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  Issue 11
July 2006

Newsletter Spotlight

The ALS Association is the only national not-for-profit health organization dedicated solely to the fight against amyotrophic lateral sclerosis. Through research, patient services, public policy and education, The ALS Association is dedicated to finding a cure for and improve living with Lou Gehrig’s disease.   Click here to contact your local chapter.


Advocacy Day 2006: Making a Difference in the Fight Against ALS

ALS advocates from across the country convened in Washington, D.C. on May 16 for The ALS Association’s annual National ALS Advocacy Day and Public Policy Conference. The three-day conference provided the ALS community an opportunity to join together, share their experiences and their hopes, and make a difference in the fight against ALS on Capitol Hill.         

National Advocacy Day 
This year’s conference was among the most memorable and successful to date. Advocates from 48 different states attended the event, including Hawaii, Alaska, Montana, Mississippi and North Dakota, where ALSA does not have a chapter. In addition to learning the latest information about ALS research and advocacy strategies, attendees once again had the opportunity to share their stories, experiences and concerns with their representatives and senators on Capitol Hill. 

In their meetings, advocates called on Congress to address The Association’s top legislative priorities: pass the ALS Registry Act (H.R. 4033/S. 1353), legislation that would establish a national ALS registry at the Centers for Disease Control and Prevention; and support ALS research through the Neurotoxin Exposure Treatment Research Program (NETRP) at the Department of Defense. 

The messages were clearly heard by Congress, as support for the ALS Registry Act in Congress more than doubled in the weeks after Advocacy Day, with more than 120 additional members of Congress adding their names as co-sponsors of the bill.

The 2006 Advocacy Day also included the third annual Candlelight Vigil, which was held for the first time at the Lincoln Memorial. With the Memorial as a backdrop, hundreds of advocates lit candles under the evening sky, sending the message that The Association – people with ALS and their families – are lighting the way for treatments and a cure for ALS.

To help preserve the memories from Advocacy Day, photographs taken at the event are available for viewing and purchase through The Association’s National Web site. Visit http://www.alsa.org/policy/alsday.cfm and select the “click here to view photos” icon to view and purchase photos from the 2006 Advocacy Day. 

The 2007 National ALS Advocacy Day and Public Policy Conference will take place in Washington, D.C. May 14-16, 2007. Additional details about this year’s conference as well as the 2007 conference will be available on The Association’s Web site, www.alsa.org/policy/alsday.cfm.

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Trial of Ceftriaxone Begins Enrolling ALS Patients

By Roberta Friedman, Ph.D., ALSA Research Department Information Coordinator

A trial of ceftriaxone in ALS has begun enrolling patients. This multi-center clinical trial is the culmination of a drug screening program that was a collaboration of The ALS Association (ALSA) with the National Institute of Neurological Disorders and Stroke (NINDS) and other research organizations to see if already available drugs have promise for ALS or certain other degenerative conditions of the nervous system.

 Merit Cudovicz
The principal investigator of the clinical trial grant from NINDS is Merit Cudkowicz, M.D., Massachusetts General Hospital.

Ceftriaxone is an antibiotic approved for certain infections. The screening process revealed it has additional properties that give it promise for ALS.

Investigators from 26 laboratories took part in the initial six-month, $1.3 million project, which tested 1,040 compounds using 29 different assays, or tests. Compounds that showed activity in several of the laboratory tests are considered especially promising. Ceftriaxone was one such compound, and it can enter the nervous system as well.  

The drug screening effort that discovered the possible benefit of ceftriaxone in ALS had been initiated as a joint project of ALSA, NINDS, the Hereditary Disease Foundation (HDF) and the Huntington's Disease Society of America (HDSA).

The drug screening effort found an unexpected action of ceftriaxone on glutamate, a messenger used by nerve cells. Glutamate is implicated in ALS. Jeffrey Rothstein, M.D., Ph.D., at Johns Hopkins University and colleagues found that ceftriaxone increased levels of the glutamate transporter protein at concentrations known to reach the brain. This transporter protein sweeps away glutamate, which in excess can be toxic.

After the success in lab screening, the drug then showed promise in a mouse model of ALS in experiments co-funded by ALSA, NINDS, the Packard Center and Project A.L.S. (animal testing was performed at PsychoGenics). Ceftriaxone delayed loss of muscle strength and body weight when treatment began at disease onset at 12 weeks of age in the mice. Earlier treatment did not add to the effect.

The Food and Drug Administration had required additional testing to support that ceftriaxone is likely to be safe when used for longer periods of time, relevant to ALS treatment. The drug is given through a vein, usually for a few days, but will be given for longer times in the new trial.

Patients should not expect their doctors to prescribe ceftriaxone (Rocephin) or another similar antibiotic as the treatment is not proven to work in ALS. The clinical trial now enrolling is designed to answer the question of whether or not ceftriaxone is safe when used for long periods of time and has a positive effect for people with ALS. The project manager for the study is Amy Swartz from Massachusetts General Hospital. For more information, please call the Mass General Coordination Center at (617) 643-3980 or email Fran Murphy at fmurphy@partners.org.


ALSA National Laureate Noah benShea
Records a Series of Poignant Messages

It was not easy for The ALS Association’s National Laureate, Noah benShea, to maintain his composure when he recorded six new inspirational audio messages for The Association’s website.

 Noah benShea headshot
The ALS Association’s National Laureate, Noah benShea, lost his father to ALS.
First he thought about his father, and then the emotional vulnerability of all people living with ALS, their families and friends and then the universal topics dealing with life and death that impact all of us.

“As someone who witnessed my own father’s struggle with ALS and the consequence to my mother, myself and my family, it became clear that some of the most profound pain on the journey came from the sense of isolation,” benShea said. “My hope was that when people heard these messages they would feel someone reaching out and speaking out and speaking to them and they were a little less alone.”

“I was thinking about my dad and what he went through, and I wanted to be the voice he lost and the message of strength and love he always lived with – and died with,” said benShea who became The ALS Association’s (ALSA) national laureate in 2005.

Noah benShea’s audio messages “In His Own Words,” which debuted at www.alsa.org/benshea in June, are filled with personal anecdotes and metaphors. The messages are accompanied by music and range in length from 2-l/2 to 4 minutes. Each month, a new message in the series will be added to the web site.

In reaching out and embracing the ALS community, he talks about such themes as hope, faith, love, character, peace, and change. The goal of the project, he said, was to be “a source of strength to others.”

In the message “Hope,” benShea tells the story of a dying woman who instructs her pastor to bury her with a fork in her right hand because after dinner someone would always say “keep your fork.” That meant something wonderful was coming. Later, benShea talks about a little girl walking to school in a thunderstorm. When lightning flashed, she looked to the heavens and smiled because she believed God was taking her picture.

“The issues of hope, faith, peace, love, character and change are central in all our lives no matter what we are going through, and the thoughts I recorded are intended to be a source of strength to all of us whether we’re dealing with ALS or simply trying to find the courage to get through the day,” benShea said.

“Each of us is ground zero,” he continued. “We cannot be other loving until we are self loving. We cannot offer hope for others until we are prepared to live with hope in our own lives.”

Greg Cash, co-producer of “In His Own Words” and ALSA’s director of communications, accompanied benShea to the studio.

“You can hear in the tone of his voice his understanding and emotional ties to the people who are going through the process of living with the disease, the patients and the family,” Cash said. “Noah was emotionally involved. It was not like he was reading the news. He did not try for a perfect delivery. It was as though he was speaking to a friend with inspirational messages.”

The concept for the project arose after benShea gave an address at ALSA’s 2005 Leadership Development Conference in St. Louis.

“The keynote address seemed to speak to people and touch lives, so the folks at The Association asked if I would be willing to share some of my thoughts on subjects of relevance in a way that would allow people to listen,” the poet said.

“We wanted there to be a way for people to hear the emotion in his voice as well as being able to read what he was saying,” Cash said.

BenShea looks forward to recording more messages. “They will focus on additional topics no less relevant in our lives no matter our struggle.”

ALSA’s national laureate, also a philosopher, scholar, executive adviser, lecturer, and international best-selling author, was described by CNN’s Larry King as “the compass because he has – with wisdom, compassion and humor – helped so many of us to find our way.” He is the author of 18 books translated into 15 languages including the famed “Jacob the Baker” series.

Be sure to check the web site each month, www.alsa.org/benshea, to listen to the next inspirational message from Noah benShea and learn more about his involvement with ALSA. His insightful perspective on life is presented on Noah’s Window at www.noahbenshea.com.

 

Possible Einstein in the Making
Helping People Live with ALS

He may sound like a typical 8-year-old boy: “I like to watch television, read and play video games and play ‘Star Wars’ with my friends.” His favorite television show is “Jimmy Neutron,” and he has not given much thought to which college he will attend one day. He also has a pet reply, “It makes me feel happy,” when asked how he feels about doing something, another tell-tale sign of his young age.

Peyton razor 
Peyton Ennis invented the Razor on Wheels, which he is holding, for his grandfather (right), “Pop” Dan Upperman.

Yet Peyton Ennis of Delaware, Ohio is not a typical second grader and when pressed on the subject bashfully admits that he may be a genius for having created a contraption that has the potential of helping many people living with ALS and has raised awareness about the disease.

The inspiration for the invention, Razor on Wheels, was the love for his grandfather, “Pop” Dan Upperman. The resident of Groveport, Ohio was diagnosed with ALS in June 2003 and was having problems shaving. Peyton, who came up with idea in only 20 minutes, and Pop have done a lot of fun-filled activities together, including fishing, and “messing around outside,” as his mother Leanna puts it.

His teacher at Carlisle Street Elementary School, and later the judges at a much larger competition, were impressed by the Razor on Wheels. The invention earned him an outstanding grade at the school and then second place at the Invention Convention in Columbus, Ohio in the kindergarten through second grade category. The prototype, which weighs less than one pound, measures 15-l/2 inches high by 5 inches wide and is made out of wood, also finished in the overall top 10 at the convention out of a field of 475 students from seven Central Ohio counties.

“I felt really happy. I just walked up to the stage; I was real excited,” is how Peyton described his reaction to learning his invention was a big hit. The Invention Convention presented Peyton with a $400 scholarship, a trophy and ribbon. 

Basically, the Razor on Wheels is placed on a table and the person with ALS holds onto the lower base and moves it back and forth for a shave. The electric shaver sits on the top of the base. Both bases are connected by two columns.

 Peyton Winner
Peyton Ennis proudly displays the ribbons and trophy he won at the Invention Convention in May.

“We are really proud of Peyton,” Leanna said. “He really worked hard on this invention and when it was discovered that Pop would not be able to use it because he has entered the late stages of the disease, he was pretty disappointed, but he kept his head up because he knew it could help other people. He was really excited about being able to do that and make a difference.”

"We are so pleased to have the on-going support of the Upperman and Ennis families at the chapter,” said Marlin Seymour, the executive director of The ALS Association's Central and Southern Ohio Chapter. “The family has been involved in raising money for patient services through their involvement with the Walk to Feet ALS® the past couple of years and Peyton's grandfather’s friends – several hundred of them from his local lodge organization – held a chicken noodle dinner fundraiser to help their Walk team raise money last year." 

Peyton dreams of one day becoming a paleontologist or an author; however, the only thing he is certain about is that he wants to keep helping ALSA and perhaps invent another ALS-friendly device.

Since the invention is a prototype, there is a good chance that the Razor on Wheels will eventually weigh less and there could be other tweaks based on the feedback Peyton receives from the ALS community. Leanna has begun to approach different companies that make products for people with disabilities and is gauging interest.

“The next step is that we really want to get this out to people with ALS because we really feel that this can work,” Leanna said.

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Lou Gehrig Biography Authored
by ALSA Chapter Board Member
Reissued as a Paperback Book

 Lou Gehrig Biography
“Iron Horse: Lou Gehrig in His Time” can be purchased for a 50 percent discount by contacting ALSA’s Greater New York Chapter.

When author Ray Robinson – a member of The ALS Association's Greater New York Chapter Board of Directors – was 11 years old and a reporter for his public school newspaper in Manhattan, he wrote a letter to New York Yankees first baseman Lou Gehrig asking for an interview.

To Robinson’s surprise, Gehrig quickly responded with a nicely composed letter of his own, suggesting that young Robinson show his letter to the Yankee Stadium gate-keeper.

Unfortunately, Robinson was not admitted to the ball park, but he waited until the game was over and met Gehrig, who was on his way home. Robinson found his boyhood idol was “pleasant and congenial.”

Many years later, on July 4, 1939, Robinson was at Yankee Stadium to hear Gehrig deliver his famous farewell speech, at a time when Gehrig had already been diagnosed with ALS. Robinson was deeply touched by the event but waited until 1989 to write a biography about the ballplayer. The book, “Iron Horse: Lou Gehrig in His Time,” was published by W.W. Norton and has recently been reissued in paperback by the same publishing firm.

 Ray Robinson
Ray Robinson wrote the book about his boyhood idol Lou Gehrig after leaving a career as a magazine editor.   

In the years before Robinson wrote the Gehrig book he was busy working as an editor at various magazines, including Pageant, Coronet, Good Housekeeping, Seventeen and TV Guide.

In the baseball book, historian Robinson traces Gehrig’s modest beginnings in the Yorkville section of New York City. When the Yankees signed Gehrig, he was in his second year at Columbia University.

Within a short period of time, Gehrig became a slugging partner of the iconic Babe Ruth in the Yankees lineup. The 304-page book traces Gehrig’s success on the legendary Yankees team and his record-breaking 2,130 consecutive games, which earned him the nickname “Iron Horse.”

Robinson acknowledges that the research for the book was challenging, for many of Gehrig’s contemporaries had died and others were in ill health. He does state, however, that Eleanor, Gehrig’s wife, probably never confided to her husband that he was dying of an incurable disease. The book asserts that only the Yankees’ general manager and the doctors who examined him knew the grim facts about his case.

Since he joined the chapter’s board five years ago, Robinson has written a number of articles about Gehrig for the New York Times. He has also helped in getting various honorees to attend the annual ALS dinner. Two years ago, he received the chapter’s Jacob Javits Lifetime Achievement Award, presented to him by TV commentator Bob Costas.

“I hope that I’ve made a contribution,” Robinson said. “But my greatest pleasure is working with such dedicated people.”

When Gehrig’s career ended with the Yankees in 1939 he was enlisted by New York’s mayor, Fiorello LaGuardia, to take a post with the New York City Parole Commission. The job paid about $5,000, not close to what had been his highest Yankee salary of $39,500. Gehrig tried conscientiously to perform the job until the end of his life, which came in June 1941.

In the more than 60 years since Gehrig’s death, he has become a symbol in the ALS movement, someone regarded as a man of dignity, courage and humility. “He never lost hope,” Robinson said.

 Robinson and Costas
Ray Robinson and NBC broadcaster Bob Costas.
Robinson is the author of 35 books including biographies of singer Mario Lanza, Will Rogers, Stan Musial, Ted Williams, football coach Knute Rockne, pitcher Christy Mathewson, and a dramatic re-telling of the New York Giants’ National League triumph, “The Home Run Heard ‘Round the World.” He also has authored two coffee-table books on the Yankees: “Yankee Stadium: 75 Years of Drama, Glamor, and Glory” and “Pennants and Pinstripes.” His most recent books are “Famous Last Words” and “Greats of the Game.” He will appear on the PBS show “History Detectives” on August 28 in a segment about Gehrig.

Robinson lives in New York City with his wife Phyllis, who is a distinguished author of several biographies, and served as cultural affairs commissioner of New York City in the former New York Mayor John Lindsay Administration.

The Robinsons have three children, Nancy, Steve and Tad, and four grandchildren. In addition to his shelf-full of books, Robinson has also contributed articles to the Washington Post, American Heritage, The New York Daily News, The New York Times, Columbia College Today, The Sporting News, TV Guide and Diversion.

The W.W. Norton paperback of “Iron Horse” can be purchased for a 50 percent discount by contacting Jennifer Lowy of the Greater New York Chapter at
(212) 720-3048 or at lowy@als-ny.org.

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It’s Never Too Late

Rayl 

When George Rayl picked up his college diploma in June at a commencement ceremony, he is believed to have become the oldest graduate of Thomas Jefferson University, founded in 1824. The 83-year-old resident of Berywn, Pa., wants to use his Master of Science degree in biomedical chemistry to help find a cure for ALS, making good on a promise he made to his wife, Olga, who passed away from the disease in 1995. Rayl worked for General Electric for four decades as a space program communications expert and also holds Bachelor of Science and Master of Science degrees in physics. Rayl’s daughter, Jennifer Maiale, is a volunteer at ALSA’s Greater Philadephia Chapter.

 

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Questions or comments?
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