PRF BY THE NUMBERS - PRODUCED BY LESLIE B. GORDON, MD, PHD; MEDICAL DIRECTOR - THE PROGERIA RESEARCH FOUNDATION
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PRF By The Numbers Produced by Leslie B. Gordon, MD, PhD; Medical Director Please Do Not Reproduce Children’s Photographs Without Express Permission From PRF October 1, 2021
Table of Contents Introduction and Collaborations 3 – 10 Overview Data 11 -20 International Progeria Registry 21 – 24 PRF Diagnostics Program 25 – 28 PRF Cell & Tissue Bank 29 – 38 PRF Medical & Research Database 39 – 43 Weighing – In Program 44 – 47 Clinical Trials 48 – 56 PRF Grants Program 57 – 62 Scientific Meetings and Workshops 63 – 66 Publications 67 - 69 © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF By The Numbers: A Data Sharing Tool PRF By The Numbers is a data sharing tool originating from The Progeria Research Foundation’s programs and services. We translate information collected within our programs and services, and develop charts and graphs which track our progress from year to year. This allows you to assess where we’ve been, and the improvements we’ve made for children with Progeria. © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Why Sharing Data Is Essential According to the National Institutes of Health: “data sharing is essential for expedited translation of research results into knowledge, products, and procedures to improve human health.” http://grants.nih.gov/grants/guide/notice-files/NOT-OD-03-032.html In other words, everyone benefits by knowing and learning as much as possible about Progeria - the scientific and medical communities, the public, and the children. © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF By The Numbers…Here’s How It Works We take raw data collected through our programs and services, remove any personal information to protect the participant, and present it to you in a format that is engaging and informative. PRF programs and services include: The PRF International Registry The PRF Diagnostics Program The PRF Cell & Tissue Bank The PRF Medical & Research Database PRF Research Grants Scientific Workshops Clinical Trial Funding and Participation © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Our Target Audience PRF By The Numbers is intended for a broad array of users Families and children with Progeria The general public and nonscientists of all ages Scientists Physicians The media This means that different types of slides will be of interest depending on who is looking at the information. We have designed this slide set so that you can pull out what is most important to you. We love suggestions - if you don’t see some facts and figures here that you think would be informative, please let us know at info@progeriaresearch.org © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF Programs: It All Starts With The Children Patient Our participants come from all over the world. They find Referral us through our outreach – the PRF Internation al Progeria website, our Registry publications, television Diagnostic documentaries, their s Program doctors, neighbors, friends and family. Cell & Medical & Tissue Research Bank Database Weighing- Preclinical Research In Program Clinical Trials © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Program Collaborations For Success PRF Medical & Research Database PRF Cell & TissueBank PRF Cell & Tissue Bank Core PRF Diagnostics Program PRF Cell & Tissue Bank : Laboratory Lymphoblast Cell Line Generation PRF Diagnostics Program Sequencing Laboratory PRF Clinical Trials PRF Cell Bank Submission: PRF Cell & Tissue Bank : iPS Cell Immortalized Fibroblast Cell Lines Non-HGPS Progeroid Patient Line Generation Diagnosis © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Our Program Collaborators Our collaborating institutions are crucial to our ability to help children with Progeria. We are extremely grateful for these ongoing partnerships: Brown University Location of The PRF Medical & Research Database Program IRB approval Hasbro Children’s Hospital Location of The PRF Cell & Tissue Bank Program IRB approval PreventionGenetics CLIA*-approved genetic sequence testing Rutgers University Cell and DNA Repository CLIA*-approved lymphoblast generation and distribution University of Ottawa Induced Pluripotent Stem Cell (iPSC) CLIA*-approved generation and distribution © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Our Clinical Trial Collaborators Our collaborating institutions are crucial to our ability to help children with Progeria Harvard University – Associated Hospitals: Boston Children’s Hospital Brigham and Women’s Hospital Dana Farber Cancer Institute NIH – funded Clinical and Translational Study Unit at Boston Children’s Hospital © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Number of Living PRF-Identified Cases As of October 1, 2021: Total Number of Children with HGPS and PL** Worldwide: 196 131 HGPS* worldwide: 133 HGPS* in the United States: 19 Progeroid Laminopathies** worldwide: 63 Progeroid Laminopathies** in the United States: 12 *Children in the HGPS category have a progerin-producing mutation in the LMNA gene ** Those in the Progeroid Laminopathy category have a mutation in the lamin pathway but don’t produce progerin © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Afghanistan PRF-Identified People living with HGPS & PLs Japan Algeria Kazakhstan Argentina Australia Reside In 50 Countries Libya Luxembourg Bangladesh Mexico Belgium Nepal Brazil Oman Canada Palestine-Gaza China Pakistan Colombia Philippines Denmark Poland Dominican Republic Portugal Egypt Russia England Saudi Arabia France Serbia Guyana South Africa Germany South Korea Honduras Spain India Suriname Indonesia Sweden Iran Tajikistan Iraq Togo Ireland Turkey Israel USA Italy Vietnam © 2021 The Progeria Research Foundation. All Rights Reserved As of October 1, 2021
…and Speak 30 Languages Arabic English Hindi Marathi Serbian Bengali Ewe Indonesian Nepali Spanish Cebuano Filipino Italian Pashto Tagalog Chinese French Japanese Polish Tamil Danish German Kannada Portuguese Turkish Dutch Hebrew Korean Russian Urdu прогерии исследовательский фонд 조로증 연구 재단 خايشال ثاحبأ ةسسؤم 早衰症研究基金會 Progeria Araştırma Vakfı Progeria रिसिच फाउं डे शन 早老症研究財団 బాలుడ బాలికవయస్సముదరుకండానేవృద్ాాప్యరూప్ంలోనికి వచ్చుటరీసెర్చుఫ ండేషన్ © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Every EveryYear Year OurOur Numbers Numbers Grow Option Grow Living Children PRF has identified with Progeria and the countries they reside in from 2000 - 2011 100 90 86 Countries 80 Progeria Cases* 78 Number of Children and Countries 70 60 54 52 50 46 44 45 41 40 37 34 35 30 30 31 29 29 30 26 22 18 19 19 20 16 17 17 10 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 * Progeria cases: Total number of known cases include both HGPS & PL Year * When a child passes away, numbers are decreased. As of October 1, 2021
Every EveryYear Year OurOur Numbers Numbers Grow Option Grow Living Children PRF has identified with Progeria and Progeroid Laminopathies and the countries they 140 reside in from 2012 – 2021* 133 131 128 Countries 120 120 HGPS 112 112 PL 107 Number of Children and Countries 100 100 90 86 80 63 60 57 51 52 50 46 48 43 44 45 39 38 40 35 34 36 32 25 27 22 20 10 0 2012 2013 2014 2015 2016 2017 2018 2019 2020 Oct, 2021 * Total number of living children are added from year to year. Year * When a child passes away, numbers are decreased.
Tracking Children with Progeria Through Prevalence How does PRF estimate how many children we are searching for, and in what countries? We use population prevalence. Prevalence is the proportion of children with Progeria per total population. © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
How Prevalence Is Estimated At PRF, we use a formula based on the number of children we’ve identified in the US. We then expand that out to the world population. We do this because we have the most complete reporting for the US and since Progeria has no gender, ethnic, or other biases, we assume that the prevalence in the US is the same prevalence in other countries. PRF estimates prevalence for years when the official US census provides a reliable population number. © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
USA Prevalence of Progeria October 1, 2021 population statistics: The US population was: 333,397,259 people Number of PRF-identified children with HGPS in the US: 19 Prevalence of HGPS in the US: 19 in 333 million is about 1 in 18 million people *estimates routinely fall between 1 in 18 - 1 in 20 million people. © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Prevalence and World Population of Progeria Given the world population as of October 1, 2021 There are between 350 and 450 children living with Progeria worldwide © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Using Prevalence To Find Children In A Certain Country We can now use the total population estimates for any given country, in order to understand whether we have found most or all children in a particular country. For example, as of October, 2021: Brazil’s population was estimated as 214,427,941 people Using Prevalence, the number of children living with Progeria in Brazil is 214,427,941/18,000,000 = 12 PRF has identified 6 of these 12 children, and is searching for the 6 others * Data based on the latest United Nations Population Division estimates © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
International Progeria Registry* Program Goals: Patient identification Outreach to patient families and their physicians A springboard for program enrollment Registry forms available at https://www.progeriaresearch.org/international-registry-2/ *PRF International Registry includes those with genetically confirmed or clinically suspected Progeria, as well as those with other possible progeroid syndromes © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
341 Children Have Been Registered With PRF 360 341 340 319 320 300 285 280 269 254 Number of Registrants 260 241 240 224 220 208 200 193 181 180 160 160 151 140 129 118 120 102 100 82 80 61 60 54 36 40 20 20 20 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Oct, Year 2021 © 2020 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
From 70 Countries and 1 Territory Algeria Libya, Luxembourg Argentina Malaysia, Mexico Australia Morocco, Nepal Bangladesh Netherlands Belgium, Bolivia Oman, Pakistan Brazil, Bulgaria Palestine Canada, Chile Papua New Guinea China, Colombia Panama Czech Republic Peru, Philippines Denmark Poland, Portugal Dominican Republic Puerto Rico Ecuador, Egypt Romania, Russia England, Finland Saudi Arabia France, Germany Serbia, South Africa Guatemala, Guyana South Korea Honduras Spain, Sri Lanka Hong Kong Suriname, Sweden India, Indonesia Switzerland, Tanzania Iran, Iraq Thailand, Togo Ireland, Israel Turkey, Ukraine Italy, Japan, USA, Venezuela Kazahkstan, Vietnam Kyrgyzstan © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
…And All Continents Participation (%) By Continent Africa Australia 6.8% 1.8% N=23 N=6 South America 15.5% N=53 Europe Asia 15.5% N=53 35.2% N=120 North America 25.2% N=86 © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF Diagnostics Program Program Goal: Genetic Sequence Testing for Progeria-causing mutations Pre-requisites for Testing: Registration with PRF International Registry One or more of the following Family history – proband, prenatal Phenotypic presentation – proband, postnatal Relative of positive proband Testing information available at: https://www.progeriaresearch.org/the-prf-diagnostic-testing-program/ © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Diagnostics Testing Summary As of October 1, 2021: Total Number of Proband Tests Performed: 158 Exon 11 (HGPS) Mutations: 108 Other Progeroid Laminopathies (Exons 1 – 12): 13 Zmpste24 Mutations : 2 Average Number of Patients Tested Per Year : 8.4 All tests are performed in a Clinical Laboratory Improvement Amendments (CLIA) certified facility. © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Mutations Identified Through PRF Diagnostics Program Progerin Number DNA Mutation Amino Acid Effect Zygosity Producing? Diagnosed Classic HGPS – LMNA Mutation 1824 C>T, exon 11 G608G heterozygous Yes 94 Non Classic HGPS– LMNA Mutation 1822 G>A, exon 11 G608S heterozygous Yes 4 1821 G>A, exon 11 V607V heterozygous Yes 2 1868 C>G, exon 11 T623S heterozygous Yes 1 1968+5 G>C, intron 11 --------- heterozygous Yes 2 1968+1 G>C, intron 11 --------- heterozygous Yes 3 1968+2 T>A, intron 11 heterozygous Yes 1 1968+1 G>A, intron 11 heterozygous Yes 1 Progeroid Laminopathy– LMNA Mutation 1579 C>T, exon 9 A527C heterozygous No 1 1579 C>T, exon 9 A527C homozygous No 6 1580G>T, exon9 A527L Homozygous No 2 1619 T>C, exon 10 M540T homozygous No 3 331 G>A, exon 1 G111L heterozygous No 1 Progeroid Laminopathy– Zmpste24 Mutation 1274T>C, exon 10 L425P homozygous No 2 © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Longitudinal Testing Data for PRF Diagnostics Program Number of Affected Children/Adults Tested and the Number Testing Positive for LMNA Gene Mutation* Total Testing LMNA Negative Total Testing LMNA Positive Total Clinically Affected Tested by PRF 180 158 160 148 152 139 141 140 127 123 Number Tested 116 120 111 105 99 100 88 121 80 113 116 75 107 108 80 67 94 97 82 87 54 71 76 60 62 51 56 40 46 37 20 32 33 35 36 36 21 24 24 26 28 29 29 29 29 30 17 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Oct, 2021 *Graph does not include Parents/Siblings tested Year © 2020 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF Cell & Tissue Bank Program Goals: Provide a resource for researchers worldwide Ensure the sufficient availability of genetic and biological materials essential for research aimed at understanding the pathophysiology of disease and the links between Progeria, aging and heart disease Obtain long-term clinical data Resource information available at: https://www.progeriaresearch.org/cell-and-tissue-bank/ © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF Cell & Tissue Bank Holdings As of September 15, 2021 Total Number of Participants: 306* 74 Dermal Fibroblast Lines from 49 affected and 25 parents 6 Immortalized Fibroblast Cell Lines from 1 affected and 5 parents 124 Lymphoblast Lines from 71 affected, 45 parents and 8 siblings 10 Induced Pluripotent Stem Cell Lines from 5 affected and 5 parents * Participants may have donated multiple times © 2021 The Progeria Research Foundation. All Rights Reserved. * Additional sample types are available for special projects upon request
Mutations Available in PRF Cell & Tissue Bank Progerin Cell Type DNA Mutation Amino Acid Effect Zygosity DFN=Dermal Fibroblast Producing? LBV= Lymphoblast Classic HGPS – LMNA Mutation c.1824 C>T, exon 11 p.G608G heterozygous Yes DFN, LBV, iPSC Non Classic HGPS– LMNA Mutation c.1822 G>A, exon 11 p.G608S heterozygous Yes DFN, LBV c.1821 G>A, exon 11 p.V607V heterozygous Yes DFN c.1868 C>G, exon 11 p.T623S heterozygous Yes LBV c.1968+5 G>C, intron 11 --------- heterozygous Yes DFN c.1968+5 G>A, intron 11 --------- heterozygous Yes DFN c.1968+1 G>A, intron 11 --------- heterozygous Yes LBV c.1968+2 T>C, exon 11 --------- heterozygous Yes DFN c.1968+2 T>C, exon 11 & c.1968+2 T>A, exon 11 --------- heterozygous Yes DFN Progeroid Laminopathy– LMNA Mutation c.1579 C>T, exon 9 p.A527C heterozygous No LBV c.1579 C>T, exon 9 p.A527C homozygous No LBV c.1580 C>T, exon 9 p.A527L homozygous No LBV c.1619 T>C, exon 10 p.M540T homozygous No DFN c.1762 T>C, exon 11 p.C588R heterozygous No DFN c.412G>A p.E138K heterozygous No DFN c.973 G>A, exon 6 p.A325A heterozygous No DFN c.1824 C>T, exon 11 & SMC3 c.562 A>G p.G608G & p.K188E heterozygous Yes DFN Progeroid Laminopathy– Zmpste24 Mutation c.1274 T>C, exon 10 p.L425P homozygous No DFN, LBV c.743 C>T, exon 6 & c.1349 G>A, exon 10 p.P248L & p.T450S heterozygous No DFN
PRF Cell & Tissue Bank Distribution As of September 21, 2021: 209 Research Teams From 26 Countries Have Received Cell Lines DNA Samples Tissue, plasma, serum Senescent Progeria and other biological samples Fibroblasts in Culture Lonafarnib Samples © 2020 The Progeria Research Foundation. All Rights Reserved.
Number Of Cell Lines By Year Total Cell Lines Parents/Siblings Cumulative Total Cell Lines Affected Cumulative Total Number of Cell Lines 250 209 212 212 213 214 203 197 200 190 194 194 123 124 124 125 126 121 Number of Cell Lines 116 116 118 165 112 153 150 100 126 92 116 108 98 80 90 74 100 69 79 62 62 54 86 88 88 88 88 44 78 78 78 79 82 50 37 29 61 65 42 46 17 35 36 36 39 33 20 0 Year © 2019 The Progeria Research Foundation. All Rights Reserved.
Cumulative Number of Biological Samples Distributed 2500 Fibroblast Lines Lymphoblast Lines iPSC Lines Immortalized Fibroblast Lines Plasma, serum, tissue, buffy coat, urine DNA Lonafarnib # = Total Distributed 1992 2000 1899 1798 1528 1500 1385 1116 1000 871 692 579 517 500 422 330 359 251 90 107 119 40 58 20 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 9/21/2021
USA Cell & Tissue Bank Recipients Recipient Institution Recipient Institution H. Erbil Abaci Columbia University Medical Center Dennis Discher U. of Pennsylvania Mansoor Amiji Northeastern University Martin Dorf Harvard Medical School Angelika Amon Massachusetts Institute of Technology Stephen Doxsey U. of Massachusetts Medical School Stelios Andreadis U. of Buffalo Jack Elias Brown University School of Medicine Samuel Beck MDI Biolab Mike Erdos National Institutes of Health Shelley Berger U of Pennsylvania Jed Fahey Johns Hopkins University Bruce Blazer U. of Minnesota Toren Finkel NIH Joseph Bonventre Brigham and Women’s Hospital Shridar Ganesan Cancer Institute of New Jersey Demetrios Braddock Yale University Abhimanyu Garg U. of Texas Southwestern Medical Center Jonathan Brown Vanderbilt University Glenn Gerhard Temple University Ted Brown Institute for Basic Research (IBR) David Gilbert Florida State University Mark Burkhard University of Wisconsin-Madison Thomas Glover U.of Michigan Medical School Judy Campisi Buck Institute Robert Goldman Northwestern University Kan Cao U. of Maryland Susana Gonzalo St. Louis School of Medicine Suet Nee Chen University of Colorado Lilian Grigorian Cedars Sinai Medical Center Li Chai Harvard University Gregg Gundersen Columbia University Medical Center Francis Collins National Genome Research Institute Taekjip Ha Johns Hopkins University School of Medicine Lucio Comai U. of Southern California Curtis Harris National Institutes of Health Daniel Conway Virginia Commonwealth University Martin Hetzer Salk Institute John Cooke Houston Methodist Research Institute Camila Hochman-Mendez Texas Heart Institute Mauro Costa-Mattioli Liam Holt NYU Institute for Systems Genetics Baylor College of Medicine Adrienne Cox U. of North Carolina at Chapel Hill Steve Horvath UCLA Greg Crawford Duke University Medical Center Johnny Huard U. of Texas Health Science Center at Houston Antonei Csoka Howard University Jay Humphrey Yale University Kris Dahl Carnegie Mellon University Kohta Ikegami The University of Chicago George Daley Boston Children's Hospital Vishwanath Iyer U. of Texas Austin Channing Der U. of North Carolina at Chapel Hill Jose Jalife University of Michigan Mohanish Deshmukh U. of North Carolina at Chapel Hill David Kaplan Tufts University © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
USA Cell & Tissue Bank Recipients Recipient Institution Recipient Institution Timothy Kowalik U. of Massachusetts Medical School Ana Robles National Cancer Institute Dmitri Krainc Massachusetts General Hospital David Sabatini Whitehead Institute Jan Lammerding Harvard University John Sedivy Brown University Dudley Lamming U of Wisconsin-Madison Christian Sell Drexel University College of Medicine Jeanne Lawrence U. of Massachusetts Medical School Jerry Shay UT Southwestern Medical Center Joan Lemire Tufts University School of Medicine Jamila H Siamwala Brown University Kam Leong Columbia University Andrew Sonis Boston Children's Hospital Jason Lieb U. of North Carolina at Chapel Hill Alexander Soukas Massachusetts General Hospital David Liu Harvard University Ronald St-Louis OVIBIO Corporation, Inc. Chengzu Long New York University School of Medicine Earl Stadtman National Heart, Lung & Blood Institute Shigemi Matsuyama Case Western Reserve University Dylan Taatjes U. of Colorado Rachel Patton McCord University of Tennessee Marc Tatar Brown University Andrew Mendelsohn Regenerative Sciences Institute Alexey Terskikh Sanford Burnham Prebys Medical Discovery Institute Susan Michaelis John Hopkins University School of Medicine Rajarajan Amirthalingam Thandavarayan Houston Methodist Research Institute Jeffrey Miner Washington University Eduardo Torres U of Massachusetts Medical School Tom Misteli National Cancer Institute George Truskey Duke University Ashby Morrison Stanford University Tetsuro Wakatsuki InvivoSciences, Inc Marsha Moses Boston Children’s Hospital Alan Waldman University of South Carolina Elizabeth Nabel National Heart, Lung & Blood Institute Kenneth Walsh University of Virginia Timothy Osborne Sanford Burnham Medical Research Institute Steve Warren Emory University School of Medicine Junko Oshima U. of Washington Howard Worman Columbia University Bryce Paschal U. of Virginia Tom Wight Hope Heart Institute Hamel Patel U. Of California, San Diego Joseph Wu Stanford University Mary Patti Joslin Diabetes Center Feng Zhang The Broad Institute Taihao Quan University of Michigan Yu Shrike Zhang Brigham and Women's Hospital Joseph Rabinowitz Temple University Alessandra Zonari OneSkin Technologies
International Cell & Tissue Bank Recipients Recipient Institution Country Recipient Institution Country AndreaAblasser Global Health Institute Switzerland GerardoFerbeyre Université de Montréal Canada Centro Nacional de Investigaciones Center for Neuroscience and Cell Biology (CNC) Vicente Andrés Garcia Spain Lino Ferreira Portugal Cardiovasculares Marco Foiani Instituto FIRC di Oncologia Molecolare ItalyMartin Samuel Benchimol York University Canada Martin Bergö Karolinska Institutet Sweden Alain Garnier Université Laval Canada Enrico Bertini Ospedale Pediatrico Bambino Gesù Italy Yosef Gruenbaum The Hebrew University of Jerusalem Israel Michael Blank Bar Ilan University Israel Nady El Hajj Hamad bin Khalifa University Qatar Antonio Campos de Robert Hegele University of Western Ontario Canada Federal University of Rio de Janeiro Brazil Carvalho Ana Carrera Centro Nacional de Biotecnologia Spain Andreas Hermann University of Dresden Germany Gordon Chan University of Alberta Canada Corinne Hoesli McGill University Canada INEBIR- Instituto par el estudio de la Republic of Korea Mario D. Cordero Spain Junho K Hur Kyung Hee University Biologia de la Reproduccion Human Lynne Cox University of Oxford England Max-Planck-Institute of Molecular Cell Biology and Anthony Hyman Germany Genetics Ulrich auf dem Thomas Dechat Medical University of Vienna Austria Keller Technical University of Denmark Denmark Annachiara DeSandre- Laboratoire de Génétique Moléculaire France Jan Korbel European Molecular Biology Laboratory Germany Giovannoli Jerome Dejardon Institute of Human Genetics France Leonard Kubben Institute for Molecular Biology Germany Karima Djabali TU-Munich Germany Christian Kubisch Institute of Human Genetics Germany Ma Dongrui Singapore General Hospital Singapore Varun Kumar Uniklinikum Heidelberg Germany J. El Molto Molecular World, Inc Canada Kirsztian Kvell University of Pecs Hungary Ulsan National Institute of Science & Technology Maria Eriksson Medicinsk Naringslara Sweden Taejoon Kwon Korea Christopher Eskiw Saskatchewan University Canada CNR Institute of Cellular Biology & Chiara Lanzuolo Italy
International Cell & Tissue Bank Recipients Recipient Institution Country Recipient Institution Country Caterina La Porta University of Milan Italy Fiorella Piemonte Ospedale Pediatrico BambinoGesù Italy Delphine Larrieu University of Cambridge England Neale Ridgway University of Halifax Canada Lucia Latella National Research Council(CNR) Italy Claudia Ruebe Saarland University Germany Giovanna Lattanzi ITOI-CNR Unit of Bologna Italy Kanaga Sabapathy National Cancer Centre Singaport Singapore Jean-Marc Lemaitre Institute of Functional Genomics France Isabella Saggio Sapienza University of Rome Italy Nicolas Levy Génétique Médicale et Développement France Kanda Sangthongpitag Experimental TherapeuticsCentre Singapore Ulsan National Institute of Science and Chunghun Lim Technology South Korea Yasuhiro Shimoyima Shinshu University Japan Baohua Liu Shenzhen University China Ok Sarah Shin Korea University Guro Hospital Korea Elsa Logarinho Instituto de Biologia Molecular e Celular Portugal Sanjay Sinha University of Cambridge England Jun Lu Northeast NormalUniversity China Michael Speicher Medical University of Graz Austria Frank Lyko German Cancer Research Institute Germany William Stanford University of Toronto Canada Thorston Marquart University of Münster Germany Michael Walter University of Münster Germany Felipe Alonso Massó National Institute of Cardiology Ignacio Mexico Herbert Waldman Max Planck Institute Germany Rojas Chávez Scott Maynard Danish Cancer Society Research Institute Denmark Miguel Weil Tel Aviv university Israel Ohad Medalia University of Zurich Switzerland Jesús Vazquez Cobos Haoyue Zhang Spain Denis Mottet University of Liège Belgium Ulrich auf dem Keller Maastricht University The Netherlands Silvia Ortega-Gutiérrez Universidad de Complutense de Madrid Spain Haoyue Zhang Shenzhen Bay Laboratory China Max Perutz Labs, Medical Universityof Selma Osmanagic-Myers Vienna Austria Alex Zhavoronkov Federal Clinical Research Centre Russia Bum-Joon Park Pusan National University South Korea Zhongjun Zhou University of Hong Kong China Center for Neuroscience and Cell Luis Pereira de Almeida Biology (CNC) Portugal
PRF Medical & Research Database Program Goals: Collect the patient health records for living and deceased children with Progeria Obtain long-term clinical data Abstract data for longitudinal and cross- sectional analyses Better understand the clinical disease process in Progeria and aging related diseases Develop treatment strategies and recommendations for health care professionals and families © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
How The PRF Medical & Research Database Works Project staff obtain the patient’s medical records and film studies from birth throughout the participant’s lifespan. Medical records include visits to: primary care physicians, specialty physicians, hospital emergency rooms, hospital admissions, dentists, physical therapy, occupational therapy and school health records. Retrospective data abstraction protocol allows for specifically targeted or broad spectrum of data. Enrollment information available at: https://www.progeriaresearch.org/medical- database/ © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Medical & Research Database Participation Argentina 198 Participants are enrolled from countries and US territory Libya, Mexico Australia Morocco, Nepal Bangladesh Netherlands Belgium Brazil Oman, Pakistan Canada, Chile Peru, Philippines China, Columbia Poland, Portugal Denmark Puerto Rico Dominica Republic Romania, Russia Egypt, England Senegal, Serbia France, Germany South Africa Guatemala, South Korea Guyana Spain, Sri Lanka Honduras, India Suriname, Sweden Indonesia, Ireland Tanzania, Togo Israel, Italy Turkey, Ukraine Japan, Kazakhstan USA, Venezuela Vietnam © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Database Longitudinal Enrollment Children Enrolled in The PRF Medical & Research Database and the Countries of Residence 250 Cumulative Number of Countries Cumulative Number of Participants Number of Participants and Countries 198 200 187 183 176 164 152 147 150 132 126 117 111 99 100 85 77 70 59 48 50 43 31 51 51 53 47 48 39 41 42 43 20 20 34 35 36 27 27 31 13 16 17 22 11 11 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Oct, 2021 Year © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Types Of Data Collected Participants with Medical Records Reports: 166 Participants with Radiology Studies: 65 160° © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF Weighing-In Program A sub-program of The PRF Medical & Research Database Collects weight-for-age data prospectively: Home scale provided by PRF Parents weigh child weekly or monthly Report weights electronically © 2021 The Progeria Research Foundation. All Rights Reserved.
Weighing-In Program Participation 122 Participants are enrolled from countries and US territory Argentina Nepal Australia Pakistan Bangladesh Peru Belgium Philippines Brazil Poland Canada Portugal China Puerto Rico Colombia Romania Denmark Russia Dominion Republic Senegal England South Africa Germany South Korea Guatemala Spain Honduras Sri Lanka India Togo Indonesia Tanzania Ireland Turkey Israel Ukraine Weighing in Participants Around the World Italy As of April 1, 2019 USA Japan Venezuela Mexico Vietnam Morocco © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Participants Enrolled In The PRF Weighing-In Program and Countries of Residence Number of Countries 140 Number Enrolled and Number of Number Enrolled 118 122 120 106 Countries (Cumulative) 99 100 88 77 80 80 74 60 56 49 44 40 43 39 42 34 37 29 30 31 20 24 26 20 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Year © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Clinical Trials And The Weighing-In Program Data from this program were key in the development of primary outcome measure for the first drug treatment trial for Progeria. As of December 1, 2018, children from The PRF Weighing-In Program have entered clinical treatment trials using this data. Failure to Thrive Starts Towards End of Year One
PRF-Funded Clinical Treatment Trials © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Clinical Drug Treatment Trials Goals: To define the natural history of HGPS in quantifiable terms that will expand our ability to measure treatment outcome To assess the safety of new treatments for HGPS To measure effects of treatments for children with HGPS on disease status, changes in health, and survival © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Current Therapeutic Intervention Strategies Key Properties of Preprogerin/Progerin not farnesylated; Farnesyl-PP + Preprogerin 1 terminal CaaX box Farnesyl Lonafarnib transferase Preprogerin 2 farnesylated Zmpste24 farnesylated; Preprogerin 3 terminal aaX cleaved ICMT farnesylated; carboxymethylated mTOR Autophagy Progerin Everolimus Post-translational processing and medications currently under investigation in clinical treatment trials for Progeria. Items in green = enzymes. Items in red = clinical trial medications that inhibit corresponding enzymes. Lonafarnib is a farnesyltransferase inhibitor. Everolimus is a rapamycin analogue that inhibits mTOR and promotes cellular autophagy. FT=farnesyltransferase. © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF Funds Clinical Treatment Trials Year Drug(s) Phase Location # Countries 2007- Lonafarnib 2 Boston 29 16 2010 Lonafarnib 2009 Pravastatin Feasibility Boston 5 2 Zoledronate Lonafarnib 2009- Pravastatin 2 Boston 45 24 2013 Zoledronate 2014- Lonafarnib 2 Boston 71 32 present 2016 – Lonafarnib 1/2 Boston 60 27 present Everolimus 2018 - 48 from 26 countries enrolled Lonafarnib 2 Boston present as of October 1, 2021
Participation in PRF Clinical Trials Argentina Morocco Australia 99 Children have participated in PRF Clinical Trials from 40 countries Pakistan Belgium Peru Brazil Philippines Canada Poland China Portugal Colombia Romania Denmark Russia Dominican Republic Serbia Egypt South Africa England South Korea Germany Spain Honduras Sri Lanka India Suriname Israel Sweden Italy Tanzania Japan Togo Libya Turkey Mexico Ukraine USA Venezuela © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Treatment Trial Collaborations For Success The children are seen by physicians from: Boston Children’s Hospital Dana-Farber Cancer Institute Brigham and Women’s Hospital Data were also generated by scientists from: Alpert Medical School at Brown University Brown University School of Public Health University of California Los Angeles National Human Genome Research Institute Schering-Plough Research Institute Lonafarnib generously provided by Eiger Everolimus generously provided by Novartis © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Clinical Treatment Trial Efficacy Results Lonafarnib, a type of farnesyltransferase inhibitor (FTI) is our first treatment for Progeria. Results showed improvement in: Rate of weight gain Increased vascular distensibility Improved bone structure Better neurosensory hearing Increased Lifespan Gordon et al, PNAS, 2011 © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Clinical Trial Publications Drug Effect: Association of Lonafarnib Treatment vs No Treatment With Mortality Rate in Patients With Hutchinson-Gilford Progeria Syndrome. Gordon et al, JAMA, 2018, 319(16):1687-1695. Survey of Plasma Proteins in Children with Progeria Pre-therapy and On-Therapy with Lonafarnib. Gordon et al, Pediatric Research, 2018 Jan 17. Epub Ahead of Print. Clinical Trial of the Protein Farnesylation Inhibitors Lonafarnib, Pravastatin, and Zoledronic Acid in Children With Hutchinson-Gilford Progeria Syndrome. Gordon et al, Circulation, 2016 Jul 12;134(2):114-25. Seeking a Cure for One of the Rarest Diseases: Progeria. Collins FS. Circulation, 2016 Jul 12;134(2):126-9. Impact of Farnesylation Inhibitors on Survival in Hutchinson-Gilford Progeria Syndrome. Gordon et al, Circulation, 2014 Jul 1;130(1):27- 34. Moving from Gene Discovery to Clinical Trials in Hutchinson-Gilford Progeria Syndrome. King et al, Neurology, 2013 Jul 30;81(5):408-9. Clinical Trial of a Farnesyltransferase Inhibitor in Children with Hutchinson-Gilford Progeria Syndrome. Gordon et al, Proceedings of the National Academy of Sciences, 2012 Sep 24. Neurologic Features of Hutchinson-Gilford Progeria Syndrome after Lonafarnib Treatment. Ullrich et al, Neurology, 2013, 81:427-430. General: Phenotype and Course of Hutchinson-Gilford Progeria Syndrome. Meredith et al, New England Journal of Medicine, 2008, 358(6): 592- 604. Pubertal Progression in Adolescent Females with Progeria. Greer et al, Journal of Pediatric and Adolescent Gynecology, 2017 Dec 17. Epub Ahead of Print. Dermatology: Initial Cutaneous Manifestations of Hutchinson-Gilford Progeria Syndrome. Rork et al, Pediatric Dermatology,2014,1-7. © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Clinical Trial Publications Continued Dental: Hutchinson-Gilford Progeria Syndrome: Oral and Craniofacial Phenotypes. Domingo et al, Oral Diseases, 2009, 15(3):187-195. Cerebrovascular: Imaging Characteristics of Cerebrovascular Arteriopathy and Stroke in Hutchinson-Gilford Progeria Syndrome. Silvera et al, American Journal of Neuroradiology, 2013 May;34(5):1091-7. Cardiology: Cardiac Abnormalities in Patients With Hutchinson-Gilford Progeria Syndrome. Prakask, et al, JAMA Cardiology, 2018, Apr 17;115(16):4206-4211. Mechanisms of Premature Vascular Aging in Children with Hutchinson-Gilford Progeria Syndrome. Gerhard-Herman M, et al., Hypertension. 2012 Jan;59(1):92-97; Epub 2011 Nov 14. Skeletal: Hutchinson-Gilford progeria is a skeletal dysplasia. Gordon,et al., Journal of Bone and Mineral Research. 2011Jul;26(7):1670-9. A Prospective Study of Radiographic Manifestations in Hutchinson-Gilford Progeria Syndrome. Cleveland et al, Pediatric Radiology, 2012 Sep;42(9):1089- 98. Epub 2012 Jul 1. Craniofacial Abnormalities in Hutchinson-Gilford Progeria Syndrome. Ullrich et al, American Journal of Neuroradiology. 2012 Sep;33(8):1512-8. Extraskeletal Calcifications in Hutchinson-Gilford Progeria Syndrome. Gordon, CM et al. Bone. 2019 Aug;125:103-111. Epub 2019 May 8. . Skeletal maturation and long-bone growth patterns of patients with Progeria: a retrospective study. Tsai, A et al,The Lancet. Child and Adolescent Health. 2021. ePub 2021 Feb 28. Ophthalmology: Ophthalmologic Features of Progeria. Mantagos et al., American Journal of Ophthalmology, 2017 Jul 27. Audiology: Otologic and Audiologic Manifestations of Hutchinson-Gilford Progeria Syndrome. Guardiani et al, The Laryngscope, 2011, 121(10): 2250-2255. Microbiome at Sites of Gingival Recession in Children with Hutchinson-Gilford Progeria Syndrome. Bassir et al. Journal of Periodontology. 2018, 89(6): 635-644. © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF Grants Program Program Goals: Attract high level researchers to the field of Progeria, and provide the ability for them to thrive in the field Foster researchers of interest to PRF’s mission Encourage high quality publications Stimulate novel research that will lead to larger grants from other resources such as NIH, Ellison Foundation, and others Projects that are likely to lead to clinical treatment trials within 5 years Development of gene and cell based therapies to treat Progeria Grants program information available at https://www.progeriaresearch.org/research-funding-opportunities/ © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF Medical Research Committee Volunteer MRC Reviews Grant Applications Semi-annually Back Row (L to R): Tom Glover PhD, Vicente Andrés Garcia PhD, Tom Mistelli PhD, Maria Eriksson PhD, W Ted Brown MD, PhD, Frank Rothman PhD (emeritus), Bryan Toole PhD(chair) Front Row (L to R): Monica Kleinman MD, Christine Harling-Berg PhD, Judy Campisi PhD, Leslie Gordon MD, PhD, Marsha Moses PhD © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF Granting Structure PRF’s research focus is highly translational. Topics must fall within the following research priorities: Projects that are likely to lead to clinical treatment trials within 5 years. This includes the discovery and/or testing of candidate treatment compounds in cell-based or animal models of HGPS. Only proposals that test compounds in a progerin-producing animal or cell model will normally be considered. Analyses in non progerin-producing models are acceptable, but only as a comparison to progerin-producing models and with strong justification. Development of gene-and cell-based therapies to treat Progeria Assessment of natural history of disease that may be important to developing outcome measures in treatment trials (preclinical or clinical) Phase I Proposals: Awards are typically for 1-2 years in the range of $75,000/year. PRF will conduct a thorough cost analysis for each project during evaluations of submissions. Required Qualifications. Principal investigators must hold a faculty appointment or equivalent. Awards will be granted only to applicants affiliated with institutions with 501(c)3 tax-exempt status, or the equivalent for foreign institutions. Letter of Intent (LOI). A letter of intent is required and must be approved before a full application will be considered. Instructions to submit a Letter of Intent and grant application information, can be found at https://www.progeriaresearch.org/grant-application/. © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Grant Funding Rates And Topics As of September 30, 2021, The PRF funding rate is 31% Since inception 261 grant application received and 80 funded PRF has funded 68 principal investigators from 54 institutions in 14 countries Lamina A, progerin, Lamin B in HGPS and aging Genetics and nuclear function Preclinical Drug Therapy Molecular Abnormalities and Therapies Vascular Pathology Mouse Models Stem Cell Investigations and Therapy Clinical Trials © 2021 The Progeria Research Foundation. All Rights Reserved. * Submissions include Letters of Intent and Full Grants
USA PRF Grantees GRANTEE NAME INSTITUTION GRANTEE NAME INSTITUTION Richard Assoian University of Pennsylvania Joan Lemire Tufts University of Medicine Jemima Barrowman Johns Hopkins University Jason Lieb University of North Carolina Juan Carlos Belmonte Salk Institute for Biological Studies David Lui Broad Institute The Institute for Basic Research in Developmental Ted Brown Disabilities Monica Mallampalli The Johns Hopkins School of Medicine Abigail Buchwalter University of California, San Francisco Susan Michaelis The Johns Hopkins School of Medicine Kan Cao NIH; University of Maryland Thomas Misteli National Cancer Institute Harvard Medical School; Boston Children’s Christopher Carroll Yale University Marsha Moses Hospital Francis Collins National Institute of Health Junko Oshima University of Washington Lucio Comai University of Southern California Bryce Paschal University of Virginia John P. Cooke Houston Methodist Research Institute Joseph Rabinowitz Temple Medical School Kris Dahl Carnegie Mellon University John M. Sedivy Brown University Jed W. Fahey Johns Hopkins School of Medicine Dale Shumaker Northwestern University Toren Finkel NIH Michael Sinensky East Tennessee State University Loren Fong UCLA Brian Snyder Beth Israel Hospital Michael Gimbrone Brigham & Women's Hospital Dylan Taatjes University of Colorado Thomas W. Glover University of Michigan Jakub Tolar University of Minnesota Robert Goldman Northwestern University Katherine Ullman University of Utah Leslie B. Gordon Tufts University School of Medicine; Brown U. Thomas Wight Benaroya Research Institute John Graziotto Massachusetts General Hospital Katherine Wilson Johns Hopkins University Brian Kennedy Buck Institute for Research on Aging Stephen Young UCLA Jan Lammerding Cornell University Yue Zou East Tennessee State University Dudley Lamming University of Wisconsin Madison © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
International PRF Grantees GRANTEE NAME INSTITUTION COUNTRY Vicente Andrés Garcia Centro Nacional de Investigaciones Cardiovasculares Spain Samuel Benchimol York University, Toronto Canada Martin Bergö Karolinska Institute Sweden Claudia Cavadas University of Coimbra Portugal Jesús Vázquez Cobos Centro Nacional de Investigaciones Cardiovasculares Spain Mario Cordero Biomedical Research and Innovation Institute of Cadiz (INIBICA) Spain Thomas Dechat Medical University of Vienna Austria Karima Djabali Technical University of Munich Germany Maria Eriksson Karolinska Institute Sweden Gerardo Ferbeyre Université de Montreal Canada Célia Ferreira de Oliveira Aveleira University of Coimbra Portugal Roland Foisner Medical University of Vienna Austria Chiara Lanzuolo Instituto Nazionale Genetica Molecolare Italy Giovanna Lattanzi University of Bologna Italy Elsa Logarinho University of Porto Portugal Evgeny Makarov Brunel University England Silvia Ortega-Gutiérrez Universidad Complutense de Madrid Spain Bum-Joon Park Pusan National University Korea Isabella Saggio Sapienza University of Rome Italy Charlotte Sorenson Centro Nacional de Investigaciones Cardiovasculares Spain William Stanford University of Toronto Canada Colin Stewart Institute of Medical Biology Singapore Ricardo Villa-Bellosta Instituto de Investigación Sanitaria - Fundación Jiménez Díaz Spain Anthony Weiss University of Sydney Australia Zhongjun Zhou University of Hong Kong China © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
PRF Scientific Meetings Meeting Goals: To promote collaboration between basic and clinical scientists toward progress in Progeria, 13 cardiovascular, and aging research PRF has held 13 international scientific meetings. 2020 PRF Workshop Webinar © 2020 The Progeria Research Foundation. All Rights Reserved.
International Workshops Promoting Global Interest In Progeria, Cardiovascular Disease And Aging These are large multi-day workshops open to all scientists. Clinical and basic researchers spend intense days sharing data and planning new collaborations for progress towards treatments and cure. Various NIH Institutes have funded all international workshops through R13 and other granting mechanisms Other organizations have also generously sponsored workshops © 2021 The Progeria Research Foundation. All Rights Reserved.
Growth of Global Interest In PRF Workshops 400 Number of Posters 377 350 Registrant Countries 300 Registrant Number 250 Number 200 180 173 156 140 150 100 90 100 56 56 52 50 46 46 50 30 36 20 18 14 14 3 5 10 10 10 0 2001 2003 2005 2007 2010 2013 2016 2018 2020 PRF Workshop Year 2020 was a webinar. Posters N/A © 2020 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Subspecialty Scientific Meetings Small, focused meetings designed to promote and support work in areas of high interest for Progeria First Genetics Consortium Meeting – “Searching for the Progeria Gene”, August 23, 2002, Brown University, Providence, RI Second Genetics Consortium Meeting – “Post- gene Discovery”, July 30, 2003, Bethesda, MD Bone Marrow Transplant Meeting – “Forging Ahead by Exploring Potential Treatments”, April 25-26, 2004, National Institutes of Health, Bethesda, MD New Frontiers in Progeria Research (2012), Boston, MA © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
Scientific Publications As of September 21, 2021: Scientific articles have been published citing The Progeria Research Foundation 170 Grants Funding Program 104 Scientific articles have been published citing PRF Cell & Tissue Bank resources: 99 Publication list at www.progeriaresearch.org/prf-cell-and-tissue-bank- publications/ 28 Scientific articles have been published citing The PRF Medical & Research Database: Publication list at www.progeriaresearch.org/medical-database/ 23 Scientific articles have been published from clinical trial data See slide #55 and #56 4 Scientific articles have been published concerning PRF Scientific Workshops 23 © 2021 The Progeria Research Foundation. All Rights Reserved.
Progeria Clinical Care Handbook The Progeria Handbook 2nd Edition. A Guide for Families & Health Care Providers of Children with Progeria. The Progeria Research Foundation. Leslie B. Gordon MD, PhD; Medical Director (editor) 2019. Provided in Chinese, English, Japanese and Spanish Expert contributors from Boston Children’s Hospital Number of Progeria Care Handbooks distributed to families of those with Progeria and their care givers: 825 © 2021 The Progeria Research Foundation. All Rights Reserved. As of October 1, 2021
The Progeria Research Foundation Finding… Diagnosing… Studying… Treating… CURING Together We WILL Find The Cure! www.progeriaresearch.org © 2021 The Progeria Research Foundation. All Rights Reserved.
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