Create your personal agenda –check the favourite icon
-How should industry respond in order to keep innovating more therapies for rare diseases?
-How will the pharmaceutical legislation affect R&D in rare diseases, regulation, affordability and accessibility to patients?
-How should each multi-s-takeholder interpret and act upon the proposal and changes in order to gain a more sustainable ecosystem?
-How can we boost research and development to tackle rare diseases and develop orphan medicines?
-How can we ensure Europe’s R&D and biotechnology policies remains competitive, innovative and sustainable?
-How should industry respond in order to keep innovating more therapies for rare diseases?
-How will the pharmaceutical legislation and EU level changes affect rare diseases regulation, affordability and accessibility to patients?
-How can each multi-stakeholder contribute to a more sustainable ecosystem?
Senior Representative, Alexion AstraZeneca Rare Disease
There has been astep-change inthe number oforphan medicines over recent years andthe pipeline suggests this will continue to the foreseeable future. This isthe result of patient advocacy, government policies andimproved understanding of rare diseases.As spending increases, there willpressureto controlhealthcare. However, given the number of diseases without effective treatment the need to supportthe development of orphan medicinesfrom a societal perspective is as important as ever. We will explore the cost containing measures emerging across countries, identify the potential implications for rare diseases and finally,how to balance these competing objectives.
This working group aims to encourage collaboration among stakeholders in the HTA process to improve patient outcomes through enhanced engagement strategies. We will explore key issues surrounding patient involvement in HTAs, with a focus on how pharmaceutical companies can actively contribute to this critical activity.
Key discussion areas:
If you are a stakeholder in the healthcare ecosystem, we invite you to contribute your perspectives and engage in this crucial conversation.
An EU Action Plan will be a significant milestone for PLWRD, however, while the community continues to advocate for this vital progression there remains urgent work to be done at the national level. Aspire4Rare is an initiative developed by UCB Pharma with the input of experts from the Rare Diseases community. It proposes a Rare focussed health system framework with associated measurement approaches and good practice examples which can serve as a practical tool right now to support action on national policies such as rare disease strategies. In this session we will hear about how the Aspire4Rare framework was developed and how it can be used to support action now.
The Aspire4Rare Global report can be found via the below link:
https://www.ucb.com/sites/default/files/2024-05/UCB_Aspire4rare%20GlobalReport_2024_May27th.pdf
Objectives:
-Highlighting factors, including trial design/assessment scales that inhibit greater understanding/realization of value
-Ensuring clinicians and payers are aligned on the endpoints that are most meaningful to patients
-Leveraging video (anecdotal vs prospectively structured) to capture clinical evidence and demonstrate value
-Using video evidence during payer engagements - the when, why, and how of video as an endpoint
The presentation will address the key uncertainties surrounding the evaluation and decision-making process for Advanced Therapy Medicinal Products (ATMPs). It will also introduce Multi-Criteria Decision Analysis (MCDA) as a comprehensive and systematic tool for assessing innovative therapies, highlighting how it can contribute and complement the evaluation and decision-making process for Pricing & Reimbursement of ATMPs. The presentation will finalise with practical examples of three recent MCDA evaluations of ATMPs from the perspective of key stakeholders
-Bridging the NBS Gap between LMIC and advanced countries
-Bringing together metabolomics and genomics – how and why?
Despite the rapid growth of genomic data, most of it remains trapped in unstructured text, limiting its usefulness for drug discovery and precision medicine. Although genomic data is increasingly available through databases, they are often isolated and not linked to one another.
We pioneered an approach to extract genotype-phenotype information from databases and combine it with high-quality data extracted from the scientific literature using our state-of-the-art Natural Language Processing tool.
This information is integrated into our solution DISGENET, a single resource containing all the information on genes and genomic variants associated with every human disease.
The data is enriched with metrics and annotations to empower users in identifying actionable insights.
Learn how DISGENET expedites drug R&D and addresses key bottlenecks in clinical genomics. DISGENET empowers researchers and industry professionals to leverage genomic and biomedical data, making it an indispensable tool for advancing drug research and precision medicine.
The FDA's diversity guidance for clinical trials marks a significant step towards equity in medical research. This presentation will help us to understand its impact on sponsors, patients, and advocacy groups. Sponsors must now adopt inclusive trial designs and recruitment strategies, while patients gain improved access to tailored treatments, fostering trust. Advocacy groups play a pivotal role in raising awareness and engagement among underrepresented communities. In the context of rare disease trials, where identifying patients is exceptionally challenging, striking a balance between inclusivity and sufficient enrollment is crucial. This presentation will explore the potential of FDA diversity guidelines across medical research stakeholders, addressing the nuanced challenges of patient identification and trial participation in rare disease research
Rare diseases significantly affect patients, families, and caregivers, with challenges arising throughout life, regardless of the age of diagnosis. These challenges are often more pronounced for those with adult-onset rare diseases, typically diagnosed after 18, who may face additional age-related difficulties. Many countries lack rare disease frameworks, and existing ones primarily focus on childhood-onset diseases, neglecting adult-onset cases. Even the few frameworks for adult-onset rare diseases are often inactive. In October 2022, 29 patient advocates, 8 healthcare professionals, and 4 policymakers gathered in Athens for COLLABORATE I, a summit to address the challenges of adult-onset rare diseases and seek solutions.
This resulted in a consensus paper that described three key areas where challenges exist.
·Delays to diagnosis of adult-onset rare diseases
·Unequal access to adequate treatment for people with adult-onset rare diseases
·Inadequate coordinated care and support for people with adult-onset rare diseases
STRUCTURE OF THE SESSION
-What is different about adult-onset rare diseases that is important for policy makers to understand?
-How can industry colleagues better understand these challenges and incorporate solutions into the work they do in the development of new therapies and access decisions?
-What role can PAGS play in raising awareness about adult onset rare diseases?
Cell-Painting has opened up new avenues for sophisticated drug screening and repurposing. Using morphological profiling of cells stained with multiple dyes, we capture rich information through microscopy imaging that allows us to identify drugs that phenotypically reverse cells from a disease state (defined by patient-derived cells) towards a normal state (defined by negative control-healthy) cells. At Phenaros, we have developed an advanced automated discovery platform leveraging a robotized lab that generates the highest quality data, integrated with cutting-edge AI methods for experiment design, image analysis, and data analysis. In my talk, I will showcase our platform’s capabilities, as well as successful applications in drug repurposing for antivirals and rare diseases.
On 24 January 2024, EuropaBio published a new study analysing the expected impact of the GPL on the biotechnology innovation ecosystem which concluded that the GPL would have significant impact on innovation for rare diseases in the future.
-What would be the expected impact of the GPL on biotech innovation and innovators for rare diseases?
-What improvements can be made to ensure a sustained flow and growth of biotech innovation for rare diseases?
UAE: A Rising Research Hub: The UAE has rapidly positioned itself as a key player in clinical research for rare diseases, fuelled by a commitment to healthcare innovation and a patient-first philosophy.
Regulatory Framework: A robust regulatory framework in the UAE actively supports and streamlines clinical research, enabling groundbreaking studies in the rare disease domain.
Talent Development:Investments in talent development are central to the UAE's research strategy, focusing on upskilling local researchers and clinicians in rare disease methodologies.
Patient-Centric Approaches:The UAE prioritizes patient-centric approach, engaging patient community and advocacy groups
Create your personal agenda –check the favourite icon
-What have we learnt from the last presidencies – how does the future of rare diseases look with Belgium and now Hungary’s leadership?
-How is each country executing their national action plan and are they involving their local policy makers?
- Are the current policy and regulatory frameworks helping or hindering patient access to medicines?
- How can clinicians and healthcare professionals help in developing clinical trials and regulatory pathways?
- How has the way we develop orphan drugs evolved over time (from policy, technology to engagement) with patients?
The session will discuss the ways Patient Advocacy Organizations play a vital role inall partsof the drug development process, from pre-clinical to post marketing in rare diseases. The discussion will highlight the essential tools needed to harness the power of collaborative partnerships to move science from bench to bedside
Learning outcomes:
-Understand how patient advocacy organizations drive therapeutic development in the rare disease space
-How to effectively engage and partner with patient advocacy organizations to develop meaningful treatments
-Gain insight into the “how, when and where” patient advocacy can significantly impact the drug development process
The evidence-generation process for orphan therapies presents a unique set of challenges due to the rare nature of the diseases they treat. The panel will discuss the challenges and opportunities different stakeholders face when compiling and presenting evidence for orphan drugs.
-Genetic newborn screening and digital technologies
Cross stakeholder recognition of the status of rare is important for patients, industry and regulators, highlighting the unique challenges in the diagnostic odyssey and therapeutic development and access pathways. This session will ask to what extent does rare designation makes a difference, what’s missing and how might we work together to ensure alignment and harmonisation.
-Global diversity regulations and guidance
-The importance of inclusivity
-Strategies for increasing diversity
Recruiting patients for rare pediatric studies presents unique challenges that require specialized strategies. This session will delve into the complexities of patient recruitment in rare pediatric populations from a CRO perspective as well a world leading pediatric clinical site: Sant Joan de Déu. Insights and lessons will include:
-Effective pediatric rare disease recruitment strategies
-Concierge level patient support to reduce patient burden
-Embedding Clinical Research into a hospitals core strategy
-Holistic approach to patient and family care
-Aligning Government Policy to help with recruitment
-Utilization of real-world protocol simulations to avoid costly protocol amendments.
Senior Representative, RDI
Senior Representative, IRDiRC
Traditional clinical trial models often struggle to reach underserved patient populations in rare diseases.This presentation will explore innovative patient-centric solutions,including direct-to-patient (DtP),direct-from-patient (DfP),and home healthcare (HHC),that can break down barriers and improve access to clinical trials.By leveraging these approaches,researchers can accelerate drug development,enhance patient outcomes,and advance the understanding of rare diseases.
Key Takeaways:
-Understand the unique challengesfaced by underserved patient populations in rare diseases.
-Discover howDtP,DfP,and HHC can overcome barriers to clinical trial participation.
-Learn practical strategiesfor implementing these patient-centric models in rare disease studies.
-Explore innovative technologiesthat can facilitate remote patient engagement and data collection
With increasing numbers of rare diseases served by multiple approved therapies, we are seeing the return on investment for Orphan Drug incentives and the emergence of competitivearenas. Given the unique challenges in rare diseases, howcould policies evolve and where should industry focus their effortstomeet payer evidence expectations and effectively position in the evolving environment?
Over the past seven years, the Open Source Imaging Consortium (OSIC) — a global 501(c)(3), not‑for‑profit cooperative effort between academia, industry and patient advocacy groups — has built the largest and most diverse, cloud-based, real-world dataset for fibrosing lung diseases.
This model and collaboration engine offers a promising approach for addressing other rare diseases:
-Discover how OSIC has tackled real world data challenges like quality, missing data and reliability to support the efforts of dozens of machine learning experts working with this data.
-Learn about the three FDA approved algorithms already in clinical practice thanks to OSIC’s curated dataset, and see examples for other rare diseases.-See real world advancements in OSIC algorithms, which are uncovering atypical and early-stage fibrosing disease through lung cancer screenings.-Explore the multimodal, real-world evidence pilot study OPUS, designed to understand variables
-Patient, HCPs, clinician perspectives
-How do we involve all voices in the clinical development process?
The panel aims to highlight the synergies that can be developed between the global and local levels to support policy shaping that addresses the needs of the rare disease communities and help identify what are key success factors to drive policy change locally and translate global commitments into impactful actions for PLWRD.
The panelwillexplore what is currently existing and what is on the horizon for rare diseases globally, and invite panellists from China, Spain, the UAE, Canada, and Brazil, as well as the audience, to share examples and reflect on how these global frameworks can be leveraged to create traction nationally and locally. The panel will also explore how we can build on local good practices existing “on the ground” within different healthcare models.
Statistical benefits, efficiencies, and considerations, in selecting a basket or umbrella trial design
Adaptive medical monitoring strategies to support master protocol frameworks
Effective management of multi-arm clinical trials, from patient recruitment to data collection
Despite progress, 95% of rare diseases still lack effective treatments,highlightingthe imperative for innovative partnerships. This panel will explore how to overcome regulatory, funding, and capacity barriers that hinderoptimalERN-industry collaborations. By bringing together voices from patient advocacy, clinical research, policy, and industry, we aim to forge a path towards a more collaborative and efficient rare disease research ecosystem in Europe.
Key topics include:
As we anticipate the Hungarian Presidency's focus on rare diseases and look ahead to the Polish and Danish Presidencies, this panel will generate actionable insights to inform policy recommendations. Our goal is to catalyze momentum for an EU Rare Disease Action Plan that embraces the power of ERN-industry collaborations.
-By 2025 we will have many more gene therapies/ATMPs in development/approved. With this future healthcare systems cannot have bespoke solutions for each new ATMP, how can industry work with the healthcare system to build models of care that are effective and sustainable
-How can industry create solutions facilitate patient access to gene therapies?
-How can companies and the healthcare system work together to make it more equitable?
-What role can clinicians and patients play in developing a system that is efficient and delivers the outcomes expected?
Create your personal agenda –check the favourite icon
-How will gene therapies impact future pipelines?
-What are the remaining scientific challenges? Selecting indications, tissue targeting/distribution, immunogenicity, limitation of vectors
-What are the remaining commercial and post market evidence challenges?
-How will the regulatory science adapt to our innovative medicines?
-Where does real world data fit in the evidence hierarchy for developing orphan medicines?
-What are the opportunities and challenges for using real world data generated from rare disease patients?
-How can innovative approaches help to integrate real world evidence in supporting effective decision making by different stakeholders?
-Is there good alignment between decision makers on the value of real world data?
Successful development of new treatments for rare diseases and their patient access require overcoming a series of challenges when defining value during the health technology assessment (HTA).
As potential new treatments for Duchenne Muscular Dystrophy near the market, understanding the factors that influence society’s willingness and ability to pay for these treatments will be central for assessing their value. Traditional assessment focusing on cost-effectiveness or budget impact would need to evolve to consider broader elements of value to enable a more holistic approach to value innovation.
People living with a rare condition are either crisis managing or are alone and when they are alone, the psychological impact of the rare disease journey hits not just the affected individual but the whole family. It is not surprising that as a community, we have focused on searching for an expert who can give a diagnosis, searching for a treatment and pushing research to find a cure. For too long the unmet mental health needs of the rare disease community has remained unseen and neglected, frequently overshadowed by the other medical complexities. The young citizens, under the Rare 2023 foresight study have called for us to now look beyond the physiological symptoms and take action to address the psychological impact that is associated with rare conditions.
The impact of rare conditions on mental health is now starting to get recognized, as studies have shown that >90% of PLWRD surveyed felt worried, anxious, stressed and/or depressed and 19% had suicidal thoughts (Spencer-Tansley 2022). Despite this significant impact, 85% of PLWRD are not offered or received sufficient psychological support in an Expert Centre (Courbier et al. 2017; Nunn et al. 2017). Also, whilst progress is being made with the developments of new therapies and treatments, 95% of rare conditions till do not have an active treatment which results in living with chronic uncertainty and anxiety.
Session Overview:
The aim of the session is to identify what support groups representing those living with rare conditions, clinicians and industry partners do to reduce the impact of rare conditions on mental health and wellbeing.
The session will specifically:
· Share the growing body of evidence that quantifies the impact of living with a rare condition.
· Sharing tools and approaches that have worked for the support groups to help their communities through the undiagnostic odyssey, through to accessing the care and support.
· Sets out what clinical services can do to integrate psychosocial care for PLWRD.
· Explore how industry partners have providing support to the rare disease communities.
· Explore thechallenges and opportunities in performing researchon the impact of rare conditions on mental health; and on QoL tools, PROMs and PREMs used inperforming trials.
The session will be interactive with the participants contributing through surveys using Mentimeter.
Senior Representative, IRDiRC
-Challenges of standardization and generalizability, validity, reliability and analysis
More to be confirmed..
-Methodological CPG development approach in Rare Diseases. Guidelines Program and Patient Involvement Handbook. Content: European Program description (working packages, methodological products, training procedures, participants (clinicians, methodologists, patients) and outcomes, among others. Methodological handbooks, in special the HB focused on Patient involvement in rare diseases.
-Clinical profile. Experience from a clinical expert collaborating with the clinical guidelines’ development in rare diseases. Need of having clinical documents based on the evidence for the diagnosis and treatment of rare diseases. Applicability, utility, collaboration and support.
-Patient outcomes. Experience in patients with rare diseases from the industry´s point of view (PROMS and PREMS). Challenges of applying the evidence assessment framework evidence-based medicine in rare diseases.
-Worldwide Guidelines and evidence generation: 1 expert from the international perspective