EUROPEAN COMMISSION MEMO Brussels, 28 February 2013 Q&A on 26 new EU research projects on rare diseases 1) Why is research at European level important? There is a huge need for European cooperation in rare diseases research. Individual Member States are not able to gather enough knowledge and expertise in a specific disease due to scarce resources and the relatively low number of patients in each Member State. As a consequence, it is also difficult for doctors to diagnose and identify the best treatment for rare diseases. Only through exchange of knowledge and pooling resources together, Europe can get closer to solutions. Research on rare diseases presents also remarkable interest for other health sectors: rare diseases can serve as models to better understand more common diseases. And overcoming the many hurdles to investigating rare diseases can help improve health research in other areas e.g. by developing models for personalised medicine approaches. 2) Why has the EU led the creation of the International Rare Diseases Research Consortium (IRDiRC)? Rare diseases are a challenge too big for any country or world region to master alone. This is why the European Commission, together with national and international partners, initiated IRDiRC. The ability to share resources and expertise with other organisations from around the world will multiply our chances of finding new ways to diagnose and fight rare diseases. IRDiRC's key objective is to deliver, by 2020, 200 new therapies for rare diseases and the means to diagnose most of them. The European Commission and the U.S. National Institutes of Health launched this initiative in spring 2011. It brings together organisations ready to invest, over a 5-year period, more than €7.6 million into research which contributes to its objectives. The European Union will invest close to €500 million into research relevant to this area during the period 2007-2013. Just under 30 organisations from Europe, North America and Australia are already part of IRDiRC and more organisations from across the globe are expected to join the initiative. The consortium will also rely on the collaboration with researchers, patients groups, industry associations and regulatory bodies. MEMO/13/148 3) Apart from research, what else is the EU doing to combat rare diseases? The European Commission helps bring together the scarce knowledge and resources that are currently fragmented across individual EU countries, to maximize synergies and results. The 2008 Commission Communication on rare diseases - 'Europe's challenges', put forward a co-operation system between the Commission, Member States and various stakeholders. This paved the way for a Council Recommendation in 2009 on action in the field of rare diseases, a number of Joint Actions under the EU Health Programme, e.g. the 'Orphanet Europe' joint action which helps patients and professionals to collect and share expertise and information across borders, and the creation in 2010 of the EU Committee of Experts on Rare Diseases. Specific measures of the EU policy on rare diseases include improving recognition and visibility of rare diseases, ensuring that they are adequately coded and traceable in all health information systems, supporting rare diseases registries and providing a European Platform for rare diseases registration, strengthening EU-level cooperation and coordination and supporting national plans for rare diseases. In the Council Recommendation, Member States are called to adopt national plans or strategies for rare diseases by the end of 2013. The Commission has supported the development of technical assistance and training tools to help Member States create these national plans, i.e. the EUROPLAN project and the 2012 Joint Action. It is up to Member States to shape their own national rare diseases plans adapted to their reality, but following common guidelines. 4) What is the kind of research that the European Research Council is funding to fight rare diseases? Molecular and Genetic Study of the human infections by Capnocytophaga canimorsus – “CAPCAN” – Funding: EUR 1.47 million Capnocytophaga canimorsus are Gram-negative bacteria from the normal oral flora of dogs, which can cause rare but severe infections in humans who have been bitten or licked, resulting in fulminant septicaemia with peripheral gangrene. With his ERC grant, Prof Guy R. Cornelis sets out to study the complex interactions between the bacteria and human cells, and to determine whether all bacterial strains are equally dangerous in this rare human infectious disease. By developing virulence models, the project should offer new insights into this recently discovered pathogen and information on how to prevent infection in the future. Genome Stability Mechanisms in Aging – “GENSTAGE” – Funding EUR 1.44 million This research project aims at understanding the mechanisms underlying aging. It focuses on the discovery of novel genes functioning in genome stability and longevity regulation that might be instrumental for development of preventive therapeutic strategies to treat rare genetic progeroid disorders (i.e.; rare disorders that appear early in childhood and impact children’s health with for instance, growth retardation and neurodegenerative problems such as deafness, vision deficits and motor difficulties). 2 Molecular by-pass therapy for mitochondrial dysfunction - “Mito-by-pass” – Funding EUR 2.43 million The project deals with malfunction of the mitochondria, the cell’s "power-plants", which underlies a diverse range of human pathologies; including rare neuromuscular syndromes, many cases of common multifactorial diseases, neurodegenerative conditions such as Parkinson’s disease, and devastating metabolic disorders of infancy. The research team of Jacob Howard Trevor develops an innovative strategy for genetic therapy of this vast range of pathologies. 5) Overview of the 26 new research projects Project acronym & full name ADVANCE_HTA Advancing and strengthening the methodological tools and practices relating to the application and implementation of Health Technology Assessment (HTA) BALANCE Development of a bioartificial liver therapy in acute liver failure BESTCILIA Better Experimental Screening and Treatment for Primary Ciliary Dyskinesia chILD-EU Orphans Unite: chILD better together – European Management Platform for Childhood Interstitial Lung Diseases DeSScipher To decipher the optimal management of systemic sclerosis DevelopAKUre Clinical Development of Nitisinone for Alkaptonuria Coordinator Contact person Panos Kanavos e-mail address p.g.kanavos @lse.ac.uk EU contribution for the project €2 999 805 ACADEMISCH MEDISCH CENTRUM BIJ DE UNIVERSITEIT VAN AMSTERDAM, The Netherlands WESTFAELISCH E WILHELMSUNIVERSITAET MUENSTER, Germany LUDWIGMAXIMILIANSUNIVERSITAET MUENCHEN, Germany Robert A.F.M. Chamuleau r.a.chamule au@amc.uv a.nl €5 996 180 Heymut Omran heymut.omr an@ukmuen ster.de €2 993 675 Matthias Griese matthias.gri ese@med.u nimuenchen.d e €3 000 000 JUSTUSLIEBIGUNIVERSITAET GIESSEN, Germany ROYAL LIVERPOOL AND BROADGREENS Ulf MüllerLadner u.muellerladner@kerc khoffklinik.de €2 999 835 Lakshminara yan Ranganath lrang@liverp ool.ac.uk €5 999 999 LONDON SCHOOL OF ECONOMICS AND POLITICAL SCIENCE, UK 3 Project acronym & full name Coordinator Contact person e-mail address EU contribution for the project UNIVERSITY HOSPITALS TRUST , UK DRUGSFORD Preclinical development of drugs and drug delivery technology for the treatment of inherited photoreceptor degeneration DSD-Life Clinical European study on the outcome of surgical and hormonal therapy and psychological intervention in disorders of sex development (DSD) EURenOmics European Consortium for High-Throughput Research in Rare Kidney Diseases EBERHARD KARLS UNIVERSITAET TUEBINGEN, Germany Francois PaquetDurand francois.paq uetdurand@klin ikum.unituebingen.d e €4 971 428 CHARITE UNIVERSITAET SMEDIZIN BERLIN, Germany Birgit Köhler Birgit.Koehle r@charite.de €2 999 956 UNIVERSITAET SKLINIKUM HEIDELBERG, Germany Franz Schaefer franz.schaef er@med.uni heidelberg.d e €11 994 567 EUROFANCOLEN Phase I/II Gene Therapy Trial of Fanconi anemia patients with a new Orphan Drug consisting of a lentiviral vector carrying the FANCA gene: A Coordinated International Action FIGHT-HLH First Targeted Therapy to FIGHT Hemophagocytic Lymphohistiocytosis (HLH): A novel approach to HLH GAPVAC Glioma actively personalized vaccine consortium IMPROvED IMproved Pregnancy Outcomes by Early Detection; personalized medicine for pregnant women: novel metabolomic and proteomic biomarkers to detect pre-eclampsia CENTRO DE INVESTIGACIO NES ENERGETICAS -CIEMAT, Spain Juan Bueren juan.bueren @ciemat.es €5 380 170 NOVIMMUNE SA, Switzerland Christina de Min cdemin@nov immune.co m €5 946 262 IMMATICS BIOTECHNOLO GIES GMBH, Germany UNIVERSITY COLLEGE CORK, Ireland Sabrina Kuttruff kuttruff@im matics.com €5 970 450 Louise Kenny l.kenny@ucc .ie €5 995 390 4 A. Project acronym & full name and improve outcome. MeuSIX Clinical trial of gene therapy for MPS VI - a severe lysosomal storage disorder Net4CGD Gene Therapy for X-linked Chronic Granulomatous Disease (CGD) Neuromics Integrated European – omics research project for diagnosis and therapy in rare neuromuscular and neurodegenerative diseases OPTIMISTIC Observational Prolonged Trial In Myotonic dystrophy type 1 to Improve QoLStandards, a Target Identification Collaboration PREVENTROP New approach to treatment of the blinding disease Retinopathy of Prematurity (ROP) PROFNAIT Development of a prophylactic treatment for the prevention of fetal/neonatal alloimmune thrombocytopenia (FNAIT RARE-Bestpractices Platform for sharing best practices for management of rare diseases RD-Connect RD-CONNECT: An integrated platform connecting registries, biobanks and clinical bioinformatics for rare disease research Coordinator Contact person e-mail address EU contribution for the project FONDAZIONE TELETHON, Italy Alberto Auricchio auricchio@ti gem.it €5 995 041 ASSOCIATION GENETHON, France Anne Galy galy@genet hon.fr €5 999 615 EBERHARD KARLS UNIVERSITAET TUEBINGEN, Germany Olaf RIESS olaf.riess@ med.unituebingen.d e €12 000 000 STICHTING KATHOLIEKE UNIVERSITEIT, The Netherlands Baziel Van Engelen b.vanengele n@neuro.u mcn.nl €3 000 000 GOETEBORGS UNIVERSITET, Sweden Ann Hellström ann.hellstro m@medfak. gu.se €5 990 236 PROPHYLIX PHARMA AS , Norway Jens KjeldsenKragh jkk@prophyl ixpharma.co m €5 986 000 ISTITUTO SUPERIORE DI SANITA, Italy Domenica Taruscio domenica.ta ruscio@iss.it €2 000 000 UNIVERSITY OF NEWCASTLE UPON TYNE, UK Hanns Lochmueller hanns.Loch muller@ncl. ac.uk €11 997 111 5 Project acronym & full name SKIP-NMD A phase I/IIa clinical trial in Duchenne muscular dystrophy using systemically delivered morpholino antisense oligomer to skip exon 53 STRONG European Consortium for the Study of a Topical Treatment of Neovascular Glaucoma SUPPORT-IRDiRC Support for international rare disease research to serve the IRDiRC objectives THALAMOSS THALAssaemia MOdular Stratification System for personalized therapy of beta-thalassemia Traumakine Interferon-beta treatment of acute respiratory distress syndrome (ARDS) Coordinator Contact person Francesco Muntoni e-mail address f.muntoni@ ucl.ac.uk EU contribution for the project €5 512 424 JOHANNES GUTENBERGUNIVERSITAET MAINZ, Germany INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE (INSERM), France UNIVERSITA DEGLI STUDI DI FERRARA , Italy Norbert Pfeiffer norbert.pfeif fer@unimedi zin-mainz.de €5 745 334 Segolene Ayme segolene.ay me@inserm. fr €2 000 000 Roberto Gambari gam@unife.i t €5 020 000 OY FARON PHARMACEUTI CALS LTD, Finland Markku Jalkanen markku.jalk anen@faron pharmaceuti cals.com €5 997 278 UNIVERSITY COLLEGE LONDON, UK 6