UF Health receives $3.7 million to bring personalized medicine to more
Floridians
Filed under Health <http://news.ufl.edu/research/health/>,
Research<http://news.ufl.edu/research/>on Monday, July 1, 2013.

GAINESVILLE, Fla. — Personalized medicine at University of
Florida<http://www.ufl.edu/>Health celebrates its first successful
year helping heart patients with
news of major funding from the National Institutes of
Health<http://www.nih.gov/>that will advance the program to more
patients and health care providers
across the state.

A $3.7 million grant to UF Health <https://ufhealth.org/> is one of only
three awarded by the National Human Genome Research
Institute<http://www.genome.gov/>to support projects that show how
patients’ individual genetic profiles may
be used to better tailor clinical treatments.

Since the UF Health Personalized Medicine Program launched, more than 1,000
heart patients have benefited from a routine genetic test that can reveal
preferred medications to prevent heart attacks and strokes following
certain heart procedures. The NIH funding will allow the program to extend
this capability over the next four years, helping doctors better prescribe
other medications.

Principal investigator Julie A. Johnson, director of the UF Health
Personalized Medicine Program led by the UF Clinical and Translational
Science Institute, will serve as national chair for the NHGRI Genomic
Medicine Pilot Demonstration network, which includes projects at Duke
University and Mount Sinai and a coordinating center at the University of
Pennsylvania.

“We are pleased to be able to continue UF Health’s role as one of the
nation’s ‘early adopters’ of genomic medicine. This funding will be the
catalyst that propels and expands our work within and beyond our academic
health center to help the clinical world incorporate genetic information as
a routine part of patient care,” said Johnson, a distinguished professor of
pharmacy and medicine and director of the UF College of Pharmacy’s Center
for Pharmacogenomics.

In June 2012, UF Health incorporated a simple blood test for cardiology
patients that provides genetic information indicating how an individual
will likely respond to clopidogrel, an anti-clotting drug commonly
prescribed following a catheterization for blocked heart vessels. Of the
more than 1,000 patients tested, approximately 28 percent have a genetic
variation for which a different medication is recommended. Those patients
now have their genetic test results stored in the UF Health electronic
medical record system, which will alert doctors to the recommended
medication if a prescription for clopidogrel were written in the future.

With the new grant, Johnson’s multidisciplinary team will continue to
expand the Personalized Medicine Program. The team will build on the
program’s infrastructure — which facilitates the complex clinical,
laboratory and information flows — to introduce routine genetic testing at
UF Health for additional medications for which strong evidence links
specific genetic variations to how the body responds to a drug. The program
will next focus on medications for pediatric cancer patients and adult and
pediatric gastroenterology patients.

The new funding also will enable the program to extend genomic medicine
beyond UF Health. Beginning this year, the UF Health program will help
Orlando Health prepare two of its cardiology practices to begin standard
genetic testing for clopidogrel in 2014.The program will then work with the
Florida State University College of Medicine to introduce similar genetic
testing within its statewide network of community-based physician practices.

To complement its clinical implementations, the program will develop and
training opportunities to prepare health care professionals, health
sciences students and patients for a future in which genomic medicine is
commonplace.

“The Personalized Medicine Program at the University of Florida represents
a transformative initiative in health care for the people of Florida,” said
Dr. Wayne Jenkins, president of Orlando Health Physician Partners and
senior vice president of Orlando Health. “We strongly believe that genomic
medicine is part of the future of medical care in the community, and we are
pleased to partner with UF to help build our own capacity to strengthen its
clinical and translational application.”

UF Health Pathology Laboratories, which developed the infrastructure to
process the blood samples from patients, will offer its services and
expertise for the program’s expansion at UF Health and to external
partners. UF Health PathLabs translates, interprets and transmits genetic
test results back to the electronic medical record system for use in
clinical care — typically within 24 to 48 hours of receiving blood samples
in the lab.

“UF Health was the perfect testing ground for understanding how to execute
the program and get it to work,” said Dr. David R. Nelson, UF assistant
vice president for collaborative research in the life sciences and director
of the UF Clinical and Translational Science Institute. “Now we can offer
that technology and know-how out to the state. And that is a fundamental
mission of the CTSI — to build infrastructures for implementing research
findings throughout health care systems and community hospitals in Florida.”

As the Personalized Medicine Program expands, three principles continue to
shape its approach: creating a regulatory body to determine when scientific
evidence warrants changes in clinical practice; providing alerts for health
care providers through electronic medical record systems; and developing a
one-time, evidence-based genetic test that screens for hundreds of genetic
variations that can be used across a patient’s lifespan.

“Julie Johnson and her team are a striking example of the kinds of advances
we are making for the benefit of patients throughout our state. We are both
dreamers and doers — our collaborative approach allows us not only to
envision what the future of medicine will bring, but also to put that
vision into practice and help others do the same,” said Dr. David S.
Guzick, UF senior vice president for health affairs and president of UF
Health.

The work is supported by the NIH under award number U01HG007269 (National
Human Genome Research Institute), and it builds on the infrastructure
created by the Personalized Medicine Program with institutional support
from UF and initial funding from the NIH under award numbers UL1 TR000064
(National Center for Advancing Translational Sciences) and U01 GM074492
(National Institute of General Medical Sciences).

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