW 1530 01:13:26,792 --> 01:13:28,093 THROUGH MANY PRESENTATIONS WE 1531 01:13:28,093 --> 01:13:29,695 SUPPORT THE BROAD RANGE OF 1532 01:13:29,695 --> 01:13:31,397 CLINICAL RESEARCH. 1533 01:13:31,397 --> 01:13:33,566 THIS INCLUDES PHASE 0-4 CLINICAL 1534 01:13:33,566 --> 01:13:37,102 TRIALS IN THERAPEUTICS AND 1535 01:13:37,102 --> 01:13:39,004 VACCINES. 1536 01:13:39,004 --> 01:13:44,944 COHORT STUDIES AND EVALUATION OF 1537 01:13:44,944 --> 01:13:49,114 NEW DIAGNOSTICS AND LOOK AT 1538 01:13:49,114 --> 01:13:51,317 POTENTIAL AGENTS OF BIO 1539 01:13:51,317 --> 01:13:53,085 TERRORISM AND NIAID PRIORITY 1540 01:13:53,085 --> 01:13:58,390 PATHOGENS. 1541 01:13:58,390 --> 01:14:00,693 WITH THE INFRASTRUCTURE IT'S 1542 01:14:00,693 --> 01:14:03,696 PLAY A ROLE IN THE DMID 1543 01:14:03,696 --> 01:14:05,598 SCIENTIFIC PRIVATES. 1544 01:14:05,598 --> 01:14:07,366 LESSONS LEARNED FROM RECENT 1545 01:14:07,366 --> 01:14:08,968 CLINICAL TRIALS AND OUTBREAKS 1546 01:14:08,968 --> 01:14:11,337 DEMONSTRATED FUNDING OF 1547 01:14:11,337 --> 01:14:13,572 OPERATIONS IN SITES AND RAPIDLY 1548 01:14:13,572 --> 01:14:16,942 RESPOND DURING PUBLIC HEALTH 1549 01:14:16,942 --> 01:14:17,243 EMERGENCIES. 1550 01:14:17,243 --> 01:14:19,812 FOR EXAMPLE, THEY CONDUCTED 1551 01:14:19,812 --> 01:14:21,280 MULTIPLE PHASE III TRIALS AS 1552 01:14:21,280 --> 01:14:22,848 PART OF OUR COVID-19 RESPONSE. 1553 01:14:22,848 --> 01:14:24,383 THE SPEED AT WHICH THE TRIALS 1554 01:14:24,383 --> 01:14:27,052 CAME ONLINE AND LATER EVOLVED 1555 01:14:27,052 --> 01:14:32,558 OUTPACED THE ABILITY OF OUR 1556 01:14:32,558 --> 01:14:32,791 SYSTEMS. 1557 01:14:32,791 --> 01:14:36,829 SO THE CLINICAL RESEARCH 1558 01:14:36,829 --> 01:14:38,030 OPERATIONS CORE WILL PROVIDER A 1559 01:14:38,030 --> 01:14:39,565 RESEARCH FOR CLINICAL TRIALS AND 1560 01:14:39,565 --> 01:14:41,166 RESEARCH ACROSS DMID'S 1561 01:14:41,166 --> 01:14:44,436 SCIENTIFIC PRIORITIES. 1562 01:14:44,436 --> 01:14:47,740 THE CORE WILL PROMOTE EFFICIENT 1563 01:14:47,740 --> 01:14:49,675 COORDINATION OF OPERATIONS 1564 01:14:49,675 --> 01:14:51,610 ACROSS AREAS. 1565 01:14:51,610 --> 01:14:53,245 SPECIFICALLY, THE OPS CORE WILL 1566 01:14:53,245 --> 01:14:55,047 OVERSEE AND MANAGE THE FOLLOWING 1567 01:14:55,047 --> 01:14:57,917 ACTIVITIES, PROTOCOL DEVELOPMENT 1568 01:14:57,917 --> 01:14:59,718 WHERE IT WILL OVERSEE AND 1569 01:14:59,718 --> 01:15:04,556 DEVELOP PROTOCOLS, NFK INFORMED 1570 01:15:04,556 --> 01:15:05,758 CONSENT FORMS AND SITE SELECTION 1571 01:15:05,758 --> 01:15:09,695 TO IDENTIFY SITES FROM ACROSS 1572 01:15:09,695 --> 01:15:10,462 NIAID'S INFRASTRUCTURE THAT BEST 1573 01:15:10,462 --> 01:15:14,199 MEET THE NEEDS OF THE STUDY. 1574 01:15:14,199 --> 01:15:18,103 STUDY MANAGEMENT WHERE LL -- IT 1575 01:15:18,103 --> 01:15:19,171 WILL OVERSEE AND START UP AND 1576 01:15:19,171 --> 01:15:22,408 CLOSE OUT ACTIVITIES AND 1577 01:15:22,408 --> 01:15:22,975 COORDINATION WHERE IT WILL 1578 01:15:22,975 --> 01:15:23,509 COORDINATE WITH VARIOUS 1579 01:15:23,509 --> 01:15:25,311 STAKEHOLDERS TO ENSURE TIMELY 1580 01:15:25,311 --> 01:15:26,812 DISSEMINATION OF RESULTS. 1581 01:15:26,812 --> 01:15:29,782 THIS IS WHERE WE SEE THESE 1582 01:15:29,782 --> 01:15:31,817 ACTIVITIES TO BE ADDITIVE OR AS 1583 01:15:31,817 --> 01:15:34,086 NEW NOOEDZ COME YONL LINE 1584 01:15:34,086 --> 01:15:34,887 THEY'RE ABLE TO BE MET WITH NEW 1585 01:15:34,887 --> 01:15:36,455 RESOURCES WHILE WE ARE ABLE TO 1586 01:15:36,455 --> 01:15:38,691 CONTINUE WITH THE CURRENT 1587 01:15:38,691 --> 01:15:38,991 ACTIVITIES. 1588 01:15:38,991 --> 01:15:40,926 WE ALSO ANTICIPATE SOME OF THESE 1589 01:15:40,926 --> 01:15:44,029 ACTIVITIES COULD BE CONDUCTED IN 1590 01:15:44,029 --> 01:15:46,532 PARALLEL DURING A PANDEMIC 1591 01:15:46,532 --> 01:15:47,299 RESPONSE OR RAPID RESPONSE TYPE 1592 01:15:47,299 --> 01:15:54,406 SITUATION. 1593 01:15:54,406 --> 01:15:57,343 THE OPS CORE WILL OPERATIONALIZE 1594 01:15:57,343 --> 01:15:58,677 CLINICAL TRIALS DEVELOPED BY 1595 01:15:58,677 --> 01:15:59,378 SCIENTIFIC NETWORKS AND IN 1596 01:15:59,378 --> 01:16:02,014 RESPONSE TO EMERGING AND 1597 01:16:02,014 --> 01:16:03,248 RE-EMERGING DISEASE OUTBREAKS. 1598 01:16:03,248 --> 01:16:08,821 AS DR. ISON MENTIONED THE OPS 1599 01:16:08,821 --> 01:16:10,255 CORE WILL RUN THE CLINICAL 1600 01:16:10,255 --> 01:16:11,457 TRIALS DEVELOPED BY THE CIVICS 1601 01:16:11,457 --> 01:16:11,890 PROGRAM. 1602 01:16:11,890 --> 01:16:17,363 THE YEAR ONE ACTIVITIES WILL 1603 01:16:17,363 --> 01:16:18,263 FOCUS ON INFLUENZA VACCINE 1604 01:16:18,263 --> 01:16:20,065 TRIALS WITH LATER EXPANSION TO 1605 01:16:20,065 --> 01:16:20,366 PRIORITIES. 1606 01:16:20,366 --> 01:16:25,104 SO FOR COUNCIL FEEDBACK I WAS 1607 01:16:25,104 --> 01:16:33,112 ABLE TO MEET WITH DOCTORS TAYOR 1608 01:16:33,112 --> 01:16:39,585 AND BOCKENSTEDT AND INDICATED 1609 01:16:39,585 --> 01:16:39,818 SUPPORT. 1610 01:16:39,818 --> 01:16:41,887 THE COMMENTS AND FEEDBACK WERE 1611 01:16:41,887 --> 01:16:44,189 TO EMPHASIZE HOW THE OPS CORE 1612 01:16:44,189 --> 01:16:44,890 COULD RESPONSE IN THE FUTURE 1613 01:16:44,890 --> 01:16:51,397 BASED ON THE LESSONS LEARNED. 1614 01:16:51,397 --> 01:16:59,571 AND BE HAPPY TO TAKE QUESTIONS. 1615 01:16:59,571 --> 01:17:01,740 >> HOW IS THIS DIFFERENT FROM 1616 01:17:01,740 --> 01:17:04,977 THE BTUs. 1617 01:17:04,977 --> 01:17:08,647 >> THIS IS A FUTURE INITIATIVE 1618 01:17:08,647 --> 01:17:09,948 TO OPERATIONALIZE THE TRIALS 1619 01:17:09,948 --> 01:17:20,292 ACROSS THE NETWORKS. 1620 01:17:22,895 --> 01:17:27,232 >> WE HAVE LEADERSHIP GROUPS IN 1621 01:17:27,232 --> 01:17:29,134 CONTROL OF GRANTS WHICH END UP 1622 01:17:29,134 --> 01:17:34,673 BEING A LESS MECHANISM FOR 1623 01:17:34,673 --> 01:17:40,479 FLOWING PROTOCOL FUNDS IN A 1624 01:17:40,479 --> 01:17:41,046 PUBLIC HEALTH EMERGENCY. 1625 01:17:41,046 --> 01:17:45,117 THERE ARE SPECIFIC CHALLENGES 1626 01:17:45,117 --> 01:17:49,822 CREATED DURING COVID. 1627 01:17:49,822 --> 01:17:52,124 >> THE VTUs ARE A LONG STANDING 1628 01:17:52,124 --> 01:17:53,759 PROGRAM FOR NIAID AND LEVERAGED 1629 01:17:53,759 --> 01:17:55,761 THEM AS BEST WE COULD. 1630 01:17:55,761 --> 01:17:57,362 WE'RE LOOKING -- WHAT WE LEARNED 1631 01:17:57,362 --> 01:18:00,299 IN THE PANDEMIC WAS A BIGGER 1632 01:18:00,299 --> 01:18:04,336 SCOPE OF TRIALS, MULTICENTER 1633 01:18:04,336 --> 01:18:06,505 SOMETIMES 50, 60, 70 CENTERS FOR 1634 01:18:06,505 --> 01:18:08,474 TRIALS AND BEING ABLE TO RESPOND 1635 01:18:08,474 --> 01:18:12,678 TO A PANDEMIC IN THAT SITUATION 1636 01:18:12,678 --> 01:18:14,213 WE LOOKED FOR DIFFERENT 1637 01:18:14,213 --> 01:18:19,818 MECHANISMS TO INCREASE OUR 1638 01:18:19,818 --> 01:18:22,688 FLEXIBILITY AND SO THAT'S WHERE 1639 01:18:22,688 --> 01:18:24,022 THE IDEAS WERE BORN FROM. 1640 01:18:24,022 --> 01:18:24,356 ? 1641 01:18:24,356 --> 01:18:31,597 AND A NEW AWARD TO I AA -- TO A 1642 01:18:31,597 --> 01:18:33,732 NEW SITE AND SCALING UP TO NEW 1643 01:18:33,732 --> 01:18:35,067 OPERATIONS WHEN THAT WAS 1644 01:18:35,067 --> 01:18:36,702 REQUIRED ARE THE SORTS OF THINGS 1645 01:18:36,702 --> 01:18:40,506 CONTRACTS OFTEN DO BETTER IN OR 1646 01:18:40,506 --> 01:18:45,144 ALLOW US TO DO BETTER THAN IN A 1647 01:18:45,144 --> 01:18:55,420 GRANT MECHANISM. 1648 01:18:58,056 --> 01:18:59,324 >> ANY OTHER COMMENTS OR 1649 01:18:59,324 --> 01:19:03,896 QUESTIONS FOR ANDY? 1650 01:19:03,896 --> 01:19:05,063 >> THANK YOU. 1651 01:19:05,063 --> 01:19:09,134 >> THANK YOU SO, WE'RE BEING 1652 01:19:09,134 --> 01:19:11,770 VERY EFFICIENT. 1653 01:19:11,770 --> 01:19:13,639 THE NEXT CONCEPT FROM THE 1654 01:19:13,639 --> 01:19:18,810 DIVISION OF CLINICAL RESEARCH 1655 01:19:18,810 --> 01:19:28,921 AND I THINK I SAW DR. CONNIE 1656 01:19:28,921 --> 01:19:30,355 SCHMALJOHN'S NAME. 1657 01:19:30,355 --> 01:19:33,125 >> I'M SHARING MY SLIDES. 1658 01:19:33,125 --> 01:19:38,463 CAN YOU SEE THEM? 1659 01:19:38,463 --> 01:19:43,235 >> YES. 1660 01:19:43,235 --> 01:19:44,870 GOOD AFTERNOON I'M THE DIRECTOR 1661 01:19:44,870 --> 01:19:48,240 AT IRF-FREDERICK. 1662 01:19:48,240 --> 01:19:50,108 I'M PART OF THING OFF OF 1663 01:19:50,108 --> 01:19:51,410 SCIENTIFIC AND ADMINISTRATIVE 1664 01:19:51,410 --> 01:19:52,945 MANAGEMENT AND THANK YOU FOR 1665 01:19:52,945 --> 01:19:55,080 ALLOWING ME TO INTRUDE ON THIS 1666 01:19:55,080 --> 01:19:57,649 MEETING AND ALLOWING ME TO DO 1667 01:19:57,649 --> 01:19:58,717 THIS VIRTUALLY SO I DON'T HAVE 1668 01:19:58,717 --> 01:20:00,219 TO DRIVE THIS TIME OF DAY. 1669 01:20:00,219 --> 01:20:03,555 THE CONCEPT I AM PRESENTING IS 1670 01:20:03,555 --> 01:20:06,658 THE RECOMPETE FOR RENEWAL OF THE 1671 01:20:06,658 --> 01:20:07,693 OPERATIONS AND MANAGEMENT FOR 1672 01:20:07,693 --> 01:20:09,928 THE NIAID INTEGRATED RESEARCH 1673 01:20:09,928 --> 01:20:13,131 FACILITY AT FORT DETRICK FOR THE 1674 01:20:13,131 --> 01:20:19,338 IRF FREDERICK. 1675 01:20:19,338 --> 01:20:21,139 IT'S A CONTINUATION OF 1676 01:20:21,139 --> 01:20:21,707 SCIENTIFIC ADMINISTRATIVE 1677 01:20:21,707 --> 01:20:29,081 OPERATIONS AT THE IRF FREDERICK 1678 01:20:29,081 --> 01:20:32,050 TO FACILITATE THE PROGRAM AND 1679 01:20:32,050 --> 01:20:33,151 THE MISSION AND PORTFOLIO. 1680 01:20:33,151 --> 01:20:36,521 THIS IS A RENEWAL OR RECOMPETE 1681 01:20:36,521 --> 01:20:39,825 OF THE OPERATIONS CONTRACT. 1682 01:20:39,825 --> 01:20:41,760 IT'S THE NATIONAL RESOURCE AND S 1683 01:20:41,760 --> 01:20:43,962 OPPORTUNITIES FOR MAXIMUM 1684 01:20:43,962 --> 01:20:44,630 CONTAINMENT RESEARCH TO 1685 01:20:44,630 --> 01:20:46,198 GOVERNMENT, ACADEMIA AND 1686 01:20:46,198 --> 01:20:48,634 INDUSTRY PARTNERS WHO COULD NOT 1687 01:20:48,634 --> 01:20:53,672 OTHERWISE CONDUCT SUCH RESEARCH. 1688 01:20:53,672 --> 01:20:57,142 WE HAVE THE FACILITY CAPABLE OF 1689 01:20:57,142 --> 01:20:59,077 ANIMAL MODELS OF DISEASE IN A 1690 01:20:59,077 --> 01:21:02,481 SETTING AND THE PICTURES SHOW AN 1691 01:21:02,481 --> 01:21:04,783 ILLUSTRATION AND THERE'S A 1692 01:21:04,783 --> 01:21:06,285 SCIENTIST IN THE LEVEL 4 LAB AND 1693 01:21:06,285 --> 01:21:08,120 THE ANIMAL IS ON THE CONVEYOR 1694 01:21:08,120 --> 01:21:10,689 TABLE READY TO GO THROUGH THE 1695 01:21:10,689 --> 01:21:17,095 PORT IN THE WALL WHICH MAINTAIN 1696 01:21:17,095 --> 01:21:19,731 THE ENVIRONMENT THOUGH THE BSL 1697 01:21:19,731 --> 01:21:22,567 PORTION OF THE BUILDING THE 1698 01:21:22,567 --> 01:21:24,970 MACHINE MOVES OVER THE TUBE FOR 1699 01:21:24,970 --> 01:21:27,606 THE IMAGING AND THE ANIMAL IS 1700 01:21:27,606 --> 01:21:30,242 RETURNED TO THE BSL-4 PORTION OF 1701 01:21:30,242 --> 01:21:31,510 THE LABORATORY. 1702 01:21:31,510 --> 01:21:32,444 SOME CAPABILITIES INCLUDING 1703 01:21:32,444 --> 01:21:42,988 IMAGING OF ALL SIZES OF ANIMAL, 1704 01:21:43,655 --> 01:21:45,123 11,000 SQUARE FEET OF THE 1705 01:21:45,123 --> 01:21:47,092 LABORATORY SPACE AND HOLDING 1706 01:21:47,092 --> 01:21:55,000 ROOMS AND ANIMAL ROOMS AND THE 1707 01:21:55,000 --> 01:21:59,071 NECROPSY SUITE AND SMALL 1708 01:21:59,071 --> 01:22:01,139 PARTICLE AEROBIOLOGY AND 1709 01:22:01,139 --> 01:22:04,409 SUPPORTING SPACING AND 1710 01:22:04,409 --> 01:22:06,144 BORT-CERTIFIED PATHOLOGISTS AND 1711 01:22:06,144 --> 01:22:10,082 A.I. EXPERTISE AND ORGAN-ON-CHIP 1712 01:22:10,082 --> 01:22:10,882 AND LABORATORY AND TRAINING FOR 1713 01:22:10,882 --> 01:22:16,388 THE CLINICAL STUDIES IN RESOURCE 1714 01:22:16,388 --> 01:22:18,924 FOR POOR SETTINGS PRIMARILY IN 1715 01:22:18,924 --> 01:22:19,191 AFRICA. 1716 01:22:19,191 --> 01:22:22,728 IT'S TO SERVE AS A RESPONSIVE 1717 01:22:22,728 --> 01:22:25,497 AND COLLABORATIVE RESOURCE TO 1718 01:22:25,497 --> 01:22:29,334 UNDERSTAND, TREAT AND ERADICATE 1719 01:22:29,334 --> 01:22:31,636 DISEASES CAUSED BY NOVEL 1720 01:22:31,636 --> 01:22:34,373 EMERGING AND VIRULENT PATHOGENS 1721 01:22:34,373 --> 01:22:40,145 AND THIS IS HOW WE DEVELOP THE 1722 01:22:40,145 --> 01:22:50,789 PORTFOLIO AND SELECT PROJECTS 1723 01:22:52,224 --> 01:22:57,129 AND THE LAB LOCATED IN MONTANA 1724 01:22:57,129 --> 01:23:02,200 AND UNLIKE RM11 FREDERICK DOES 1725 01:23:02,200 --> 01:23:03,668 NOT DO P.I. RESEARCH BUT SORT 1726 01:23:03,668 --> 01:23:05,070 THE WORK OF GOVERNMENT, INDUSTRY 1727 01:23:05,070 --> 01:23:08,740 AND ACADEMIC PARTNERS. 1728 01:23:08,740 --> 01:23:13,145 RESEARCH PROPOSALS WORK WITH 1729 01:23:13,145 --> 01:23:15,914 PA 1730 01:23:15,914 --> 01:23:16,248 PA 1731 01:23:16,248 --> 01:23:19,718 PARTNERS HAVE THE FINAL REVIEW 1732 01:23:19,718 --> 01:23:21,119 OF THE STEERING COMMITTEE. 1733 01:23:21,119 --> 01:23:23,488 IF WE DO DECIDE TO DO PROJECTS 1734 01:23:23,488 --> 01:23:27,692 AT THE IRF FREDERICK THE 1735 01:23:27,692 --> 01:23:28,960 EXPENSES ARE LIMITED TO PURCHASE 1736 01:23:28,960 --> 01:23:32,464 OF ANIMALS AND IF THERE ARE ANY 1737 01:23:32,464 --> 01:23:37,135 NON-STANDARD SPECIALTY 1738 01:23:37,135 --> 01:23:37,402 RE-AGENTS. 1739 01:23:37,402 --> 01:23:39,204 THE BUILDING CONSTRUCTION 1740 01:23:39,204 --> 01:23:41,273 STARTED IN 2005 AND THE FIRST 1741 01:23:41,273 --> 01:23:44,643 SERVICES SUPPORT CONTRACT WAS 1742 01:23:44,643 --> 01:23:48,980 AWARDED IN 2007 TO BATTEL. 1743 01:23:48,980 --> 01:23:53,084 IN 2011 IT ABECAME OPERATIONAL 1744 01:23:53,084 --> 01:23:55,954 AND IN 2012 LEVEL 4 CONSTRUCTION 1745 01:23:55,954 --> 01:23:58,323 WAS CLEATED IN 2014 CDC SELECT 1746 01:23:58,323 --> 01:24:01,059 AGENT APPROVAL WAS GRANTED AND 1747 01:24:01,059 --> 01:24:04,129 IN 2020 THE PROJECT WAS 1748 01:24:04,129 --> 01:24:08,133 RECOMPETED AND IN 2020 AWARDED. 1749 01:24:08,133 --> 01:24:10,302 THE NEW COMPANY LA LIMA 1750 01:24:10,302 --> 01:24:11,670 GOVERNMENT SOLUTIONS. 1751 01:24:11,670 --> 01:24:13,438 THE FIRST CONTRACT ENDS IN 1752 01:24:13,438 --> 01:24:18,243 FEBRUARY OF 2027. 1753 01:24:18,243 --> 01:24:23,448 THIS IS FROM THE COVER OF THE 1754 01:24:23,448 --> 01:24:25,150 ANNUAL REPORT LISTING 1755 01:24:25,150 --> 01:24:30,121 ACCOMPLISHMENTS FOR THAT YEAR. 1756 01:24:30,121 --> 01:24:34,493 IT INCLUDES 94 PUBLICATION AND 1757 01:24:34,493 --> 01:24:36,161 COLLABORATION AGREEMENT AND 1758 01:24:36,161 --> 01:24:39,097 TRANSFER AGREEMENTS AND 1759 01:24:39,097 --> 01:24:41,099 PRESENTATIONS AT NATIONAL AND 1760 01:24:41,099 --> 01:24:41,733 INTERNATIONAL CONFERENCES AND 1761 01:24:41,733 --> 01:24:47,105 CLINICAL TRIAL SUPPORT FOR STUDY 1762 01:24:47,105 --> 01:24:51,776 IN LIBERIA AND IN THE REPUBLIC 1763 01:24:51,776 --> 01:24:53,111 OF CONGO. 1764 01:24:53,111 --> 01:24:56,448 I LISTED SOME OF THE MORE HIGH 1765 01:24:56,448 --> 01:24:57,115 PROFILE PUBLICATIONS IN THE LAST 1766 01:24:57,115 --> 01:24:58,416 COUPLE YEARS TO TRY TO 1767 01:24:58,416 --> 01:25:01,119 ILLUSTRATE THE DIFFERENT AREAS 1768 01:25:01,119 --> 01:25:11,530 OF WORK WE FACILITATED. 1769 01:25:17,168 --> 01:25:22,674 THERE'S MRNA VACCINATION AND IT 1770 01:25:22,674 --> 01:25:27,579 CAN EXPAND CLONALO TYPES 1771 01:25:27,579 --> 01:25:32,350 UNDETECTABLE OF SARS COV2 1772 01:25:32,350 --> 01:25:35,620 INFECTION AND PATHOLOGISTS USED 1773 01:25:35,620 --> 01:25:38,490 SPECIMENS FROM A MONKEY STUDY 1774 01:25:38,490 --> 01:25:42,394 NOT COMPETED ON THE EBOLA VIRUS 1775 01:25:42,394 --> 01:25:45,797 TO LOOK AT THE ABNORMALITY AND 1776 01:25:45,797 --> 01:25:52,537 FOUND THAT EEBL -- EBOLA VIRUS 1777 01:25:52,537 --> 01:25:54,773 COULD OCCUR AND DISEASE 1778 01:25:54,773 --> 01:25:58,043 PROGRESSION WAS ASSOCIATED 1779 01:25:58,043 --> 01:26:01,146 WITHEMWI 1780 01:26:01,146 --> 01:26:06,585 WITHEMWITH 1781 01:26:06,585 --> 01:26:08,453 HEMATOPOIETIC FAILURE AND THE 1782 01:26:08,453 --> 01:26:13,892 SECOND WAS IN A COLLABORATION 1783 01:26:13,892 --> 01:26:18,263 WHERE THEY ISOLATED MONOCLONAL 1784 01:26:18,263 --> 01:26:19,331 ANTIBODIES TO SARS COV2. 1785 01:26:19,331 --> 01:26:21,132 THE SECOND STUDY WAS CONDUCTED 1786 01:26:21,132 --> 01:26:25,136 WITH PARTNERS IN AFRICA LOOKING 1787 01:26:25,136 --> 01:26:27,672 AT PREGNANCY OUTCOMES AFTER 1788 01:26:27,672 --> 01:26:29,674 EBOLA VIRUS RECOVERY. 1789 01:26:29,674 --> 01:26:32,644 THE FOLLOWING WAS ANOTHER STUDY 1790 01:26:32,644 --> 01:26:34,279 AND THE LAST ONE WAS A 1791 01:26:34,279 --> 01:26:35,180 COLLABORATION WITH THE CENTER 1792 01:26:35,180 --> 01:26:39,718 FOR IMAGING AND INFECTIOUS 1793 01:26:39,718 --> 01:26:42,587 DISEASE IMAGING AT NIH AND 1794 01:26:42,587 --> 01:26:48,259 INCLUDED OUR A.I. EXPERT WHO 1795 01:26:48,259 --> 01:26:51,663 PARTICIPATED IN THAT STUDY THE 1796 01:26:51,663 --> 01:26:54,466 SUPPORT CONTRACT WILL SERVE AS A 1797 01:26:54,466 --> 01:26:57,135 NATIONAL RESOURCE FOR LEVEL-2 1798 01:26:57,135 --> 01:26:58,336 LABORATORY WORK. 1799 01:26:58,336 --> 01:27:01,139 IT INCLUDES DEVELOPING ANIMAL 1800 01:27:01,139 --> 01:27:03,608 MODELS FOR HUMAN DISEASE CAUSED 1801 01:27:03,608 --> 01:27:09,147 BY HIGHLY PATHOGENIC VIRUSES AND 1802 01:27:09,147 --> 01:27:10,682 CUTTING EDGE METHODS UNDER 1803 01:27:10,682 --> 01:27:14,252 METHOD OF PATHOGENESIS AND THE 1804 01:27:14,252 --> 01:27:16,521 EVALUATION OF COUNTER MEASURES 1805 01:27:16,521 --> 01:27:21,793 TO TREAT DISEASE AND PROVIDES 1806 01:27:21,793 --> 01:27:25,130 PERSONNEL TO SUPPORT CLINICAL 1807 01:27:25,130 --> 01:27:30,168 STUDIES IN AFRICA. 1808 01:27:30,168 --> 01:27:34,739 USING A UNIQUE OPERATING MODEL 1809 01:27:34,739 --> 01:27:35,840 WITH INTRAMURAL AND EXTRAMURAL 1810 01:27:35,840 --> 01:27:36,141 COMPONENTS. 1811 01:27:36,141 --> 01:27:37,776 WE'RE WORKING TO REVISE THE 1812 01:27:37,776 --> 01:27:43,181 STATEMENT OF WORK WHERE IT IS 1813 01:27:43,181 --> 01:27:45,650 NECESSARY TO ADDRESS CHANGED 1814 01:27:45,650 --> 01:27:48,119 PRIORITIES AND THIS COMES FROM 1815 01:27:48,119 --> 01:27:51,022 THE MOST RECENT REPORT PROVIDED 1816 01:27:51,022 --> 01:27:53,158 TO THE GOVERNMENT BY LA LIMA AND 1817 01:27:53,158 --> 01:27:55,126 CHOSE THE WORKFORCE. 1818 01:27:55,126 --> 01:27:57,595 WE HAVE 111 CONTRACT PERSONNEL 1819 01:27:57,595 --> 01:28:00,498 FROM LA LIMA AND THEIR 1820 01:28:00,498 --> 01:28:01,132 SUBCONTRACTOR. 1821 01:28:01,132 --> 01:28:05,904 BUT IN ADDITION TO THE WORKFORCE 1822 01:28:05,904 --> 01:28:11,843 THE THERE'S TWO CONTRACTORS FROM 1823 01:28:11,843 --> 01:28:13,545 LIDOS AND FOUR GOVERNMENT FTE 1824 01:28:13,545 --> 01:28:17,082 INCLUDING ME AND ONE PUBLIC 1825 01:28:17,082 --> 01:28:19,250 HEALTH OFFICER A HUMAN 1826 01:28:19,250 --> 01:28:19,984 PATHOLOGIST AND ON SITE SUPPORT 1827 01:28:19,984 --> 01:28:23,555 FROM THE DIVISION OF CLINICAL 1828 01:28:23,555 --> 01:28:25,890 RESEARCH OF PROGRAMS AND BUDGET 1829 01:28:25,890 --> 01:28:31,129 BRANCH AND NIH INFORMATION OF 1830 01:28:31,129 --> 01:28:33,098 TECHNOLOGY SERVICES AND RESEARCH 1831 01:28:33,098 --> 01:28:35,967 FACILITIES AND CONTRACTED 1832 01:28:35,967 --> 01:28:37,135 SECURITY GUARDS AND THE NUMBERS 1833 01:28:37,135 --> 01:28:39,471 AFTER EACH ARE HOW MANY OF THAT 1834 01:28:39,471 --> 01:28:41,940 PARTICULAR TYPE OF PERSONNEL WE 1835 01:28:41,940 --> 01:28:43,074 HAVE ON SITE AT THE IRF 1836 01:28:43,074 --> 01:28:47,412 FREDERICK. 1837 01:28:47,412 --> 01:28:53,118 AGAIN, I VERY MUCH THANK DOCTORS 1838 01:28:53,118 --> 01:29:03,528 PALMER AND BOCKENSTEDT 1839 01:29:04,129 --> 01:29:04,896 EXPLAINING WHAT I'M SUPPOSED TO 1840 01:29:04,896 --> 01:29:06,931 DO AND I SPENT THE TIME TRYING 1841 01:29:06,931 --> 01:29:09,134 TO EXPLAIN WHAT THE 1842 01:29:09,134 --> 01:29:11,035 IRF-FREDERICK IS BECAUSE I THINK 1843 01:29:11,035 --> 01:29:11,936 A LOT OF PEOPLE SIMPLY DON'T 1844 01:29:11,936 --> 01:29:17,542 UNDERSTAND HOW WE FIT INTO THE 1845 01:29:17,542 --> 01:29:24,582 OVER ALL SCHEME OF NIAID AND NIH 1846 01:29:24,582 --> 01:29:28,353 AND HOW WE DIFFER FROM RML. 1847 01:29:28,353 --> 01:29:30,121 WHAT ARE OUR PUBLICATIONS THE 1848 01:29:30,121 --> 01:29:35,493 SPECTRUM OF THE TYPE OF WORK WE 1849 01:29:35,493 --> 01:29:46,004 DO AND THE IN THE PICTURE AND 1850 01:29:48,807 --> 01:29:49,073 ABBREVIATIONS. 1851 01:29:49,073 --> 01:29:50,408 THANK YOU BOTH FOR POINTING OUT 1852 01:29:50,408 --> 01:29:53,111 TO ME I NEED TO BE A LITTLE 1853 01:29:53,111 --> 01:29:55,613 CLEARER IN MY PRESENTATIONS. 1854 01:29:55,613 --> 01:29:59,751 ALL IN ALL, THEY WERE BOTH QUITE 1855 01:29:59,751 --> 01:30:01,119 SUPPORTIVE OF CONTINUING THIS 1856 01:30:01,119 --> 01:30:04,956 PROJECT. 1857 01:30:04,956 --> 01:30:09,127 WITH THAT AIL STOP AND SEE IF 1858 01:30:09,127 --> 01:30:11,129 ANYBODY HAS ANY QUESTIONS. 1859 01:30:11,129 --> 01:30:13,131 >> THANK YOU, CONNIE. 1860 01:30:13,131 --> 01:30:14,532 THE FLOOR'S. 1861 01:30:14,532 --> 01:30:16,167 TO QUESTIONS. 1862 01:30:16,167 --> 01:30:17,135 QUESTIONS FROM COUNCIL MEMBERS 1863 01:30:17,135 --> 01:30:27,712 OR ADDITIONAL COMMENTS? 1864 01:30:27,712 --> 01:30:28,346 >> OKAY. 1865 01:30:28,346 --> 01:30:29,147 >> YOU'VE CLARIFIED THE 1866 01:30:29,147 --> 01:30:30,748 DIFFERENCE BETWEEN THE ROCKY 1867 01:30:30,748 --> 01:30:31,716 MOUNTAIN LAB AND YOUR LAB. 1868 01:30:31,716 --> 01:30:32,083 THANKS, CONNIE. 1869 01:30:32,083 --> 01:30:39,290 >> THANK YOU. 1870 01:30:39,290 --> 01:30:41,125 OKAY. 1871 01:30:41,125 --> 01:30:43,294 I THINK THAT CONCLUDES OUR -- 1872 01:30:43,294 --> 01:30:43,995 WE'VE GONE THROUGH THE ENTIRE 1873 01:30:43,995 --> 01:30:45,630 AGENDA OF CONCEPTS FOR 1874 01:30:45,630 --> 01:30:46,164 CLEARANCE. 1875 01:30:46,164 --> 01:30:49,634 WE DO NEED TO ASK YOU TO EN TUR 1876 01:30:49,634 --> 01:30:52,403 YOU'RE VOTE INTO THE ELECTRONIC 1877 01:30:52,403 --> 01:30:55,740 COUNCIL BOOK THAT IS BOTH 1878 01:30:55,740 --> 01:30:56,274 COUNCIL MEMBERS REMOTELY 1879 01:30:56,274 --> 01:30:57,041 PARTICIPATING AS WELL AS THOSE 1880 01:30:57,041 --> 01:30:57,876 IN THE ROOM. 1881 01:30:57,876 --> 01:31:06,417 THEY WILL COME AFTER YOU IF YOU 1882 01:31:06,417 --> 01:31:06,651 NEGLECT. 1883 01:31:06,651 --> 01:31:07,185 I THINK OTHERWISE WE ARE 1884 01:31:07,185 --> 01:31:07,452 ADJOURNED. 1885 01:31:07,452 --> 01:31:17,695 THANK YOU ALL.