From IMI to IMI2 new models of collaborative research. Magda Chlebus, Science Policy, EFPIA Ljubljana, 23 May 2014

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From IMI to IMI2 new models of collaborative research Magda Chlebus, Science Policy, EFPIA Ljubljana, 23 May 2014

What is IMI and how does it work?

Innovative Medicines Initiative: Joining Forces in the Healthcare Sector The biggest public/private partnership in Life Science aiming to: Make drug R&D processes in Europe more innovative and efficient Enhance Europe s competitiveness Address key societal challenges Features: 1:1 funding, joint decision making All EU funds go to SMEs, academia, patient organisations and regulatory agencies Large pharmaceutical industry, represented by EFPIA, contributes in-kind

The role of the IMI Executive Office A neutral broker: To implement programmes and activities in the common interest of all stakeholders To monitor the use of public funds and industry investment To guarantee fair and reasonable conditions for optimal knowledge exploitation and dissemination To facilitate the interaction between stakeholders, including Intellectual Property agreements To actively communicate and promote IMI and its activities

From topic definition to project start Topic definition phase EFPIA consortium Identification of topic and willingness to collaborate by EFPIA companies Call Launch STAGE 1 Hospitals Academic research SMEs teams Patients organisations Regulatory authorities Submission of Expressions of Interest by applicant consortia & Evaluation by independent experts Invitation to selected team to merge with EFPIA team STAGE 2 Applicant consortium EFPIA consortium Preparation of Full Project Proposal & Evaluation by independent experts/ethical panel Start of the negotiation phase Negotiation phase Signature of Project Agreement and Grant Agreement

IMI delivers to patients, society and industry IMI funding 14,910,397 Relative effectiveness Corporate contribution 759,185,796 Infectious diseases 214,136,227 Drug discovery 18,118,249 Drug kinetics 20,426,255 Drug delivery 30,601,855 Sustainable chemistry 182,980,698 Brain disorders 1 945 135 308 37,378,289 Education and training 37,966,496 Lung diseases 116,880,300 Metabolic disorders 49,310,000 Geriatrics 116,287,312 Drug safety 78,225,417 Stem cells 72,710786 Cancer NATURE MEDICINE NEWS Published online 07 January 2014 70,310,746 Data management 55,930,958 Biologicals 69,739,527 Inflammatory disorders

The IMI Community Calls 1-8 46 projects > 6000 researchers 714 academic & research teams 410 EFPIA teams 135 SMEs 23 patient org. 14 regulators 61% of projects reported some form of PATIENT INVOLVEMENT REGULATORS ON BOARD OF 12 PROJECTS 50% of projects have REGULATORY AUTHORITIES representatives in Scientific Advisory Boards

Research quality and dissemination of knowledge ~ 600 publications ~ 25000 citations Rheumatology Pharmacology & Pharmacy Endocrinology & Metabolism Neurosciences Clinical Neurology Biochemistry & Molecular Biology Psychiatry Genetics & Heredity Research & Experimental Medicine Immunology Overall Citation impact per research area 0,0 1,0 2,0 3,0 4,0 5,0 IMI papers EU papers average 2.04 average 1.13

IMI1 & Brain AETIONOMY - Organising mechanistic knowledge about neurodegenerative diseases for the improvement of drug development and therapy EU-AIMS - European Autism Interventions - a Multicentre Study for Developing New Medications NEWMEDS - Novel methods leading to new medications in depression and schizophrenia PHARMACOG - Prediction of cognitive properties of new drug candidates for neurodegenerative diseases in early clinical development EPOC AD - European platform for proof of concept for prevention in Alzheimer s Disease

Education and Training PhD Masters Modules Masters (MDD, MRA) Modules CTP, CLIC Specialist Masters Modules on-course PhD framework, workshops, & network Tools & Methodologies Modular courses information tool box Quality standards, on-course centre, gap analysis, LifeTrain (CPD) framework, SME expert panel, communications, globalisation, competences, networks, e- learning standards, customer focus

New Drugs for Bad Bugs (ND4BB) An IMI1 comprehensive programme ND4BB cross topic collaboration and dissemination Topic 1: COMBACTE a) Enabling Clinical Collaboration and refining clinical trial design b) Clinical Development of GSK1322322 c) Clinical Development of MEDI4893 Topic 2 : TRANSLOCATION Research penetration and efflux Gramnegatives Data Hub and Learning from R&D experience Topic 3 : ENABLE Discovery & development of new drugs combatting Gram negative infections Topic 4: DRIVE AB Driving reinvestment in R&D and Responsible use of Antibiotics Topic 5: Clinical development of antibacterial agents for Gram-negative antibiotic resistant pathogens Topic 6: Systemic Antibacterials against HAIs Topic 7: Inhalational Antibacterials in CF and COPD Development focused (inc Grampositive infections) Discovery-focused Economics & stewardship Development-focused (Gram-negative infections) ND4BB Information Centre All data generated is submitted and is accessible to all consortium partners Call 6 Call 8 Call 9 Call 11

From IMI to IMI2 new opportunities

Innovative Medicines Initiative 1 & 2 Bottlenecks in medicines R&D and EU pharma competitiveness Healthcare/Societal Challenges Idea generation Basic research and non-clinical testing Human testing Regulatory Approval HTA and Pharmacovigilance Daily Medical practice Primary focus of early IMI calls 2007 SRA Shift to also addressing challenges in in society and healthcare 2011 SRA IMI 2 includes real life medical practice 2013 SRA SRA Strategic Research Agenda 13

IMI 2 building on successes of IMI1 European Commission From H2020 1638 mln EFPIA direct and indirect members 1425 mln Other sectors 213 mln IMI2 3276 mln Focused: stratified medicines and healthcare priorities Healthcare solutions: prevention and treatment End-to-end: R&D, regulatory and access move integration a step further Multi-sector: within and beyond life sciences T I T L E O F T H E P O W E R P O I N T 14

IMI2 Strategic Research Agenda (SRA) Comprehensive framework for a 10-year programme Prepared with input from 80+ organisations (internet and targeted) Project ideas from industry and third parties will be screened against it http://goo.gl/jqmp9g

Objectives of IMI2 what the Regulation says increase the success rate in clinical trials where possible, reduce the time to reach clinical proof of concept in medicine development develop new therapies for diseases for which there is a high unmet need and limited market incentives develop diagnostic and treatment biomarkers for diseases clearly linked to clinical relevance and approved by regulators; reduce the failure rate of vaccine candidates in phase III clinical trials through new biomarkers for initial efficacy and safety checks; provide support for the development of tools, standards and approaches to assess efficacy, safety and quality of regulated health products.

Therapeutic areas covered by the IMI2 SRA 12 10 8 WHO 2013 report on priority medicines for Europe and the World Percentage of DALYs for top 20 high burden diseases and conditions 6 4 2 0 Ischaemic heart disease Cerebrovascular Unipolar depression Diabetes mellitus Hearing loss COPD HIV/AIDS Alcohol use disorders Lower respiratory infections Alzheimer and other Trachea, bronchus, lung Osteoarthritis Cirrhosis of the liver Colon and rectum cancer Breast cancer Prematurity and low birth Birth asphyxia and birth Neonatal infections and Malaria Tuberculosis Europe World Therapeutic Areas in IMI2 SRA (no priority order)

The right prevention and treatment to right patient at the right time

IMI2 scientific programme: the need for focus Therapeutic Areas and Cross-cutting Themes Differentiating Enablers for all themes 1. Neuro-degeneration Successfully prevent and treat dementia and other neurodegenerative diseases 2. Prevention and treatment of immunemediated disease Advance immunological understanding to deliver new treatments and develop new and better vaccines for noninfectious diseases 3. Metabolic disorders Tackle all phases of disease and its complications, including prevention and early interception 4. Infection control Address multidrug resistance and create incentives for reinvestment (including antimicrobials, antivirals, vaccines) and develop new and better prophylactic vaccines 5. Translational Safety Identification of predictors of safety and development of point of care for safety biomarkers and development of new human biology platform to predict toxicity and safety during early drug development Towards early and effective patient access to innovative prevention and treatment solutions (MAPPs): Target validation based on human biology Stratified medicine, precision medicine Innovation in clinical trials Data generation and interpretation (knowledge management) Prevention, disease interception, patient adherence (incl. societal acceptance of vaccines) Effect on medical practice and outcomes (health/disease management) Regulatory framework (including pharmacovigilance) Patient access

When will this happen? Legislation/legal framework adopted - 6 May 2014 Entry into force June 2014 Official launch and publication of first call 9 July 2014

Your contact points IMI Executive Office infodesk@imi.europa.eu Local IMI contact pointswww.imi.europa.eu/content/statesrepresentatives-groups Talk to your Health National Contact Point (NCP)

EFPIA Brussels Office Leopold Plaza Building Rue du Trône 108 B-1050 Brussels - Belgium Tel: +32 (0)2 626 25 55 www.efpia.eu