“How Can Providers Address the Lack of R01 Studies. ” Robert H

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“How Can Providers Address the Lack of R01 Studies. ” Robert H “How Can Providers Address the Lack of R01 Studies?” Robert H. Eckel, M.D. Professor of Medicine Professor of Physiology and Biophysics University of Colorado Denver

First, what do we know about NIH support for obesity science?

NIH Research Obesity Task Force Established by NIH Director Dr. Elias Zerhouni in April 2003. A new effort to accelerate progress in obesity research across the NIH. Co-Chaired Dr. Griffin P. Rogers, Director NIDDK Dr. Elizabeth G. Nabel, Director NHLBI

Strategic Plan for NIH Obesity Research Prevention and treatment of obesity through lifestyle intervention. Prevention and treatment of obesity pharmacologic, surgical, or other medical approaches. Breaking the link between obesity and its associated health conditions. Cross-cutting topics including health disparities, technology, fostering interdisciplinary teams, investigator training, translational research and educational/outreach efforts.

NIH Components Represented on the Obesity Task Force National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) National Heart, Lung, and Blood Institute (NHLBI) National Cancer Institute (NCI) National Human Genome Research Institute (NHGRI) National Institute on Aging (NIA) National Institute on Alcohol Abuse and Alcoholism (NIAAA) National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) National Institute of Biomedical Imaging and Bioengineering (NIBIB) Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) National Institute of Dental and Craniofacial Research (NIDCR) National Institute on Drug Abuse (NIDA) National Institute of Environmental Health Sciences (NIEHS) National Institute of Mental Health (NIMH) National Institute of Neurological Disorders and Stroke (NINDS) National Institute of Nursing Research (NINR) National Center for Complementary and Alternative Medicine (NCCAM) National Center on Minority Health and Health Disparities (NCMHD) National Center for Research Resources (NCRR) NIH Division of Nutrition Research Coordination (DNRC) NIH Fogarty International Center (FIC) Office of Behavioral and Social Sciences Research (OBSSR) Office of Dietary Supplements (ODS) Office of Disease Prevention (ODP) Office of Research on Women's Health (ORWH) Center for Scientific Review (CSR)

Presently, the NIH cannot accurately provide information on the # of R01s that address obesity science. This will change once the categorization has been modified – see http://report.nih.gov/rcdc/

NIH Obesity-Related Funding 2004 Actual 2005 Actual 2006 Actual 2007 Actual 2008 Est’d 2009 Est’d $423M $519M $594M $661M $660M $659M

NIH Obesity Research Funding Opportunities Obesity Research Solicitations Currently Accepting Applications RFAs RFA-DK-08-009: Neuroimaging in Obesity Research (R01) RFA-HL-08-013: Translating Basic Behavioral and Social Science Discoveries into Interventions to Reduce Obesity: Centers for Behavioral Intervention Development (U01) RFA-HD-08-023: Innovative Computational and Statistical Methodologies for the Design and Analysis of Multilevel Studies on Childhood Obesity (R01) RFA-DK-08-505: Limited Competition: Continuation of the Nonalcoholic Steatohepatitis Clinical Research Network (NASH CRN) (U01) PAs n = 46 Ongoing Clinical Trials (Federal and Private) - ClinicalTrials.gov n = 1328

A major question is – do we know that weight loss prolongs life?

And the only data come from one study of bariatric surgery!

Effects of Bariatric Surgery on Weight in Swedish Obese Subjects Sjostrom LA et al NEJM 357:471, 2007

Effects of Bariatric Surgery on Mortality in Swedish Obese Subjects Sjostrom LA et al NEJM 357:471, 2007

Will Look AHEAD Answer All the Questions? Primary Objective: Assess long-term (11.5 yr) effects of an intensive weight loss program over 4 years in overweight and obese subjects with type 2 diabetes. n ~ 5000 men and women age: 45-74 yr BMI > 25 kg/m2 Primary outcome – time to a major CVD event Secondary outcomes – many including all cause mortality Controlled Clin Trials 24:610, 2003

Mean Change from Baseline Look AHEAD Trial: Improvement in Metabolic Syndrome Components at 1 Year Mean Change from Baseline P value Intensive Lifestyle Diabetes Support/ Education Weight Loss (%) 8.6% 0.7% <0.001 Waist Circumference (cm) –6.2 –0.5 TG (mg/dL) –30.3 –14.6 HDL-C (mg/dL) 3.4 1.4 Systolic BP (mm Hg) –6.8 –2.8 Fasting Plasma Glucose (mg/dL) –21.5 –7.2 Metabolic Syndrome (%) –14.7 –7.1 Look AHEAD Research Group. Diabetes Care 30:1374, 2007

Obesity Research Support Related Questions What kind of priority should NIH-supported obesity research funding receive? How much money is needed? If sufficient funding is provided, how much impact will result? What is the role of industry?