Future of Diabetes Research in Europe JDRF Perspective

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Future of Diabetes Research in Europe JDRF Perspective IMI-JDRF Diabetes Patient Meeting 20 May 2014 Brussels, Belgium Olivier ARNAUD, Pharm D JDRF European Research Director oarnaud@jdrf.org

Future of Diabetes Research: Lessons from Today (1) Life with T1D is a major daily challenge 24 hrs, 7 days, 365 days/year challenge of testing blood sugars, monitoring diet, dosing insulin Even with extensive effort, cannot achieve optimal glucose control Constant fear of low blood sugars and its accompanying morbidity and mortality Risk for long-term diabetic complications, which are devastating in their impact to individuals, families, and society 2

Future of Diabetes Research: Lessons from Today (2) Need to hear the voice of the patient and patient s family deliver impact that addresses daily and long-term needs Need devices and therapies to decrease the daily burden, uncertainty, danger, and fear of living with T1D or insulindependent T2D Need to prevent low blood sugars and long-term complications Need a Cure Need to prevent the disease in the next generation Need integrated, high level investment and cooperation in research from all stakeholders (Member States, Industry, Organization, EC, and Patients) 3

JDRF s Vision for the Future LESS UNTIL NONE LESS LESS LESS LESS Burden Invasive Complexity Danger 4

JDRF is a virtual R&D organization Focused on advancing a pipeline of Research Projects Which deliver a continuum flow of therapeutic opportunities 5

JDRF Partners with Industry Worldwide to Translate and Deliver Therapeutic Solutions to Patients 57 contracts/collaborative partnerships with 42 companies Committed ~$130M JDRF research funding Representative Partners 6

JDRF Priority T1D Therapies Encapsulation Artificial Pancreas Smart Insulin Prevention Restoration Complications 7

JDRF is a Global Research Organization 2013 Research Funding by Country U.S. vs Non-U.S. 2013 Funding Non-U.S. 2013 Funding 8

JDRF Reinforces Its Effort in Europe JDRF is a Patient Organization with Key Assets as a Partner in Europe : 1 High Level Patient and Public Involvement (PPI) JDRF Board and Board Committees are individuals and family members affected by T1D Research funding decisions by Board committee Volunteer-led Online Diabetes Support Team (ODST) T1D Clinical Trials Connection Matching people with T1D with appropriate clinical trials Several tools and supports for people living witht1d: 9

JDRF Reinforces Its Effort in Europe JDRF is a Patient Organization with Key Assets as a Partner in Europe : 1 High Level Patient and Public Involvement (PPI) DK NL UK IL European Affiliates 10

JDRF Reinforces Its Effort in Europe JDRF is a Patient Organization with Key Assets as a Partner in Europe : 2 Strategy of Active Contribution (Boards funding - cofunding) in the Development of Initiatives Planned for Horizon 2020 and IMI2 Already participating in IMI / EC supported Programs DIAMAP Road Map for Diabetes Research in Europe Diabimmune Study 11

JDRF Reinforces Its Effort in Europe JDRF is a Patient Organization with Key Assets as a Partner in Europe : 3 Further Developing Partnering and Research Support Worldwide experience Partnering with Convening high level international scientific workshops / meetings / symposia (25 organized in 2013) Management of International Consortia JDRF Microbiome Consortium, JDRF Immune Memory Consortium, JDRF Biomarker Working Group, JDRF Diabetic Nephropathy Genetics Consortium, JDRF-ITN T1D Preclinical Combination Therapies Consortium, JDRF Resistors and Progressors of Complications Consortium, JDRF npod, JDRF npod- Viral Working Group, JDRF npod-transplantation Working Group Strong links and collaboration with NIDDK international oriented Special Diabetes Program (TEDDY, TrialNet) TrialNet Funded by NIH and JDRF (funds international sites) for T1D risk screening, natural history, and T1D prevention trials 12

JDRF Reinforces Its Effort in Europe JDRF is a Patient Organization with Key Assets as a Partner in Europe : 4 Interfacing with Regulatory and Reimbursement Authorities Interfacing with US FDA (Draft Guidance for Artificial Pancreas Systems, Encapsulation, Stem Cells, Prevention) Public consultation to European Community for improvement of EC Regulatory Directives (ex of Medical Devices, Clinical trial framework) Public consultation to EMA for improvement of Guidelines Recombinant human insulin and insulin analogues, Insulin Biosimilar specific guidelines, xenografts Addressed pricing and reimbursement strategy for Artificial Pancreas medical device market access Interfacing with Government bodies 13

Overlaps of Priorities and Drive Change in Delivery of Medical Practice Reclassification of disease by molecular means Target identification and validation (human Biology) Determinants of drug/ vaccine safety & efficacy Innovative drug delivery methodologies Manufacturing for personalised medicines Biomarker identification/ validation (precision medicine) Target & Biomarker Identification (safety & efficacy) Innovative Medicines Discovery and development of novel preventative and therapeutic agents European Health Priorities Innovative Clinical Trial Paradigms Patient Tailored Adherence Programs Innovative adherence programmes Innovative methodologies to evaluate treatment effect Adoption of innovative clinical trial designs Benefit/Risk Assessment Healthcare delivery: focus on the treatment programmes not just the medicine 14