Medical Biotechnology and Drug Development Summer 2016 Session II - Study ...

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Medical Biotechnology and Drug Development Summer 2016 Session II - Study ...
Medical Biotechnology and Drug Development
      Summer 2016
      Session II
      Course Schedule
      Tuesday, June 14- Friday, July 1
      Location: Vestergade 10-A12 (unless stated otherwise)
      Copenhagen Component: Tuesday, June 14 – Friday, June 17 and Monday, June 27 – Friday, July 1.
      There will be 8 teaching days and one day with a final exam during the Copenhagen portion of the course.
      Edinburgh Component (Study Tour): Monday, June 20 – Friday, June 24

      Instructor
                          Susana LS Dietrich
                          Assistant Program Director of Science & Health, DIS.
                          Ph.D. (Biomedical Sciences, University of Porto, Portugal, 2007). M.Sc. (Biotechnology, De
                          Monfort University, 1998), Licenciatura (Microbiology, Portuguese Catholic University, Por-
                          tugal). Post-doc positions in immunology and microbiology (Biomedical Center, Lund Univer-
                          sity, Sweden; Biotech Research and Innovation Center, and Center for Medical Parasitology,
                          Copenhagen University, Denmark). With DIS since 2011.
                          Email:

                          Richard Karlsson
                          Ph.D. (Molecular Medicine, Lund University, Sweden, 2003) M.Sc. (Molecular Biology, Lund
                          University, 1996). IHCRA at PRA Health Sciences (since 2015). Post-doc (Inst. of Biomedical
                          Sciences, Univ. of Copenhagen, Denmark, 2011), Sales Manager Life Science (S & W, 2006),
                          Research Assistant (Dept. of Tumor Immunology, Lund University, 1999), Laboratory Engi-
                          neer (Pharmacia-Upjohn, 1997). With DIS since 2013.
                          Email:

      DIS Contacts
      Lisbeth Borbye, Program Director
      Cameron Matticks, Program Assistant, phone:
      Science & Health Office, Vestergade 10- B12

      Description of Course
      The emphasis of the course is on biomedicine, drug discovery & development, showcased through a focus on
      the European pharmaceutical and biotech research community.

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                           1
You will learn about the general principles of drug discovery & development, including safety, toxicology, for-
      mulation, registration, and clinical trials. The course will explore the opportunities and challenges biotechnolo-
      gy has for medicine such as the different new types of biotechnological drugs, gene therapy, personalized med-
      icine, stem cells, genetically engineered animals, and others.
      The course will incorporate some group work in class, as well as a group study tour assignment.
      Group work will prepare you for working environments in professional life, where people with different back-
      grounds collaborate with a common goal.

      Prerequisites
      One year of biology and one year of chemistry at university level.

      Learning objectives
      Upon completion of this course, students will be able to:

              Give a basic explanation of biomedical drug discovery and development

              Review characteristics and principles of biotechnological tools, methods, and classes of drugs

              Research biotechnological information and present it in a clear and critical way

              Participate actively and critically in discussions of biotechnology and different types of drugs in class
               and with biomedical professionals

              Assess the challenges that researchers and people working in the biopharmaceutical area are faced
               with when dealing with drug discovery and development

      Texts & Readings
              Edited by Daan J. A. Crommeling and Robert D. Sinclair: Pharmaceutical Biotechnology – An Introduc-
               tion for Pharmacists and Pharmaceutical Scientists. Third Edition, 2007, Taylor and Francis. (hereafter
               referred to as PB)

              H. P. Rang: “Drug discovery and development – technology in transition”, Churchill Livingstone/Elsevier,
               2006. (hereafter referred to as DDD)

              Reading compendium (hereafter referred to as RC)

              Additional readings will be found on Canvas

      Course components
      Lectures, class discussions, solution sessions (alone/in groups), case studies, group assignments and presenta-
      tions, field studies and guest speakers.

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                            2
Evaluation
               Participation                                                        10%
               Test                                                                 20%
               Study tour assignment                                                20%
               Drug development Project                                             20%
               Final                                                                30%

      Participation
      Participation is determined by attendance, preparation and engagement in class. Students are expected to
      attend every course meeting, and attendance will be actively monitored; this will also help me learn your
      names. If you are ill and unable to come to class you must email the instructors. Points will be deducted from
      your grade for more than one “unexcused” absence. If you miss multiple classes, the Director of Teaching and
      Learning and the Director of Student Affairs will be notified; both will follow-up with you to make sure that all
      is well.
      To prepare for each day, you are required to read all assigned material using the study questions for that day,
      participate in a survey on Canvas, and vote on the most challenging study questions. Based on those results,
      class time will be more focused on certain areas of study.
      Students will also be asked to address some of the study questions in class: this will be a part of the evaluation
      parameter, “preparation.” For those students that did not have a chance to share their input in class, they will
      have the opportunity to do so on Canvas:
          a. On the discussion board there will be an open “Continue today’s class discussion/debate”, where stu-
               dents can share thoughts/questions related to the topic discussed in class
          b. If relevant, there will also be a specific question/topic related to the day’s class, to which students can
               address/answer/debate on Canvas. The participation of the students in these debates will be taken in-
               to consideration when the student’s participation assessment is made.

      Tests
      There will be a 40-minute test on Drug discovery and development, and a comprehensive final exam. Tests will
      be formatted to contain the following types of questions:
           Information recall
           Concept explanation and synthesis
           Problem analysis

      Field studies
      Wednesday, June 29: 13:00-16:00: Novo Nordisk

      Practical Information
      Please make sure to read all the material assigned; the reading material and the websites have been carefully
      chosen and are pertinent to your success in Medical Biotechnology and Drug Development. You have an obliga-
      tion to your fellow classmates and yourself to come prepared to class.

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                           3
Questions and feedback
      If you have questions regarding the readings, lectures, or assignments, you are always welcome to contact us
      by email. You can also email Program Assistant Cameron Matticks, , to set up an appointment or ask a ques-
      tion. The Program Director for this course is Lisbeth Borbye,. Both the Program Assistant and the Program Di-
      rector can be found in the Science and Health office in Vestergade 10 B12.

      Academic Honesty: Plagiarism and Violating the Rules of an Assignment
      DIS expects that students abide by the highest standards of intellectual honesty in all academic work. DIS as-
      sumes that all students do their own work and credit all work or thought taken from others. Academic dishon-
      esty will result in a final course grade of “F” and can result in dismissal. The student’s home universities will be
      notified. DIS reserves the right to request that written student assignments be turned in electronic form for
      submission to plagiarism detection software. See the Academic Handbook for more information, or ask your
      instructor if you have questions.

      Disability resources: Any student who has a need for disability accommodations should contact Sean Green, ,
      to coordinate this. Upon DIS approval, students should inform the instructor of accommodations within the
      first 2 days of class

      Use of Laptops or Phones in Class
      Use of phones in class is not allowed. Laptop use is allowed for group and project work only.

      Policy on late papers and/or assignments: Late assignments will be accepted, but your grade for the paper will
      be reduced by half a letter grade for each day that it is late.

      DIS Canvas
      DIS Canvas is a web-based system that allows you to access course resources and communicate with your
      classmates and faculty. To access the DIS Canvas, you can go to the DIS homepage and click the ‘DIS Canvas’
      link, or go to: disabroad.instructure.com/. You can also download the Canvas App (By: Instructure) on iPhone
      and Android mobile smart phones.

      For each class there is a set of study questions related to the topic. These are to help you go through the mate-
      rial. There is a survey on “which questions were challenging” for each set of study questions. Before each class,
      you are expected to use the survey to indicate which study questions you found difficult. This helps the teacher
      to during class to focus on the areas perceived as most challenging.

      Announcements will be posted with relevant information on the front page and emails can also be directed
      toward you from this page regarding the class.

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                             4
Study Tour
      Study tour dates: Monday June 20- Friday June 24.
      Location: Edinburgh, Scotland

      Objectives:

              To learn about the newest and most innovative biotechnology-based methods for diagnosis and treat-
               ment of disease through academic visits
              To observe the dynamics of drug discovery and development through visiting biomedicine and biotech
               research facilities
              To meet some of the players active in the transfer of technology from university to business and ex-
               plore their work
              To explore the differences between Denmark, the US and UK within the Biomedicine field
              To visit cultural landmarks and institutions in the historical cities of Denmark and Europe
              To develop questions for further learning/research
              To engage in your personal learning process outside the classroom by actively participating and chal-
               lenging your current ideas and assumptions.
              To get to know your fellow students and professor in an educational and social setting outside DIS.

      Study tour assignment (You will receive a more detailed hand-out of ST Assignment in class)

      Assignment will be carried out in groups.

      Final group presentation in class on Thursday June 30.

      Reflection Write up due on Thursday June 30.

      Drug development Project (You will receive a more detailed information in class)

      As a group, you will research the clinical development of a drug by a Scandinavian Biotechnology/Drug Devel-
      opment company of your choosing. The drug must currently be or have recently been in clinical development.

      You will present your work orally in class.

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                       5
LECTURE                                  TEXT
                                               Week I (June 14 – June 17)
      Tuesday          *Pick Up your textbooks and compen-
      June 14          dium before or after classes today, DIS
                       Book pick up: Tuesday June 14, 13.00-
                       20.00, Vestergade 23 – 2nd floor

      13.30- 15.30     Introduction to the course                  DDD: Chapter 1: “The Development of the
                       - What is biotech?                          pharmaceutical industry”, p. 14-18 (Concluding
      Susana           - History of biotech                        remarks)
      Dietrich (SD)    - Why biotech in Denmark?                   Chapter 3: “Therapeutic modalities”, p. 34-40
                                                                   (from conventional therapeutic drugs).
                                                                   Chapter 4: “The Drug discovery process: general
                       Overview of drug discovery and              principles and some case histories”, p. 43-46
                       development process                         (until “Some case stories”) + p. 50 (“Comments
                       - Phases in DD & DD                         and Conclusions”).
                       - Introduction to pharmacology              Chapter 14: “Drug development: introduction”,
                       - Terms and concepts                        p. 203-209.
                       - Small molecules vs. biopharma-
                                                                   Links on CANVAS:
                          ceuticals
                                                                   Biotechnology industry - E&Y Report 2013

                                                                   RC: Chapter 2: “The drug development pro-
                                                                   cess”, p. 29-33.
      Wednesday
      June 15

      8.30- 9.50       Drug discovery                              DDD: Chapter 2: “The nature of disease and
                       Guest lecture by Morten Grunnet             the purpose of therapy” p. 24-27 (until
                       Target identification                       “Pharmacoepidemiology and Pharmacoeco-
                       - Disease models                            nomics).
                       - Screening                                 Chapter 4: “The Drug discovery process: gen-
                       - Small molecule pharmacy con-              eral principles and some case histories”, p. 50-
                           trasted with biotech                    54 (from “The Stages of Drug Discovery until
                                                                   Project Planning).
                                                                   Chapter 6: “Choosing the target”, p. 63-65
                                                                   (until Conventional Strategies for Finding New
                                                                   Drug Targets).
                                                                   Chapter 11: Pharmacology: its role in drug dis-
                                                                   covery”, p. 157-59 (until “Interpretation of bind-
                                                                   ing assays”) + p. 161 (until “In vitro profiling”) +
                                                                   p. 164-169.

      10.00- 10.20     Introduction to Group work and
      Richard          Presentations
      Karlsson         Introduction to Drug Development
      (RK)             Assignment

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                                 6
10:30-12:00      Drug development                            DDD: Chapter 12: “Biopharmaceuticals”, p. 184-
                       - Formulation                               186 (from “Pharmacological, Toxicological and
      RK               - Delivery                                  Drug-Delivery issues with Proteins and Pep-
                       - Storage                                   tides”).
                       - Small molecule pharmacy con-              Chapter 14: “Drug development: introduction”,
                          trasted with biotech                     p. 203-209.
                                                                   Chapter 16: “Pharmaceutical development”, p.
                                                                   231-237 (Principles of Drug Delivery Systems).
                                                                   Chaper 22: “Drug discovery and development –
                                                                   facts and figures”, p. 329-330 (from “Pipelines
                                                                   and attrition rates”)

                                                                   RC: Chapter 3 by R. Lipp and E. Punger: “Formu-
                                                                   lation of Biotech products”, p. 35-47.

                                                                   Links on Canvas:
                                                                   Pharmacokinetic properties (from “As discussed
                                                                   in Chapter 8,…”)

      12:00-13:00      Lunch Break

      13:00-14:45      Clinical trials                             Links on Canvas:
                       - Ethics                                    “Q&A: Drug trials”
      RK               - Organization and planning                 “Drug volunteers’ ‘living hell’”
                       - Clinical trial from hell: TeGenero        “Doubt cast over drug trial safety”
                       - Patent law                                “Horror clinical trial in test tube recreation”

                                                                   RC: Chapter 4: “Patents in the Pharmaceutical
                                                                   Biotechnology Industry: Legal and Ethical Is-
                                                                   sues”, p. 48-54.
      15.00-16.00      Study Tour Orientation
                       - Introduction to Study Tour Assignment
      RK               - Practical Information
                       **Study Tour Groups Formed**

                       Drug Development group work
      Thursday
      June 16

      9:00-11:30       Group work
                       ** Study Tour Fact sheets are due by
                       16.00 via e-mail to Cameron Matticks
                       at

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                                 7
11:30-12:30      Lunch Break

      12:30-14:00      Peptides                                    PB: Chapter 5: “Pharmacokinetics and Pharma-
                       - Properties                                codynamics of Peptide and Protein Drugs”, p.
      SD               - Pharmacokinetics
                                                                   95-108.
                       - PEGylation
      Change of        - Hormones as example                       Chapter 7: “Genomics, Other “Omics” Technol-
      location:
                                                                   ogies, Personalized.”, p. 161-162.
      V10 – A33
                                                                   RC: Chapter 7: “Hormones”, p. 79-84.

      14:15-15:30      Safety assessment and toxicology            DDD: Chapter 15: “Assessing drug safety”, p.
                       Guest lecturer: Louise Lauritsen            211-222 (until other studies).
      Guest                                                        Chapter 20: “Regulatory affairs”, p. 294-296
                       -   From animal testing to clinical         (until “Environmental considerations”).
                           trials
                                                                   RC: Chapter 2: “The drug development pro-
                       -   Small molecule pharmacy con-
                                                                   cess”, p. 25-30.
                           trasted with biotech
      Friday
      June 17

      9:00-09:45       Test: Drug discovery and develop-
                       ment

      10:00-11:20      Genetics in target identification           DDD: Chapter 6: “Choosing the target”, p. 67-72
                       - Genomics and proteomics                   (from “New strategies for identifying drug tar-
      RK               - Microarray                                gets” until “Target Validation”).
                       - Bioinformatics
                       - Knockout mice                             Chapter 7: “The role of information, bioinfor-
                                                                   matics and genomics”, p. 82-89 (until “Phase 0
                                                                   clinical studies… ).

                                                                   Chapter 7: “The role of information, bioinfor-
                                                                   matics and genomics”, p. 77-79 (until “General
                                                                   principles for data mining”).

                                                                   PB: Chapter 7: “Genomics, Other “Omics” Tech-
                                                                   nologies, Personalized..”, p. 133-135 .

      11:20-13:00      Lunch Break

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                              8
13:00-14:30      Nucleotides                                 PB: Chapter 9: “Oligonucleotides”, p. 211-222.
                       - Antisense, triple helix, Transcription    RC: Chapter 5: “Aptamers as therapeutics”
      RK               factor decoys                               p.64-75. Note: the “Aptamers in the clinic”
                       - siRNA                                     should be considered as examples alone.
                       - Aptamers

      14:45-15:45      Biotech Group Presentation I + 2
                                                       Week II
                                               Study Tour to Edinburgh
                                            Monday June 20 – Friday June 24

                                                Week III (June 27 – July 1)
      Monday
      June 27

      9:00 – 12:00     Gene therapy                                PB: Chapter 8: “Gene therapy”, p. 175-185 (till
                       - Vectors, viral and non-viral              Adenoviruses) + 193-198 (till The role of drug)
      RK               - Ex vivo vs. in vivo                       202.
                       - Disease targets and examples of ap-       RC: Chapter 6: Product case study: Gendicine.
                       plications
                                                                    Links on Canvas:
                                                                    “Hemophilia B Gene Therapy Breakthrough”
                                                                   “A Shield Against Chemotherapy

                       Stem cells                                  PB: Chapter 7: “Genomics, Other “Omics” Tech-
                       - Introduction to stem cells                nologies, Personalized”, p. 162-165
                               o Types of stem cells               RC: Chapter 9: Regulatory Issues for Personal-
                               o Sources and uses of stem          ized Pluripotent Cells
                                   cells
                       - Paper debate/discussion                   Links on Canvas:
                               o Nat Methods paper                 “Small molecules facilitate rapid and synchro-
                                                                   nous iPSC generation”, Abstract, Introduction
                                                                   and Discussion

      12:00-13:30      Lunch Break

      13:30- 14:30     Group Presentation 3 + 4

      14:45 -15:45     Group Presentation 5 + 6

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                                 9
Tuesday
      June 28

      9:00-12:00       Immunology                                  Links on Canvas:
                       - General and specific immunity             Immunobiology’s Basic concepts in Immunology
      SD               - Cells of the immune defense               - p. 1 to 7 + 10 to 16 + 21 to 31 (until end 1-
                       - Interplay of the immune defense               20) + 33 (from 1-23) to 35
                          cell
                       - Immunogenicity of biopharmaceu-           PB: Chapter 6: “Immunogenicity of Therapeutic
                          ticals                                   Proteins”: p. 125-132.

      12:00-13:00      Lunch
      13:00- 14:20     Antibodies                                  PB: Chapter 15: “Monoclonal antibodies: From
                       - Structure and production                  structure to therapeutic Application”, 309+312-
                       - Therapeutic uses of antibodies            319.
                       - Examples                                  Chapter 16: “Monoclonal antibodies in cancer”,
                                                                   p. 354-356 (until Cetuximab).

                                                                   Links on Canvas: “Monoclonal Antibodies” (6)
      Wednesday
      June 29

      8:45-11:25       Vaccines I                                  Links on Canvas: Immunobiology’s “Modulating
                       Guest lecture by Jes Dietrich               the immune response to fight infection”: p. 577
      Guest            -Conventional vs. modern vaccines           – 586 (until 14.23) + p.587 – 588 (14.24 ) +
                       -Adjuvants                                  p.589 – 590 (14.26) + p.591 – 592 (14.28 and
                                                                   summary).

      SD               Vaccines II                                 PB: Chapter 21: p.412 (Conventional vaccines
                       - Vaccines recap                            onwards) – 425.
                       - Conventional vs. modern vaccines
                       - Therapeutic vaccine examples
                       - Adjuvants
                       - Immunization
                       - Cancer vaccines
                       - Immune complexes

      11:25            Go to Novo Nordisk (lunch will be
                       provided by DIS)

      13:00 –          Visit to Novo Nordisk
      16:00

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                           10
Thursday
      June 30

      9:00-11:30       Case study immunogenicity                    Links on Canvas:
                                                                    “Minimizing immunogenicity of biopharmaceu-
                                                                   ticals by controlling critical quality attributes of
                                                                   proteins”

      11:30-12:30      Lunch

      12:30- 14:30     Course wrap- up                             Details TBA
                       - Study Tour Assignment presenta-
                          tions
                       - Study tour Reflection write up due

                       Course concluding social
                       Details TBA

      Friday
      July 1

      10:00-12:00      Final Cumulative Exam

Medical Biotechnology and Drug Development Session II| DIS – Danish Institute for Study Abroad |
Related Disciplines: Biology. Biomedicine/Biotechnology. Pre-Medicine/Health Science                                11
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