MyJobChart.com Hits the Road Fundraising News Patient Advocacy
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MyJobChart.com Hits the Road Fundraising News Patient Advocacy
courage FA L L 2 0 1 4 Volume 38 | No. 3 05 10 Celebrating MyJobChart.com Fundraising Our History Hits the Road News 16 21 Patient Advocacy 2014 Continuing Education Scholarship Recipients Salute to MPS Society’s Third Decade MPS families get a helping hand New sub-committees have big impact Focal points for the future A Bright Future 29 The National MPS Society’s office (ground floor on left). Do you have a personal story or an article idea for a future issue of Courage? Please write to us and remember to send photos! ISSUE SPRING S U B MI S S I O N C U T OF F DAT E January 1 ISSUE SUMMER S U B MI S S I O N C U T OF F DAT E April 1 ISSUE FALL S U B MI S S I O N C U T OF F DAT E July 1 To submit information to Courage, please send text (preferably via e-mail) to the address below. Photos should be labeled whenever possible. Please note cutoff dates. Any information received after these dates will be included in the subsequent issue. The articles in this newsletter are for informational purposes only, and do not necessarily reflect the opinions of the National MPS Society and its board of directors. We do not endorse any of the medications, treatments or products reported in this newsletter, and strongly advise that you check any drugs or treatments mentioned with your physician. Courage reserves the right to edit content as necessary. ISSUE WINTER S U B MI S S I O N C U T OF F DAT E October 1 National MPS Society PO Box 14686 / Durham, NC 27709-4686 t: 877.MPS.1001 / p: 919.806.0101 / f: 919.806.2055 e-mail: [email protected] / web: www.mpssociety.org contents TA B L E O F 02 Letter from the President 03 Letter from the Executive Director 04 Letter from the Development Director 04 Letter from the Program Director 05 Continuing Education Scholarship Recipients 09 Upcoming Events 10 Salute to Our Third Decade 12 Standing Ovation 16 Making Headlines 18 Fundraising News 22 Family News 23 Legislative Update 31 Research News 40 Resources and Helpful Information 46 T-shirt Order Form 49 Remembering Our Children 50Donations 51 New Members 52Classifications 53 Board of Directors 01 ON THE COVER Aidan Carter (MPS II) Brea Gates (MPS III) Holden Guilfoyle (MPS VI) M I S S I O N S TAT E M E N T The National MPS Society exists to find cures for MPS and related diseases. We provide hope and support for affected individuals and their families through research, advocacy and awareness of these devastating diseases. LETTER FROM THE 02 president HAPPY 40TH ANNIVERSARY, AGAIN! IN CONTINUED RECOGNITION of our 40th anniversary, please review the timeline on page 10 celebrating the Society’s third decade (1995–2004). This decade holds a special place in my heart as Amy and I were elected to the board of directors in 1998, I served as treasurer from 1999–2002 and began my first term as president in 2003. So I had a front row seat for most of these achievements. However, more important events during this decade include the hiring of Barb and Laurie, and the most important event—the very first FDA approval of a drug for an MPS disease, Aldurazyme for MPS I! In June, I had the opportunity to present testimony to the FDA on my family’s experiences with MPS over two days. The first day was dedicated to addressing reactions to enzyme replacement therapy, an issue often faced by MPS II families. The second day focused on the neurological effects on the inborn errors of metabolism, which includes all of the MPS diseases. See page 24. In addition to panel speakers, several MPS families participated in the group discussions. As a disease group, MPS was better represented than any other and I thank all of the families that participated. In August, I was able to attend the International MPS Symposium in Brazil. It is always exhilarating to meet with Society representatives of each of the countries and meet many individuals with MPS from the host country. See the picture of me on this page with several beautiful Brazilian young ladies with MPS I. You have often heard me exclaim over the increased pace of MPS research in recent years, and I must do so again. There are many different research projects that are at the cusp of entering the clinic and benefiting our kids. Many of these are beginning in 2015. I think we will some day look back and recognize 2015 as a pivotal year in beginning to treat many of our kids who have been waiting so long. The fall issue of Courage is always one of my favorites as it presents wonderful background information on the Continuing Education Scholarship recipients for the year. Please see those write-ups of both individuals with MPS and their siblings on page 5. These young people are the future of our Society. I also want to direct you to the Rising Sun Legacy Circle members listed on page 20. These individuals have accepted the challenge of remembering the Society through a planned gift. This is a relatively new program that we hope will grow each year. Find out more information on planned giving and how to add your name to the Rising Sun Legacy Circle on page 19. I know many of you are busy making plans to attend the Society’s 2014 Annual Family Conference at Disney in Orlando, FL, this December. The Society’s staff, board members and family volunteers have been hard at work planning another great conference that your whole family will enjoy. And who doesn’t love Disney? Let’s see if we can break our previous Disney conference record of 800 attendees. Don’t miss out! I hope to see you all there! r Steve Holland Steve Holland, Society president, with four Brazilian ladies in their 20s and 30s with an attenuated form of MPS I. LETTER FROM THE executive director THE ADAGE “A PICTURE IS WORTH A THOUSAND WORDS” definitely speaks to the photo shown here. The 13th International MPS Symposium was held in mid-August in Bahia, Brazil, and was attended by a unique blend of more than 1,000 professionals and families globally. Stephanie Bozarth, Steve Holland, Mark Dant and I represented the United States. The symposium emphasized education, collaboration and inspiration, with the focus on new therapies and treatments. Joining us at the farewell dinner were leaders from the Canadian, U.K., Irish and Turkish MPS Societies, plus Dr. Steve Walkley and Dr. Roberto Giugliani. Prior to the symposium, the International MPS Network met for two days. The network is comprised of leaders of our global MPS Societies, and we heard updates about proposed clinical trials and those in progress, all of which are reported in the research section of Courage. The next International MPS Symposium is July 14–17, 2016, in Bonn, Germany. The United States received conditional approval to host the 2018 symposium. We will submit a formal bid to the International MPS Network for final approval. A global survey of adults with MPS, sponsored by BioMarin, is in progress. BioMarin is hosting a meeting in October, bringing together experts involved in the management of MPS who have experience managing the transition to adulthood from both a medical (Standing, from l. to r.): Stephanie Bozarth, Barbara Wedehase, Steve Holland, Dr. Roberto Giugliani. (Seated from l. to r.): Christine Lavery (U.K.), Fer Pidden (Turkey), Mary Boushel (Ireland), Dr. Steve Walkley, Jonas Harkins, Kirsten Harkins (Canada), Mark Dant and social point of view. The goal is to define global messages which can be published and available to all professionals. We have entered a providential era whereby individuals with MPS have a future to look forward to, thanks to treatments, and we must be prepared to educate about their needs and provide the services required. about those grants in our next issue of Courage. Funding research grants comprises the largest percentage of the Society’s budget, showing the commitment of our members to our mission to find cures. In this era of reduced funding to the National Institutes of Health, our grants are critical for moving MPS research forward. The 10th anniversary of Naglayzme, the enzyme replacement therapy for MPS VI, will be celebrated in 2015! While in Brazil we met with the U.S. and U.K. primary investigators of the Naglazyme clinical trials, plus the U.K. MPS Society, to discuss how best to honor individuals whose participation in the clinical trials paved the way for final approval. The details are not finalized, but we will host an event for these individuals in the spring of 2015. Finally—Disney. Registrations continue to come in as people hear what a stellar program we have, plus the fun extras! We’re working on details for the prom, writing the program book so we’re ready to transfer it to our new conference app, and working with the Chapin family in Orlando on a couple of surprises, plus securing childcare volunteers. We have more adults registered for the SPIRIT conference than attended in Boston, which is fabulous! The deadline for registration for all three conferences and for the hotel is Nov. 26. We can’t wait to see you in a few months! r Read on page 34 about the research grants awarded so far this year. We are in the process of awarding our second group of grants for 2014, and we’ll have more information Barbara Wedehase 03 LETTER FROM THE DEVELOPMENT DIRECTOR 04 FALL MEANS WALK/RUNS, the Annual Fund and preparing for our Annual Family Conference at Disney! We are excited for attending families to learn about fundraising for cures at the fundraising concurrent session, which will include Disney magic and surprise takeaways. The Fundraising Committee will break into three subcommittees this year. Our focus is to help foster and grow fundraising campaigns. Read about these subcommittees on page 21. The 13th Annual Fund campaign is under way; you should have received information about this in the mail. We are honored to have Lynn Hopkins as chair for the 2014 Annual Fund. Lynn is the mother of Michelle Hopkins (MPS I). She shares her story of how Michelle’s fighting spirit led and host family and friends for a day or night of fun! Read more about the 2014 Annual Fund on page 18. their family through a heroic bone marrow transplant while waiting for research to develop for a cure for MPS I. The ability for the Society to continue valuable programs would suffer without your contributions to our Annual Fund. It supports Society operations, family support programs and our legislative advocacy efforts. Please make a donation and recruit friends, family and colleagues to our cause. Start an Annual Fund awareness event There are so many ways to raise funds for the National MPS Society! Be sure to check out the Fundraising Toolkit on the website under “Members Only.” Whether you have a Courage Page, bowla-thon, run a race, host a dinner party or try one of our Ask Events, we are here to help guide you to success. As always, we welcome your ideas and interest. If you would like to join one of our committees and help raise funds for the National MPS Society, contact me at [email protected]. r Terri Klein LETTER FROM THE PROGRAM DIRECTOR THE 28TH ANNUAL FAMILY CONFERENCE is shaping up to be amazing! We are fortunate to be able to celebrate our 40 years of achievements at such a magical place. We are excited to see both our conference “regulars” and many first timers. Coach Jerry and his team are preparing for Camp Courage, and the program and speakers are all shaping up to be spectacular! We also are excited to offer two special conferences: CYCLE (Celebrating Your Childs Life Experience) and SPIRIT (Strength, Purpose, Independence, Resilience, and Initiative Together) for affected adults. These promise to be great sessions. Are you having a difficult time getting insurance to approve a durable medical item, or are you traveling to visit an MPS specialist soon? Remember, Family Support Programs are available to help. The Family Support Committee is always looking for new members. (see page 22). Your commitment to bring Ohio families together is amazing. Thanks also to Carolyn Keeney and her crew for hosting the Kentucky event. Perhaps you would like to host an event in your area—remember we can help. If you’ve ever thought about doing something to help the Society, volunteering as a committee member is a great (and easy) way to get started. The Family Support Committee helps review and select recipients for the Continuing Education Scholarships, conference travel scholarships, and Family Assistance Program and Extraordinary Experiences requests. Please call me so I can share details with you—we would love to have your help and expertise. Thanks to Rachel Wojnarowski and her family for hosting the 12th annual Ohio MPS gathering It has been touching to work with the Murset family as they selected the National MPS Society to join them on their Chores Across America tour. We thank them for including our families and helping with the day-to-day chores that often get neglected in the craziness of living with a rare disease. Read more about this on page 16. If you have not seen the news stories, Google “Working across America,” you may see some familiar faces! I look forward to seeing you in December. If you are unable to attend this year’s conference, we hope to see you in Salt Lake City in 2015! r Laurie Turner S O C I E T Y A N N O U N C E S C O N T I N U I N G E D U C AT I O N scholarship recipients Congratulations to all those who applied for the 2014 Continuing Education Scholarship Program. The Family Support Committee is pleased to be able to offer 27, $1,000 scholarships for individuals affected with MPS and related diseases, and their siblings and children. Scholarship awards will help the following individuals as they continue their secondary education. Congratulations and best wishes to all of the following applicants who shared their plans for the future. Katherine Basquill-White Samuel Caswell Bryce Chesser sister of Adam (MPS I) MPS I MPS II I currently am a junior attending the University of Central Florida’s nursing program. I am involved in the university’s Army ROTC program. I enjoy spending time with my family and friends and playing with my new puppy, Ellie. My name is Sam Caswell and I am 18 years old. I was diagnosed with MPS I when I was almost 9 months old. I live in Bedford, NH, with my mom and dad, sister Jenna, dog Charlie, and three cats—Rupert, Jack and Holiday. My sister (who was 6 at the time) gave me her life-saving bone marrow in 1997, shortly after my first birthday. I have had 22 surgeries over the years, and graduated with honors from high school this June. I will start college this fall and hope to become a motivational speaker and writer. In my spare time I enjoy watching movies and TV, reading and playing basketball. I was diagnosed with MPS II when I was 4, and the experiences that followed have taught me things I never would have learned otherwise. The pain I have endured has allowed me to obtain a level of maturity years ahead of my peers, and a sensitivity that comes with a new-found appreciation for life. As a result of having MPS, I also have experienced things I never would have, such as being on television and meeting two presidents. I refuse to let my ailment keep me from pursuing my passions, such as artistic endeavors, and success. Adam Basquill-White MPS I My name is Adam Basquill-White. I was diagnosed with MPS at age 9 and received enzyme replacement therapy at Arnold Palmer Hospital until I was 14. I was then able to start receiving treatments at home due to my starting high school. I have been fortunate to be supported by a loving family, great doctors, Genzyme and the MPS Society throughout all of these years. I currently am a freshman at Seminole State College of Florida, where I am pursuing a degree in accounting before transferring to a university to complete a bachelor’s degree. Brooke Dalton sister of John (MPS IIIA) Ronnie Jay Cato MPS II My name is Ronnie Jay Cato and I am 18 years old. I recently graduated from Armorel High School. I love to play video games and read books. I am excited but also a little scared about going to college. I know I want to do something that involves computers, I’m just not exactly sure what yet. I plan to attend my local college. I am 18 years old and currently a first-year chemistry major at Northern Arizona University. I’m from Southern California and my brother has MPS IIIA. With my degree I hope to research important issues in today’s world. continued >> 05 >> scholarship recipients 06 Ryan Dant Anyssa Guajardo Shelby Key MPS I sister of Karina (MPS IIIA) sister of Chloe (MPS IIIA) I spent one summer working in the visiting clubhouse of the Texas Rangers baseball club, and five years working part-time for coach June Jones and the SMU Mustangs football team as an equipment manager. Upon completing my associate’s degree, my goal is to continue academics at the University of Louisville, where a scholarship awaits me as a student equipment manager for the Cardinal’s football team. I am an 18-year-old student, currently completing my freshman year of college at the University of the Incarnate Word in San Antonio. I graduated from Edinburg North High School last year with honors. During high school, I was involved in many activities including dancing, swimming, National Honor Society, church groups and more. In college, I have been selected to be a part of the honors program. I have volunteered for projects with Habitat for Humanity and the Austin Marathon. I have an older sister who suffers from MPS IIIA, who has inspired me to work toward a degree in physical therapy. I’m from Georgia, and a southern woman who cherishes the relationship I have with God. My passion is agriculture and the Future Farmers of America. I also hold a passion for helping others. After graduation I plan to attend Abraham Baldwin Agricultural College to pursue a degree in agriculture education. After receiving my bachelor’s degree I plan to visit Africa on a mission trip to teach the people the way of the land and the gospel. Throughout my time being an MPS sibling, I have really found myself through the service of others, and loved every second of helping Chloe. Taylor Ashley Harvey Jennifer Klein sister of Tad (MPS II) ML III I am a 20-year-old sophomore at Oklahoma Wesleyan University where I am studying pre-medicine. I enjoy family time, fishing, traveling, cooking, thunderstorms, OU football and biology. My goal is to excel in the medical field, start a family, and travel the world while continuing Tad’s legacy until we meet again. My name is Jennifer Klein and I am a 22-year-old senior attending NC State University in Raleigh, NC. I currently am working on a double major in human biology and psychology, and plan to continue my education with graduate studies. I was diagnosed with ML III in 1999. This rare disease does not have a treatment or a cure and comes with many challenges. Still, I am fortunate for the ability to move forward in a positive direction with university studies. I enjoy raising awareness and funds for lysosomal diseases, and hope one day we will see a treatment and perhaps I will be part of the process. Hannah Gosey MPS I I love working with animals and doing volunteer work. When I grow up I want to have a job working with animals. In my free time I enjoy reading books, listening to music and watching videos on YouTube. Sarah Gniazdowski sister of Danny, MPS II After graduating from Springboro High School in 2013, I now attend Miami University of Ohio where I am majoring in special education. I am pursuing a career in special education as an intervention specialist. I plan to obtain an MBA with a focus on social responsibility and non-profit organizations, and hope to one day work for a nonprofit organization that supports families with children with lifethreatening diseases. My brother, Danny, passed away in 2005 and he is my inspiration for devoting my life to making a difference in the lives of special needs children. Jessica Hess MPS I I am 18 years old and was diagnosed with MPS I at birth. I am a happy girl who is graduating from high school and looking toward my future. I want to make a difference in the world by helping animals through veterinary assistance. I have been involved with acting through my youth and hope to do community theatre. Chelsey Klenke sister of Kraig (MPS II) I am a senior at Missouri Baptist University, where I am a member of Student Activities and will be homecoming chair in the fall. I also continued >> >> am a member of Student Council for Exceptional Children. I plan to get a job after graduating to gain experience and go on to get a master’s degree in social work. sister of Christian (MPS II) My name is Ashley Lon and I am 19 years old. I am one of five children to Maureen and Tony Lon. My younger brother, Christian, has MPS II, and has been the biggest, most beautiful influence in my 19 years of living. I currently am a second year student at Montgomery College and plan to transfer to the University of Maryland at College Park in the fall. I have a passion for music, dancing and working with children, which has led to my ultimate aspiration of becoming an occupational therapist and working with disabled children. Charlena Melnyk sister of Nick, MPS II I am from a wonderful, loving family of five. I was born in Canada, however, the majority of my childhood took place in The Woodlands, a little suburb just north of Houston. It is here where I learned my love for dance, school and life in general. After becoming valedictorian of Woodlands High School, I moved to College Station, TX, where I attend Texas A&M University. I am enrolled in the Biomedical Sciences Program and will be graduating May 2015 (one year early). I plan on furthering my education by entering medical school. I would like to further my studies either in the field of genetics, immunology/virology or research. Most of my time is dedicated to studying, however when I do have free time I enjoying dancing, cooking, volunteering to help youth bowlers learn how Heather Millington sister of Hope (MPS VI) I currently am attending Huntington University in Indiana, pursuing a bachelor’s degree in psychology and sociology. Even though Hope was my younger sister, she taught me so many things about what’s really important in the world. I learned the value of love, and I dream of being able to love many children through a career in counseling. My ultimate dream is to own a residential counseling facility for kids and teens who have experienced trauma. I would also like to work with victims rescued from human trafficking and sex slavery. I currently run a small charity, Pennies for Pals, that donates new stuffed animals to under-privileged children around the world. I also work with a small group of 11th and 12th grade girls at my church. Joseph Morris MPS II My name is Joe Morris and I am 20 years old. I live in Kansas and attend Pittsburg State University. I am majoring in nursing and hope to become a nurse practitioner some day. I like to keep active and also like to spend time in the great outdoors. My hobbies include fishing, doing Crossfit and waterskiing. Autumn Mortensen MPS VI I am a 20-year-old college student. I have not let MPS stop me from reaching my goals. I grew up learning to adapt how I do things to keep up with my peers and enjoy life. I love learning and watching movies with my friends. I briefly played the cello in grade school and had a blast in our small orchestra. In high school I had a major surgery which impacted my life in a large way. I am lucky to have the family and friends I do to support me in all aspects of my life. They give me strength to be who I am, love myself and reach for my goals. In my future career, I hope I can help people as much as everyone has helped me. Mattison Reed sister of Evan (MPS II) I am a 2013 graduate of Mountain Grove High School in Missouri. I now attend Missouri Southern State University where I am majoring in pre-pharmacy. I plan to attend pharmacy school to attain my ultimate goal of becoming a pharmacist. I am active in volunteer service and extracurricular activities, such as the Baptist Student Union. I also serve as secretary of the Caduceus (pre-professional) Club. Ashley Restemayer sister of Allison (MPS I) I am a 2013 graduate of Bismarck High School, and will be attending my sophomore year of college at the University of North Dakota, majoring in musical theatre. continued >> 07 scholarship recipients Ashley Lon to improve their game, spending time with my amazing roommate (who is also my brother), hosting board game nights with my brother’s friends every two weeks, tutoring fellow students in organic chemistry, and getting involved with my church. It is my belief that all life is a precious gift, one not to be taken for granted, but instead, a gift to be cherished every moment of every day. >> scholarship recipients 08 Shannon Toll Rebecca Von Handorf sister of Bryar (MPS I) sister of Alyson (MPS IIIA) Eighteen years ago I was born into an amazing family that included two older brothers, one being diagnosed with MPS I. Bryar helped transform me into the person I am today. I was born and raised in the Hill City area, graduating from Hill City Junior Senior High School in 2013. I now attend Fort Hays State University studying occupational therapy. I am a sophomore at Northern Kentucky University majoring in biology. I plan to graduate with a bachelor’s degree and attend medical school. My sister, Aly, has been an inspiration to me and the driving force behind my career aspirations. Kyle Underwood MPS II I’m a 17-year-old senior at University City High School in San Diego, CA. I was diagnosed with Hunter syndrome at the age of 4. Throughout my life I have endured hearing loss, countless surgeries and weekly infusions. I share the disease with my brother who is four years younger than me. In spite of this, I have maintained academic excellence and maintained a spot on the honor roll at my school. Though I have encountered many struggles, I feel they have helped me grow as a person and encouraged me to pursue a career in medicine. I have a desire to major in biochemistry in college, and will be doing so in the fall. Victoria Wehrle sister of Peter (MPS II) I currently attend Whitworth University where I am working toward a degree in health sciences. After Whitworth, I plan to get a master’s degree in occupational therapy. My brother, Peter, passed away in 2009 from complications with MPS II. I miss him very much and can’t wait to see him again some day. Leonel Yoque MPS I I am 17 years old and was diagnosed with MPS when I was 8. Knowing that I have a condition to face my whole life that sets many limitations, I have turned those limitations into positive aspects in finding my path, to complete tasks without focusing on the things I cannot do. Every morning I wake up and tell myself that any conflict I deal with during the day, it will be a view of what life is about. My mind is always set to a positive mentality, even though there would be difficulties or bad moments. My future career is to become a law enforcement officer, or something in the law enforcement field. I have been with the USC Cadet Program for three years. This program teaches teens about law enforcement and the duties police officers perform in the field. One mental phrase we use when an obstacle gets in our path is “Avoid it and keep on going, never let your team down.” My team is my family. I will never let my team down and I will strive in life with any dream I have. I will never let an obstacle get in my life’s path. upcoming events National MPS Society 2014 Family, SPIRIT and CYCLE Conferences The 28th Annual National MPS Society Family Conference and celebration of the 40th anniversary of the National MPS Society will be held Dec. 18–20, 2014. The SPIRIT and CYCLE conferences will be held Saturday morning, Dec. 20. At your request, we will be returning to Disney’s Contemporary Resort where you can walk to the Magic Kingdom, or catch the monorail as it breezes through the iconic A-frame Contemporary Tower. A wide range of topics and speakers are planned for Friday, Dec. 18, ending with the gala banquet. The remainder of the weekend will be free for families to enjoy the Walt Disney World theme parks, including the evening fireworks. Registration information is on our webite under “Support.” Family Weekend at Camp Korey Oct. 24–26, 2014, Metabolic Disorders The family weekend at Camp Korey includes fun for the whole family, including campfires, fishing, arts and crafts, theater, a climbing wall, and more. It offers a chance for parents and caregivers to connect with one another and build a network of support, and is an opportunity to make friends. Family weekends are a chance for children (children living with an illness, as well as their siblings) to meet peers who are experiencing similar life experiences. All family weekend programs are free of charge for any family with a child between the ages of 5 and 16 who is living with the condition specified for that weekend. All family members who live in your household are welcome to join for a weekend filled with lots of fun! Families will be housed together in camper lodges with each family having their own private sleeping quarters and bathrooms. A physician and several nurses will be on site throughout the weekend. While parents/caregivers will be responsible for day-to-day medical care of their children, Camp Korey’s skilled medical team will be present and on-call for any medical needs and emergencies throughout the weekend. To apply, go to campkorey.org, click on the Family Weekend tab and complete the family application, which includes the “Family Weekend Application,” the “Family Medical Information” page for each family member who is coming (this does not need to be signed by a physician), and the “Camper Medical Form” for the child with the condition being served. This form must be completed by a doctor or health care provider. If the child has attended a family weekend or summer camp at Camp Korey in the last six months, a new camper medical form is not needed. The application may be submitted online, or printed and returned to: Camp Korey, Camper Admissions, 28901 NE Carnation Farm Road, Carnation, WA 98014 For more information visit campkorey.org, call 425.844.3226 or send an e-mail to [email protected]. 4th International Conference on the Glycoproteinoses July 23–26, 2015, Hilton at the Ballpark, St. Louis, MO This conference will bring together leading investigators from around the world to discuss the latest advances in understanding the pathophysiology of these rare disorders and the status of the development of new therapies. One of the goals is to increase awareness of these underserved forms of lysosomal diseases among new investigators, postdoctorate fellows and graduate students. The conference is designed to foster interactions between the investigators and patients/affected families. For more information, visit www.ismrd.org. 09 N AT I O N A L M P S S O C I E T Y ’ S S A L U T E T O O U R 10 third decade (1995–2004) 2014 marks the 40th anniversary of the National MPS Society. This year Courage will highlight one decade of accomplishments by leaders, researchers and of course our many MPS heroes in each issue. We hope you enjoy reading about some of these important moments in our rich history and recognize the extraordinary efforts of those who came before us. 1995 1996 1997 1998 1999 • 780 members and mailing list of 1,200 • National MPS Society website launched •N ational Institutes of Health funded $5.9 million in research for MPS/ ML diseases •1 st clinical trial of gene therapy on a human conducted on adults with milder MPS II • BioMarin/Genzyme, LLC provided first operational grant to Society allowing hiring of first employee •M PS I phase I/II enzyme replacement therapy (ERT) clinical trial began •C reation of the Society’s Committee on Federal Legislation •B ylaws of Society amended and restated for the first time •S teve and Amy Holland elected to board of directors •T hird Disney family conference • Adults with MPS/ML added as a membership category • $30 membership fee • Calendar and note cards created for fundraising • MPS Day held in Chapel Hill, NC, with UNC hospital • Operating Budget renamed to Family Program Services •B oard votes for one annual family conference platform • Movie, Simon Birch, released starring Ian Michael Smith who has MPS IV •$ 40 family membership •L inda Shine elected president •W ebsite moved to www.mpssociety.org 2000 2001 • Co-hosted a family and scientific conference at UCLA • MPS II phase I/ II ERT clinical trial began • 2nd year of 5K walk/ run program raises $170,000 for research with 11 events • Awarded $100,000 in grants for research • MPS Society developed new animation logo for website and publications 2002 •P articipated in the formation of Global Organization for Lysosomal Diseases •A nnual Fund program established, raising $12,600 •1 7 walk/runs raised $285,000 • Awarded $190,000 in research grants •P art-time office assistant hired – Laurie Turner 2003 •2 2 5K walk/runs raised $337,500 • Aldurazyme®, the first ERT for MPS I, approved by FDA; Society members testified before FDA as part of the approval process •M PS II phase III ERT clinical trial began •M PS VI phase III ERT clinical trial began •S teve Holland elected president of National MPS Society • Reported $2.3 million net assets •F irst Society video produced •A nnual Fund raised $59,650 •A warded $360,000 in research grants •F irst lifetime achievement award presented to Dr. Emil Kakkis •N ational MPS Awareness Day established as February 25th •B ereavement and regional family picnic programs implemented 2004 •3 0th Anniversary of the National MPS Society •$ 1 million budget • Fourth Disney family conference •$ 410,000 awarded in research grants •N IH funded $9.3 million in MPS/ML research •H ired development director •M embership of 800, mailing list of 3,500 • $50 membership fee • Society leases first paid office space in Bangor, ME 11 salute to our third decade • MPS VI phase I/ II ERT clinical trial began • Co-hosted international MPS and related disease conference in Minnesota • National MPS Society 5K walk/run program launches with seven events, raising $100,000 for research • The Society completed its first strategic planning process • CBS Evening News with Dan Rather features the Holland family • Barbara Wedehase becomes executive director • MPS booklets updated • Les Shaeffer invited by Sen. Spector to write a paragraph on MPS diseases that will be included in the FY2002 Senate Appropriations Bill 12 standing ovation The Standing Ovation Award is intended to honor amazing people in our MPS family for their resilience, courage, tenacity and passion for life while facing the many challenges of having MPS. We give a standing ovation to: Josie Williams, MPS I Josie is 20 months old, and is adored by her family, especially her big brother Mason. Josie’s favorite activity is playing with Mason, and the best part is the feelings are mutual! Josie loves reading books, singing songs, listening to music and dancing, going for walks, swimming and getting her hands on anything in her brother’s possession. People have commented that Josie is an “old soul.” Her peaceful demeanor implies Josie understands her purpose and is at ease with her path in life. Josie takes everything in stride and finds joy in even her most challenging days. She picks us up and reminds us that happiness is right here, right now. Sean Merrell, MPS I My name is Sean Merrell. I am 22 years old and I was diagnosed with MPS I when I was 8 years old. I am the oldest of three kids and my younger brother, Cody, also has MPS. He is now 20. I have a sister, Amber, who is 17, and she is unaffected. Although MPS has presented challenges, it doesn’t define or describe who I am or who I’ve become. Each year I learn more about who I am, what challenges other MPS patients live with, and try to figure out how I can help to fight it for myself and for them. I try to live my life every day by giving to others. Since I graduated from high school in 2011, I’ve continued to stay as active as I can and continue to try different avenues if the path I choose doesn’t work out like I planned. I’ve taken some college classes, and I volunteered in my church’s office helping with paperwork and data entry. I began helping a local disability office and they hired me as a part-time worker. I also have volunteered for our local Habitat for Humanity Restore, which provides donated items from the community sold at a discounted rate. All the profits then go back into the Habitat organization. I also help my family with household chores and take care of our two dogs, Monty and Bella. I stay very busy and try to remember that I have the ability to do whatever my body will allow me to. Sometimes that’s a challenge, but I never let it stop me. Elijah Rabacchi, MPS II Paul Hollenback Jr., MPS II I have many proudest accomplishments like driving, graduating high school, going to college, working out at the gym five days a week; but I have to say my proudest one would be when I almost died last year due to my airway issues. During an emergency surgery for my appendix, I ended up in an induced coma for 2 ½ weeks, having an emergency tracheostomy, three surgeries for that in two weeks, being in the hospital for a month, losing 20 pounds while being in the hospital, losing my ability to talk, and having to learn how to eat, walk, drive, write and do everything you normally do in life. I did physical therapy for a month and returned to the gym to get my strength back. It helps against my disease and keeps me in shape and active to do things I love to do in life. My close family and friends helped me through this tough time. I am very grateful to them. I want to be a motivational/inspirational speaker and writer to help/inspire as many people as I can. I also want to write books. I’m currently writing an inspirational book about everything I have been through. I write a lot of motivational/inspirational blogs, whether its on social media or through text messages that I send to my friends to motivate them. It’s a big part of me and what I’m known for. Brea Gates, MPS III Brea is a super snuggly little girl who was diagnosed with MPS IIIA in 2013, when she was just 3 years old. She loves to jump on the trampoline, and asks to go “jumping” several times a day. Brea also loves being outside with her sister and the neighborhood friends. They do all sorts of things from playing on the play set, to playing with babies, to painting nails, and most things little girls like to do. Brea also loves the iPad. She has several favorite shows—Dora, Caillou, Max and Ruby, Bubble Guppies, Franklin, Peppa Pig, Little Bill, and she LOVES Barney. She also has started to like a couple shows her older sister watches, like Austin and Ally, and Jessie. Another one of Brea’s favorite activities is going to the lake and boating. Brea loves to snuggle and sometimes she can’t seem to get close enough to you. She loves it when you kiss her forehead and she will actually put it up to your mouth for a kiss! There is no shortage of hugs with Brea, which is why we’ve nicknamed her our little snugglebug. Brea’s smile will melt your heart continued >> 13 standing ovation I am 21 years old and I have many favorite things that I like to do. I enjoy traveling with my family, going to the movies, going to country concerts, going to church, and hanging out with my friends. My passion for life is helping/inspiring others to do anything they set their mind to. I hate seeing people discouraged about things in life or feeling down. I have a reputation for helping/inspiring others by what I have been through and what I go through with my disease and situations that life brings me. God is a big part of me. Without Him I couldn’t imagine getting through everything and handling it. I have been through a lot in my life. More than most people ever go through, and my passion is to look back one day and say I made it. I don’t want to be one of those people who get discouraged/ depressed by their disabilities and disease that it stops them from doing things. I believe no matter who you are you can do anything and get through anything. >> standing ovation 14 and her laugh is so contagious. She absolutely loves bedtime. When it’s time to put jammies on she gets the biggest smile and giggle of excitement. We can bank on her reaction every single night. She sleeps with mommy and daddy and if we’re both home at bedtime, she will not go to sleep unless both of us put her to bed and wait until she’s asleep. There are so many wonderful qualities Brea has, and so much joy she has brought to all of our lives. She has four older siblings who adore her and love her more than anything. In the short amount of time she has been on this earth, she has made an impact in everyone’s lives she meets. Jonathan Vanderpool, MPS III I’m Jon Vanderpool, I’m 27 years old, and I live in Rochester, NY, with my mom Debbie, papa Rich, and brother Jason. I love all kinds of music and when I’m really happy I like to sing with my own words. My favorite things to do are watching videos and TV shows with music and dancing, riding in the car, and going for walks outside. We have two cats. I got to name one Kee Kee. That was my word for Mickey Mouse when I was younger. I still sing “kee kee” and clap when I’m very happy. Mom and papa say that I have the best smiles! At times, I’m a bit of a flirt and may compete with Jason for the hand of a fair maid on my arm. What can I say…all girls love “The Hug.” I like to sing in church with the congregation, but at times I forget to stop (especially when the pastor is talking). I’m not the stair master I used to be, but with a little help for focus, I can traverse most stairs. I graduated in 2008 and now I go to a day hab site every day, where I enjoy spending time with my friends. We go out into the community and I have goals that I work on each day. Jason and I completed our three visits to Minnesota for the natural history study for Sanfilippo in March. We like to travel but the visits were very tiring. I love all things Disney and can’t wait to meet everyone at the conference in December. Saniyah Pumphrey, MPS IV Saniyah Lanae Pumphrey was born May 31, 2011. From the first time she could speak, she began saying the word “holla.” From that point on we knew she was going let her voice be heard everywhere she went. Around the family Saniyah is the life of the room. She will keep you smiling and laughing with what she does, but mostly with the charisma that she speaks with. She has an old soul, sometimes recalling things you said or did that you may have forgotten about. Saniyah attends daycare where she is considered the caregiver to children younger than her. She learns many different songs and dances from the Disney Channel. Saniyah loves her older brother, Kaleb, very much. He has helped her build up courage which keeps their relationship strong and united. She has been through a lot in the last 12 months and through it all Saniyah still smiles and says, “I love you.” As proud parents those words mean everything to us. Holden Guilfoyle, MPS VI Phuong Vuong, MPS VI Lonnie Tice, ML I’m Lonnie Tice and I have ML III. I have an 18-year-old brother and a 17-year-old sister. When I was younger I enjoyed bowling and playing baseball. After high school, I was able to work in the restaurant business until physical limitations made it to impossible to work any longer. I now enjoy playing video games, gardening and helping animals. I have five birds—a parakeet, a finch and three cockatiels. Something that has given me strength for life was being able to go through and survive an aortic valve replacement. Now I know I can do anything I put my mind to. 15 standing ovation Hi! I am Holden Guilfoyle. I am 10 years old and I have MPS VI. I was diagnosed when I was 2 years old and have been receiving enzyme replacement therapy for almost eight years. I am a huge KC Royals fan—I love baseball! I collect baseball cards and have several autographed baseballs from some of my favorite players. I have an older sister, Addisyn, and a younger brother, Gabriel. I am gearing up to start fourth grade. My favorite things to do are play or watch baseball, play video games, read, sing, swim and make people laugh. Every year my family and friends host a 5k in my honor and we raise money for the MPS Society. Last year we had a Hero Run and it was awesome! I like to meet other kids like me. I wish I was a fast runner like some of my friends, but I still play baseball, flag football and basketball. I have a Facebook page (Holden’s Hope) so my family and friends can check in on me. One of the goals of the National MPS Society is to increase awareness of MPS diseases. With the assistance and persistence of our members, we are making great strides. Don’t forget to let the MPS Society know when you are featured in a media story! 16 making headlines Chelsea Klenke, whose brother Kraig had MPS II, recently was featured in the Summer 2014 issue of Missouri Baptist University magazine. Chelsea is working toward a bachelor’s degree in human services. To read the complete article, go to www.mobap.edu/about-mbu/publications/mbu-magazine/mbu-magazine-summer-2014. MyJobChart.com Hits the Road to Promote Charities, Work and Volunteering CEO, wife and six kids to travel 6,400 miles in RV completing chores for others MyJobChart.com founder and CEO Gregg Murset, along with his wife and six kids, visited 23 cities in 20 days completing chores for families in need or volunteering for organizations. The Murset family, inspired by Tosh Trejo (MPS II), contacted the National MPS Society to see if they could help families affected by MPS and related diseases. They visited the homes of several Society members: Jack Todd (MPS II) and family, Mikey Lewandowski (MPS II) and family, Jennifer Klein (ML III) and family, and Wyatt Blancheri (MPS I) and family. They helped these families doing everyday chores around their homes, tasks that tend to take a back burner due to the aspects of living life with a rare disease. As a result of the media outreach, the National MPS Society was featured in more than 100 news stories. Todd family Lewandowski family Klein family Blancheri family Family of local boy with rare disease gets a helping hand Albuquerque Journal www.abqjournal.com/422349/news/family-of-local-boy-with-rare-diseasegets-a-helping-hand.html “The struggle is making sure the other kids don’t feel like it’s all about the kid who’s sick,” said his mother, Lisa Todd, 39, a certified public accountant. So today will be special for the Todd family. They will get their house near Academy and Eubank cleaned and chores done by a family they never met—a mom and dad and their six kids—who will be spending 20 days hitting 20 cities to do random acts of clean-up kindness. Arizona family on trip to help others Albuquerque Journal www.abqjournal.com/423306/news/ari-zfamily-on-trip-to-help-others.html When Lisa and Jerry Todd opened their front door shortly after 8 Monday morning, in rushed the Murset family, an RV-load of six kids and their parents from outside Phoenix who had never met the Todds. Within 10 minutes, the Murset girls were climbing ladders to wash the Todds’ windows, indoors and out, and the boys were crouching down with water and rolls of paper towels to wash the Todds’ cars. The Mursets (parents Kami and Gregg, plus four sons and two daughters ages 7 to 16) plan to stop in at the homes of 20 families in 20 days, fulfilling their goal of helping people across the country while seeing sights like the Empire State Building and the Statue of Liberty their kids have never visited. The trip was planned so the kids could practice the “Do Some Helpful Chores and Stuff And Get Some Rewards For It” theme of an app called myjobchart, which family patriarch Gregg Murset created. It allows kids to track their chores and earn points toward money that they can donate to charity. KOB-TV Channel 4, New Mexico www.kob.com/article/stories/ S3490187.shtml?cat=500#. U7IBmLDnbZ4 Family’s chorefilled vacation helps others KRQE News 13, Albuquerque, NM http://krqe.com/2014/06/30/ familys-chore-filled-vacation-helpsothers Goodwill road trip teaches Queen Creek family lessons The Arizona Republic www.azcentral.com/story/news/ local/chandler/2014/09/03/longgoodwill-road-trip-teaches-se-valleyfamily-lessons/15045025/ Family’s summer travel teaches hard work, service Associated Press http://news.yahoo.com/ familys-summer-travel-teacheshard-124742099.html Arizona visitors lend Lockport family with ill child a helping hand The Buffalo News www.buffalonews.com/city-region/ lockport/arizona-visitors-lendlockport-family-with-ill-child-ahelping-hand-20140709 17 making headlines Every week, 11-year-old Jack Todd gets really tired during a four-hour infusion that provides him with an enzyme that his body doesn’t make. Meanwhile, his parents, who have two other children, ages 7 and 20, have their hands full making sure their needs are met while Jack’s are, too. Arizona family travels to Albuquerque to help sick boy 18 fundraising news National MPS Society 13th Annual Fund Campaign—Inspire to Give The Annual Fund: – was launched in 2002 – is in its 13th year – has raised more than $859,000 – supports operations and critical program initiatives, such as: 1. family support, Continuing Education scholarships, medical equipment, conference scholarships 2. legislative advocacy 3. member services 4. educational materials, website and other special projects The Annual Fund has become a critical funding source for the National MPS Society. This campaign funds our family support programs, legislative advocacy work and operations of the Society. Giving to the National MPS Society’s 2014 Annual Fund Campaign is a partnership opportunity. Your family is making a decision that the National MPS Society is working hard each day to provide support for families. It is easy to make a donation—send a check or go online to www.mpssociety.org, click “Donate Now” and select Annual Fund. Help us to help our programs grow and make a difference in the lives of children suffering from MPS and related diseases. This year’s Annual Fund chair is Lynn Hopkins. She shares her daughter Michelle’s journey through a heroic bone marrow transplant and her life challenges with MPS I. Lynn and her family speak passionately about supporting the Society’s Annual Fund. You can view their story at www.mpssociety.org. The Hopkins family Michelle Hopkins (MPS I) Action for Aidan The Action for Aidan 5K Run/Walk took place on Sunday, June 29, 2014, in Exeter, NH, in honor of Aidan Carter (MPS II). The event featured local musician Wayne from Maine, a bounce house, skateboard lessons, Home Depot building station and delicious food. More than $96,000 was raised through corporate sponsors and individuals donors. The support and love of the community was overwhelming, with more than 300 participants. The Carter family has altogether raised more than $200,000 for the National MPS Society to fund MPS II research. For more information visit www.actionforaidan.org. Dawn Checrallah, Nick Boyce (MPS I) with Aidan Carter (MPS II) and the Carter family Planned Giving or Gift Planning Planned giving or gift planning can be both an outlay of cash today to the National MPS Society or a deferred gift that a person decides to give at some future date, either a number of years from now or at death. A deferred gift is a present decision to make a future gift, evidenced by a legal contract. Perhaps considering gift planning doesn’t have to be proceeded by one of the above circumstances and instead you can simply plan for your family over time. Gift Planning Is Similar to Planting a Garden Gift planning can be similar to planting a garden. Many of us start our first garden on a bare piece of land. Through the days and years that ensue, it takes on an identity from the various plants we place there, how it is designed and then cultivated to maturity. Some of us live long enough to have a glorious garden stretching to a far horizon, some live only to plant a few rows of flowers or cultivate a couple of trees. As you plant your life’s garden through your deliberation and deeds, will there be a section devoted to charity or philanthropy? Will it include gifts to the National MPS Society? Our hope is that your garden of life will include many wonderful thoughts and experiences regarding your association with the National MPS Society. You philanthropic garden might include a gift in trust, like a stand of fruit trees that can yield a harvest every year. Or perhaps an area of rare varieties that, once you have passed, can be transplanted to bring beauty and serenity to all who will visit. Perhaps you’ll have an endowment section, where the berries produced each year can feed the program of your choice. There are many possibilities for filling your garden of philanthropy. We hope that you will consider the Society in your landscape. A planned gift ensures membership to the Rising Sun Legacy Circle. See page 20 for more information. Fundraising Committee: Jeff Bardsley Erica Blight Stephanie Bozarth Brooke Carter Anne Gniazdowski Tom Gniazdowski Steve Holland Larry Kirch Terri Klein Amy Miller Amber Mongan Lisa Muller MaryEllen Pendleton, chair Lisa Todd Laurie Turner Barbara Wedehase fundraising news In a recent publication, Planned Giving Today (Vol 25; No 6), the top 10 factors for adding charitable plans include: 1. approaching death 2. becoming a widow/widower 3. diagnosed with cancer 4. decline in self-reported health 5. divorce 6. diagnosed with heart problems 7. diagnosed with a stroke 8. first grandchild 9. increasing assets 10. increasing charitable giving 19 W AY S T O G I V E AND INSPIRE HOPE IN 2014 fundraising news 20 • Gifts in honor or in memory of a special person. • Matching gifts through your employer (check with your human resource office). 1. Request a matching gift form from your employer. 2. Complete the employee section of the form. 3. Mail to the Society and we will process the gift! • Courage Pages—Share your family story with your own web page to raise awareness and funds. • Contribute through the Combined Federal Campaign if you are employed by the federal government—CFC #10943. Rising Sun Legacy Circle Members The Rising Sun Legacy Circle, formed in 2011, is a distinguished group of donors who support the National MPS Society with an estate planned gift designated to build a foundation for future research, family support and educational programs. This is a group of forward-thinking individuals whose generosity demonstrates concern for our future. 2011 Christa Armstrong, stocks and will Becky Clarke, will Emil Kakkis and Jenny Soriano, endowment gift 2012 Mary Starr Adams, will Terri Klein and Mike Schleter, life insurance beneficiary Tracy Szymanski, will 2013 Steve and Amy Holland, retirement plan Brian and Kris Klenke, will Barbara Wedehase, will Anonymous, estate Anonymous*, remainder trust received • Designate the Society as a member of your local United Way. You will need to supply them with the Society’s name, address and Federal ID number (FEIN #11-2734849). 2014 • Give to 2014 Annual Fund. * denotes deceased Carol Elwell*, remainder trust received Steve and Randy McDonnell*, remainder trust pending Austin and Stephanie Bozarth, in planning Anonymous*, remainder trust received • Major gift (usually 10 times that of your Annual Fund gift). • Planned gift (visit our website and search Planned Giving). 1. wills or bequests FUNDRAISING REMINDERS 3. charitable lead trust • Don’t forget to submit a brief article for Courage about your fundraising success stories and suggestions—they are terrific resources for other families planning events. 4. life insurance policy or 401(k) retirement funds • Check out the fundraising section on the website for more information or to post your event. 5. gift of appreciated assets (stocks, mutual funds and bonds) • For free MPS Society brochures and donor envelopes, or to submit information for the website or Courage, send an e-mail to Terri Klein at [email protected]. • Gifts may be applied to the Society’s general operating purposes or restricted to one of our research, family support or legislative programs. Keep in mind—the Annual 5K Walk/Run and the Annual Fund are great ways to raise money for the National MPS Society. 2. charitable remainder trust or charitable gift annuity CONTACT: [email protected] or 919.806.0101 New Sub-Committees Have Large Impact on Society’s Efforts by Amber Mongan •M arketing Strategies & Technology sub-committee—focuses on newly developed and current campaigns that exist to raise funds for the Society, to understand their current use and implement new strategies to create record-breaking donations (Ex. rally.org and Courage Pages). •G ift Planning (Planned Giving) sub-committee—focuses on bequests (wills), living trusts and endowment strategies by implementing a monthto-month marketing plan, reviewing and identifying potential prospects from our current database, and seeking new prospects from outside of the Society. •W alk/Run Program & National Sponsors sub-committee—focuses on all aspects of the walk/run program, including raising awareness, increasing national corporate sponsorship, gaining traction through social media and creating efforts to increase the amount of walk/run events this year. Money raised through the walk/run program is the backbone of our research initiative. ALL fundraising efforts help fulfill the National MPS Society’s mission: Support for Families. Research for a Cure. Sub-committees meet monthly and report to MaryEllen Pendleton, fundraising chair. Each month the Fundraising Committee as a whole reviews critical paths. Contact Terri Klein at 919.806.0101 or [email protected] if you are interested in being part of the newly restructured Fundraising Committee. Did You Know? When you shop at smile.amazon.com, Amazon donates to your favorite charitable organization. Designate the National MPS Society, and .5% of your eligible purchases will automatically be donated to the Society. Visit smile.amazon.com for more information. 21 fundraising news In April of this year, the National MPS Society’s Fundraising Committee decided it would be more effective by splitting into three sub-committees. This new committee structure helps allocate the “to do” list, keeps us current and up-to-date with today’s rapidly changing social streams for fund development, and allows for focused brainstorming, creativity and the opportunity for additional members to join. We are excited about this strategic move. The new sub-committees include: 22 family news Ohio Regional Social Event On July 12, 2014, more than 20 MPS families gathered together for an Out of this World event to celebrate the children and encourage each other at Northwest Chapel in Dublin, OH. Families experienced a Mexican feast of authentic tacos and nachos, as well as many types of desserts and drinks. Love and laughter floated around the room as families enjoyed a magic show by Steven Knight, made crafts, and won giveaways from Mary Kay, Starbucks, Amazon, Tommy Nelson, Club 31 Women and many other private and business donors. For the last 13 years, the Wojnarowski family has hosted this annual event to join families traveling this special needs journey together. Maura Mongan (MPS I) and family attended Camp Prime Time in Washington in August. Local MPS families hosted a great event by providing an amazing weekend to gather and participate in summer camp activities. Purple Power! Eleven families traveled from four different states to gather together again this year in Georgetown, KY, for the Purple Power Party on Aug. 16. The kids had a great time with photo booth props, playing in the fire truck, decorating awareness ribbon cookies and swimming. Adults enjoyed company and conversation with other adults who truly “get it.” Thanks to all the families who worked so hard to make the event such a great day. FA L L 2 0 1 4 # 6 8 legislative update Legislative Committee: Representatives from MPS Societies around the world came together to share updates on research, clinical trials and host the International MPS Symposiums. Stephanie Bozarth, chair, Committee on Federal Legislation, at the International MPS Symposium Brazil. Steve Holland, president, board of directors, providing formal testimony at FDA Inborn Errors of Metabolism Public Workshop. Stephanie Bozarth with Agadir Faria’s family. Stephanie Bozarth represented the MPS Society at the Energy & Commerce Hearing on Path to 21st Century Cures. continued >> Stephanie Bozarth, chair Amy Barkley Jeff Bardsley Austin Bozarth Dawn Checrallah Lydia Edgal Steve Holland Terri Klein Cara O’Neill MaryEllen Pendleton Steve Smith Laurie Turner Jerry Todd Kim Whitecotton Roy Zeighami Barbara Wedehase 23 >> legislative update 24 Gordon Wingate, board member, testifying at the FDA Public Workshop Inborn Errors of Metabolism in June as board members Austin Noll and Roy Zeighami (far left) follow his remarks. Rep. Jospeh Crowley (D-NY), co-chair of Rare Disease Caucus, and Stephanie Bozarth, vice president, National MPS Society. MPS parents and patients at FDA Inborn Errors of Metabolism Public Workshop CALL TO ACTION! Current Legislative Priorities and Action Items: • Ask Your Congressman to Join the Rare Disease Caucus There are 435 members in the House of Representatives—only 76 of them have joined the Rare Disease Congressional Caucus. A strong caucus will enhance the rare disease community’s political power on Capitol Hill. Help us reach our goal of 200 caucus members. The Rare Disease Congressional Caucus will help bring public and Congressional awareness to the unique needs of the rare disease community—patients, physicians, scientists and industry, and create opportunities to address roadblocks in access to and development of crucial treatments. The caucus will give a permanent voice to the rare disease community on Capitol Hill. Working together, we can find solutions that turn hope into treatments. You will be able to determine if your congressman/woman is in the caucus and invite them to join at www.rarediseaseadvocates.org. Additionally, you can read summaries of the most recent caucus briefings. • Social Media Advocacy Webinar Do you spend at least a few minutes a day on Facebook or Twitter? If so, do you utilize it as an advocacy tool to promote awareness of MPS and related diseases and to promote policies that improve the lives of those affected by these devastating diseases? continued >> >> Whether you’re already using social media to advocate for MPS, or if you’ve never thought of using it that way, please check out our one-hour webinar on social media training on the Society website in the “Members Only” section. You will learn specific strategies and tips for using Facebook and Twitter to interact with the media and lawmakers, and to advocate for issues and policies that impact you and others living with MPS. • Support NIH: Ask your Senators to Support the Accelerating Biomedical Research Act Funding to the National Institutes of Health (NIH) has remained flat in recent years, and uncertainty is growing over the ability of universities and other research institutions to conduct the noncommercial medical research underlying new preventative measures, diagnostic tools, treatments and cures. In response to significant concerns about the erosion of NIH’s purchasing power, Sen. Tom Harkin (D-IA) has introduced legislation, the Accelerating Biomedical Research Act, that empowers Congress to provide up to 10 percent increases in NIH funding for FY 2015 and FY 2016, and up to 5 percent increases through 2021. These increases are more than justified by the scientific opportunity unleashed when the human genome was sequenced. And that’s just one of the developments that has set the stage for accelerated medical progress. Go to http://capwiz.com/ram/issues/alert/?alertid=632860 56&queueid=10476395681 to advocate by e-mail or with a printed letter. The Coming Human Body on a Chip That Will Change How We Make Drugs Fast Company, July 28, 2014 www.fastcoexist.com/3033574/the-coming-human-body-on-a-chip-that-will-change-how-we-make-drugs Scientific researchers, the FDA and the military are working to develop technologies that could eliminate or drastically reduce the use of animals in favor of more accurate and efficient alternatives. “If our goal is to create better drugs, in a way that is much more efficient, time and cost-wise, I think it’s almost inevitable that we will have to either minimize or do away with animal testing,” said Dan Tagle, PhD, associate director of the NIH’s National Center for Advancing Translational Sciences. Dr. Tagle leads an NIH program that’s funding one major effort to develop alternatives to animals in drug testing development, the organs-on-a-chip. Drugs that seem promising often don’t have the same response in people, plus there are potentially life-saving drug therapies that never make it to human clinical trials because they’re toxic to mice. The “organs-on-a-chip” are small, flexible pieces of plastic, and when hollow micro-fluidic channels inside them are lined with human cells. They are designed to recreate the flow and forces that cells experience within a human body. In a personal communication from Dr. Tagle to Barbara Wedehase, Dr. Tagle noted, “The tissue chips we are generating will be helpful in therapy developing in terms of safety and toxicity testing, as well as useful for efficacy models for disease pathogenesis. However one of the biggest uses of these chips are actually for rare diseases.” Dr. Tagle pointed out a recent publication in Nature Medicine, www.nature.com/nm/journal/v20/n6/full/nm.3592.html, where this technology was used to “test out candidate drugs” in Barth syndrome, an x-linked disease, which results in dilated cardiomyopathy, skeletal myopathy and neutropenia. legislative update The benefit of using social media for advocacy is that it doesn’t take long (a few minutes a week can go a long way), and it’s not hard! Go to www.mpssociety.org, log in and click on “Legislative Toolkit.” 25 A Blueprint for Helping Children with Rare Diseases legislative update 26 Jill Hartzler Warner, JD, FDA associate commissioner for by Special Medical Programs The U.S. Congress and the Food and Drug Administration (FDA) have long focused on bringing new therapies to patients with rare diseases, including children. Two years ago, Congress made another contribution to this effort by enacting the FDA Safety and Innovation Act (FDASIA). The law directs our agency to take two actions to further the development of new therapies for children affected by rare diseases: (1) to hold a meeting with stakeholders and discuss ways to encourage and accelerate the development of new therapies for pediatric rare diseases, and (2) issue a report that includes a strategic plan for achieving this goal. There are unique challenges when developing drugs, biological products and medical devices for the pediatric population. Not only is there the potential for children to respond differently to products as they grow but there are also additional ethical concerns for this patient population. But these challenges are further compounded when developing therapies for pediatric rare diseases. For example, rare disease product development, by definition, means there is only a small potential group of patients available to participate in clinical studies that can help determine whether a product is safe and effective. In our FDASIA meeting in January, we heard a variety of suggestions on clinical trial design and data collection from hundreds of the participating stakeholders from academia; clinical and treating communities; patient and advocacy groups; industry and governmental agencies. These discussions helped inform our Strategic Plan for Accelerating the Development of Therapies for Pediatric Rare Diseases. It outlines how we plan to meet the following four objectives: • Enhance foundational and translational science. Our strategy is to fill essential information gaps through such measures as fostering the conduct of natural history studies for pediatric rare diseases and by identifying unmet pediatric needs in medical device development. We also plan to issue guidance for sponsors on common issues in rare disease drug development and to refine and expand the use of computational modeling for medical devices. • Strengthen communication, collaboration and partnering. Robust cooperation within FDA, among agencies, governments and private entities is necessary to enable the exchange of information on the issues of developing treatments for pediatric rare diseases. Single entities by themselves usually don’t have sufficient resources or expertise to overcome the product development challenges posed by pediatric rare diseases. •A dvance the use of regulatory science to aid clinical trial design and performance. Regulatory science helps develop new tools, standards and approaches to assess the safety, efficacy, quality, and performance of all FDA-regulated products. Of note, we plan to facilitate better understanding continued >> >> of biomarkers and clinical outcome assessments that are useful for the development of treatments for pediatric rare diseases. We also plan to further develop the expedited approval pathway for medical devices intended to treat unmet medical needs; and use FDA’s web-based resources to update and expand awareness of issues involving the development of medical products for pediatric rare diseases. The report notes our use of expedited programs to speed rare disease medical product development. For example, the accelerated approval program allows for approval of products to treat serious and life-threatening diseases based on an effect on a surrogate marker, such as blood test, urine marker, or an intermediate clinical endpoint, that is believed to be reasonably likely to predict clinical benefit to the patient. Under accelerated approval, further studies are required after approval to confirm that the drug provides a clinical benefit to the patient. More than 80 new products have been approved under the accelerated approval program, and many of these have been for rare diseases. But it’s important to note that in some cases FDA exercises regulatory flexibility to approve drugs under the traditional approval pathway, rather than under the accelerated approval program. In fact, most of the recent new drug approvals for rare diseases have been approved under the traditional approval pathway because FDA has determined that the drug provides a clinical benefit to the patient. Such approvals make new drugs available to patients, and also mean that companies are not required to do confirmatory trials after approval. The FDA is committed to continuing its use of expedited programs and regulatory flexibility to speed development and approval of safe and effective drugs for all patients with rare diseases, and the strategies outlined in this plan will help us achieve a major goal of FDASIA and for our agency, which is to speed the development of therapies for children with rare diseases. Head of FDA’s Rare Disease Division Departs, Agency Looking for New Leader The U.S. Food and Drug Administration (FDA) is looking for a new leader for its Rare Diseases Program. John Jenkins, director of the Office of New Drugs (OND), which oversees the rare disease program, said the program’s current leader would be transitioning to a new role at the FDA. Anne Pariser, OND associate director for rare diseases, will take on a new position in the Office of Translational Sciences. Pariser will still be working within the Center for Drug Evaluation and Research (CDER), OND’s parent division. Jenkins noted that the FDA has already closed a solicitation for a new leader for the program, and is in the process of “evaluating the candidates for the detail.” In the meantime, Larry Bauer, a regulatory scientist within OND, will be managing the day-to-day operations of the rare diseases program. On its website, the FDA describes the Rare Disease Program as being meant to “facilitate, support and accelerate the development of drug and biologic products for the benefit of patients with rare disorders.” While it does not handle the orphan drug designation process, it is nevertheless influential in setting regulatory policy for the review of those products. legislative update • Enhance FDA’s review process. Our strategies include fostering efforts to learn patients’ and caregivers’ perspectives and incorporating this information into medical product development. We also plan to further develop and implement a structured approach to benefit-risk assessment in the drug review process and establish a patient engagement panel as part of the medical device advisory committee process. 27 21st Century Cures Overview of July Roundtable The Energy and Commerce Committee continue its efforts on 21st Century Cures as members and participants discuss how the rise of personalized medicine and advances in science and technology can shape the healthcare system in the 21st century. Specifically, the round table is exploring how genomic sequencing and diagnostic testing, as well as the regulation of these continually evolving areas, affects innovative product development and delivery. legislative update 28 “Thanks to the incredible advances made over the past several decades, cures and treatments today can be developed at the molecular level, giving patients treatments tailored specifically to their genetic makeup,” commented Chairman Fred Upton (R-MI) and Rep. Diana DeGette (D-CO). “21st Century Cures is about spurring innovation to advance a system of personalized medicine so that patients can get the right treatment at the right time for their unique healthcare needs. We look forward to hearing more about the opportunities on the horizon and what role Congress can play in moving solutions forward.” Join the 21st Century Cures effort by liking the Cures Facebook page, following along on Twitter, and using #Path2Cures. The MPS Society was invited to submit comment on the Patient Perspective and did so in May 2014. Those comments can be read at http://energycommerce.house. gov/cures. To help advance the 21st Century Cures initiative, the Health Subcommittee will continue its examination of the state of biomedical innovation by hearing from experts on whether additional incentives are necessary to accelerate the discovery, development and delivery cycle. During the inaugural May 6 roundtable, Margaret Anderson, executive director of FasterCures, said, “There are 7,000 known diseases. We have treatments for only 500 of them. We have work to do.” The hearing will allow subcommittee members to better understand whether additional incentives are necessary to accelerate treatment and cures for patients, including those with the 6,500 diseases with no adequate treatment or cure. Congressman Joe Pitts (R-PA) commented, “We need to better understand what we can do to help spur the development of innovative new drugs and devices for patients with unmet medical needs. The committee remains encouraged by the enthusiasm and interest surrounding 21st Century Cures and we look forward to discussing opportunities to close the gaps between the discovery and regulation of new cures and treatments for our nation’s patients.” For decades, our nation’s commitment to the discovery, development and delivery of new treatments and cures has made the United States. the biomedical innovation capital of the world, bringing life-saving drugs and devices to patients and well over a million high-paying jobs to local communities. This success has not gone unnoticed in the rest of the world, and other nations are now actively working to gain a competitive edge in various elements, whether through a focus on basic research or a streamlined approval process to bring new treatments to market more quickly. It is clear that the discovery, development and delivery process is a cycle, meaning that even data captured and analyzed at what some might consider the “end” of the process—the delivery phase—actively infuses new discovery and development of better treatments. The country that fully embraces the entirety of this cycle will be the innovation leader for the 21st Century. Thus, a key goal of the 21st Century Cures initiative is to help ensure it is the United States that charts this course. Read more at http://energycommerce. house.gov/cures. Patient Advocacy: Focal Points for the Future by Steve Smith, MPS IVA parent Patient advocates for rare and serious disorders have often focused on accelerating the clinical trials process and, at times, the voices of advocates have made a difference. The benefits of advocacy may be hard to see because improvements have happened over a long period of time, or because more recent improvements to the clinical trials process will take time to fully mature. While such slogging progress is frustrating, it helps to recognize and understand the nature of these improvements so we know where to focus next. Vocal advocates sometimes push in opposite directions. In today’s climate we may find rare disease advocates in the congressional office buildings asking members of congress to speed up the clinical trials process. Down the hall in other congress members’ offices, other advocates are complaining that the FDA approves drugs too quickly and risks safety. What’s a member of congress to do? Over decades, this tug of war about speed and safety has created change in both directions, and helped define today’s clinical trials regulations. Understanding these forces helps advocates focus their efforts, find common cause and create alliances. While there appears to be conflict between safety and speed, we actually want both. Keep us safe and give us more treatments faster. If we hear a voice saying that “faster” would not be “safe,” we should recognize that view as unacceptable. Safety and speed can co-exist. In 1962, it was thought drug approvals happened too fast due to the Thalidomide disaster. So the 1962 Kefauver Harris Amendment was passed by Congress to make trials safer via statistical rigor. Then in 1983, it was felt that drug approvals were too slow, in response to the AIDS crisis, and the Orphan Drug Act was passed. But orphan disease research was still not creating enough results, so in 2002 the Rare Disease Act was passed to establish some structure and priorities to move things along. In 2012 the new FDA Safety and Innovation Act (FDASIA) was a welcome improvement. True, we have not yet seen all the positive impacts. Implementation of many new laws takes time. Advocates were right in pushing for this legislation, and have continued to be right in focusing on its correct implementation. FDASIA defines a new accelerated pathway for development of drugs for serious and life-threatening disorders: in cases of a potential “break-through therapy” the FDA is mandated to interact more frequently with the drug company during the clinical trials process. To do this, the FDA is challenged to find and apply the right expertise, in larger amounts, to this formidable task. (The science is not simple.) Pharmaceutical companies also need to get data together in a way that is clean and clear, and powerful statistically speaking, on a more frequent basis. Both sides need to up their game in finding ways to overcome the fact that rare disease trial statistics will never have the statistical power of bigger diseases. Both FDA and drug developers will take time to figure out how to better use difficult concepts to evaluate trials results. Surrogate biomarkers and intermediate clinical endpoints may be needed to show proof, but it is difficult for the FDA and sponsors to agree on what these measures mean. This landscape is improving, but slowly. It would be easy to dismiss this new law in casual conversation as “not working” for us because we have not seen the benefits. In fact, some drugs have been approved under this law. More companies are seeking to use it to accelerate their trials. Recent statements by the FDA’s Center for Drug Evaluation and Research Director Janet Woodcock, MD, are encouraging, noting that many drug developers are utilizing the new Breakthrough Therapy Designation defined by the new law. She said this aspect of FDASIA is working better than first imagined. Fourteen years ago, I had a meeting with the FDA, along with Steve Holland, then president of the National MPS Society, and Mark Dant, founder of the Ryan Foundation, both MPS I dads. One of our requests of the FDA was to be more interactive with sponsors during clinical trials. We’d seen gaps in the communication during trials, slowing things down. Lives were at stake, and time was of the essence. We’d seen the FDA declare data (use of surrogate markers) to be insufficient proof. They’d stated this opinion long after the continued >> 29 legislative update Rare disease patient advocacy has become more sophisticated over the last 15 years since Aldurazyme® for MPS I was heading into phase III clinical trials. There are many more well-organized advocacy efforts, and different groups are better at uniting around a common cause to change public policy. >> legislative update 30 Steve Smith drug developers had decided to use such proof. Months were wasted. Eventually a common understanding between the FDA and drug developers was reached, sufficient proof was provided, and the drug (Aldurazyme for MPS I) was approved in 2003. As a result of that visit to the FDA in 2000, it seemed to us that some communication improved on that particular trial immediately. That was on a micro level: one company, one trial. But the public policy about that issue improved on a national scale with the passing of FDASIA in 2012. Now, FDASIA mandates such frequent interaction during clinical trials between the FDA and drug developers. FDASIA was the result of many years of advocacy, by many individuals, advocacy groups and other stakeholders. Since we met with the FDA in 2000, we have witnessed a growing sophistication of patient advocacy for rare diseases focused on Congress and the FDA. There are more advocates, advocacy groups and much better organization of advocacy. Advocates still disagree about how to get things done, and have family like squabbles about turf. But the ability of advocates to work through their different approaches to express common cause in clear terms has improved. This helps legislators know what to do. Now in our third decade of lysosomal disease drug approvals, we’ve had to wait while one lengthy trial after another happens, almost as if each disease has to line up waiting its turn. What if we’d had better consolidation of research and faster approvals? Perhaps we weren’t ready scientifically. Regulatory policy was certainly not supportive of that. Going forward, some encouraging focal points for advocates should have long-term benefits that may be hard to see today. Examples are consolidating themes. Master protocols that combine into single trials what used to be divided into many separate trials (e.g., the NIH-sponsored LungMap trial), increasing use of phase IV surveillance rather than lengthy phase III double-blind placebo trials, other adaptive trial designs, efforts to collect and reuse data in a way that is not trial-specific (“let no data go to waste”), and proactive work by advocacy groups to assemble patient data, or risk vs. benefit guidance for the FDA as the Parent Project Muscular Dystrophy group has recently done. Advocates should be dissatisfied with the current state of rare disease drug development. It is unacceptably slow. But advocates should be encouraged that there are compelling focal points for advocacy today, a stronger advocacy culture and evidence that advocates’ voices make a difference, even when it takes a long time to see it. research news Shire and AbbVie Merge On July 18, 2014, Shire and AbbVie announced the merger between the two companies; the transaction is expected to be completed in the fourth quarter of 2014. “By combining AbbVie and Shire, we’re creating a unique, diversified biopharmaceutical company,” said Richard A. Gonzalez, chairman and chief executive officer of AbbVie. “The combined company would benefit from a best-in-class product development platform, a stronger pipeline and more enhanced R&D capabilities. “The combination of AbbVie and Shire is attractive for shareholders of both companies, bringing the potential for strengthened sustainability of top-tier EPS growth, attractive free cash flow and enhanced cash returns to shareholders. The combination would provide us with enhanced access to cash that we can use to expand our portfolio and fund M&A to supplement organic growth.” Susan Kilsby, chairman of Shire, said, “Shire has a long track record of delivering value for both shareholders and patients. Our growth profile has been accelerated under our new management team who have successfully executed a focused strategy. We believe that this offer reflects the substantial value that we have already created for Shire’s shareholders and the strength of our future prospects. We believe that the combined group represents an exciting fit of two complementary businesses that will create a new market leader in specialty pharmaceuticals with a portfolio of fast growing products, a promising pipeline and enhanced growth prospects.” In a personal communication to the National MPS Society, Thomas Croce, head of Shire Global Patient Advocacy Communication & Public Affairs, noted, “The transaction will create a well-positioned and focused specialty biopharmaceutical company, with sustainable leadership positions within areas of unmet need, including immunology, rare diseases, neuroscience, metabolic diseases and liver disease and multiple emerging oncology programs. As a valued partner, we are committed to communicating with you throughout this process, and will be as transparent as possible over the coming weeks and months.” ArmaGen and Shire Announce License Agreement ArmaGen and Shire announced July 23, 2014, that they entered into a worldwide licensing and collaboration agreement to develop AGT-182, an investigational enzyme replacement therapy for potential treatment of both the central nervous system and somatic (body-related) manifestations of Hunter syndrome. AGT-182, which has received orphan drug designation from both the U.S. Food and Drug Administration and the European Medicines Agency, is designed to take advantage of the body’s natural system for transporting products across the blood brain barrier (BBB) by using the same receptor that delivers insulin to the brain. AGT-182 is engineered by the fusion of the replacement IDS enzyme to an antibody that binds to a receptor on the BBB. The IDS enzyme is designed to cross the BBB attached to that antibody. Under the terms of the agreement, Shire will obtain worldwide commercialization rights for AGT-182 in exchange for payments of approximately $225 million to ArmaGen, including an initial upfront payment of $15 million in cash and equity, an additional equity investment, R&D funding, development milestones and sales milestones, in addition to royalty payments. As part of the agreement, ArmaGen will be responsible for conducting and completing the phase I/II study which it expects to initiate before the end of 2014, after which point Shire will be responsible for further clinical development, including phase III trials, and commercialization. For additional information see page 32. 31 ArmaGen Technologies, Inc. Develops Technology to Cross the Blood-Brain Barrier research update 32 Over the past decade, biotechnology has delivered on the promise of developing potent new therapies to treat a wide range of diseases, including childhood genetic disorders like MPS. However, these advances have not been fully realized for disease processes that specifically affect the brain. This is because, to date, biopharmaceuticals have been unable to penetrate the brain’s protective wall, called the blood-brain barrier (BBB). Founded in 2004 by Dr. William Pardridge from UCLA, ArmaGen Technologies has developed the first technology that enables the re-engineering of biotech drugs as BBB-penetrating agents. This is achieved through ArmaGen’s molecular “Trojan horse” technology. The molecular Trojan horse is a genetically engineered monoclonal antibody that traverses the BBB via natural transport systems present on the surface of the BBB. Through molecular biology techniques, ArmaGen can fuse the Trojan horse to the biotech drug. The process creates a new fusion protein where half is the brain-active drug and half is the Trojan horse. The Trojan horse domain of the fusion protein ferries the biotech drug across the BBB and into the brain where it is now able to exert its effects more effectively. Without the Trojan horse domain, the biotech drug cannot penetrate the BBB. ArmaGen’s programs currently are in the preclinical stage; the company intends to advance two Trojan horse constructs toward phase I human clinical development in 2014. ArmaGen® Receives U.S. Orphan Drug Designation for Lead Product AGT-182 for Treatment of MPS II ArmaGen announced on July 18, 2013, that the U.S. Food and Drug Administration (FDA) has granted orphan drug designation to its lead product AGT-182 for the treatment of MPS II. AGT-182 is a human insulin receptor monoclonal antibody-fused iduronate 2-sulfate designed to cross the blood brain barrier (BBB) through the insulin receptors present on the BBB. ArmaGen currently is preparing an Investigational New Drug Application (IND) for AGT-182 in order to begin clinical investigation in the first half of 2014. “We are very pleased to receive FDA orphan drug designation for AGT-182. This designation is an important strategic milestone in the development of our program,” said James Callaway, PhD, chief executive officer of ArmaGen. “It represents a transformational moment in the company’s evolution as we prepare for the IND and transition from a research-stage to a clinical-stage organization.” Orphan Drug Designation is granted by the FDA Office of Orphan Drug Products to drugs intended to treat a rare disease or condition affecting fewer than 200,000 people in the United States. This designation confers special incentives to the drug developer, including tax credits on the clinical development costs, prescription drug user fee waivers and may entitle a period of seven-year market exclusivity in the United States upon FDA approval. “Through the development of AGT-182, ArmaGen hopes to address the significant unmet medical need for patients who suffer central nervous system impairment as a result of Hunter syndrome,” said ArmaGen founder and Chief Scientific Officer, William Pardridge, MD. “In addition, the company will continue applying our BBB-penetrating approach to other compounds internally as well as through external collaborations with pharmaceutical partners.” National MPS Society PO Box 14686 Durham, NC 27709-4686 t: 877.MPS.1001 • p: 919.806.0101 f: 919.806.2055 Dear MPS III families: On behalf of the National MPS Society’s board of directors, I am writing to explain some board actions concerning MPS III research funds. 2012 MPS III Grand Challenge Grant In February of 2012, the National MPS Society announced the availability of a $235,000 Grand Challenge Grant for the treatment of MPS III. The Society and its MPS III foundation partners, including Team Sanfilippo, combined general research dollars with MPS III research dollars to create this unprecedented award amount. The purpose of the grant was to take a large step forward in finding a treatment for MPS III. Following a recommendation by the Society’s Scientific Advisory Board, the Grand Challenge Grant was awarded to Dr. Brian Bigger in June of 2012 for his project, “Evaluation of high dose genistein aglycone in the treatment of mucopolysaccharide disease types IIIA, B and C.” The purpose of the project was to evaluate the efficacy of treating MPS III individuals with genistein using trial participants in the UK. Being a treatment trial, a significant amount of additional funds had to be raised and UK regulatory approval obtained before the trial could be started. In February of 2013, the Society’s board became concerned about the delays in the start of the trial and whether the project was viable. A June 2013 deadline was set to begin the project or the funds would be withdrawn. Following positive movement toward starting the trial, the Society disbursed $117,500 to the project in June 2013 with the stipulation that the remaining funds would be disbursed after one year of treating trial participants if they were showing positive results. As of May 2014, the project is not fully funded and UK regulatory approval has not been obtained. Due to the over two-year intervening period since the Grand Challenge Grant was first advertised, the board voted on May 3, 2014, to withdraw the undisbursed $117,500 support from the genistein project and to advertise the availability of these remaining funds to ensure they are spent on the best MPS III project at this time. The genistein project can be resubmitted for consideration along with other newer projects that may now be available. 2014 MPS III Research Grants In addition to the amount discussed above, Society members raised approximately $100,000 in 2013 to invest in MPS III research. Instead of advertising the availability of those funds in the spring of 2014 along with the Society’s regular research grant offering, the board is reviewing information from Abeona Therapeutics related to Dr. Haiyan Fu’s MPS III gene therapy trial project at Nationwide Children’s Hospital. We anticipate making an announcement about these funds this summer. In addition, the Society will be awarding one $60,000 general research grant in 2014 that may be used for any of the MPS or related diseases. Conclusion While it is wonderful that we now have treatments for so many of the MPS and related diseases, it is heartbreaking that you are still waiting. Your board of directors is keenly aware of this fact and is committed to doing our part to speed your path to treatment. I hope you interpret the actions described above as positive steps toward that goal. If I can be of assistance to you in any way, please let me know. Sincerely, Steve Holland MPS I dad President, National MPS Society This letter was sent to all MPS III members. research news May 23, 2014 33 2014 Research Grants research news 34 The National MPS Society allocated $509,500 in grant funding for 2014 which includes the second year funding for grants awarded in 2013, the unspent MPS III funds from 2012 and the 2014 grants. The funding the Society provides has been and continues to be critical as we move forward with our mission to find the cures. We received 20 letters of intent from researchers around the world for the general, MPS II, MPS IVA and MPS VI grants. After reviewing those letters, our Scientific Advisory Board review committee requested full grant proposals from eight researchers. The board of directors allocated $117,000 to Abeona Therapeutics, which has licensed the MPS IIIA and MPS IIIB gene therapy technology from Nationwide Children’s Hospital. Funds already raised by Abeona have been funneled to Nationwide for MPS III drug manufacturing and preclinical research plus two investigational new drug applications. The financial distribution from the Society will help move the clinical trial forward. The Society also provided $25,000 to support the Lysosomal Disease Network’s NIH grant research goals. This funding is designated for the Neuroimaging Core, which will benefit the four MPS projects. An additional $8,000 was offered for an ML grant in partnership with International Society for Mannosidosis and Related Diseases. A $10,000 MPS I partnership grant with the Ryan Foundation funds the University of Minnesota project “Longitudinal Studies of Brain Structure and Function in MPS Disorders.” The Society also provides funding for post-doctoral fellows to attend the American Society and Gene and Cell Therapy conference. General Grant – two years @$30,000 each year Moin Vera, MD, PhD The MPS IVA grant, $45,000 for each of two years, was not funded due to lack of quality proposals. A second grant initiative was announced July 24 with a request for proposals for the MPS IVA grant and for an MPS III grant, $50,000 for each of two years. The MPS IVA and MPS III grants will be funded in December 2014. Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center Torrance, CA “The role of angiotensin II-mediated inflammation in MPS I vascular disease: a study of pathophysiologic mechanism and evaluation of angiotensin receptor blockade therapy” Bones, joints and cardiovascular tissues are among the most difficult to treat with the standard therapies available today for MPS I. Disease affecting these tissues also causes the most disability in our patients, including poor quality of life and risk of early death. Inflammation is a mechanism that seems to explain much of the bone and joint disease in animal models of mucopolysaccharidoses. In this project, we are studying a specific inflammatory pathway in vascular disease, which also occurs in MPS patients. This alternative inflammatory pathway is hypothesized to be stimulated by angiotensin II, a molecule that plays a role in atherosclerosis and coronary artery disease. We plan to test the importance of this pathway by studying vascular smooth muscle cells from MPS I mice and we plan to test a treatment for this type of inflammation using an angiotensin receptor blocker in MPS I mice. MPS II – two years @ $25,000 each year R. Scott McIvor, PhD University of Minnesota Minneapolis, MN “AAV mediated gene transfer to the CNS for MPS II” Currently there is no established treatment for neurologic symptoms of Hunter syndrome, caused absence of the enzyme iduronate sulfatase (IDS). We have established conditions for effective gene transfer to all areas of the brain using a genetically engineered virus (AAV). In this research project, we will test these conditions for introduction of the gene for IDS into the brain in mice that are deficient in IDS, then test for prevention of neurologic continued >> >> disease. We anticipate that results from these studies will facilitate the development of genetic therapy for neurologic symptoms of Hunter syndrome. Calogera Simonaro, PhD Icahn School of Medicine at Mount Sinai New York, NY “Pentosan Polysulfate and GAGs in MPS” We have previously shown that glycosaminoglycan (GAG) storage in MPS leads to inflammation, a major contributor to the degenerative cartilage disease in MPS patients. patients with other conditions for many years, and it addresses two key pathologic features—GAG storage and GAG-induced inflammation. The first clinical trial of PPS in MPS will begin this summer. However, despite these advances, the mechanism(s) leading to PPS-induced GAG reduction in MPS remain unknown, nor is it known if the findings in MPS VI extend to other MPS types. The current proposal is therefore focused on addressing these important questions. 2013 Research Grants—First Year Reviews The reviews of the first year of research of these grants can be found on our website under the research section, 2013 grants, at www.mpssociety.org/research/2013-research-grants. General Grant MPS II MPS IVA Grant Lachlan Smith, PhD University of Pennsylvania Philadelphia, PA “Pathogenesis of bone disease in mucopolysaccharidosis disorders” Vito Ferro, PhD University of Queensland Brisbane, Queensland Australia “Development of pharmacological chaperone therapy for MPS II” Adriana Montano, PhD Raymond Wang, MD St. Louis University CHOC Children’s Hospital St. Louis, MO Orange, CA “Manifestations of cardiovascular disease in Morquio A: Evaluation, assessment and therapy” General Grant Richard Steet, PhD Dr. Dwight Koeberl University of Georgia Duke University Athens, GA Durham, NC “Adjunctive therapy for Hurler syndrome” MPS III Jeffrey Esko, PhD University of California, San Diego La Jolla, CA “Delivery of sulfamidase to the brain” ML II/II Heather Flanagan-Steet, PhD Complex Carbohydrate Research Center University of Georgia “Investigating the role of cathepsin proteases in NL II cardiac pathology” 35 research news MPS VI – two years @ $25,000 each year We have also recently identified one FDA-approved drug, pentosan polysulfate (PPS), which resulted in remarkable clinical improvements in MPS VI rats. We compared the effect of oral, daily PPS administration to once weekly, subcutaneous injection in this animal model. The bioavailability of injected PPS is greater than oral, suggesting better delivery to difficult tissues such as bone and cartilage. Enhanced effects of subcutaneous injection treatment included greater endurance, better improvements in cartilage and bone and, most importantly, GAG reduction in urine, serum and tissues. Treating MPS patients with PPS is medically plausible given that the drug has been safely used in 2012 Research Grants—Second Year Reviews research news 36 The reviews of the second year of research of these grants can be found on our website under the research section, 2012 grants, at www.mpssociety.org/research/2012-research-grants. MPS II MPS IVA Gustavo H.B. Maegawa, MD, PhD Johns Hopkins School of Medicine, Department of Pediatrics Baltimore, MD “Induced-neuronal (iN) cells as told to study the pathogenesis of neurological manifestations in MPS II” Shunji Tomatsu, MD, PhD Nemours Children’s Clinic – Delaware Valley of the Nemours Foundation Wilmington, DE “Development of long circulating enzyme replacement therapy for MPS IVA” Clinical Trials MPS I MPS I Intrathecal Enzyme Replacement Clinical Trial Information The Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center in Torrance, CA, and the University of Minnesota are collaborating on a Study of Intrathecal Enzyme Replacement Therapy for cognitive decline in patients with MPS I. The purpose of this research study is to find out whether giving enzyme replacement therapy with Aldurazyme® as an injection directly into the cerebral spinal fluid (the fluid around the spinal cord and the brain) can stabilize (keep from getting worse) or improve cognitive decline in patients who have MPS I. The term “cognitive decline” refers to a change for the worse in our ability to think and learn. Difficulty with thinking, memory, language, concentration and decision making are some signs of cognitive decline. To be eligible for this study, you or your child must be willing and able to comply with the study procedures and meet certain criteria: • 6 years of age or older • diagnosed with MPS I • show evidence of cognitive decline on a screening evaluation Study participants will have: • up to 10 treatments given one to three months apart over two years (treatment group) or four treatments given three months apart beginning at month 12 (control group) •p hysical examinations (general and neurologic) •n europsychological testing for cognitive decline and MRI of the brain • reimbursement/payment of travel expenses Additional details about this clinical trial can be found at the ClinicalTrials.gov website, www.clinicaltrials.gov; search under “mucopolysaccharidosis.” If you are interested in participating in or for more information about this study, contact: Dr. Agnes Chen 310.222.4160 / [email protected] or Dr. Patricia Dickson 310.781.1399 / [email protected] MPS I Intrathecal ERT for Children Being Considered for Transplantation The University of Minnesota has recently obtained FDA approval for the delivery of laronidase into the spinal fluid of children with Hurler syndrome being considered for marrow/cord blood transplantation. The goal of these studies is to decrease the neuropsychologic decline that has been observed in children with Hurler from the time the patients are initially evaluated to the time they are one year from transplantation. The hypothesis is that there is a significant delay in achieving sufficient enzyme levels in the brain following transplantation, and that this may be overcome by giving enzyme into the spinal fluid until this occurs. continued >> >> The study will involve four doses of laronidase given during a lumbar puncture (spinal tap) approximately three months before transplantation, at the time of admission to the hospital for the transplant, three months after the transplant and six months after the date of the transplant. Principal Investigator of the study, Dr. Paul Orchard, can be reached at 612.626.2961 or by e-mail at [email protected]. Alternatively, Teresa Kivisto, nurse coordinator with the study, can be reached at 612.273.2924 or by e-mail at [email protected]. MPS II A Controlled, Randomized, Two-arm, Open-label, Assessor-blinded, Multicenter Study of Intrathecal Idursulfase-IT Administered in Conjunction with IV Elaprase in Pediatric Patients with Hunter Syndrome and Early Cognitive Impairment (AIM-IT) The purpose of this study is to determine the effect of the Idursulfase-IT treatment regimen in conjunction with IV Elaprase therapy, on cognitive and adaptive behavior as measured by the DAS-II (Differential Ability Scales, Second Edition) in pediatric patients with Hunter syndrome and early cognitive impairment. This study will be conducted in English and Spanish speaking countries, with the following being considered: Argentina, Australia, Canada, Colombia, Mexico, United Kingdom, United States and Spain. This is a controlled, randomized, two-arm, open-label, assessor-blinded, multicenter study to determine the effects on clinical parameters of neurodevelopmental status of monthly IT administration of Idursulfase-IT for 12 months in pediatric patients with Hunter syndrome and early cognitive impairment who have previously received and tolerated a minimum of four months of therapy with Elaprase. A total of 42 patients will be randomized to either receive monthly IT treatment or to a no- treatment control arm in a 2:1 ratio. All patients will be on standard of care IV Elaprase throughout the study. The SOPH-A-PORT Mini S, Implantable Access Port will be utilized for IT administration of Idursulfase-IT. In the United States, a limited number of patients (nine in total) may be initially enrolled into the study. If randomized to the IT treatment arm, these patients may initially receive consecutive monthly IT doses of Idursulfase-IT by lumbar puncture. At such time that the use of the SOPH-A-PORT Mini S is authorized by the FDA, these patients and any patient enrolled thereafter who is to receive treatment will be implanted with the device. Patients that are under the age of 3 may be eligible for inclusion into a sub-study which does not include a no-treatment arm. Key Inclusion Criteria • males between 3 and 18 years of age •d ocumented diagnosis of MPS II mutation in the I2S gene leaving FMR1 and FMR2 genes intact • e vidence of early cognitive impairment due to MPS II with GCA score between 55 and 85 (General Conceptual Ability score, as measured by the DAS-II) For more information, visit www.shiretrials.com or www.clinicaltrials.gov, keyword “MPS II, Hunter syndrome.” MPS III A Randomized, Controlled, Open-label, Multicenter, Phase IIb Safety and Efficacy Study of HGT-1410 (Recombinant Human Heparan N Sulfatase) Administration via an Intrathecal Drug Delivery Device (IDDD) in Pediatric Patients with Early Stage MPS IIIA The purpose of this study is to assess the potential clinical efficacy of HGT-1410 administered via a surgically implanted IDDD in patients with MPS IIIA. This study will be conducted globally, with the following countries being considered: Argentina, Brazil, Canada, France, Germany, Italy, Netherlands, Spain, United Kingdom, and United States. This is an open-label, randomized, parallel group, controlled, multicenter study designed to evaluate the efficacy and safety of HGT-1410 administered via an IDDD versus no treatment in patients at a relatively early stage of MPS IIIA disease. A total of 18 patients will be randomized to one of three groups: 45 mg HGT-1410 administered IT every two weeks (six patients); 45 mg of HGT-1410 administered IT every four weeks (six patients); or a no-treatment control arm (six patients). continued >> 37 research news Patients with Hurler syndrome who are between 8 and 36 months of age who have not previously received enzyme therapy and are being considered for transplantation at the University of Minnesota are eligible. Patients receiving laronidase in the spinal fluid also will be on intravenous laronidase prior to transplant. >> research news 38 The SOPH-A-PORT Mini S, Implantable Access Port will be utilized for IT administration of HGT-1410. Key Inclusion Criteria • age between 12 and 48 months • documented diagnosis of MPS IIIA •d ocumented deficiency in sulfamidase enzyme activity of ≤10% of the lower limit of the normal range as measured in fibroblasts or leukocytes •d ocumented mutations in each SGSH allele OR documentation of mutations in each SGSH allele in a sibling affected by MPS IIIA •d evelopmental quotient score ≥60%, assessed by cognitive evaluation at screening assessment using the Bayley Scores of Infant Development, Version III (BSID-III) For more information, visit www.shiretrials.com or www.clinicaltrials.gov, keyword “MPS IIIA, Sanfilippo syndrome type A.” Intracerebral Gene Therapy for MPS IIIA Lysogene announced May 13, 2013, that the U.S. Food and Drug Administration (FDA) granted orphan drug designation to its lead gene therapy product SAF-301 for the treatment of MPS IIIA. Lysogene’s 2014–2017 development plan, including the clinical site(s) determination for the next clinical development, currently is under preparation. A one-year, phase I/II gene therapy clinical trial for MPS IIIA is being conducted at Hôpital Bicêtre Assistance Publique des Hôpitaux de Paris. This is an open-label, single-arm, monocentric, phase I/II clinical study evaluating the tolerance and the safety of intracerebral administration of adeno-associated viral vector serotype 10 carrying the human SGSH and SUMF1 cDNAs for the treatment of Sanfilippo type A syndrome. The treatment plan consists of a direct injection of the investigational medicinal product SAF-301 to both sides of the brain through six imageguided tracks, with two deposits per track, in a single neurosurgical session in four patients with MPS IIIA. The primary objective is to assess the tolerance and the safety associated to the proposed treatment through a one-year follow up. The secondary objective is to collect data to define exploratory tests that could become evaluation criteria for further clinical phase III efficacy studies. Lysogene, the biotechnology company sponsoring the clinical trial, announced June 14, 2012, that the last planned patient had been treated. Primary Investigator, Dr. Marc Tardieu, can be reached at 94275, +33 1 45 21 32 23 or via e-mail at [email protected]. Additional information about the study can be found at www.clinicaltrials.gov/ct2/show/NCT01474343?term= MPS+IIIA&rank=4. MPS IV On July 7, 2014, BioMarin Pharmaceutical Inc. announced that Health Canada has approved VIMIZIM™ (elosulfase alfa) for long-term enzyme replacement therapy in patients with a confirmed diagnosis of MPS IVA (Morquio A syndrome.) This follows the April 28, 2014, announcement that the European Commission has granted marketing authorization for VIMIZIM, the first specific treatment approved in the European Union for MPS IVA in patients of all ages. As the first drug ever approved for Morquio A syndrome, VIMIZIM has been granted orphan drug status in the European Union, which confers 10 years of market exclusivity. BioMarin announced February 14, 2014, FDA approval for VIMIZIM for the treatment of patients with MPS IVA. On Feb. 20, 2014, BioMarin announced that the European Commission is expected to render a final decision for VIMIZIM in the second quarter of 2014. If approved by the European Commission, BioMarin would receive marketing authorization for VIMIZIM in all EU Member States. The safety and efficacy of VIMIZIM were assessed in a 24-week, randomized, double-blind, placebo-controlled clinical trial of 176 patients with MPS IVA (MOR-004). The primary endpoint of the trial, change in six-minute walk distance at 24 weeks, was statistically significant in patients receiving weekly infusions of VIMIZIM at the dose of 2 mg/kg with a mean increase of 22.5 meters (p=0.0174) over placebo. In patients who continued to receive VIMIZIM 2 mg/kg once per week for another 48 weeks (for a total of 72-week exposure), walking ability was sustained to a similar level that was achieved during the first 24 weeks of treatment in the placebo-controlled trial, MOR-004. Overall, sustained improvements across multiple efficacy measurements and across multiple clinical trials provided evidence of clinical benefit to patients with MPS IVA, a chronic, progressive disease in which clinical deterioration is the expected course. continued >> >> BioMarin will offer support to patients through its BioMarin Patient & Physician Support (BPPS) team. Through BPPS, patients receive live, personalized support by a specialized case manager who will research insurance coverage and alternative benefit options. BPPS will help patients obtain coverage and minimize out-ofpocket expenses and find alternative financial assistance for treatment. To reach a BPPS case manager, call, toll-free, 1.866.906.6100 or e-mail [email protected]. For more information about VIMIZIM, visit www.VIMIZIM. com. MPS VII Ultragenyx Pharmaceutical Inc., announced Dec. 4, 2013, the dosing of the first patient in a phase I/II study of recombinant human beta-glucuronidase (rhGUS, UX003) for MPS VII, in Manchester, UK. MPS VII is an ultra-rare autosomal recessive lysosomal storage disorder characterized by a deficiency of the enzyme beta-glucuronidase that results in a severe multi-system disease. William Sly, MD, chairman emeritus of the Department of Biochemistry at Saint Louis University, commented, “Patients, families and researchers have been waiting many years for this advancement in the treatment of MPS VII. The initiation of clinical testing of rhGUS is the culmination of decades of work.” The phase I/II open-label clinical trial will assess the safety and efficacy of rhGUS in a 12-week primary analysis phase, followed by dose-exploration and longterm extension. Five patients between 5 and 30 years of age inclusive will be enrolled and administered rhGUS every other week via intravenous infusion. Interim data from the phase I/II study is expected in 2014. “MPS VII is a devastating condition that has been neglected by the drug development community despite 20 years of extensive nonclinical research led by Dr. Sly and his colleagues,” said Emil D. Kakkis, MD, PhD, chief executive officer of Ultragenyx. “The initiation of this phase I/II study is an important milestone for Ultragenyx and for patients with MPS VII.” Additional information about the study can be found at http://clinicaltrials.gov/ct2/show/NCT01856218?term =MPS+VII&rank=1. ML II/III There currently are no therapy clinical trials for ML II/III. 39 research news The adverse events observed in clinical trials were similar to those seen in other enzyme replacement therapies. In the phase III trial, the most common adverse reactions (≥10% and a higher incidence than placebo) that occurred were pyrexia, vomiting, headache, nausea, abdominal pain, chills and fatigue. No new types of adverse reactions were reported in the phase III extension trial. The most common adverse reactions (≥10%) observed across pre-marketing clinical trials were similar in type and frequency as those observed in the placebo-controlled trial. Acute reactions requiring intervention were managed by either temporarily interrupting or discontinuing infusion, and administering additional antihistamine, antipyretics or corticosteroids. RESOURCES AND 40 helpful information Mucopolysaccharidoses and Social Security Benefits by Lisa Giorgetti, community liason, Social Security Disability Help www.disability-benefits-help.org MPS symptoms can range from dwarfism to intellectual disability or vision problems. When these traits present themselves more severely, an individual with any combination of these affects may be unable to work and earn a living, or function at age-appropriate levels. You may be eligible for disability benefits from the Social Security Administration. These benefits can pay for therapy or for your daily expenses, making room for a much better quality of life. While the application process can require much time and effort, understanding the eligibility requirements and application process is beneficial in receiving the financial support you deserve. Disability Benefit Programs The Social Security Administration (SSA) provides two financial assistance options to those with MPS. The first, Social Security Disability Insurance (SSDI), provides benefits to working adults when a prolonged medical condition keeps them from working. SSDI is funded by Social Security taxes and available only those who have paid Social Security taxes for a significant amount of time. In order to qualify for SSDI, you will need to have a record of employment. This record will show that you have not only paid Social Security taxes, but also you have earned the required number of work credits needed for qualification. Work credits are based on yearly earnings and applicants can earn up to four credits each year. Those who may not be eligible for SSDI may qualify for Supplemental Security Income (SSI) instead. This program requires that its applicants meet certain financial restrictions, showing they demonstrate financial need. SSI is beneficial for elderly applicants over age 65 or children who may not have been able to work long enough to qualify for SSDI benefits. The SSA evaluates applicants based on portions of their income and the value of resources they own. In the case of a child, the SSA will evaluate parts of a parent’s finances under the assumption that the child also shares in these funds, called the parental deeming process. Parents’ income and resources will not be used in the determination process once the individual with MPS turns 18. www.disability-benefits-help.org/ssi/qualify-for-ssi Medical Eligibility The SSA has a guidebook of conditions it considers disabling called the Blue Book. Applicants must demonstrate that their condition fits a listing of requirements in the Blue Book for a known disability. If the applicant can’t meet a listing, they can also match an associated symptom or complication in severity to receive benefits. Because MPS affects children from birth and there is no cure, the most common way to qualify for one of these conditions is by meeting Blue Book listing 110.08 – A Catastrophic Congenital Disorder. This listing is met when: • death is expected within the first months of life; or • there is very serious interference with development or functioning. Usually, the condition has affected many regions of the body. continued >> >> Those with MPS also may qualify under listings of associated symptoms, such as: • 12.05 – Intellectual Disability (112.05 for children) • 4.06 – Symptomatic Congenital Heart Disease (104.06 for children) • 100.00 – Growth Impairment • 1.02 – Major Dysfunction of a Joint (due to any cause) (101.02 for children) • 2.10 or 2.11 – Hearing loss treated or not treated with cochlear implant (102.10 or 102.11 for children) The Application Process The application can be completed online or with a representative from the SSA. Applications for children must be completed in person and can’t be submitted online, however an adult can choose either method. www.disability-benefits-help.org/content/application-process Before you begin, gather all medical and technical documentation needed for each step of the process, including: • medical records • lab results • doctor’s notes • hospitalizations • treatments received • If you’re applying for SSDI, you will need to present a sufficient record of employment. • If you are applying for SSI, you will need financial information to demonstrate you meet the income and resource limits. The turnaround time for a decision from the SSA is usually a few months. During that time, you will be asked to present your claim and possibly attend evaluations from examining doctors. It may be helpful to hire representation to help you prepare all the required information and present it to the SSA in a way that improves your chances of qualifying. Disability advocates and attorneys are specialists when it comes to the application process and know the best way for you to qualify according to your specific conditions. In the event your claim is denied, you may appeal the decision. The appeal is a separate process than the application and can be completed online within 60 days of the denial. Knowing how to navigate the application process before you begin seeking Social Security disability benefits will increase your chances of correctly submitting a claim and eventually being approved for the financial assistance your family deserves. The relief the benefits provide can greatly improve quality of life for families dealing with MPS. Genzyme Co-Pay Assistance Program Genzyme’s Co-Pay Assistance Program assists eligible individuals who are prescribed treatment with one of Genzyme’s enzyme replacement therapies with their drug- and infusion-related (mixing and administering of the drug as well as infusion supplies such as saline, IV tubing, etc.) co-pay expenses, including coinsurance and deductibles, regardless of financial status. Once enrolled in the Co-Pay Assistance Program, Genzyme will cover 100 percent of your eligible out-of-pocket drug and infusion costs up to the program maximum. The program is effective from the date of approval through the end of the current calendar year (Dec. 31). Who is eligible? Regardless of financial status, the program is open to individuals who: • have primary commercial insurance. • are enrolled in Genzyme’s Charitable Access Program. • are prescribed treatment with one of Genzyme’s enzyme replacement therapies. continued >> resources and helpful information Applicants with MPS also are eligible for an expedited application process called compassionate allowances, which seeks to pay benefits to those with very severe and obvious disabilities. Compassionate allowances enable individuals to qualify based on minimal medical evidence. 41 >> resources and helpful information 42 Who is NOT eligible? As required by law, the program is not available to individuals who: • have coverage or prescriptions paid for in part or full under any state or federally funded healthcare program, including: – Medicare – Medicare Advantage Plans (Example: FreedomBlue offered through Blue Cross Blue Shield) – Medicaid – Medigap – Veterans Affairs, Department of Defense or TRICARE – High Risk Pool or Pre-existing Condition Insurance Plan (PCIP) – In accordance to state law, infusion-related costs are not covered for commercially insured patients residing in MA, MI, MN, RI. New in 2014: • In addition to providing co-pay assistance for eligible out-of-pocket drug and infusion related co-pays, co-insurance and deductibles, Genzyme also will provide assistance for mixing of the drug as well as infusion supplies such as saline, IV tubing, syringes, etc. • Patients who currently are enrolled in an insurance plan through the Health Insurance Exchanges are eligible to enroll in the Genzyme Co-Pay Assistance Program. • Patients who currently are enrolled in a Federal Employee Plan, as well as postal service workers, are eligible to enroll in the Genzyme Co-Pay Assistance Program. Resources for Siblings http://siblingleadership.org The mission of the Sibling Leadership Network is to provide siblings of individuals with disabilities the information, support and tools to advocate for their brothers and sisters and to promote the issues important to them and their entire families. SibNet, the first and largest online community for adult brothers and sisters from around the world, is co-sponsored by the Sibling Support Project and the Sibling Leadership Network. Visit www. siblingsupport.org/connect/ the-sibnet-listserv for more information. Did You Know There are Several Family Support Programs Available to Help Members of the National MPS Society? • The Social Gathering Program — Families can request funds up to $750 each year to help with organizing a picnic or other social function. • The Family Assistance Program — Families or adults with MPS and related diseases can request up to $3,000 annually to purchase durable medical goods not covered by insurance or other sources. • Conference Scholarship Program — Families or adults with MPS or related diseases can apply for financial assistance to attend an MPS Society conference. • Continuing Education Scholarship Program — Individuals with MPS and related diseases and their siblings and children can apply for a $1,000 Continuing Education Scholarship. • Extraordinary Experiences — Individuals with MPS and related diseases, ages 13 and older, can apply for a grant of $1,000 to create an Extraordinary Experience. • Medical Travel Assistance Program — The program reimburses up to $500 per individual with MPS or related diseases, per 12-month period, in transportation costs for member families traveling to a medical appointment more than 200 miles from their home. Contact Laurie Turner, [email protected], for more information or apply online at www.mpssociety.org under “Support.” Transitioning to Adulthood Life is full of transitions. An important transition for youth with special healthcare needs and their families is the transition to adulthood. To make this process smooth and effective, begin early. Create a statement of needed transition services, addressing areas such as instruction, employment, community experiences and adult living. • Transition to Adulthood—explaining guidelines for transition and why transition is important (www.spannj.org/transition). • Healthcare Transition—resources and information focusing on a young adult’s transition from pediatric to adult healthcare (www.gottransition.org). MPS II Website MPS I Website www.hunterpatients.com www.MPSIdisease.com This site is a resource center providing information about the genetics, diagnosis and management of MPS II, as well as information about the drug development process. It also provides a comprehensive overview of MPS II, including resources for patients and healthcare professionals, information on clinical trials and a patient outcomes survey, as well as the ability to stay informed as new information about MPS II becomes available on the site. In addition, www.hunterpatients.com is an exclusive forum for primary caregivers of children with MPS II to connect and share their personal stories and experiences, as well as give and receive tips for facing everyday challenges. This online community aims to strengthen the network of Hunter parents, and to increase awareness about MPS II by encouraging primary caregivers to talk about Hunter syndrome with members of their community and to use their personal experience to help others understand this lifealtering condition. The Hunter Parents Community is not a forum to discuss medical, product or treatment options, but rather allows MPS II parents to support and learn from each other, and to raise awareness. HealthTalker—An MPS II Online Community The Hunter Parents Community is an online community sponsored by Shire. The website is an exclusive forum for primary caregivers of children with MPS II to connect and share their personal stories and experiences, as well as give and receive tips for facing everyday challenges. In addition to strengthening the network of Hunter parents, the community aims to increase awareness about MPS II by encouraging primary caregivers to talk about Hunter syndrome with members of their community and to use their personal experience to help others understand this life-altering condition. The Hunter Parents Community is not a forum to discuss medical, product or treatment options, but rather allows MPS II parents to support and learn from each other, and to raise awareness. To join the Hunter Parents Community, go to www.HunterPatients.com. A website has been developed by Genzyme to provide parents and patients with information and resources on MPS I. This site provides valuable information on the disease, diagnosis, on-going clinical trials, and other references and services available to patients. Visit www.MPSIdisease.com. MPS I Registry Access to information is critical to providing the best care for patients with MPS I. However, information on the disease is limited because of its rarity. A resource developed by Genzyme is now available for your physician or health care professional that is dedicated to improving the understanding of MPS I. With the MPS I Registry, your physician can access your data and compare it to aggregate data from around the world. Ask your physician to call 1.800.745.4447 ext. 17021 for more information. Aldurazyme® Website www.Aldurazyme.com A website has been developed by Genzyme to provide parents and patients with information on Aldurazyme. The site includes a link to ask questions regarding MPS I or anything else related to treatment. Feel free to use this mechanism to reach a healthcare professional at Genzyme who will respond to your query in a timely manner. Visit www.Aldurazyme.com. 43 resources and helpful information For more information, check out these transition resources: MPS VI Website www.MPSVI.com resources and helpful information 44 BioMarin’s website, www.MPSVI.com, is designed especially for individuals with MPS VI (Maroteaux-Lamy syndrome), their families, and for healthcare professionals who care for patients with MPS VI. This site provides education and information about MPS VI which may be helpful to share with family members, educators and healthcare providers. MPS VI Community Website www.MPSVI.net Log into the first website devoted entirely to the MPS VI community and: • Meet other people with MPS VI • Tell your story • Chat in real time • Search postings by topic Register for free to connect with your MPS VI community. NAGLAZYME.com NAGLAZYME.com provides expanded content about MPS VI, its diagnosis and treatment with NAGLAZYME® (galsulfase) enzyme replacement therapy. National Family Caregivers Association As a care provider, it is easy to become so focused on the one you are caring for that you forget to take care of yourself. The National Family Caregivers Association (NFCA) educates, supports and empowers individuals who care for a loved one with an illness or disability. From tips and how-to guides, to a story bank and pen pal program, the NFCA caregiver resource center provides a wealth of resources to support you as a caregiver. Sign-up to be part of the NFCA’s family caregiver community at www.nfcacares.org/join_nfca/ind_mem.cfm. Visit www.nfcacares.org/caregiving_resources for more information. Hearing Aid Funding Assistance The primary focus of international service organization Sertoma is on assisting the more than 50 million people with hearing health issues and educating the public on the issues surrounding hearing health. The organization offers a hearing aid recycling program, a college scholarship program for young adults with hearing loss, as well as various community support programs. For more information, visit www.sertoma.org. Hear Now is a national non-profit program sponsored by The Starkey Hearing Foundation that provides hearing aids for people with limited income. Visit www.starkeyhearingfoundation.org for more information. Assistive Technology Funding Assistance The National Assistive Technology Project supports the advocacy efforts of attorneys, advocates, service agencies, persons with disabilities and their families as they seek funding for assistive technology services and devices. For a list of participating organizations in your state, go to www.nls.org/paatstat.pdf. Electric Scooters for Little People Adaptive Living offers the GoGo Elite electric scooter for little people. With a shorter seat height, crutch holder and extra large rear basket, the GoGo Elite provides a comfortable solution for those with a smaller stature. For more information, visit http://adaptiveliving.com. MPS Awareness Cards www.morquiosity.com offers a variety of information for MPS IVA patients, including, a description of the disease, cause, early signs and symptoms, management, and tests and diagnosis. Learn more about the people who make up the Morquio A community, discover helpful online resources, and create a list of questions to bring to your next doctor’s appointment. www.morquioanswers.com is a resource for healthcare professionals providing information on pathology, systemic effects, natural history, management, and resources and publications. MPS IVA Registry www.morquio.com The 411 on Disability Disclosure: A Workbook for Youth with Disabilities The 411 on Disability Disclosure: A Workbook for Youth with Disabilities is designed for youth and adults working with them to learn about disability disclosure. This workbook helps young people make informed decisions about whether or not to disclose their disability and understand how the decision may impact their education, employment and social lives. Based on the premise that disclosure is a very personal decision, the workbook helps young people think about and practice disclosing their disability. The workbook can be downloaded in several formats at www.ncwd-youth.info/411-on-disability-disclosure. Guide for Understanding the New Healthcare Law Available What’s going on with the new healthcare law? What does it really do for you and your family? If you’re confused and want to know the facts, you’re certainly not alone. Consumers Union, the publisher of Consumer Reports, has created a consumer guide to help you understand your options, including Web resources where you can get additional information. Go to www.prescriptionforchange.org/guide. For more information visit www.ConsumerReportsHealth.org/insurance. Information about MPS IVA can be found at www.morquio.com. Also available at this website is the Morquio registry where adults with MPS IVA can register and families can register their child with MPS IVA. Once registered, it is recommended that updates be made at least yearly. This natural history information is critical for development of treatments for MPS IVA, providing evidence of drug effectiveness and supporting the approval of the drug. http://vimizim.com Discover how VimizimTM, the enzyme replacement therapy for MPS IVA, works, read success stories of individuals currently taking Vimizin, find a geneticist with MPS IVA experience near you, read tips on how to talk to your doctor about Vimizin, and learn how to get access to this new treatment. 45 resources and helpful information MPS Awareness Cards are a quick and easy way to explain to people in your community about MPS and raise awareness about our diseases. A packet of 20 cards can be purchased for $3 each, which includes shipping and handling. For more information, visit our website and click “Logo” at the top, or call 919.806.0101. MPS IVA Websites Ship To (if different than Purchased By): National MPS Society Logo Items Order Form Purchased By: ______________________________________________________ NA L MPS S OC of A c hie v e I 2014 TY 40 m Y $17.00 $19.00 PRICE EACH TOTAL EACH rs IO ea E ______________________________________________________ 1974 Name______________________________________________________________ ___________________________________________________________________ ______________________________________________________ ______________________________________________________ Daytime Phone______________________________________________________ ______________________________________________________ Address_____________________________________________________________ Evening Phone______________________________________________________ ______________________________________________________ COLOR E-mail Address_______________________________________________________ ADULT SIZE CHILD SIZE $19.00 Please see pricing chart for sizes over XL ADD’L COST White $17.00 QTY SIZE + $2.00 White ITEM DESCRIPTION 2XL n/a 40th anniversary t-shirt available in white only 1 Large (if applicable) 40th Anniversary T-Shirt (SAMPLE ORDER) 1 # Items S&H Charge $12.00 $8.00 $4.00 7–8 4–6 1–3 SHIPPING & HANDLING CHARGES Please add appropriate shipping & handling to your order. For orders of 9 or more shirts please call us at 919-806-0101. TOTAL AMT. DUE S & H (see below) ITEM TOTAL 40th Anniversary T-Shirt (SAMPLE ORDER) ADDITIONAL NOTES OR INSTRUCTIONS Make check or money order payable to National MPS Society Mail your order to: National MPS Society, PO Box 14686, Durham, NC 27709 Please allow 4–5 weeks for delivery. Thank you for your purchase. All proceeds go to the National MPS Society. For credit card purchases visit www.mpssociety.org/store. ts en T NA MPS Pendant Available! 925 Sterling silver with rhodium plating ($62.50, includes shipping) In 2000 the MPS/ML Forum opened its doors to parents who have made lifelong friendships. Eleven years later the forum is still providing ways for families to connect. If you’ve never been to the forum, please drop in and meet everyone. If you haven’t been for awhile, come back home. You’ve been missed! Brass with rhodium plating and leather chain ($49.50, includes shipping) Pendants will ship directly from the National MPS Society while supplies last. Based on demand we intend to order more, but it can take up to six weeks for additional shipments to arrive. For more information visit our website and click “Logo” at the top, or call 919.806.0101. Furniture for Little People little people, BIG DESIGN is designer furniture for short people, and people with dwarfism or short stature. Created by Tracy Steele Designs, this furniture meets the ergonomic challenges of little people without sacrificing good design. little people, BIG DESIGN furniture features: • short seat depth and straight backs to help support the back and neck • low seat height so legs rest comfortably on the ground • high arms to rest on while reading • solidly built to support the weight of adults • steps for easy accessibility • adjustable for the height of guests For more information, visit www.lpbigdesign.com. Shire Offers Assistance Programs Shire HGT provides co-pay assistance for eligible patients in the United States who have commercial insurance. Shire believes that the costs associated with rare disease treatments should not be a barrier to patient access. Co-pay Assistance Program: The OnePath Co-pay Assistance Program offers co-pay assistance for certain patients who need assistance paying for out-of-pocket medication costs. Patient Assistance Program: The OnePath Patient Assistance Program has been set up for certain patients who currently are uninsured, or have insurance that does not cover treatment. OnePath may be able to help patients get access to treatment and find insurance that does cover their medication. For more information, visit www.onepath.com. 47 resources and helpful information Exclusively designed for the National MPS Society, this beautiful pendant is a compelling representation of the courage our families have in their journey with MPS and related diseases. Money raised from the sale of this beautiful pendant will support the general research program and help find treatments and cures. Please help us make a difference and treat yourself and your loved one to this beautiful pendant that transcends time and is unlike any other. It is a perfect any occasion gift for both women and men. www.mpsforum.com NeedyMeds resources and helpful information 48 NeedyMeds is a non-profit resource devoted to making information about assistance programs available to low-income patients and their advocates at no cost. Databases such as Patient Assistance Programs, Disease-Based Assistance, Free and Low-Cost Clinics, government programs, special needs camps and other types of assistance programs are just some of the resources available. Parent Educational Advocacy Training Center: Help for Families and Professionals The Parent Educational Advocacy Training Center (PEATC) serves families and professionals of children with disabilities in the Commonwealth of Virginia. PEATC promotes respectful, collaborative partnerships between parents, schools, professionals and the community that increase the possibilities of success for children with disabilities. PEATC’s mission is to build positive futures for Virginia’s children by working collaboratively with families, schools and communities in order to improve opportunities for excellence in education and success in school and community life. Its focus is children with disabilities. For more information visit www.peatc.org. Visit www.needymeds.com for more information. N AT I O N A L M P S S O C I E T Y M E M B E R S H I P F O R M YOUR NAME AFFECTED INDIVIDUAL’S NAME DATE OF BIRTH DIAGNOSISRELATIONSHIP ADDRESS Corporate Memberships Available Would you like your name to appear in our online directory? b Yes b No Would you like to receive Courage, the Society’s newsletter? b Yes b No CITY / STATE / ZIP Would you like our publications in b electronic (e-mailed) format or b hardcopy (mailed) format PHONE PRIMARY E-MAIL b $50 Family b $80 Foreign b $75 Professionals SECONDARY E-MAIL Please send your membership form and check to: National MPS Society / PO Box 14686 / Durham, NC 27709-4686 Join or renew your membership online at www.mpssociety.org/become-a-member. REMEMBERING our children Ryan Duffy 17, MPS II, 7/20/14 Kimberly Fowler 26, MPS IIIA, 8/17/14 Stacy Lynn Wain (MPS I) 10/4/87 – 5/19/14 Stacy Lynn Wain, age 26, of Monroe, died May 19 at the University of Michigan, Mott’s Children’s Hospital, Ann Arbor. Born Oct. 4, 1987, in Toledo, she was the daughter of Terry and Nancy Wain. She was a 2006 graduate of Dundee High School and attended Monroe County Community College. Stacy was the first unrelated bone marrow transplant recipient in the United States, performed at the University of Iowa when she was just 18 months old. Stacy did not consider her condition as a disability. She was the current secretary of the Kiwanis Aktion Club and the River Park Plaza Advisory Board. She was a member of Prince of Peace Lutheran Church, the National Cat Fanciers Association, and the River Park Plaza Garden Club. Stacy enjoyed being in warm weather, laughing, reading, being with her family and listening to country music, especially Keith Urban. She loved shopping for shoes, scrapbooking, making hair ties and candles, and her Himalayan/Ragdoll cats. Resources for Coping with Grief •H ello Grief is a place to share and learn about grief and loss. This beautiful online community includes articles, resources and forums. www.HelloGrief.org •F oreverSibs strives to honor and recognize the unique role of brothers and sisters with rare diseases through social support and education, thereby decreasing their anxiety and isolation. www.ForeverSibs.org • Comfort Zone Camp is a fun and safe place for grieving children. A community where kids can come year after year and obtain tools to help them cope with their daily lives. www.ComfortZoneCamp.org 49 donations 50 in memory of… Nathan Bivens Boone Dermatology Clinic Sebastien Cairns Debbie Campbell Matthew Caldwell Robert and Marjorie Austin Brinley Craig Beverly Wingham Gail Finney and in memory of her grandsons Clinton and Zachary Szemanski Mike and Grace Bodura Lois Finney Gary and Joyce Hagosky Betty Hollenbeck Lori and Stephen Katich Steve and Marjorie Katich David and Lorraine Miller Steven and Patti Page Mr. and Mrs. Greg Racich Fred and Donna Reyes Jonina and Jonathan Schonfeld Richard and Shirley Schultz June Snyder Tracy Szemanski Mary Weimer Mr. Thomas Fontenot Fred Kouri Zachary Willis Ryan and Brayden Kapes Helen Allison Paula Davis Marilyn Reese Stephanie Koch Carol Myers in honor of… Sean Kisielnicki Dustin Matz Scott Brogan Ann Jones James Oliger Jr. Mary Anne Oliger Chip and David Radius Frankel Family Foundation, Inc. Willis and Joslyn Kleinjan Jaeda Robson Susan and Michael Blehert Kevin and Sheila George Jill Lacasse Ashley Riggs Richard Rotelli Michael and Veronica Vacca Mrs. Katharine Sampson Mel and Millie Anhalt Marvin Shapiro Mel and Millie Anhalt Mark Smales Andrew Mangene Evelyn Specian Ted and Margie King Neal Stewart Rachael Adams GL Wentworth Company Matthew Austin May and Don Beaudin* Jack Bennet Dean Turpin Chloe Blanc Margie Gonzalez Gabriele Jimenez Michael Lewandowski Edith White Madison Lewis’ 18th birthday Ann Lewis* Sara Wells Guy Williams Olivia Lipscomb Annabelle Bozarth James Everhart Carmen and Don Farrell Douglas Louison and family Damien Brydon Howard Lenow Barbara Leach Waverly and Oliver McNeil Hunter, King and Nash Clubbs Victor Marsh Brittany and Jeremy Clubbs Lisa Huber Denise Dengel Logan Piefer Ron and Barbara Dengel* Richard and Diana Schulze Robert and Susan Sohl Liam Denneen’s 4th birthday Marilyn Dubovsky Jackson Dunn-Kraus Lucas Montgomery Jennifer and Savannah Prince Kajima Foundation Mel and Millie Anhalt Jeannie Thompson Patricia Shore Janet and Brian Stankus Danny Gniazdowski Cap Sweet and in honor of his grandson Blaine Elliott Lindsey’s Efird’s 16th birthday Karen Bowe Laura McKeithen Mary and Kenneth Nelson Debbie Turner* Jack and Barbara Sorter Legrand and Susan Richardson Max Goodell Ann Goodell* Natalie Haggett and in honor of her great-grandson Sidney Zachariah Haggett Ann Ohl Spencer Holland and in honor of Maddie and Laynie Holland Holland family reunion Tom Holloway Lennie Forkas Scotty Jewell J. Alan Cameron Community Concepts, Inc. Bill and Shirley Cook Phillip and Teresa Jeffers John and Donna Mack Mark and Yvonne Steinhauer Amanda Keith Richard and Carol Anderson Allison Kirch Marie Bonville Wells College James and Karen Barry Gary and Judith Cox Ginger Stark Ruth Toth William and Peggy Cook Dean Glock and in honor of his grandson Travis Glock Tiffany Condit Elizabeth Morris Ashley Voisinet John and Margaret Vallante Zachary Wahl Kaminetzky family Stacy Wain Charles and Elizabeth Bohland Heidi and Keith Caswell Robert and Mildred Degraer Annette Ferreira Donna Mosley Amanda Pickford Caroline Rehberg Tony and Belinda Webb Maria Williams Jack Frye Kathlean Butcher Nadine Hartman Lisa McCloskey Christina Morgan Brittania Paris Christopher Reichel Kendra Gottsleben Wenda and Kevin Bransford Blake Halk Rhonda McEldowney Michelle Hopkins Helen Allison Sydnee Jensen Linda Cohen Wyatt and Gavin Jones Debbie Koester Isabel Jurado Jamey Dagenhart Allison Restenmayer Cheryl Sorter Landon and Blake Stack Amy Joshua Ronnie Takakjy Marlene and Ronald Takakjy Jack Todd Sammy and Patty Todd Ethan Waddell Elaine Page Josie Williams Rebecca Spiess fundraisers Annual Diamondhead Bridge Club fundraiser hosted by Janelle Kunellis in honor of Allison Restemayer Armorel School District Key Club MPS Awareness Balloon Release held in honor of Ronnie Cato Asa Messer Elementary School Dress Down Friday in memory of Aurora Laorenza William and Peggy Cook continued >> >> Lindsey Efird’s Sweet 16 birthday Sauk Trail Walk-a-thon held by 5th grade class of Sauk Elementary in honor of Austin Noll Swinging Fore MPS Angels, golf tournament hosted by Jon Musselman in memory of Ryan Mask VanCleave Mary Kay fundraiser held by Amy VanCleave in honor of Danny Hinton Volley for Support held in honor of Jackson Dunn-Kraus Woodsville High School fundraiser hosted by Lori MacPherson in honor of Sasha Segal donations George Banks Amy Barkley Sandra Barstow Richard Bosse* Margaret Cohen Janet and Leo Cook James and Jo Ann Cradock Jeanne and Maurice Drew Elks Lodge 2235 Carteret BPOE Michael Farmer Rod and Kathy Finzel Greg and Sarah Fletcher Kevin and Andrea Gates Girl Scout Troop #1114 Samantha Gulino Kimberly Hamilton* Scott and Lynn Hopkins Todd and Jennifer Howard Junior Womens Club of Hilton Village, Inc. Amy Kemp Fred and Joyce Koehler Deanna Leach Joan and Mark Lessing Beverly Lewis Jenn and Jamie Lipscomb Rebecca Lonergan Barbara Lyons Dorothy Mask Mercer County Civic Foundation Joe and Paige Migliozzi Mitchell and Cherylynne Moore Richard and Eva Morgan Theresa Morris Kevin Myers Ohio Association for Pupil Transportation James Olson Thomas and Vickie Patterson Beth A. Pletcher Barbara Pryor Sam and Nancy Ramsey Brandon Reichert Carl and Donna Rose Richard and Marcia Roush Arthur and Marilyn Sheekey David and Rebecca Silkey Mike and Barbara Smith Cal Stempel* Charles Vite* Jeremy and Jill Wood Weishaar Claude and Roselyn Wells* Barbara and David Wiedman Millette Wolfe matching gifts Allstate Giving Campaign Bottomline Technologies EP Energy Kimberly Clark Foundation Thermo Fisher Scientific Matching Gift Program Verizon Foundation * Annual Fund donor NEW MEM B E R S Justina Bernhardt Faith Harris Dunkirk, MD Jenny Malavich Brian and Karen Rock Whitehall, MI, mother of Gabriel and Anna Bernhardt, MPS II aunt of Saniyah Lanae Pumphrey, MPS IVA Dracut, MA, mother of Amy and Amber Malavich, MPS I Houston, TX, aunt and uncle of Jackson Dunn-Kraus, MPS II Lynne Blezard Jake and Ashley Hayes Patricia McClelland Emily Shockley Mattapoisett, MA, mother of Jared, MPS IIIC Denison, TX, parents of Cooper Hayes, MPS I Shreveport, LA, sister of Loren McClelland, MPS I Anaheim, CA, mother of Frank Damien Martinez, MPS IIIB Krystal Brinson Sherri Hayes Chantel Palmer Crystal Stern Valdosta, GA, mother of Maalik Julius Cobb, MPS I Indianapolis, IN, mother of Makayla Hayes, MPS VI Ostrander, MN, mother of Brody Larson, MPS I Britta and Alec Brydon Justin and Bridget Hysell Washington, DC, sister of Daniel Brown and mother of Mehki’ Palmer, MPS II Portland, ME, parents of Damien Brydon, MPS II Canton, OK, parents of Ryan Hysell, MPS II Deidra and John Powell Osyka, MS, grandmother of Matilyn (Mattie) Jean LaLa, MPS I Sarai Cadena Lenny Jimenez Kingsville, TX, mother of Julio Cesar Almaraz, MPS II Florham Park, NJ, father of Benjamin Jimenez, MPS II Jocelyn and Vincente Collins James Kappel Ashby, MA, grandparents of Amber Skye and Charlie Amick, ML II Greenfield, IN, brother of Deborah Kappel, MPS IIIA Sarah Costlow John Kappel Iuka, MS, adult with MPS VI Syracuse, NY, brother of Deborah Kappel, MPS IIIA Jacqueline Friedman Marina, CA, mother of Spencer Joseph Friedman, MPS II Arthur Garde III Sunderland, MD, grandfather of Saniyah Lanae Pumphrey, MPS IVA Jeff Lewis Grover Beach, CA, uncle of Katerina, MPS IIIB Lawrenceville, GA, parents of Lance Maddox Timmons, MPS II Consernetta Rawlings-Guy Virginia Beach, VA, grandmother of Saniyah Lanae Pumphrey, MPS IVA Cheryl Richardson Concord, NC, aunt of Molly Jackson, MPS I Ashley Riggs Minot, ND, mother of Landon and Blake Stack, MPS IIIA Abigail Rivera Springfield, MA, mother of Juan Elio Santiago, MPS II Tammy Strickland Ann, Hannah and Grace Tate Houston, TX, great aunts of Jackson Dunn-Kraus, MPS II Erin Ward Staffordsville, KY, mother of Paul Ward, MPS II Heidi Williams Chester Springs, PA, mother of Josie Williams, MPS I 51 donations fundraiser held by the Efird family Hats On Day for MPS held by Lincoln Elementary in honor of Gavin and Wyatt Jones Johnson poker tournament, held by the Johnson family in honor of Dorian and Wynn Johnson Kanney family concert and raffle held by Dan and Natalie Kanney Kruse BBQ hosted by Carl and Debbie Kruse in honor of Cooper Tippett Rachel Longston’s 15th birthday fundraiser hosted by Andrea Longston McNeil Purple Lemonade Stand hosted by Breanne and Mark Melikan in honor of Oliver and Waverly McNeil Milz T-shirt fundraiser held in honor of Miles Young MPS Bunco Bash & Shopping Bonanza Old National Bank Jeans Friday held by Loretta Spriestersbach in honor of Kassi Offenbacker and her family Reamer MPS Awareness Day bracelet sale held by Cassandra Reamer and Shapers Aveda Lifestyle Salon in honor of Austin Reamer Mucopolysaccharidoses (MPS) and related diseases are genetic lysosomal storage diseases caused by the body’s inability to produce specific enzymes. 52 classifications S Y N D R O ME SYN DROME EPONYM EPON YM Hurler, Scheie, Hurler-Scheie Morquio A E N Z Y M E D E F IC I EN C Y EN Z YME DEFICIENCY a-L-Iduronidase Galactose 6-sulfatase S Y N D R O ME SYN DROME EPONYM EPON YM Hunter Morquio B E N Z Y M E D E F IC I EN C Y EN Z YME DEFICIENCY Iduronate sulfatase b Galactosidase S Y N D R O ME SYN DROME EPONYM EPON YM Sanfilippo A Maroteaux-Lamy E N Z Y M E D E F IC I EN C Y EN Z YME DEFICIENCY Heparan N-sulfatase N-Acetylgalactosamine 4-sulfatase (arylsulfatase B) MPS I MPS II MPS IIIA MPS IVA MPS IVB MPS VI S Y N D R O ME MPS IIIB EPONYM Sanfilippo B SYN DROME MPS VII EPON YM E N Z Y M E D E F IC I EN C Y Sly a-N-Acetylglucosaminidase EN Z YME DEFICIENCY b-Glucuronidase S Y N D R O ME MPS IIIC EPONYM Sanfilippo C SYN DROME MPS IX EN Z YME DEFICIENCY E N Z Y M E D E F IC I EN C Y Hyaluronidase Acetyl CoA: a-glycosaminide acetyltransferase SYN DROME S Y N D R O ME MPS IIID EPONYM Sanfilippo D E N Z Y M E D E F IC I EN C Y N-Acetylglucosamine 6-sulfatase ML II/III EPON YM I-Cell, Pseudo-Hurler polydystrophy EN Z YME DEFICIENCY N-acetylglucosamine-1phosphotransferase Normally, the body uses enzymes to break down and recycle materials in cells. In individuals with MPS and related diseases, the missing or insufficient enzyme prevents the proper recycling process, resulting in the storage of materials in virtually every cell of the body. As a result, cells do not perform properly and may cause progressive damage throughout the body, including the heart, bones, joints, respiratory system and central nervous system. While the disease may not be apparent at birth, signs and symptoms develop with age as more cells become damaged by the accumulation of cell materials. r BOARD OF directors Steve Holland, P R ESI DEN T Amy Holland 4908 Barbara Road River Oaks, TX 76114 817.625.6999 [email protected] [email protected] MPS I H-S parents Stephanie Bozarth, VI C E PRESI DEN T Tom Gniazdowski, T REASU RER Anne Gniazdowski 315 Meadowview Court Springboro, OH 45066 937.748.8809 [email protected] [email protected] MPS II parents Kim Whitecotton, SEC RETARY 1413 Emigrant Way Modesto, CA 95358 209.544.2708 [email protected] MPS II parent Jeff Bardsley 1209 Daviswood Drive McLean, VA 22102 703.547.7087 [email protected] MPS II adult Erica Blight 12288 Crabapple St. Broomfield, CO 80020 720.890.5135 [email protected] MPS II mom Dawn Checrallah 58 Leroy Drive Riverside, RI 02915 401.639.2689 [email protected] MPS I parent 920 Edgemoor Road Cherry Hill, NJ 08034 856.795.4528 [email protected] MPS II parent 7604 Sherry Creek Road Worden, IL 62097 618.888.2204 [email protected] MPS II parent Amber Mongan 6203 Larstan Drive Alexandria, VA 22312 703.256.1980 [email protected] MPS IV parent Carrie Dunn Kristine Klenke 5330 Saratoga St. Eugene, OR 97405 509.475.6453 [email protected] MPS I parent Austin Noll 9805 Fallen Leaf Drive Middleton, WI 53562 608.203.6086 [email protected] MPS III parent MaryEllen Pendleton 56 E. Vinedo Lane Tempe, AZ 85284 480.831.2157 [email protected] MPS III aunt Lisa and Jerry Todd 11111 Jordan NE Albuquerque, NM 87122 505.797.3603 [email protected] [email protected] MPS II parents S TA F F EXECUTIVE DIRECTOR Barbara Wedehase [email protected] DEVELOPMENT DIRECTOR Terri Klein [email protected] PROGRA M DIRECTOR Laurie Turner [email protected] TECHNICA L A ND DEVELOP M E N T S UPPORT Kelly Rose [email protected] CONTROLLER Angela Guajardo [email protected] A DMINIS TRATIVE A S S ISTAN T Trisha Ryan [email protected] SCIENTIFIC ADVISORY BOARD Alessandra D’Azzo, Ph.D. Lorne A. Clarke, M.D. Robert Desnick, M.D., Ph.D. Patti Dickson, M.D. Gordon Wingate Matthew Ellinwood, D.V.M., Ph.D. 16319 Jordyn Lake Tomball, TX 77377 832.498.1724 [email protected] MPS III parent Mark Haskins, Ph.D., V.M.D. Roy Zeighami Beth A. Pletcher, M.D. 6420 Diamond Drive McKinney, TX 75070 972.965.5253 [email protected] MPS III parent Kathy Ponder, M.D. John Hopwood, Ph.D. William G. Mackenzie, M.D. Joseph Muenzer, M.D., Ph.D. Elizabeth Neufeld, Ph.D. Mark Sands, Ph.D. Edward Schuchman, Ph.D. Calogera Simonaro, Ph.D. William Sly, M.D. PRESI DENT EMERITA Charles H. Vite, D.V.M., Ph.D. Marie Capobianco Ernie Dummann Steve Holland Mary Majure Couture Linda K. Shine Steven Walkley, D.V.M., Ph.D. David Wenger, Ph.D. Chester Whitley, M.D., Ph.D. John H. Wolfe, V.M.D., Ph.D. National MPS Society PO Box 14686 Durham, NC 27709-4686 NON-PROFIT ORG. U.S. POSTAGE PAID CHAPEL HILL, NC PERMIT #74