AstraZeneca – Call For Grants (CGA OIC 1402) Therapeutic Area: Neurology/Pain Disease State: Opioid-Induced Constipation (OIC) Call for Grants Application (CGA) Title: “CGA OIC 1402– Program Title…” • Your title must begin with CGA ID number. • Refer to Grant Submission Instructions for further information on submitting your formal grant application. Submission Deadline: Proposal: Educational Audience: Program Format: Program Cost: November 21, 2014; 12 noon EST Support for an accredited educational initiative focusing on the pharmacological treatment of patients who are suffering with opioid-induced constipation Pharmacists, specifically: Community-based Hospital-based Long-term care Consultant Managed care Pharmacy directors Seeking an innovative, multi-media initiative that may include: Live satellite symposia Web-based programs Print Applications are encouraged to: include pharmacist-delivered patient education include Level 4/5 outcomes be multi-supported ≤ $425,000.00 AstraZeneca is interested in providing grant support for independent education activities in the area of opioid-induced constipation (OIC) that addresses the educational needs and practice gaps of pharmacists caring for patients suffering from chronic pain and provides evidence-based solutions geared at meeting the unmet medical needs of this patient population. Needs Assessment: For Opioid-Induced Constipation Approximately 100 million American adults suffer from chronic pain, a condition that costs our nation up to $635 billion each year in medical treatment and lost productivity (Institute of Medicine 2011). Opioid analgesics are widely used to manage moderate-to-severe pain in patients for whom alternative treatments are ineffective or not tolerated. These medications are associated with a broad range of adverse effects. Opioid-induced constipation (OIC) is one of the most common side effects associated with chronic opioid therapy (Benyamin et al 2008). OIC can interfere with pain management, impair daily activities and quality-of- life, decrease work productivity and may potentially lead to increased health care utilization (Bell et al 2009a,b; Coyne et al 2014). OIC is often under-recognized and undertreated by physicians for a number of reasons (Panchal et al 2007; Brock et al 2012; McKay et al 2014). Since pharmacists work closely with the entire healthcare team to optimize medication use according to evidence-based guidelines and provide medication therapy management recommendations, pharmacists are an excellent resource for patients who are suffering from OIC (American Pharmacists Association and National Association of Chain Drug Stores Foundation 2008; Rausch and Jansen 2012). Given this, pharmacists may benefit from education on: Pathophysiology of OIC Assessment, diagnosis, and management of OIC Pharmacological treatment options for OIC References: American Pharmacists Association and National Association of Chain Drug Stores Foundation (2008). Medication Therapy Management in Pharmacy Practice: Core Elements of an MTM Service Model. Version 2. http://www.pharmacist.com/sites/default/files/files/core_elements_of_an_mtm_practi ce.pdf . Published March 2008. Accessed on July 25, 2014. Bell TJ et al. The prevalence, severity, and impact of opioid-induced bowel dysfunction: results of a US and European Patient Survey (PROBE 1). Pain Med 2009a;10:35-42. Bell TJ et al. Opioid-induced constipation negatively impacts pain management, productivity, and health-related quality-of-life: Findings from the National Health and Wellness Survey. J Opioid Management 2009b;5(3)3:137-144. Benyamin et al. Opioid complications and side effects. Pain Physician 2008; 11;S105-S120. Brock C et al. Opioid-induced bowel dysfunction: pathophysiology and management. Drugs 2012;72(14):1847-1865. Coyne KS et al. Opioid-induced constipation in patients with chronic noncancer pain in the USA, Canada, Germany, and the UK: descriptive analysis of baseline patient-reported outcomes and retrospective chart review. Clinicoecon Outcomes Res 2014;6:269-281. Institute of Medicine (2011). Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. http://www.nap.edu/catelog.php?record_id=13172. Published June 2011. Accessed on July 23, 2014. McKay SL, Fravel M, Scanlon C. Management of constipation. Guideline summary NGC-7535. http://www.guideline.gov/popups/printView.aspx?id=15434. Published October 2009. Accessed June 11, 2014. Panchal SJ, Muller-Schwefe P, Wurzelmann JI. Opioid-induced bowel dysfunction: prevalence, pathophysiology and burden. Int J Clin Pract 2007;61(7):1181-1187. Rausch T and Jansen T. Gastrointestinal side effects of opioid analgesics. US Pharm 2012;37(12):36-39. Program Requirements: The Program must be accredited and fully compliant with the criteria and/or standards of commercial support for ACCME, AAFP, AOA, ACPE, ANCC, AANP, or NCCPA. Furthermore, the program will be educational and non-promotional in nature and will be planned, designed and implemented in accordance with the U.S. Food and Drug Administration’s Guidance on Industry-Supported Scientific and Educational Activities ("Policy Statement"). The Policy Statement and the ACCME Standards require, among other things, that (i) Institution conduct the Program independently and without control or influence by AstraZeneca over the Program's planning, content (including the selection of speakers or moderators), or execution; (ii) the Program be free of commercial bias for or against any product; (iii) Institution make meaningful disclosure of AstraZeneca support of the Program and any prior relationship between Institution and AstraZeneca, and the relationship, if any, between AstraZeneca and the speakers selected by Institution; and (iv) AstraZeneca not engage in, and Institution not permit any other sponsor to engage in, promotional activities in or near the Program room or advertise its products in any materials disseminated as part of the Program. In addition, Institution is required by the Policy Statement and the ACCME Standards to ensure that any product discussions at the Program be accurate, objective, balanced and scientifically rigorous. This includes a balanced discussion of each product and of treatment alternatives, that limitations on data be disclosed, that unapproved uses be identified as such, and that for live presentations there be opportunities for questioning or debate. REMINDER - Submission Instructions: Call for Grants Application Title: “CGA OIC 1402– Program Title…” Submission Instructions: • Your title must begin with Call for Grants Application (CGA) ID number. • Refer to Grant Submission Instructions for further information on submitting your formal grant application.