West Virginia Executive Winter 2019 | Page 58

has the highest overdose mortality rate in the nation with the surrounding states of Ohio and Pennsylvania trailing close behind. “It is a big, big problem—much more than at the peak of the AIDs crisis or the number of car accidents,” says Rezai. “West Virginia is at the forefront of the opioid crisis, and we want to be at the forefront of the innovation and technology to help it and prevent it.” Through a clinical trial that tests the effectiveness of an injectable non-opioid, non-steroid micropellet to treat sciatica, RNI is positioning itself to fill that role. The injectable micropellet is smaller than a grain of rice. In November 2018, RNI successfully enrolled and treated the first patient in a phase III clinical trial that tests how effec- tive an injectable non-opioid, non-steroid micropellet can be in treating sciatica. In the procedure, a clonidine micropellet half the size of a grain of rice was inserted into the patient’s lower back, where it will remain for up to one year. Historically, clonidine has been used to treat pain and high blood pressure. “Even though West Virginia is leading the nation in over- dose deaths, it is now taking the lead in helping find an answer for this epidemic by being the first in the world to launch this phase III clinical trial,” says Rezai. “If the study is successful, instead of taking opioids for chronic pain, patients would be able to get an injectable pellet that dissolves over time and treats their pain. Phase I and II have been promising, so now we are doing this next phase trial with the FDA and the company Sollis Therapeutics.” The principal investigator for the micropellet trial is Dr. Richard Vaglienti, the director of the WVU Medicine Center for Integrative Pain Management. He says a major way to prevent opioid misuse is to minimize the number of opioids that are prescribed. “There is a group of people that is already addicted to opioids, and that is a single problem in and of itself,” says Vagli- enti. “Then there’s a second group that is made up of those individuals who have chronic pain that prior to now would have gone on to use chronic opioids, and now we’re develop- ing a bunch of other treatment processes to prevent that group from transitioning into the dependent group. So, we have a two-prong mission we’re on.” RESULTS DELIVERED: 350 Workers’ Compensation Reforms $ MILLION 75 Corporate Net Income MILLION Tax Savings $ Elimination Of Business MILLION Franchise Tax $ Saving your business over $1,000 per worker annually 40 Preventing Increase In Unemployment MILLION Compensation Tax $ $ Insurance MILLION Reforms A Quality Education for our Children Ensuring Legal Fairness for Your Business Created a pathway for experienced, degreed professionals to teach Joint and several liability reform Medical malpractice reforms Limiting punitive damages Limiting employer liability related to payroll disputes Drug-Free Workplaces Act Human resource and labor law modernization Opening the Doors to the World Developing relationships with international partners such as Canada, Great Britain, China and India Promoting Good Government and a Competitive Business Climate Non-partisan election of judges Elimination of straight-ticket voting Creation of the Rainy Day Fund Business tax reductions Insurance cost reductions Regulations that Protect the Environment While Fostering Job Creation Require all state agencies to periodically review all rules and regulations Faster permitting Helping small and veteran-owned businesses through simplified business compliance Creating an Infrastructure for the 21st Century Passage of the Road Bond Initiatives Creating opportunities for broadband expansion 56 WEST VIRGINIA EXECUTIVE Uniting Businesses • Advancing West Virginia