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A snapshot of EUPATI:
Why the educated
patient is so vital to
success in clinical trials

Jan Geissler
EUPATI Director
                              25th Annual
                             EuroMeeting
                                4-6 March 2013
                                RAI, Amsterdam
                                    Netherlands
Unmet need of patient & public on
information about medicines R&D

• 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 key role in research

• 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

                                                                2
Patients can largely contribute
to medicines R&D


• Before research starts
   – Identify indications, therapy gaps, patient population
   – Ethical/risk/benefit dilemmas
   – Patient-oriented outcome measures (PFS vs OS)
• While research is in progress
   – Managing expectations: hope/hype                           Driving force
   – Patient recruitment, retention                             Co-researcher
   – Quality of life, side effect monitoring
                                                                  Reviewer

• After conclusion of research                                     Advisor
   – Dissemination of research results
                                                              Information provider
   – Improving adherence
   – Assessment of (cost-)effectiveness                       Research subject




                                                                                3
More educated patient advocates
   needed to be empowered for R&D



                                                     Millions of patients
& ICREL-Report 2009
                          ~5.000              100.000s of patient organisations
                      clinical trials
                         per year                   ~200 pan-EU patient
                                                       organisations
                     ~9.400 trial
                                                      ~100 advocates
                applications per year
                                                         with R&D
                                                         expertise
         In 1.250 multinational rrials/year
            alone: 5.000 ethics panels,
         35.000 ethics reviewers involved




                                                                                  4
The European Patients‘ Academy on
Therapeutic Innovation


  Launched Feb 2012
  Runs for 5 years
  30 consortium members
  Funded by IMI JU
   (EU-FP7 and EFPIA)




                                    5
Paradigm shift in empowering
patients on medicines R&D

 Until end of 2016, EUPATI will …

  develop and disseminate accessible,
   well-structured and user-friendly information
   and education on medicines R&D
  build competencies and expert capacity
   about medicines R&D among patient advocates,
   patients and the public
  create the leading public library on patient information
   in seven most common languages under public licensing

  facilitate patient involvement in R&D to collaborate with
   academia, industry, authorities and ethics committees


                                                               6
Key topic areas


1. Medicines development process
   from research to approval
2. Personalized and predictive medicine
3. Drug safety and risk/benefit assessment
   of medicines
4. Pharmaco-economics, health economics
   and health technology assessment
5. Design and objectives of clinical trials,
   including role of all stakeholders
6. Patients roles & responsibilities             …but NOT:
                                             develop indication-
   in medicines R&D                          or therapy-specific
                                                  information!
                                                                 7
Audiences: advocacy leaders
and the public at large



        EUPATI Certificate Training Programme
        Patient Ambassadors in committees, HTA agencies, industry,       100
        regulatory bodies, academia etc                                  patient
        Patient Journalists raising awareness
        Patient Trainers for patient communities and networks.
                                                                         advocates

       EUPATI Educational Toolbox
                                                                         12.000
       Educational tools for patient advocates (print, slide shows,      patient
       eLearning, webinars, videos) for patient advocates
                                                                         advocates

       EUPATI Internet Library
       Patients & lay public at large, e.g. on specific aspects of the
       development process of medicines for patients with low            100.000
       (health) literacy.                                                individuals
Reflecting EU diversity: Languages


• 7 most frequently spoken languages:
  English, French, German, Spanish, Polish,
  Russian, Italian

• Serving 12 European countries:
  UK, Ireland, Malta, France, Luxemburg,
  the francophone Belgium, Switzerland,
  Germany, Austria, Spain, Italy and Poland,
  plus Russian-speaking population in CEE




                                               9
Four leading pan-EU patient
organisations in a leadership role

                European Patients‘ Forum
                 EUPATI Project Coordination
                ◦ >50 umbrella patient organisations.
                  Through 'members of members', potential outreach
                  to 150 million patients
                European Genetic Alliance Network
                ◦ Linked with national and regional patient alliances in
                  Germany, Eastern Europe, Italy, Netherlands, United
                  Kingdom and Ireland, Sweden, Spain, Italy, Greece and
                  Balkan countries
                EURORDIS – Rare Diseases Europe
                ◦ Representing >550 rare disease organisations
                  in >45 countries
                European AIDS Treatment Group
                ◦ More than 100 members in over 30 countries.

                                                                     10
Strong consortium & governance



• Leading pan-EU patient umbrella
  groups
• Strong impetus from key academic partners
  and research organisations
• Industry expertise in medicines R&D

• Advisory bodies & codes committed to
  ensure independence and good
  governance
   – EMA, Swissmedic, MHRA, BfArM
   – Key experts in bioethics, genetics, HTA,
     economics, evidence based med,
     patient advocacy
What we will have achieved by 2016



• 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
• 2 pan-European conferences and 5 regional
  workshops performed. Expert network established.

                 …first content available from 2014.
                                                     12
Get to know us on the Internet!




                                  Web:
                                  www.patientsacademy.eu


                                  Social Media:
                                  Twitter @eupatients



                                  E-Mail:
                                  Jan Geissler
                                  EUPATI Director
                                  jan@patientsacademy.eu
Disclaimer
The views and opinions expressed in the following PowerPoint slides are
those of the individual presenter and should not be attributed to Drug
Information Association, Inc. (“DIA”), its directors, officers, employees,
volunteers, members, chapters, councils, Special Interest Area
Communities or affiliates, or any organization with which the presenter is
employed or affiliated.

These PowerPoint slides are the intellectual property of the individual
presenter and are protected under the copyright laws of the United
States of America and other countries. Used by permission. All rights
reserved. Drug Information Association, DIA and DIA logo are registered
trademarks or trademarks of Drug Information Association Inc. All other
trademarks are the property of their respective owners.




                                                                       14

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A snapshot of EUPATI: Why the educated patient is so vital to success in clinical trials - Jan Geissler - EUPATI Director

  • 1. A snapshot of EUPATI: Why the educated patient is so vital to success in clinical trials Jan Geissler EUPATI Director 25th Annual EuroMeeting 4-6 March 2013 RAI, Amsterdam Netherlands
  • 2. Unmet need of patient & public on information about medicines R&D • 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 key role in research • 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 2
  • 3. Patients can largely contribute to medicines R&D • Before research starts – Identify indications, therapy gaps, patient population – Ethical/risk/benefit dilemmas – Patient-oriented outcome measures (PFS vs OS) • While research is in progress – Managing expectations: hope/hype Driving force – Patient recruitment, retention Co-researcher – Quality of life, side effect monitoring Reviewer • After conclusion of research Advisor – Dissemination of research results Information provider – Improving adherence – Assessment of (cost-)effectiveness Research subject 3
  • 4. More educated patient advocates needed to be empowered for R&D Millions of patients & ICREL-Report 2009 ~5.000 100.000s of patient organisations clinical trials per year ~200 pan-EU patient organisations ~9.400 trial ~100 advocates applications per year with R&D expertise In 1.250 multinational rrials/year alone: 5.000 ethics panels, 35.000 ethics reviewers involved 4
  • 5. The European Patients‘ Academy on Therapeutic Innovation  Launched Feb 2012  Runs for 5 years  30 consortium members  Funded by IMI JU (EU-FP7 and EFPIA) 5
  • 6. Paradigm shift in empowering patients on medicines R&D Until end of 2016, EUPATI will …  develop and disseminate accessible, well-structured and user-friendly information and education on medicines R&D  build competencies and expert capacity about medicines R&D among patient advocates, patients and the public  create the leading public library on patient information in seven most common languages under public licensing  facilitate patient involvement in R&D to collaborate with academia, industry, authorities and ethics committees 6
  • 7. Key topic areas 1. Medicines development process from research to approval 2. Personalized and predictive medicine 3. Drug safety and risk/benefit assessment of medicines 4. Pharmaco-economics, health economics and health technology assessment 5. Design and objectives of clinical trials, including role of all stakeholders 6. Patients roles & responsibilities …but NOT: develop indication- in medicines R&D or therapy-specific information! 7
  • 8. Audiences: advocacy leaders and the public at large EUPATI Certificate Training Programme Patient Ambassadors in committees, HTA agencies, industry, 100 regulatory bodies, academia etc patient Patient Journalists raising awareness Patient Trainers for patient communities and networks. advocates EUPATI Educational Toolbox 12.000 Educational tools for patient advocates (print, slide shows, patient eLearning, webinars, videos) for patient advocates advocates EUPATI Internet Library Patients & lay public at large, e.g. on specific aspects of the development process of medicines for patients with low 100.000 (health) literacy. individuals
  • 9. Reflecting EU diversity: Languages • 7 most frequently spoken languages: English, French, German, Spanish, Polish, Russian, Italian • Serving 12 European countries: UK, Ireland, Malta, France, Luxemburg, the francophone Belgium, Switzerland, Germany, Austria, Spain, Italy and Poland, plus Russian-speaking population in CEE 9
  • 10. Four leading pan-EU patient organisations in a leadership role  European Patients‘ Forum  EUPATI Project Coordination ◦ >50 umbrella patient organisations. Through 'members of members', potential outreach to 150 million patients  European Genetic Alliance Network ◦ Linked with national and regional patient alliances in Germany, Eastern Europe, Italy, Netherlands, United Kingdom and Ireland, Sweden, Spain, Italy, Greece and Balkan countries  EURORDIS – Rare Diseases Europe ◦ Representing >550 rare disease organisations in >45 countries  European AIDS Treatment Group ◦ More than 100 members in over 30 countries. 10
  • 11. Strong consortium & governance • Leading pan-EU patient umbrella groups • Strong impetus from key academic partners and research organisations • Industry expertise in medicines R&D • Advisory bodies & codes committed to ensure independence and good governance – EMA, Swissmedic, MHRA, BfArM – Key experts in bioethics, genetics, HTA, economics, evidence based med, patient advocacy
  • 12. What we will have achieved by 2016 • 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 • 2 pan-European conferences and 5 regional workshops performed. Expert network established. …first content available from 2014. 12
  • 13. Get to know us on the Internet! Web: www.patientsacademy.eu Social Media: Twitter @eupatients E-Mail: Jan Geissler EUPATI Director jan@patientsacademy.eu
  • 14. Disclaimer The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Drug Information Association, Inc. (“DIA”), its directors, officers, employees, volunteers, members, chapters, councils, Special Interest Area Communities or affiliates, or any organization with which the presenter is employed or affiliated. These PowerPoint slides are the intellectual property of the individual presenter and are protected under the copyright laws of the United States of America and other countries. Used by permission. All rights reserved. Drug Information Association, DIA and DIA logo are registered trademarks or trademarks of Drug Information Association Inc. All other trademarks are the property of their respective owners. 14