BDA IMPROVING ONCOLOGY DRUG DEVELOPMENT FOR CHILDREN AND ADOLESCENTS NOVEMBER 2013 WORKSHOP ADVANCE PROGRAMME

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BDA WORKSHOP IMPROVING ONCOLOGY DRUG DEVELOPMENT FOR CHILDREN AND ADOLESCENTS 18-19 NOVEMBER 2013 PARIS, FRANCE BIOTHERAPY DEVELOPMENT ASSOCIATION encca European Network for Cancer Research in Children and Adolescents In partnership: SIOP SIOP Europe the European Society for Paediatric Oncology Funded by the European Union s Seventh Framework Programme (FP7/2007-2013) under the project ENCCA, grant agreement HEALTH-F2-2011-261474.

Content Introduction 3 Meeting Objectives 3 Organising Committee 3 Programme 4 and 5 Programme overview 6 Venue 7 Registration 7 Secretariat 8 The Biotherapy Development Association The Biotherapy Development Association (BDA) is a not-for-profit organization. Our mission is to provide a unique platform to facilitate BIOTHERAPY DEVELOPMENT ASSOCIATION interactions between all stakeholders: academia, regulatory authorities, the pharmaceutical industry, patient advocates and policymakers in order to improve the efficiency of cancer drug development. BDA organizes regular meetings and workshops where all stakeholders can meet and discuss the latest challenges in oncology drug development with the goal to create an ideal scientific, regulatory and commercial environment for the development of cancer drug. For more information about BDA, please visit: www.bdaoncology.org Introduction The EU Paediatric Medicines Regulation came into force on 26th January 2007, aiming to provide better medicines for children. This Regulation is based on rewards, incentives and obligations for pharmaceutical companies; its intention was to accelerate the development of drugs for paediatric diseases, such as malignancies, with no expected direct return on investment for pharmaceutical companies. Warmly welcomed by the paediatric community, the Regulation was expected to facilitate access to anticancer drugs, which are in development in adults and to significantly increase the number of those drugs in clinical development for children and adolescents in Europe. However, the number of new oncology drugs in paediatric development remains low in Europe. There is still a 10-fold difference between Europe and the US in the number of new anticancer drugs available for clinical research. In June 2013, the European Commission published the interim report on the first 5 years of the implementation of the Pediatric Regulation. This report and additional publications showed positive changes in the field of pediatric drug development and identified hurdles and bottlenecks in pediatric oncology drug development. The goal of the meeting is to state where we are, identify how the strategy for pediatric oncology drug development should be further defined and to propose solutions that may improve the implementation of the regulation in order to better meet the needs of children and adolescents with cancer. This is a meeting that will provide a forum for discussion for all stakeholders, namely academia, parents and patients, industry, regulators, policymakers and others to share their views and challenges, to interact and propose solutions and actions for the future. This meeting is not aimed to be a consensus meeting. Meeting Objectives The meeting will first address where we are at year 5 of the European Pediatric Regulation in the field of oncology and will follow up on the actions proposed during the first BDA meeting in December 2011. Discussions will be focused on three major topics of interest for the future: Mechanism-of-action and biology driven development of oncology drugs for children and adolescents Partnerships for improving cooperation between stakeholders Novel designs and development plans to speed up introduction of new drugs in standard care 2 3

Programme MONDAY, 18 NOVEMBER 2013 TUESDAY, 19 NOVEMBER 2013 9:00 WELCOME AND INTRODUCTION 9:15 5 YEARS AFTER THE LAUNCH OF THE PEDIATRIC MEDICINES REGULATION: WHERE ARE WE IN PEDIATRIC ONCOLOGY? 9:15 Parents standpoint 9:30 European Medicines Agency s experience 9:45 A vision from Academia 10:00 Industry s perspective 10:15 The point of view of the European Commission 10:30 Discussion 11:00 Conclusions and action points 11:15 Break 11:45 ROUND TABLE AND DISCUSSION: Key challenges to make the pediatric medicine regulation a success for children and adolescents with cancer 12:45 NEW INCENTIVES: THE US CREATING HOPE ACT 13:15 Lunch 14:15 NEW WAYS OF COOPERATION 14:15 Opportunities for new models of public private partnership 14:30 The Global Academic Alliance for early drug development 14:45 Discussion 15:15 Conclusions and action points 15:30 MECHANISM OF ACTION BASED AND BIOLOGY DRIVEN PEDIATRIC ONCOLOGY DRUG DEVELOPMENT 15:30 The medical and scientific rationale for biology-driven pediatric drug development 15:45 Feasibility from an industry standpoint 16:00 Discussion 16:30 Conclusions and action points 16:45 Break 17:15 BREAK-OUT SESSIONS Break out session 1: How to improve cooperation between all stakeholders? Break out session 2: How to design and implement mechanism -of-action based and biology driven research & development plans? 18:15 Reports from Breakout sessions to the Plenary session 18:45 CONCLUSION OF DAY 1 9:00 INNOVATIVE AND APPROPRIATE DESIGNS AND METHODOLOGY 9:00 EXTRAPOLATING EFFICACY FROM ADULTS TO CHILDREN IN ONCOLOGY 9:00 The experience in hematological malignancies 9:15 Extrapolating from a regulatory standpoint 9:30 How and when to address extrapolation from adults to children in malignant solid tumors 9:45 Discussion 10:15 Conclusions and action points 10:30 Break 11:00 ADDRESSING THE RARITY OF PATIENTS 11:00 Experience from the Orphan Drug Regulation 11:15 Innovative designs to define a recommended dose in children and adolescents 11:30 Innovative designs for efficacy trials in rare conditions 11:45 Discussion 12:15 Conclusions and action points 12:00 CONCLUSION OF DAY 2 12:15 SUM UP OF THE MEETING AND ACTION PLAN 12:30 Adjourn and Lunch 4 19:00 End of the Day 1 meeting 5 19:30 Reception and Networking Dinner

Programme Overview Monday, 18 November 2013 Tuesday, 19 November 2013 Organising Committee Workshop Chairs Raphael Rousseau (Genentech, USA) Gilles Vassal (Institut Gustave Roussy, France) 8:00 Registration opens 9:00 Welcome and introduction 9:00 9:15 5 Years after the launch of the pediatric medicines regulation Innovative and appropriate designs and methodology (I) 10:30 Break 11:15 Break 11:00 11:45 12:45 Round table and discussion New incentives: the us creating hope act Innovative and appropriate designs and methodology (II) 12:30 Conclusion of day 2 13:00 Sum up of the meeting and action plan 13:15 Lunch 13:30 Adjourn and lunch 14:15 New ways of cooperation Scientific Committee Mary Brigid Bradley-Garelik (Bristol-Myers Squibb,USA) Ralf Herold (European Medicines Agency, UK) Andy Pearson (The Institute of Cancer Research, UK) Vaskar Saha (Institute of Cancer Sciences, UK) Martin Schrappe (University Medical Center Schleswig-Holstein, Germany) Stefan Schwoch (Eli Lilly, UK) Conference Venue Hotel Novotel Charenton 3-5 place des Marseillais 94227 CHARENTON LE PONT France www.novotel.com Registration Register online at: www.bdaoncology.org 15:30 Mechanism of action based and biology driven pediatric oncology drug development 16:45 Break 17:15 18:15 Break-out sessions Reports from breakout sessions to the plenary session 18:45 Conclusion of day 1 Registration Fees Registration fee includes attendance to the 1.5 day workshop as well as all meals (lunches and networking dinner) Parents and Patient Advocates ITCC members Academia and Regulatory bodies Industry free 150 EU 300 EU 900 EU Deadline for registration: 12 November 2013 19:30 Reception and networking dinner 6 7

BDA WORKSHOP IMPROVING ONCOLOGY DRUG DEVELOPMENT FOR CHILDREN AND ADOLESCENTS 18-19 NOVEMBER 2013 PARIS, FRANCE WORKSHOP SECRETARIAT Marjorie Recorbet Biotherapy Development Association (BDA) Avenue Mounier, 83 1200 Brussels Belgium Direct phone +32 2 775 02 15 marjorie.recorbet@ecco-org.eu www.bdaoncology.org Design & Layout: Images: 2013 pdl - Dr. E. Preuß C. Claudel, Jeanne enfant, 1896, Musée Rodin, Paris BIOTHERAPY DEVELOPMENT ASSOCIATION