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EFPIA EHR Integration Workshop Topic: The Innovative Medicines Initiative Brussels 10-03-2007 Marc Peeters Ir. Leopoldstraat 18 2300 Turnhout Belgium [email protected] 1 What is IMI (1) Preparatory Phase Active Phase From ETP to JTI IMI Joint Undertaking 15-09-06 SRA approved 10-10 IMI JTI approval 20-12 Council approval 04-02 Publication -EC DG RTD: Irene Norstedt -EFPIA: RDG & Ian Ragan -Stakeholder workshops • 03-03 1st Board Meeting < 1st May 1st Call published IMI JU autonomous -IMI Governance Board -IMI Executive Office & Scientific Committee -IMI Member States Group & Stakeholder Forum From European Technology Platform (ETP) to Joint Technology Initiative (JTI) – ETP: Create Strategic Research Agenda (SRA) + Initiate pilot project (InnoMed) – JTI: Create Statutes and Regulations (Structure, R+R, procedures, processes) – Prepare hand-over: 1st IMI call / call topics documents 2 What is IMI (2) Preparatory Phase Active Phase From ETP to JTI IMI Joint Undertaking 15-09-06 SRA approved 10-10 IMI JTI approval 20-12 Council approval 04-02 Publication -EC DG RTD: Irene Norstedt -EFPIA: RDG & Ian Ragan -Stakeholder workshops • • • • 03-03 1st Board Meeting < 1st May 1st Call published IMI JU autonomous -IMI Governance Board -IMI Executive Office & Scientific Committee -IMI Member States Group (MSG) & Stakeholder Forum IMI is a legal entity, a Commission Body, that will call for-, review-, approve-, fundand oversee Research Projects implementing the IMI Research Agenda. It results from new and innovative approaches to Community R&D introduced with FP7 (Research Council, Joint Technology Initiatives) and as such is part of FP7 and funded by FP7 budget. JTIs are based on industry led R&D topics. It is a EU JTI embodied in a joint undertaking between the European Commission and the Pharmaceutical Industry represented by EFPIA. Is funded by the European Commission (cash, 1Billion Euro, public sector and SMEs) and the BioPharmaceutical Industry (in kind, 1Billion Euro). This covers the operations of the Executive Office (4% max) and the IMI Research Projects. 3 The drivers for action • The need to enhance European’s competitiveness – Academic – industrial platform for bio-medical research – Network of SMEs with expertise in various niche areas – Capabilities development • The potential for increased cooperation between stakeholders – The convergence of disciplines creates the necessity for multidisciplinary research – The scale of the landslide change is such that a collaborative effort is required • Wealth of novel opportunities from genomics – New undestanding leads to a continuous development of new subdisciplines – Biomolecular findings become tools for the further exploration of biomolecular mechanisms with an acceleration of new findings and potential industrial application as a consequence • Timelines and cost of drug development – Attrition rates and their associated costs become an unacceptable burden. – New science based Pre-dictive tools understood by scientists and by regulators. 4 EFPIA Research Directors Group (RDG) ....Others In line with the ETP concept of industry led R&D the Biopharma industry took responsibility for the creation of the Strategic Research Agenda (SRA) under the direction of the EFPIA RDG. Multiple workshops with representatives from all the stakeholders (Academia, University hospitals, Patient organisations, SMEs, Regulators, non-Pharma- and Pharma industry, EU Commission) shaped the SRA. 5 The Strategic Research Agenda (1) •Is an umbrella programme that describes the kind of advanced pre-competitive research needed to broaden throughout the EU Union, the academic and industrial know-how and skills required to successfully discover and develop novel medicinal products at acceptable cost. •It is based on the the identification of the current drug development bottlenecks and suggests the drug development tools and processes that need further R&D to overcome these bottlenecks. Developing drugs is not within the scope. •It emphasizes close collaboration with the regulators to promote the acceptance and use of these new methods and tools. Discovery research Predictive pharmacology Efficacy Safety Preclinical development Predictive toxicology Identification of biomarkers Translational medicine Clinical develop. Patient recruitment Pharmaco vigilance Validation of biomarkers Benefit/Risk assessment with regulatory authorities 6 The Strategic Research Agenda (2) • Identifies pre-competitive bottlenecks in the R&D process • Proposes recommendations to address these bottlenecks – Safety – Efficacy (Cancer, Brain Disorders, Metabolic diseases, Infectious diseases, Inflammatory diseases) – Knowledge Management (KM) – Education and Training (E&T) • Proposes a new model of Public-Private collaborations to implement these recommendations • http://www.imi-europe.org “Publications” tab under 7 Synopsis • • • EC + EFPIA initiative ETP >>> JTI >>> IMI Joint Undertaking Strategic Research Agenda (SRA) • Predictivice Safety and –Efficacy tools, methods and expertise – IMI is about R&D processes including regulatoy approval – IMI is about tools and understanding of diseases, not about medicinal products – IMI is about public and private sector collaboration in pre-competive biopharmaceutical research – that can lead to treatments that affect disease progression and ultimately to the cure of diseases. • 4 Pillars: Pre-clinical • • Safety Efficacy KM Pharmaco Vigilance 5 Disease Areas E&T Trans lation al KM Integrated Data Exploration Platform Implementation based on calls (call topics). Project funding stems in equal amounts from EC funding and EFPIA company contributions in kind. I.e. In a typical Research Project half of the costs are covered by in kind contributions from the participating BioPharma and other industry companies and the other half by IMI cash contributions to the participatns from SMEs and the Public sector. 8 The Pilot Project ‘InnoMed’ • • • • • • • • • • • InnoMed is a FP6 project It is a pilot demonstrating successful pre-competitive collaboration between 16 BioPharmaceutical companies, 14 Universities and 8 SMEs. Two targets: Toxicogenomics and Alzheimer disease. PredTox www.innomed-PredTox.com For a number of compounds from each of the participating Pharma companies create a database of toxicity profiles. Integrating the traditional endpoints with new data from transcriptomics, metabonomics and proteomics. In search of new hepatitic toxicity biomarkers. AddNeuroMed www.innomed-QAddNeuroMed.com In search of diagnostic markers markers of progression markers of response / non-response in Alzheimer disease involving animal studies/models and clinical trials. 9 IMI Process - Pre-Call IMI Research Agenda 1st Call: Industry Scientific Priorities Survey + Preparatory team Scientific Committee Executive Office Annual Implementation Plan Governance Board RDG MSG Workshops Call Topics Call Topic Documents Call = Call Topic Documents Call Guidance Documents Pharma Companies RDG Executive Office 10 Call Topic ToC • • • • • • • • • Heading Topic Title Project Description (Background, Scope, Approach, Requirements, Project Plan,..) Key Deliverables of the project (Packages, lists,...) EFPIA participants in the project (Company, Contact person(s)) Role of EFPIA participants in the project Indicative Duration of the project Indicate total in kind contribution from the EFPIA companies Indicative Expectations from the ‘Public Consortium’ (i.e. SMEs, Academia, Patient Organisations, Regulators and non-EFPIA companies) From 6 to 10 pages. 11 IMI Process - Post-Call Call = Call Topic Documents Call Guidance Documents Call Published Submit Expression of Interest Phase 1 Invitation to submission Phase 2 Submit Full Project Proposal Project Agreement Grant Agreement Finalization 12 SRA recommendations pre-Clinical Safety 1 Establish the framework for Biomarker development and validation with human relevance and regulatory utility in mind •Define datapackage needed to support acceptance of Biomarkers 2 Establish a pre-Clinical Safety data warehouse, cross species and supportive of multi-scale modelling 3 Enhance the relevance for predictive toxicology/pre-clinical, of invivo, in-vitro and in-silico models •determine the relevance of rodent non-genotoxic carcinogenicity: mechanistic studies to understand mechanisms of receptor-mediated carcinogenicity •develop widely applicable in-silico models of toxicity to improve the predictivity of endpoints •understand intractable toxicity….develop new animal models, cellular models, stem cells, human tissues, imaging, ….. Knowledge Management is often embedded in the Safety and Efficacy pillar recommendations. It is a matter of emphasis. 13 SRA recommendations Clinical Efficacy - Mechanism of Action based 1 •Tools for the rational selection of molecular targets •Tools for assays that demonstrate real pharmacological action and predict efficacy in human disease •Diagnostic tests capable of early detection Need for Understanding of the disease mechanism of action 2 •In order to use methods and endpoints that most closely reflect those that could can be used in clinical trials Need for In-silico models of disease pathology; i.e. ‘disease lifecycle models’ that directly link the rationale in pre-clinical modeling to the treatment of clinical disease. Systems Biology 3 •For improved ‘confidence in the rationale’ pre-clinical experiments must carry higher relevance in relation to the clinical experience Need for In-vitro & in-vivo models predictive of clinical efficacy 14 SRA recommendatios Clinical Efficacy – Integrated Healthcare 7 •In order to speed-up the recruitment process and to recruit the right patient We need Integrated patient selection networks that involve patient organisations and access first class electronic patient records (EHR) linked with Biobanks 8 •Baseline data for a number of observations derived from pooling EMEA and National agency data •EU Drug risk/benefits database compiled from patient EMR •Healtheconomics data Are all part of Innovative Clinical trial Designs and analysis 9 Intelligent Clinical Trial Environment •EHR – CRF integration •Patient database of he future The EFPIA EHR Integration Taskforce objectives and recommendation - Eligibility broker (CRFQ framework), EHR information broker, CRF-EHR core data sets closely align with these expressed needs in the IMI umbrella research programme 15 SRA recommendations Pharmacovigilance 1 Optimise data resources and EU datawarehouse 2 Develop lifecycle approach to pharmacovigilance 3 Develop novel methods of risk prediction and benefit-risk assessment 4 Establish EU academic network of pharmacoepidemiology 16 SRA recommendations Knowledge Management (KM) 1 Systematically integrate / embed KM in the Safety and Efficacy projects through the Translational KM approach 2 Develop and maintain IMI Data Exploration Platform supporting the needs of safety and efficacy researchers across projects and disease areas. –Develop enhanced knowledge representation models and data exchange standards for complex systems –Design standards for and build an expert tool to allow the federation of local databases in a secured environment –Build a core reference database of validated experimental data –Integrate mechanistic multi-scale modeling and simulation tools that operate on top of the reference database Special attention for collaboration and reuse with DG INFSO ICT for Health. Open offer to present the ICT for Health programme and projects and results to IMI Governance Board and IMI staff. 17 IMI Governance Board EFPIA European Commission Brian Ager Andreas Busch Jackie Hunter Carlo Incenti Jonathan Knowles EFPIA Bayer GSK Genzyme Roche Franco Biscontin Daniel Jacob George Lalis Andrzej Jan Rys Zoran Stancic DG DG DG DG DG RTD RTD ENTR SANCO RTD IMI JU EFPIA SCIENTIFIC COMMITTEE MSG EXECUTIVE OFFICE KM RDG BOARD EFFICACY EU COMMI SSION STAKE HOLDERS FORUM 18 IMI Contact IMI Web site www.imi-europe.org Go to ‘Contact’ link Open ‘Contact Us’ form Write the message, provide personal data and submit Messages are handled by Question and Answer software at the IMI offices. IMI staff checks open questions on a daily basis and will respond asap. 19