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European Patients’ Academy on Therapeutic Innovation:

Shifting paradigms in empowering
     patients on medical R&D
Belgian Association of Clinical Research Professionals Meeting, 25 Oct 2012

                                  Jan Geissler
                                  EUPATI Director
Unmet needs: There is no
„magic bullet“ for most patients
    “Success stories” available only to
     small numbers of rare cancers, rare
     diseases, patients at “best age”
    Patients need innovation!


    5-year survival in cancer (USA, 2008)




National Cancer Institute (2008)            Source: RareCare (2012)
Patients have unmet needs --
window of opportunity in R&D
New opportunities:

 Molecular targets/pathways         Window of
 Genome sequencing                  opportunity
 Translational research              new
 “Personalized” medicine              relationship
                                       between
 Companion diagnostics
                                       researchers,
 Need for post-marketing data         regulators,
 HTA, QoL, endpoints, comparators     industry,
 Healthcare budgets, drug pricing     patients
Overcoming public scrutiny
on research
   Lack of public confidence in
    research leads to
     • lack of trial recruitment
      (6-12% of cancer patients take part in research)
    • delayed generation of meaningful
      clinical data
    • slow progress or lack of research
    • bad image of research in population

   Objective information to the public
    & more transparency needed
Patient advocates’ key role in
building new environment for R&D

   Patient organisations have unique insights
    in „real life“ and „real needs“ of patients:
     • Gap analysis in research priorities
     • Clinical trial design
     • Priority setting in healthcare budgets
                                                             Driving force
     • Research policy
                                                            Co-researcher

                                                               Reviewer

   Training required to get expertise                          Advisor
    required to contribute to scientific projects
                                                             Info provider

                                                          Research subject

                                                    PatientPartner FP7 Project (2010),
                                                     www.patientpartner-europe.eu
Unmet need of patient & public,
and great willingness to contribute!
   Patients…
     • seek up-to-date, credible, understandable information
       about innovation in treatments
     • are largely unaware about clinical trials, translational
       research, personalized medicine, health economics,
       their role

   Patient advocates…
     • like to advise on protocol design, informed consent,
       ethical review, marketing authorization, value
       assessment, health policy
     • lack the education and training required to participate
       as a partner in drug research and development
EUPATI: A paradigm shift in
involving patients in medicines R&D
   Great individual initiatives to train patient
    advocates - by patient organisations,
    academia, industry, healthcare
    professionals




   Complemented by:
    The European Patients’ Academy
    on Therapeutic Innovation
EUPATI: Paradigm shift in
empowering patients on med R&D

   Launched Feb ’12, runs for 5 years,
    29 consortium members,
    PPP of EU Commission and EFPIA

   will develop and disseminate
    objective, credible,
    correct and up-to-date public
    knowledge about medicines
    R&D
   will build competencies
    & expert capacity among patients & public

   will facilitate patient involvement in R&D to support
    industry, academia, authorities and ethics committees
EUPATI Audiences: advocacy
leaders and the lay public

                          100
     EUPATI Certificate   patient
     Training Programme   advocates
                                        English
                                        French
                          12.000        German
     EUPATI Educational   patient       Spanish
     Toolbox              advocates     Polish
                                        Italian
                                        Russian

     EUPATI               100.000
     Internet Library     individuals
Areas covered by EUPATI

1.   Medicines development process
     from research to approval
2.   Personalized, predictive medicine
3.   Drug safety, risk/benefit assessment of medicines
4.   Pharmaco-economics, health economics
     and health technology assessment
5.   Design & objectives of clinical trials
     (& roles of stakeholders)
                                                   …and NOT:
6.   Patients roles & responsibilities in     develop indication-
     medicines development                    or therapy-specific
                                                  information!
Multi-stakeholder consortium,
transparently governed
   Led by European Patients’ Forum &
    pan-EU patient organisations
   Strong impetus from key academic
    partners and non-profit organisations
   Industry expertise in medicines R&D
   Advisory bodies help ensuring
    independence, transparency, good
    governance
    • EMA, Swissmedic, MHRA, BfArM
    • Key experts in bioethics, genetics, HTA,
      economics, evidence based med,
      patient advocacy
    • Ethics Panel
EUPATI in 2016:
What EUPATI will have achieved

    EUPATI platform fully loaded with training, education,
     information material in multiple languages

    EUPATI Patient Ambassador, Patient Journalist,
     Train-the-Trainer Programme in place

    Good practice guideline for patient involvement released

    Annual Conferences and at least 5 Regional Workshops
     performed. Expert network established.
Get to know us!



                  Jan Geissler
                  EUPATI Director
                  jan@patientsacademy.eu

                  Web:
                  www.patientsacademy.eu

                  Twitter: @eupatients
                  as well as:

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European Patients’ Academy on Therapeutic Innovation: Shifting paradigms in empowering patients on medical R&D - Jan Geissler

  • 1. European Patients’ Academy on Therapeutic Innovation: Shifting paradigms in empowering patients on medical R&D Belgian Association of Clinical Research Professionals Meeting, 25 Oct 2012 Jan Geissler EUPATI Director
  • 2. Unmet needs: There is no „magic bullet“ for most patients  “Success stories” available only to small numbers of rare cancers, rare diseases, patients at “best age”  Patients need innovation! 5-year survival in cancer (USA, 2008) National Cancer Institute (2008) Source: RareCare (2012)
  • 3. Patients have unmet needs -- window of opportunity in R&D New opportunities:  Molecular targets/pathways Window of  Genome sequencing opportunity  Translational research  new  “Personalized” medicine relationship between  Companion diagnostics researchers,  Need for post-marketing data regulators,  HTA, QoL, endpoints, comparators industry,  Healthcare budgets, drug pricing patients
  • 4. Overcoming public scrutiny on research  Lack of public confidence in research leads to • lack of trial recruitment (6-12% of cancer patients take part in research) • delayed generation of meaningful clinical data • slow progress or lack of research • bad image of research in population  Objective information to the public & more transparency needed
  • 5. Patient advocates’ key role in building new environment for R&D  Patient organisations have unique insights in „real life“ and „real needs“ of patients: • Gap analysis in research priorities • Clinical trial design • Priority setting in healthcare budgets Driving force • Research policy Co-researcher Reviewer  Training required to get expertise Advisor required to contribute to scientific projects Info provider Research subject PatientPartner FP7 Project (2010), www.patientpartner-europe.eu
  • 6. Unmet need of patient & public, and great willingness to contribute!  Patients… • seek up-to-date, credible, understandable information about innovation in treatments • are largely unaware about clinical trials, translational research, personalized medicine, health economics, their role  Patient advocates… • like to advise on protocol design, informed consent, ethical review, marketing authorization, value assessment, health policy • lack the education and training required to participate as a partner in drug research and development
  • 7. EUPATI: A paradigm shift in involving patients in medicines R&D  Great individual initiatives to train patient advocates - by patient organisations, academia, industry, healthcare professionals  Complemented by: The European Patients’ Academy on Therapeutic Innovation
  • 8. EUPATI: Paradigm shift in empowering patients on med R&D  Launched Feb ’12, runs for 5 years, 29 consortium members, PPP of EU Commission and EFPIA  will develop and disseminate objective, credible, correct and up-to-date public knowledge about medicines R&D  will build competencies & expert capacity among patients & public  will facilitate patient involvement in R&D to support industry, academia, authorities and ethics committees
  • 9. EUPATI Audiences: advocacy leaders and the lay public 100 EUPATI Certificate patient Training Programme advocates English French 12.000 German EUPATI Educational patient Spanish Toolbox advocates Polish Italian Russian EUPATI 100.000 Internet Library individuals
  • 10. Areas covered by EUPATI 1. Medicines development process from research to approval 2. Personalized, predictive medicine 3. Drug safety, risk/benefit assessment of medicines 4. Pharmaco-economics, health economics and health technology assessment 5. Design & objectives of clinical trials (& roles of stakeholders) …and NOT: 6. Patients roles & responsibilities in develop indication- medicines development or therapy-specific information!
  • 11. Multi-stakeholder consortium, transparently governed  Led by European Patients’ Forum & pan-EU patient organisations  Strong impetus from key academic partners and non-profit organisations  Industry expertise in medicines R&D  Advisory bodies help ensuring independence, transparency, good governance • EMA, Swissmedic, MHRA, BfArM • Key experts in bioethics, genetics, HTA, economics, evidence based med, patient advocacy • Ethics Panel
  • 12. EUPATI in 2016: What EUPATI will have achieved  EUPATI platform fully loaded with training, education, information material in multiple languages  EUPATI Patient Ambassador, Patient Journalist, Train-the-Trainer Programme in place  Good practice guideline for patient involvement released  Annual Conferences and at least 5 Regional Workshops performed. Expert network established.
  • 13. Get to know us! Jan Geissler EUPATI Director jan@patientsacademy.eu Web: www.patientsacademy.eu Twitter: @eupatients as well as: