'Aunando esfuerzos para el futuro de la investigación en enfermedades poco frecuentes'. Éste fue el lema de la jornada que tuvo lugar el 27 de abril de 2015, en la Fundación Ramón Areces. Organizada en colaboración con la Fundación Pfizer y el Instituto de Salud Carlos III, reunió a algunos de los principales expertos en Enfermedades raras para analizar el estado de la investigación.
Here are the multiple reasons we are successful at helping your study out! We send patients that are educated about the clinical trial process, patients who are local to your research site, patients who are actively searching for clinical research related to their condition, and much much more!
For experienced professionals like Brian Wedgeworth, science is the one nearly politically neutral field, in which all participants are encouraged and happy to share information.
Patient perspective: Is the promise to involve patients being fulfilled?j-loop
Patient engagement is considered highly relevant in health policy and practice. What about research? The presentation given at the 6th symposium of the Swiss Clinical Trial Organisation in St. Gallen addresses benefits and restraints of patient and public involvement. Areas for future activities in Switzerland are also briefly discussed.
OMICS Publishing Group, Conference on Pathology is a remarkable event which brings together a unique and International mix of large and medium pathology research, leading universities and pathology research institutions making the conference a perfect platform to share experience, foster collaborations across industry and academia, and evaluate emerging technologies across the globe.
Here are the multiple reasons we are successful at helping your study out! We send patients that are educated about the clinical trial process, patients who are local to your research site, patients who are actively searching for clinical research related to their condition, and much much more!
For experienced professionals like Brian Wedgeworth, science is the one nearly politically neutral field, in which all participants are encouraged and happy to share information.
Patient perspective: Is the promise to involve patients being fulfilled?j-loop
Patient engagement is considered highly relevant in health policy and practice. What about research? The presentation given at the 6th symposium of the Swiss Clinical Trial Organisation in St. Gallen addresses benefits and restraints of patient and public involvement. Areas for future activities in Switzerland are also briefly discussed.
OMICS Publishing Group, Conference on Pathology is a remarkable event which brings together a unique and International mix of large and medium pathology research, leading universities and pathology research institutions making the conference a perfect platform to share experience, foster collaborations across industry and academia, and evaluate emerging technologies across the globe.
This presentation on developing resources for heart failure was first given by CareSearch Director Jennifer Tieman at the Australasian Cardiovascular Nursing College 5th Annual Conference, 18-19 March 2011.
Regulatory medical writing is an integral part of Medical Communications, but is often overlooked. In simple terms, it involves writing of the documents required for the approval of drugs by the regulatory authorities.
https://www.cognibrain.com/regulatory-medical-writing/
Efforts to place the patient at the center of medical research, spurred by the Affordable Care Act’s founding of the Patient Centered Outcomes Research Institute, have begun to change the way clinical research is conceptualized and conducted. Such efforts hold great promise, but also raise potential challenges for ethical oversight. How should oversight bodies approach the presence of patients in potentially unfamiliar research roles, such as investigator? What forms of patient involvement in research, if any, warrant increased scrutiny from oversight bodies? How do we keep the patient voice from being ‘captured’ by special interest groups? This symposium brought together a diverse group of patients and community members, policymakers, bioethicists, and regulatory officials to address these and other issues.
This presentation on developing resources for heart failure was first given by CareSearch Director Jennifer Tieman at the Australasian Cardiovascular Nursing College 5th Annual Conference, 18-19 March 2011.
Regulatory medical writing is an integral part of Medical Communications, but is often overlooked. In simple terms, it involves writing of the documents required for the approval of drugs by the regulatory authorities.
https://www.cognibrain.com/regulatory-medical-writing/
Efforts to place the patient at the center of medical research, spurred by the Affordable Care Act’s founding of the Patient Centered Outcomes Research Institute, have begun to change the way clinical research is conceptualized and conducted. Such efforts hold great promise, but also raise potential challenges for ethical oversight. How should oversight bodies approach the presence of patients in potentially unfamiliar research roles, such as investigator? What forms of patient involvement in research, if any, warrant increased scrutiny from oversight bodies? How do we keep the patient voice from being ‘captured’ by special interest groups? This symposium brought together a diverse group of patients and community members, policymakers, bioethicists, and regulatory officials to address these and other issues.
www.its.leeds.ac.uk/courses/masters/openday
Presentations from the annual Open Day for MSc and Postgraduate Diploma programmes at the Institute for Transport Studies, University of Leeds
ile-CDS is a 3D deterministic propagation tool with unlimited potential in areas such as; RF characterization of specific regions, wireless protocol evaluation and military applications. Its internal engine is based on ray-tracing technology and the code is fully parallelized, specially designed for 4G/5G Simulation (e.g. LTE or mmW)
Realidad Aumentada y Multimedia - Presentación para Semana Global 2017Dr. Edwin Hernandez
Esta presentación cubre los temas de "Realidad Aumentada" y "Multimedia" presentada en la Alianza Francesa en Tegucigalpa Honduras. Realidad Aumentada, Realidad Virtual, y Streaming vienen a cambiar las formas de
FasterCures Presentation: Fostering innovation while delivering treatments an...TRAIN Central Station
FasterCures' Margaret Anderson presents at the 2009 BioEconomy Summit Healthcare Policy Session 2: Affordability and Access. Presents new business models to accelerate research.
Better Biotech Innovation by Improving the Ecosystem by Tim Charlebois, VP In...MIT Startup Exchange
Keynote: "Better Biotech Innovation by improving the ecosystem," Tim Charlebois, Ph.D., VP of technology and innovation strategy, Pfizer Biotherapeutics. Presented as a keynote speech at Better innovation in Biotech, part of MIT Startup Exchange cluster workshop series, see http://startupexchange.mit.edu/startupexchange/html/index.html#viewOpportunity/51
Clinical data sharing: why publishing negative and less impactful results is ...Ann-Marie Roche
Clinical data sharing: why publishing negative and less impactful results is important for patient safety
Clinical trials are essential in drug development and are the cornerstone for getting a medicinal product authorized for marketing, because clinical trials investigate efficacy and drug safety. When the results of clinical trials are published, they can be informative to health care professionals, policy makers, media and the general public. But not all trial results are conclusive or significant, and many trials show that drugs are ineffective. These results often do not get published, either because these results are not suitable for a journal or because the researcher does not think these results are worth publishing. Due to the fact that inconclusive and insignificant results are not published, we are facing a publication bias towards positive results. During this webinar the speaker will demonstrate why publishing negative and less impactful results of clinical trials, as in Elsevier’s newly launched Open Access Journal ‘Contemporary Clinical Trials Communications’ reduces publication bias and is important for patient safety.
Education of patients (advocates) on R&D: European Patients’ Academy EUPATI...jangeissler
"Education of patients (advocates) on R&D: European Patients’ Academy EUPATI", presented by Jan Geissler at the Careum Congress on 18 March 2014 in Basel
I will discuss the formation and subsequent growth of IRDiRC into an organization with nearly 40 public and private funder members who have collectively pledged over 1 billion euros for rare disease research. I will also present the goals of IRDiRC, the plan that has been developed to achieve them, and the progress that has been made thus far. Finally, I will explore how additional organizations can take part in this international collaborative effort
European Patients' Academy - Presentation at IMI Patient Focus Meeting on 12 ...EUPATI
European Patients' Academy - Presentation at IMI Patient Focus Meeting on 12 June 2013, presented by Jan Geissler (@jangeissler), Director EUPATI (@EUPATIents) at the IMI's "Patient Focus" meeting, convening patient leaders from across Europe
AzCI presents: Working with Your Demographic Market (in Orphan Drug Development)AnitaBell
Arizona Center for Innovation (AzCI) presents: Working with Your Demographic Market (in orphan drug development)
This presentation is part of a series developed for a workshop on "How to Navigate the Biotech Regulatory Process"
The Arizona Center for Innovation is an incubator and innovation center and provides resources in support of startups getting to the next level and become successful enterprises.
EuroBioForum 2013 - Day 1 | Etienne RicherEuroBioForum
EuroBioForum 2013 2nd Annual Conference
27-28 May 2013 - Hilton Munich City, Munich, Germany
http://www.eurobioforum.eu/2013
=======================================
# NATIONAL PERSPECTIVES #
Canada:
Personalised Medicine: A Canadian Collaborative Perspective'
Dr Étienne Richer, Assistant Director at CIHR Institute of Genetics
=======================================
http://www.eurobioforum.eu
The benefits of patient involvement in research and development (RE:ACT Congr...jangeissler
Presentation of Jan Geissler, Director EUPATI and Co-Founder CML Advocates Network, about the benefits of involving patients in research and development, and about EUPATI. Held at RE:ACT Conress 2016 on Research of Rare and Orphan Diseases, organized by the Blackswan Foundation on 12 March 2016 in Barcelona, Spain
Ségolème Aymé - Infraestructuras de I + D para impulsar investigación en Enfe...Fundación Ramón Areces
El 29 de octubre de 2014, la Fundación Ramón Areces celebró una nueva conferencia del ciclo de Enfermedades Raras organizado con el Vall d'Hebron Institute of Research de Barcelona. En esta ocasión, Ségolène Aymé, directora emérita de investigación del INSERM, fundadora de Orphanet y presidenta del Grupo Consultivo Temático sobre Enfermedades Raras en la OMS, habló sobre 'Las infraestructuras de I+D necesarias para impulsar la investigación en Enfermedades Raras'. Antes de su intervención, explicó en esta entrevista cómo mejorar las políticas de investigación en patologías poco frecuentes.
A presentation delivered by IPPOSI CEO, Derick Mitchell at the University College Dublin PharmTox Society event on Clinical Trials in Ireland on March 6th, 2017
Jordi Torren - Coordinador del proyecto ESVAC. Agencia Europea de Medicamento...Fundación Ramón Areces
El martes 5 de junio del 2018 organizamos una Jornada en la Fundación Ramón Areces, en la cual se habló sobre el consumo de antibióticos y transmisión de resistencia entre humanos y animales.
Dominique L. Monnet Director del programa ARHAI (Antimicrobial Resistance an...Fundación Ramón Areces
El martes 5 de junio del 2018 organizamos una Jornada en la Fundación Ramón Areces, en la cual se habló sobre el consumo de antibióticos y transmisión de resistencia entre humanos y animales.
El jueves 24 de mayo del 2018 organizamos una Conferencia con Antonio Cabrales en la Fundación Ramón Areces. Una conferencia en la cual el tema fue: Estilo negociador y confianza, ¿hay diferencias entre hombres y mujeres?
Teresa Puig - Institut de Ciència de Materials de Barcelona, ICMAB-CSIC, Espa...Fundación Ramón Areces
El lunes y martes 21 y 22 de mayo del 2018 realizamos un Simposio Internacional en la Fundación Ramón Areces, tratando el tema de la superconductividad y presión: una relación fructífera en el camino hacia la superconductividad a temperatura ambiente.
Elena Bascones - Instituto de Ciencia de Materiales de Madrid (ICMM-CSIC), Es...Fundación Ramón Areces
El lunes y martes 21 y 22 de mayo del 2018 realizamos un Simposio Internacional en la Fundación Ramón Areces, tratando el tema de la superconductividad y presión: una relación fructífera en el camino hacia la superconductividad a temperatura ambiente.
El jueves 17 de mayo del 2018 se organizó una Mesa Redonda en la Fundación Ramón Areces, en la cual se habló sobre las subidas de tipos en la era Trump y la nueva globalización.
El jueves 17 de mayo del 2018 se organizó una Mesa Redonda en la Fundación Ramón Areces, en la cual se habló sobre las subidas de tipos en la era Trump y la nueva globalización.
El miércoles 16 de mayo del 2018 celebramos una Jornada en la Fundación Ramón Areces, en la cual se habló sobre las nuevas fronteras de investigación sobre la distribución comercial y el comportamiento del consumidor.
El miércoles 16 de mayo del 2018 celebramos una Jornada en la Fundación Ramón Areces, en la cual se habló sobre las nuevas fronteras de investigación sobre la distribución comercial y el comportamiento del consumidor.
Juan Carlos López-Gutiérrez - Unidad de Anomalías Vasculares, Hospital Unive...Fundación Ramón Areces
El jueves y viernes 10 y 11 de mayo del 2018 realizamos en la Fundación Ramón Areces un Simposio Internacional, en el cual se trató el tema del mosaicismo somático en malformaciones vasculares.
Víctor Martínez-Glez. - Instituto de Genética Médica y Molecular (INGEMM). I...Fundación Ramón Areces
El jueves y viernes 10 y 11 de mayo del 2018 realizamos en la Fundación Ramón Areces un Simposio Internacional, en el cual se trató el tema del mosaicismo somático en malformaciones vasculares.
Rudolf Happle - Dermatología, University of Freiburg Medical Center, Freiburg...Fundación Ramón Areces
El jueves y viernes 10 y 11 de mayo del 2018 realizamos en la Fundación Ramón Areces un Simposio Internacional, en el cual se trató el tema del mosaicismo somático en malformaciones vasculares.
Rafael Doménech - Responsable de Análisis Macroeconómico, BBVA Research. Fundación Ramón Areces
El martes 8 de mayo de 2018 realizamos una conferencia en la Fundación Ramón Areces, en la cual se habló sobre el futuro de las pensiones: una visión global.
El martes 8 de mayo de 2018 realizamos una conferencia en la Fundación Ramón Areces, en la cual se habló sobre el futuro de las pensiones: una visión global.
El martes 8 de mayo de 2018 realizamos una conferencia en la Fundación Ramón Areces, en la cual se habló sobre el futuro de las pensiones: una visión global.
Nicholas Barr - Profesor de Economía Pública, London School of Economics. Fundación Ramón Areces
El martes 8 de mayo de 2018 realizamos una conferencia en la Fundación Ramón Areces, en la cual se habló sobre el futuro de las pensiones: una visión global.
El viernes 27 de abril del 2018 se celebró en la Fundación Ramón Areces una Jornada sobre física , en la cual se trataron diversos temas como: Los materiales mecanocalóricos, magnetísmo, biofísica, la energía oscura y instrumentación astronómica.
El viernes 20 de abril organizamos una Jornada sobre la ciencia en el corazón de Europa, en colaboración con Científicos Españoles en Bélgica (CEBE) y realizada en la Fundación Ramón Areces.
Marta Olivares - Investigadora Postdoctoral en Université catholique de Louva...Fundación Ramón Areces
El viernes 20 de abril organizamos una Jornada sobre la ciencia en el corazón de Europa, en colaboración con Científicos Españoles en Bélgica (CEBE) y realizada en la Fundación Ramón Areces.
El viernes 20 de abril organizamos una Jornada sobre la ciencia en el corazón de Europa, en colaboración con Científicos Españoles en Bélgica (CEBE) y realizada en la Fundación Ramón Areces.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Michael Skynner - 'Aunando esfuerzos para el futuro de la investigación en enfermedades poco frecuentes'
1. Pfizer confidential; Not for distribution
Importance of Collaboration in Rare
Disease Research
Michael Skynner
(Head Rare Disease Alliances)
27th April 2015
2. Confidential – Internal Use Only
RDRU formed in 2010 - Collaborative
approach through connections with patient
groups, community, academia
RDRU formed in 2010 - Collaborative
approach through connections with patient
groups, community, academia
Close-knit end to end integration from
research to commercialization helps to foster
a robust pipeline
Close-knit end to end integration from
research to commercialization helps to foster
a robust pipeline
Pfizer - Positioned to make a difference
for patients
│ 2
* Orphan designation in the EU and/or U.S.
Serving thousands of patients with a
portfolio of 22 products approved to treat rare
diseases worldwide*
Serving thousands of patients with a
portfolio of 22 products approved to treat rare
diseases worldwide*
3. Confidential – Internal Use Only
Pfizer’s research focused on areas of
health needs
│ 3
Hematologic
Disease
Internal Focus
Neuromuscular
Disease
Pulmonary
Disease
Collaborative Focus
Cystic Fibrosis
Duchenne Muscular
Dystrophy
Haemophilia
Sickle Cell Disease
5. Pfizer confidential; Not for distribution
What are the challenges?
Access to breaking science New model for DD
Disease diversity Expertise
6. Confidential – Internal Use Only
UK is a major centre for rare disease
research
Bio-cluster larger than Boston
4/6 universities in the world’s top 10
$1bn grant funding for rare disease
($400m 42% total
Wellcome Trust funding)
~20m patient catchment
Location of majority of tertiary
rare disease referral centres
~60% of UK’s rare disease
publications
Collaboration, where should we start?
Pfizer Rare Disease Consortium
6
www.rarediseaseconsortium.co.uk
7. Confidential – Internal Use Only
Master agreement signed: Dec 2013
Operating model:
Joint research team (co-chair)
Pfizer funded post-docs
Access - Pfizer talent, tools, technology
Principles:
Complimentary skill sets
Shared risk / rewarding success
“Making a Medicine”
Working Framework:
Research Plan
Option, Milestones and Royalties
IP terms
RDC - Model for interaction
Pfizer Rare Disease Consortium
7
www.rarediseaseconsortium.co.uk
8. Confidential – Internal Use Only
Expansion of RDC in UK…and beyond?
8
QS 2013 Rankings
9. Pfizer Confidential – Do Not Distribute – Discussion Purposes Only
Science Call
Themed science
areas
Access
academic
creativity & novel
science
Road show
One to one
meetings
Honest feedback,
easy to have the
conversation
Principle investigator/Consortium
Name & Title
Institute/Sub-division/Address
Contact details (email/phone)
Other investigators and their
affiliations
Disease Background
Disease Name &
Genetic Cause (if know)
Therapeutic Area
(Call Area)
Incidence
/prevalence/geographical bias
Overview of disease, current treatments and availability of clinical
scales or pharmacodynamic endpoints
List clinical research centres /
patient groups / charities
Proposal
Scientific proposal: include any available supporting pre-clinical or clinical data also highlight the major
scientific risks and expertise gaps (maximum 500 words, or one page)
Requirement from Pfizer: approximate the skills/resources/ budget/timelines requested
(NB this is non-binding and will be accurately reconciled if application is accepted)
Brief overview of your laboratory and its capabilities relevant to this
application
Identify any access to patient
material
Other relevant information
Intellectual Property relevant to
this application
Identify any Conflicts of Interest List a maximum of three relevant
publications
(NB To be completed by Pfizer)
Resources required/timings Cost/Location/Sourcing
Reviewer comments and actions
Two page
Expression of
interest
Simple rapid
non-confidential
preliminary
application
Business plan
Full proposal –
research agreement
Confidential, goal
driven science,
flexibility to
incorporate 3rd
parties
RDC process and principles
10. Pfizer Confidential – Do Not Distribute – Discussion Purposes Only
What have we achieved?
Class of 2014
First call Neuromuscular
and Haematology
(>400 applications)
10
www.rarediseaseconsortium.co.uk
11. Confidential – Internal Use Only
Collaborating across Rare Disease
Ecosystem
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New Drugs to
Patients in Need
New Drugs to
Patients in Need
Biotech – Selected Examples Academia
Genetics
Medicine
Institute
Patient Advocacy & Foundations
Editor's Notes
Morning and thank you
Talk about the importance of collaboration in Rare Disease research
Convince you of three things today
That rare disease research requires a different paradigm
That the paradigm required is collaboration
And that that collaborative paradigm can work to mutual benefit
Before I do I want to say a few words about Pfizer rare diseases
People don’t automatically think about Pfizer as a RD company, but has a proud history and a portfolio of 22 approved medicines, about 50% in non-oncology indications and in 2013 was ~2 in the world by sales.
>4 years ago this effort was enhanced by formation of a dedicated research unit to bring forward new medicines in this area
Unit ~60 biologists, initially based initially in Boston, was formed to punch above their modest numbers by crystalysing and evolving a highly networked and collaborative model for DD.
Not only that but to also develop close links internally with the commercial teams in the business units involved in bringing medicines to market to ensure end to end integration and rapid delivery of new medicines
Heard a little about the complexity of rare disease and so initially we have focused our research efforts in three main areas
Haematology
Many will be familiar with our existing franchise of factor replacement products (8&9 for Haem A and B)
But also with a n eye to the future the deal signed in Dec last year with Spark to develop future therapies GT Haem B
But also a growing portfolio of developmental drugs for SCD, which is a dreadfully underserved disease with the last new medicine HU being developed in in 1869
Neuromuscular
Main focus in on DMD and at end of last year unit proud initiated our first phase 2 clinical trial in this disease with an anti myostatin antibody, negative regulator of muscle growth
Third area is Pulmonary, specifically in CF where we have a significant research effort.
Where as Haem and NMD are examples of disease areas where we have internal efforts CF is an example of an area where we have chosen to partner, in this case with the CFF.
So what does that mean, well firstly at face value CFF provide the finance to fund the work…so money
But collaboration brings far more than that as at quarterly JSCs gain access to
advice and guidance driven from detailed understanding of patient needs
breaking science
key researchers in CF field
So to pick up on some of the themes from the film, what are the challenges in RD
Probably the major challenge working in the RD space comes from the huge diversity that exists across the 7,000 orphan conditions
diversity can come in many forms:
from age of onset (some devastating diseases of infants like, some like HD impacting adult patient population)
different frequencies of disease (from 1 in the world to 500K)
importantly, each with a different underlying cause and different pathophysiology and clinical course
The consequence of this disease diversity is that we can’t expect to be experts in house to all the different diseases. It simply isn’t efficient or cost effective to employ expert in all these diseases, so how can we operate efficiently in this area
Much more efficient strategy is to
Need to identify the expertise externally, where ever that may be in the globe, and engage with those physician scientists (as these are the people who know the disease, these are the people who see the patients and critically they understand the unmet medical need and what the patient needs a therapy to deliver)
Having identified these key experts we then need to access breaking science to address that unmet medical need
here i have shown logos for two high profile science journals
Historically this would be the traditional point of entry for pharma companies to start DD programs
However (as we have already heard) there is a need to accelerate the rate of RD drug discovery the way to do this is to engage with academia earlier, at the point of idea inception not idea publication as this allow access to novel science at its earliest point, will save years from the development timeline and provide exclusivity on targets to reduce competition
Finally the last challenge is to build the networks that are crucial to effectively tackle these rare diseases.
that was so well articulated in the animation
to help deliver these future medicines
So our solution to the challenge is RDC.
This is an agreement with GMEC (Global Medical Excellence Cluster) which is a consortium of the major leading universities in South of England (list)
It was attractive to access these universities because (read)
At the heart of the Agreement is the ability to access breaking and novel science in these institutions in RD space.
Having done so we uniquely place that investigator at the centre of what we do and wrap a team around them
Access to three Ts etc
Whilst GMEC are important founding members, the RDC was always designed with expansion in mind and in the last 18 months we have expanded to ~19 UK universities and have initial inroads outside the UK into the US and beyond.
These cover the highest quality institutions in the UK as shown by QS university rankings from 2013.
How does RDC operate, essentially a vehicle to allow us to crowd source solutions to problems and to identify novel science to invest in
built on 3 principles
scientific engagement
personal interaction
rapid and honest feedback
RDC isn’t just talk, we have delivered numerous funded and now ongoing scientific projects
We were staggered when we conducted our first call at the level of interest and desire to collaborate
But its not just a numbers game, what can RDC do differently? So its as much about the journey as the destination…..now I’d like to highlight 2 unexpected benefits of a collaborative model with 2 vignettes from our first call.
Finally, where does collaboration take us and why are we doing DD this way
Well we collaborate with many different groups and in many different ways….. but fundamentally the purpose is singular
To bring new drugs to patients that need them and collaboration in, my view is the only way to do this effectively
thankyou