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1 / 37 JPND Research and Innovation Strategy 2018: Stakeholder Consultation: Page 1: Start Page Online consultation on JPND's Research and Innovation Strategy 2018 to tackle the challenge of neurodegenerative disease. Objective: JPND has identified through its Scientific Advisory Board common research goals that would benefit from joint action between countries to accelerate progress on solutions that can alleviate the symptoms, and lessen the social and economic impact of neurodegenerative disease (ND) for patients, families and health care systems. The aim of this public consultation is to gather views and opinions relating to a recent update to these priorities, since the release of JPND's original Strategic Research Agenda (SRA) in 2012. Below is a short overview video on the consultation and the Research and Innovation Strategy.

JPND Research and Innovation Strategy 2018: Stakeholder …€¦ · Alzheimer’s disease and other forms of dementia, a number expected to double every 20 years. By 2050, in Europe

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JPNDResearchandInnovationStrategy2018:StakeholderConsultation:

Page1:StartPage

OnlineconsultationonJPND'sResearchandInnovationStrategy2018totacklethechallengeofneurodegenerativedisease.

Objective:

JPNDhasidentifiedthroughitsScientificAdvisoryBoardcommonresearchgoalsthatwouldbenefitfromjointactionbetweencountriestoaccelerateprogressonsolutionsthatcanalleviatethesymptoms,andlessenthesocialandeconomicimpactofneurodegenerativedisease(ND)forpatients,familiesandhealthcaresystems.Theaimofthispublicconsultationistogatherviewsandopinionsrelatingtoarecentupdatetothesepriorities,sincethereleaseofJPND'soriginalStrategicResearchAgenda(SRA)in2012.

BelowisashortoverviewvideoontheconsultationandtheResearchandInnovationStrategy.

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Thisonlineconsultationcomprisesof14pagesofquestions,includingtheentryofpersonalcontactdetails.Mostuserswillcompletetheconsultationinaround20minutes.Pleasenote,questionsonspecificthemesareoptionalandmaynotberelevanttoallstakeholdersgroups.

TargetGroups:

Wewelcomeviewsandcontributionsfromresearchers,clinicians,politicians,decisionmakers,patients,carersandmembersofthepublic,togetherwithadministrations,associationsandotherorganisationswithaninterestinneurodegenerativedisease.

PeriodofConsultation:

17thSeptember2018-8thOctober2018

ShortIntroductiontoNeurodegenerativeDisease

Neurodegenerativediseaseisanumbrellatermforarangeofconditions,thatincludeAlzheimer'sdiseaseandParkinson'sdisease,whichprimarilyaffecttheneuronsinthehumanbrain.Thesearedebilitatingandlargelyuntreatableconditionsthatarestronglylinkedwithage.Worldwide,around50millionpeopleareestimatedtobelivingwithAlzheimer’sdiseaseandotherformsofdementia,anumberexpectedtodoubleevery20years.By2050,inEuropealone,thecostburdenforAlzheimer’sandParkinson’sdiseaseisestimatedtosurpass€350billionperyear,highlightingagerelatedNDasoneofthe

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mosturgentmedicalandsocietalchallengesofourtime.

AboutJPND

TheEUJointProgramme-NeurodegenerativeDiseaseResearch(JPND)isthelargestglobalresearchinitiativeaimedattacklingthechallengeofneurodegenerativedisease(ND).JPNDaimstoincreasecoordinatedinvestmentbetweenparticipatingcountriesinresearchaimedatfindingcauses,developingcures,andidentifyingappropriatewaystocareforthosewithND.TheultimategoalofJPNDistofindcuresforNDandtoenableearlydiagnosisforearlytargetedtreatments.

Toviewourprivacystatementpleaseclickhere.

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Page2:Aboutthisconsultation

Aboutthisconsultation

ThisconsultationwillguideyouthroughandrequestyourfeedbackonthedifferentScientificPrioritiesandEnablingActivitiesoftheJPNDResearchandInnovationStrategy.PleasenotethattheprioritiesandactionshavebeenshortenedforthepurposesofthisconsultationandthefullunabridgedversionoftheJPNDResearchandInnovationStrategycanbeviewedclickinghereoronthelinkprovidedwithineachsection.

DoIneedtocompleteeverysection?

Someofthethemesmaybemorerelevanttospecificstakeholdergroups,thoughanyoneisfreetorespondtoanysection.Youcanalsoskipasectionbypressingthe'Next'buttonatthebottomofeachpage.Ifyoudonotwanttoansweraspecificpointintheconsultationpleaseleaveblank.

CanIsavemyresponses?

Ifyouhavestartedthesurveyandwouldliketocompleteitatalaterpoint,selectthe'FinishLater'linkatthebottomofthepage.Thenfollowtheinstructionstoeitherbookmarktheaddressortoemailalinkthatwillallowyoutocontinuethesurveybythedatestated.Consultationresponsescanbesubmittedupto11pm(GMT+1)onMonday8thOctoberwhentheconsultationwillclose,itwillnotbepossibletorespondafterthispoint.

NextSteps:

YourresponsestotheconsultationwillbetakenintoconsiderationbyJPNDduringpreparationoftheupdatedJPNDResearchandInnovationStrategy,forpublicationinearly2019.Inaddition,weplantopublishtheaggregateresponsestotheconsultationwithinasummaryreportontheJPNDwebsite.

Troubleshootingandcomments

Ifyouhaveanyproblemsaccessingorusingthesurveypleaseemailconsultation@jpnd.eu

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Page3:Aboutyou

Pleaseselectatleast1answer(s).

Academicresearcher

Commercialresearcher

Charityorganisationorpatientgroup

Fundingagency,policy-makerorregulator

Healthcareprofessional

Personwithaneurodegenerativeconditionortheircarer

Generalpublicorother

1. Pleaseselectthecategorythatbestrepresentsyouoryourorganisation? Required

Pleaseselectexactly1answer(s).

Yes,attributedtomyselformyorganisation

Yes,onlyanonymously*(Myrepliescanbepublished,butnotanyinformationidentifyingmeasarespondent)

No,I/wedonotwishmy/ourresponsetobeusedotherthanintheoverallanalysisofresponses

2. DoyouconsenttoJPNDpublishingyour/yourorganisation'sresponse? Required

*Ifyouselectthisoption,youshouldensurethatyournamedoesnotappearinthemaintextofyourresponse.JPNDcannottakeresponsibilityforanonymisingresponsesinwhichtheindividualororganisationisidentifiablefromthecontentoftheirresponse.

Mr Mrs Ms

Dr Professor Other

3. Title Required

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3.a. IfyouselectedOther,pleasespecify:

Pleaseenteravalidemailaddress.

4. Contactemailaddress Required

Pleaseenteraresponsethatonlycontainsletters.

5. FirstName Required

Pleaseenteraresponsethatonlycontainsletters.

6. LastName Required

Pleaseselectexactly1answer(s).

Albania

Austria

Australia

Belgium

7. Countryofresidence(oneanswerpossible). Required

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Bulgaria

Canada

CzechRepublic

Denmark

Finland

Germany

Greece

France

Hungary

Israel

Ireland

Italy

Luxembourg

theNetherlands

Norway

Poland

Portugal

Romania

Slovakia

Slovenia

Spain

Sweden

Switzerland

Turkey

UnitedKingdom

Other

7.a. IfyouselectedOther,pleasespecify:

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Yes

No

Iamalreadyinthedatabase

8. MayweincludeyouontheJPNDstakeholderdatabase?ThismeanswemaycontactyoufromtimetotimewiththelatestnewsfromJPND. Required

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Page4:ScientificPriorities

Toachieveimpactthereisaneedtoencouragenovelaswellasmultidisciplinaryapproaches,andtostrengthenandextendexistingcapabilitiesacrossthefullspectrumofbasic,clinical,healthandsocialcare,andtranslationalresearch.

ThequestionsonthefollowingpagesaskforyourviewsonJPND'sprioritiesforfutureresearchacrossthedifferentscientificthemesbelow:

1. Theoriginsandprogressionofneurodegenerativedisease.2. Diseasemechanismsandmodels.3. Diagnosis,prognosisanddiseasedefinitions.4. Developingtherapies,preventivestrategiesandinterventions.5. Healthcareandsocialcare

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Page5:ThemeOne:Originsandprogressionofneurodegenerativedisease

Thisthemefocusesonimprovingourknowledgeaboutthefundamentalcausesofspecificneurodegenerativediseases(ND).Thisincludesidentifyingthefactorsthatdeterminepeople'sriskandresilienceandbetterunderstandingthetriggeringeventsleadingtotheonsetandprogressionofdisease.

WithinthisthemeJPNDhasidentifiedthefollowingresearchpriorities:

A.BetterunderstandthesignificanceofrecentlydiscoveredriskfactorsforND.

B.Identifynewgenetic,environmentalandsocialriskfactorsforND.

C.Deepenunderstandingofthecausesofdifferentproteinmisfoldingdisorders,afeaturecommontomanyND,takingaccountofnewandevolvingtechnologies.

D.UnderstandageingandhowthisrelatestothedevelopmentofandresiliencetoND.

E.Optimisetheuseofdatafromexistingpopulation-basedandND-relevantcohortsandwherepossiblerepurposeorenrichcohortswithNDspecificmeasures.

F.Promotestudiesinvestigatingsynapsedysfunctionandlossincognitivedecline.

G.Expansionofresearchonpost-mortemtissuesfrombrainbanks

H.AdvanceknowledgeoftheinteractionsbetweenNDwithvascularandmetabolicsystemsandtheroleofinfectionandinflammation.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationStrategybyclickinghere.

Agree

Undecided

Disagree

9. Doyouagreewiththeseresearchpriorities?

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Youranswershouldbenomorethan1000characterslong.

9.a. Pleasecommentonyourresponsebelow:

10. Whatwouldyouliketoseeincludedthatisn'tcoveredintheabovepriorities?(pleaseexplainbelow)

11. Whichprioritiesdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page6:ThemeTwo:Diseasemechanismsandmodels

Thisthemefocusesonimprovingourunderstandingofthebiologicalbasisunderlyingdiseasemechanismsandprogressionofneurodegenerativedisease(ND).ThisincludestheimprovementofanimalandcellularmodelsofND,togetherwithtakingadvantageofdevelopmentsinexperimentalmedicine(investigationsundertakeninhumans).

WithinthisthemeJPNDhasidentifiedthefollowingresearchpriorities:

A.Developnovelanimalmodels(rangingfromwormstonon-humanprimates)relevanttoNDandtakeintoaccountfactorssuchastheprogressivenatureofND,sexdifferencesandageing.

B.Establishcell-basedmodelsutilisinginnovativeapproachestocreatediseasespecificandpatientderivedcelllinesthatbetterrepresentthecomplexpathologyandinteractionsinND.

C.DeterminetheroleofnewpathwaysproposedforNDpathogenesise.gmechanismsofproteinseeding(spreading).

D.Investigatetraits,pathways,measuresandbiomarkersthatareeithercommonto,orspecificfor,differentND,spanningmolecular-,cellular-,andsystems-levelapproaches.

E.Identifythemechanism(s)thataccountfortheeffectoflifestylefactorsoneitherpromotionofresilience(e.g.educationalenrichmentinearlylife)orneurodegeneration.

F.TargetemergingareastobetterunderstandcomplexconnectionsbetweenbiologicalsystemsthatcontributetoNDpathology(e.gdevelopmodelstoinvestigatethecontributionofthemicrobiome-gut-brainaxis).

G.ElucidatethebiologicalandenvironmentalbasisofbehaviourandpsychologicalsymptomsinND.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationStrategybyclickinghere.

Agree

12. Doyouagreewiththeseresearchpriorities?

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Undecided

Disagree

Youranswershouldbenomorethan1000characterslong.

12.a. Pleasecommentonyourresponsebelow:

13. Whatwouldyouliketoseeincludedthatisn'tcoveredintheabovepriorities?(pleaseexplainbelow)

14. Whichprioritiesdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page7:ThemeThree:Diagnosis,prognosisanddiseasedefinitions

Thisthemefocusesonenhancingresearchrelatingtothedefinitionandclassificationofneurodegenerativedisease(ND),discoveringnewimproveddiagnostictechniquesandidentifyingnewbiomarkers.Ultimately,thisresearchwillenableearlierandmoreaccuratediagnosisofthesediseasesincludingtheabilitytopredictdiseaseprogressionandmonitortheimpactoftherapiesandinterventions.

WithinthisthemeJPNDhasidentifiedthefollowingresearchpriorities:

A.Standardisediseasedefinitions,diagnosticcriteria,assessmenttestsandproceduresforND,developingandvalidatingnewoneswhererequired.

B.Developandvalidatenewdiagnosticcriteriaandproceduresinawaythatsupportstheirimplementationfromthepopulationlevelthroughtoprimarycareandspecialisedclinicalsettings.

C.Harmoniseandstandardiseexistingbiomarkersanddevelop,validateandstandardisenewbiomarkers(e.g.molecular,imaging,functional,cognitive).

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationStrategybyclickinghere.

Agree

Undecided

Disagree

15. Doyouagreewiththeseresearchpriorities?

Youranswershouldbenomorethan1000characterslong.

15.a. Pleasecommentonyourresponsebelow:

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16. Whatwouldyouliketoseeincludedthatisn'tcoveredintheabovepriorities?(pleaseexplainbelow)

17. Whichprioritiesdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page8:ThemeFour:Developingtherapies,preventivestrategiesandinterventions

Thisthemefocusesontheresearchneededtotransformthetreatmentofneurodegenerativedisease(ND).Thisincludesthedevelopmentofnewtherapies,interventionandpreventionstrategies(e.g.lifestylemodifications),definingbettermethodsofcareoracombinationoftheseapproachesatdifferentinterventiontimes.

WithinthisthemeJPNDhasidentifiedthefollowingresearchpriorities:

A.Improvethevalidityofmodelsystemsusedfortargetidentificationandtherapeuticdevelopmenttoincreasethelikelihoodoftranslationtoclinicalbenefit.

B.Investigatethedifferencesandsimilaritiesinthesusceptibilitytoneurodegenerationacrossspecificneuronalsubpopulationstorevealnoveltargetsthatmaypromoteresilienceandincreaseneuronalplasticity.

C.Ensurethatpopulationanddiseasebasedcohortsareusedappropriatelytotargetpotentialtherapiestosubgroupsofpatientsmostlikelytorespondandattheoptimalstageinthediseasecontinuum.

D.Developdiseasemodifyingapproaches,whereappropriate,thatslow,reduce,orcleartheproteinopathythatunderpinsND.

E.PromoteregenerativestrategiestorestorefunctionforNDwherespecificneuronaldeficitsareimplicated.

F.Developnovelsystemsfordeliveryandtargetingofdrugs/biologicalagentstositesinthebrainandotherpartsofthenervoussystem.

G.Promoteresearchtoconsolidateandexpandmethodsfortheclinicalassessmentofhumandisease.

H.Encouragetheoreticalandempiricalresearchandeducationregardingtheuseofnon-pharmacologicalinterventionssuchascognitivetraining.

I.Encouragesocio-economicstudiesthataddressethicalissuesaroundhownoveldrugsaredevelopedforND;e.g.,howbesttoundertakeearlyphaseclinicalstudiesin‘at-risk’orpresymptomaticindividuals.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationStrategybyclickinghere.

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Agree

Undecided

Disagree

18. Doyouagreewiththeseresearchpriorities?

Youranswershouldbenomorethan1000characterslong.

18.a. Pleasecommentonyourresponsebelow:

19. Whatwouldyouliketoseeincludedthatisn'tcoveredintheabovepriorities?(pleaseexplainbelow)

20. Whichprioritiesdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page9:ThemeFive:Healthcareandsocialcare

Thisthemefocusesonresearchintothetreatment,supportandcareofindividualswithneurodegenerativedisease(ND)togetherwiththeircarersandfamilies.Researchersshouldemployconceptuallysoundapproachestoseektounderstandthefactorsthatcontributetosocialinclusion,civicparticipation,dignity,health-relatedqualityoflife(QoL)andwellbeingforindividualswithNDandtheirfamilies,andtoconsidercomorbidconditionsthatoftenaffectthedeliveryoftreatmentandcare.

WithinthisthemeJPNDhasidentifiedthefollowingresearchpriorities:

A.Evaluatecurrentandpotentialpathwaystodiagnosis,treatment,careandsupportrelevanttoNDglobally,particularlybyreferencetoeffectiveness,cost-effectivenessandequityofaccess.

B.Investigatetheinterplayofbiological,environmental,social,economicandotherfactorsinthedeterminationofcognitivedeclineandbehaviouralandpsychologicalsymptoms.

C.Determinethecriticalfactorsthataffectdisabilityandhealth-relatedQoLandwellbeinginND,includingevaluatingapproachestobettersupportcarers.

D.Focusonaperson-centredapproachtocarewherethoseaffectedbyNDareinvolvedintheplanning,developmentandmonitoringoftheirowncareandindividualhealthneedsandresources.

E.Promoteresearchintoend-of-lifeandpalliativecareforNDpatients.

F.InvestigatetheabilityofassistedlivingandhealthtechnologiestoaddresstheneedsofindividualpatientswithNDandtheircarers.

G.ExamineethicalissuesrelatingtoNDcareandresearch,forexample,whetherandhowconsentissoughtandprovidedinrelationtopeoplewithmentalincapacity.

H.Conductstudiestodeterminehowtoimproveaccesstoformalcaretoreducetheunmetneedsofindividualsoutsidetheformalcaresystem.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationStrategybyclickinghere.

21. Doyouagreewiththeseresearchpriorities?

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Agree

Undecided

Disagree

Youranswershouldbenomorethan1000characterslong.

21.a. Pleasecommentonyourresponsebelow:

22. Whatwouldyouliketoseeincludedthatisn'tcoveredintheabovepriorities?(pleaseexplainbelow)

23. Whichprioritiesdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page10:EnablingActivities

Anumberofcross-cuttingactivitieswillbeneededtoprogressthescientificthemesoutlinedpreviously.Thequestionsonthefollowingpagesaskforyourviewsonthedifferentenablingactivitiesbelow:

1. Supportiveinfrastructureandplatforms2. Partnershipwithindustryandfosteringinnovation3.WorkingwithRegulatoryOrganisations4. Internationalpartnership5. CapacityBuilding6. EducationandTraining7. Connectiontopolicymakers8. Communicationandoutreach

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Page11:ThemeOne:Supportiveinfrastructureandplatforms

ThisthemefocusesonopportunitiestoharmonisemanyaspectsofNDresearchandtodevelopanintegrativeapproachacrossthedimensionsofbasic,clinical,healthcareandsocialscience.Theabilitytodothisisaidedbyrecentadvancesincomputationalpowerandintelligenceandincreasingrecognitionofthestrengthofeffectiveresearchcollaborationandpartnerships.

AccordinglyJPNDshouldseekto:

A.Encourageintegrationandharmonisationofdataandmaterialsandpromoteanopen-accessapproachtosharingandpoolingofdataandresources.

B.Establishstandardisedmethods,platformsandtoolsfordatacollectionandanalysis.

C.Supportthedevelopmentofmultimodalimagingplatformsforaccesstocomplementaryinformationfromdifferentneuroimagingtechnologies,toimproveconvergencebetweenpreclinicalandclinicalresearchdata.

D.Providecoherencetotheglobalinvestmentincutting-edgebuthigh-costareas,suchasproteomicsandcomputationalbiology,toestablishcentresornetworksatthenationalorinternationallevel.

E.Ensurewideraccesstohigh-qualitybiomaterials(e.g.braintissue,fromNDpatientsandfromage-matchedcontrols)providedthroughbiobanks.

F.Linkandbetterexploitexistingcohorts,patientregistersandsample/datacollections.

G.EstablishnationalandglobalregistersofpeoplewithbothcommonandrareformsofND.

H.Promoteregistersofpatientswithcognitiveimpairment,withminimumrequirementsforentry,toreflectreal-worldsituations.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationStrategybyclickinghere.

24. Doyouagreewiththeactionsoutlinedinthistheme?

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Agree

Undecided

Disagree

Youranswershouldbenomorethan1000characterslong.

24.a. Pleasecommentonyourresponsebelow:

25. Whatwouldyouliketoseeincludedthatisn'tcoveredintheaboveactions?(pleaseexplainbelow)

26. Whichactionsdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page12:ThemeTwo:Workinginpartnershipwithindustryandfosteringinnovation

ManydifferentcommercialorganisationsengagewithNDresearch,rangingfrompharmaceutical,diagnostic,biotechnology,bioinformatics,imaginganddigitalhealthsectorstoassistedlivingandhealthcareproviders,includingthecarehomeindustry.Connectionbetweenandacrossacademicandcommercialdomainsisessentialtodelivernovelapproachestodiagnosis,treatmentandcare.Therearealsoopportunitiestobringinnovativeandtargetedproductstomarketthroughpartnershipswithsmallandmediumenterpriseswithexpertiseinspecificareas.Effortisneededto:

A.Facilitatehigh-qualitytwo-waycollaborationbetweenacademicandindustrysectorsbypayinggreaterattentiontohowinnovativeresearchandunderstandingofdiseasecansupporttheneedsoftheglobalNDmarket.

B.Promoteinnovationwithinamulti-partnerinternationalfundingframeworkbyfosteringarisk-takingapproachandstreamliningthepathwaytoaccessingandexploitinginnovativediscoveries.

C.Developapproachestogivecompaniesvisibilityandaccesstoscienceopportunitiesemergingfromacademicresearchattheearlieststages,fosteringco-developmentofinnovationacrosssectors.

D.Fosteragenuinecollaborativeculturewithandbetweenindustrysectors,reflectingtheemergingtrendforindustrytoconductlessdiscoverysciencein-house.

E.Promotefundingmechanismsforjointacademic-industryresearch,specificallyintheareasofdatabankinganddatamodelling,private-publiccollaborationforclinicaltrialsandprecompetitiveresearch.

F.Continuecollaborative,academic-industrypartnershipsforsystemlevelapproachestothestudyofthetaxonomyofNDandforthedevelopmentofnewpharmaceuticals.

G.Encouragedataandresourceexchangebetweenindustry,clinicalcentresandacademia,onbothscienceandregulatoryissues.

H.Supportknowledgetransferbetweensectors,encouragingsecondmentsandpeopleexchangealongsidedevelopmentofsharedcampusestosupportinnovation.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationStrategybyclickinghere.

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Agree

Undecided

Disagree

27. Doyouagreewiththeactionsoutlinedinthistheme?

Youranswershouldbenomorethan1000characterslong.

27.a. Pleasecommentonyourresponsebelow:

28. Whatwouldyouliketoseeincludedthatisn'tcoveredintheaboveactions?(pleaseexplainbelow)

29. Whichactionsdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page13:ThemeThree:Workingwithregulatoryorganisations

Effectivetranslationofacademicandcommercialresearchintomeaningfulandbeneficialtreatmentsforpatientsrequiresdialogueandco-operationwithkeytransnationalandnationalregulatoryagencies,aswellasharmonisationacrossorganisations.Maintainingthehigheststandardsofethicsandgovernancewillpromotepublicconfidence,aswilltheprovisionofuptodateandclearguidance.

Thefollowingactionsareneededtofacilitatetranslation:

A.Promoteinteractionsbetweenresearchers,clinicians,industry,patients,carers,familiesandregulatoryorganisationstoinformkeydatacollectionandstudydesignconsiderationsattheearlieststagespossible.

B.Promotethestandardisationofproceduresaroundthecontrolandconsentofpatientdata.

C.Workwithregulatorstointegratepatientpreferenceandpatient-reportedoutcomeinformationintoallrelevantstagesofresearchandtherapeuticdevelopment.

D.Re-examineresearchgovernanceandregulationinrelationtotheuniqueaspectsofND;e.g.,concerningstudiesinpresymptomaticindividuals.

E.Ensurethatregulatoryguidanceisalignedwithfinancialincentivesandthepracticalitiesofdesigningrigorous,definitiveandstatisticallypowerfulclinicaltrials.

F.Encouragetheacceptanceofalternatetrialdesignswhereappropriate,optimisingtheuseofresourcesandreducingthetimetotrialcompletion.

G.Promotethecreationofsupportnetworks,public/privateconsortiaand/orportalsorhubstodisseminatebestpracticesinregulation.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationStrategybyclickinghere.

Agree

30. Doyouagreewiththeactionsoutlinedinthistheme?

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Undecided

Disagree

Youranswershouldbenomorethan1000characterslong.

30.a. Pleasecommentonyourresponsebelow:

31. Whatwouldyouliketoseeincludedthatisn'tcoveredintheaboveactions?(pleaseexplainbelow)

32. Whichactionsdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page14:ThemeFour:Internationalpartnership

ItisnowwellrecognisedthattheunmetclinicalneedandsocietalimpactofNDisaglobalissue,andopportunitiesexistforJPNDtolinktoworldwideresearcheffortsinthisarea.Suchco-operationshouldbestrategicallydirectedandofferclearbenefittoJPND’sobjectives.Linkagesmightoperateatdifferentlevels,forexample,activityto:

A.UtiliseresourcesandinfrastructuresoutsideEurope;e.g.,connectingwithlarge-scaleinitiativesthatprovideaccesstomajorgeneticorepidemiologicalsamples,datasetsoremergingtechnologies.

B.PromotealignmentwithgroupscollectingdatarelevanttoNDresearch,suchastheWorldHealthOrganisation’sGlobalDementiaObservatory.

C.Studyspecificpopulationsincountrieswhereuniquegeneticpredispositions,specificornovelenvironmentalexposuresorsocietal/culturaldifferencesmightcontributetotherisk,diseaseexpressionorresilienceinND.

D.Widenourunderstandingofhowculturaldifferencesaffectthemanagementofhealthdeliveryandsocialcare.

E.Promotecloserglobalalignmentofpatientandpublicinvolvement(PPI)andethicsactivities.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationStrategybyclickinghere.

Agree

Undecided

Disagree

33. Doyouagreewiththeactivitiesoutlinedinthistheme?

Youranswershouldbenomorethan1000characterslong.

33.a. Pleasecommentonyourresponsebelow:

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34. Whatwouldyouliketoseeincludedthatisn'tcoveredintheaboveactivities?(pleaseexplainbelow)

35. Whichactivitiesdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page15:ThemeFive:CapacityBuilding

AcrossallthreeresearchdomainsofJPNDtherearecertainareasthatlackcapacityandneedtobestrengthenedtoensurefutureopportunitiescanberealised.ApproachestocapacitybuildingalreadyusedwithinJPNDcountriesorinternationallyshouldbeshared,withaviewtoidentifyingapproachesthatmightbeadaptedtothespecificneedsidentifiedbelow.

Accordingly,JPNDneedsto:

A.Encourageresearchnetworksacrossandbetweendisciplinesandresearchers,bothwithinindividualcountriesandinternationally.

B.Improvethetrainingofclinicalresearchers,andtranslationalspecialistsandensurethattheirroleisrecognisedandsustained.

C.Promoteacultureofopenscience,datasharinganddisseminationbetweenglobalinitiativesandteamsdevelopingresourcesforNDresearch.

D.Increasethenumbersofneurodegenerationresearchers,especiallythosewithexpertiseinhealtheconomics,publichealthsurveillance,statistics,computationalbiology,bioinformatics,electrophysiologyanddiseasemodeldevelopment.

E.Supportinterdisciplinaryresearchwithinexistingframeworksandbuildnewalliancesacrossscienceandotherresearchareas(e.g.physics,engineering,artificialintelligence).

F.Promotecapabilityandimprovethequalityofdigitaltechnologiesanddevices(e.g.wearables)intermsofpatientmonitoring,riskprediction,diagnosis,clinicaltrialsandtreatmentinlargepopulations.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationStrategybyclickinghere.

Agree

Undecided

Disagree

36. Doyouagreewiththeactionsoutlinedinthistheme?

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Youranswershouldbenomorethan1000characterslong.

36.a. Pleasecommentonyourresponsebelow:

37. Whatwouldyouliketoseeincludedthatisn'tcoveredintheaboveactions?(pleaseexplainbelow)

38. Whichactionsdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page16:ThemeSix:EducationandTraining

ThereisconsiderableheterogeneityinawarenessamongsthealthcareprofessionalsandrelatedstakeholdergroupsaboutthewaysthatpeopleareaffectedbyND.Anevidence-lededucationalapproachwillhelptoembedaresearchcultureacrossthefullspectrumofhealthandsocialcare.Itwillalsohelptopromotepublichealthmessaging,andleadtogreaterinvolvementincare.Thisstrategywillhelptoreducestigmaandmisunderstandingthatsurroundtheseconditions.

SpecificrecommendationsforeducationandtraininginrelationtoNDareto:

A.ExpandtheclinicaleducationandtrainingofhealthandsocialcareprofessionalswhointeractwithNDpatients.

B.Promoteappreciationamongsthealthandsocialcareprofessionalsofthebenefitsofresearchparticipation.

C.UndertakeresearchtoimproveandimplementeffectivehealtheducationtopromotebroaderawarenessaboutNDacrossallgenerationsandsectorsofsociety.

D.UnderstandhowtocreatechangesinbehaviourinthepopulationthroughstrategiesaimedatmitigatingriskfactorsassociatedwithanunhealthylifestyleandlesseningthechanceofdevelopingND.

E.Developsystemsforeducationandtrainingthatsupportrecognitionframeworksforresearcherswhosharemethodsanddataina‘teamscience’environment.

F.PromoteopportunitiestoengageneurosurgeonsinNDresearchtoreinforcetranslationalmedicine.

G.ProvideeducationforfamiliesandcarersonneworexistingtechnologiesordevicesthatcanpromotefreedomandindependenceofNDpatients.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationAgendabyclickinghere.

Agree

39. Doyouagreewiththepointsandrecommendationsoutlinedinthistheme?

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Undecided

Disagree

Youranswershouldbenomorethan1000characterslong.

39.a. Pleasecommentonyourresponsebelow:

40. Whatwouldyouliketoseeincludedthatisn'tcoveredintheaboverecommendations?(pleaseexplainbelow)

41. Whichrecommendationsdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page17:ThemeSeven:Connectiontopolicymakers

JPNDprovidesasingleinternationalframeworkthroughwhichtohighlightimportantcurrentandemergingissuesforpolicyconsiderationatthenationallevel.OneofthekeyaimsofJPNDistopromotecompatibilitybetweenthepolicyapproachesofdifferentcountries.TherearetwokeytranslationalgapsinND-relatedpolicywherenationalpolicymakerscantakeactiontoimprovetheimpactofresearch,andthequalityoflife,forpatients,carersandtheirfamilies.First,betterlinkswithtechnologydevelopersareneededtoensurethatthebenefitsofnewtechnologiesandpracticesarebeingextendedtothepatientsandcarerswhomostneedthem.Second,thereisaneedfornationalpolicyframeworkstoensurethatresearchoutcomesultimatelywillleadtoeffectiveimplementationinpublichealthpolicy.

Thefollowingactivitieswillbeneededtoenhancetheprogressmadetodateandhelpaddressongoingchallenges:

A.StrengthenthecommitmentofnationalgovernmentstosupportNDresearch.

B.ExpandtheadoptionofnationalplansforND(generalorspecific).

C.Increasenationalearmarkedbudgetsfortransnationalresearch.

D.Betterfacilitateresources,fundsanddataexchangeacrossborders.

E.Adoptandharmoniseevidence-basedpoliciesandbestpracticesatthenationallevel.

F.Promoteeffectivecommunicationbetweenresearchersandpolicymakers.

G.IncreaseawarenessandunderstandingofthesocietalimpactofND.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationAgendabyclickinghere.

Agree

Undecided

Disagree

42. Doyouagreewiththeactivitiesoutlinedinthistheme?

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Youranswershouldbenomorethan1000characterslong.

42.a. Pleasecommentonyourresponsebelow:

43. Whatwouldyouliketoseeincludedthatisn'tcoveredintheaboveactivities?(pleaseexplainbelow)

44. Whichactivitiesdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page18:ThemeEight:Communicationandoutreach

TheresearchagendaforNDmustconnectandengagewithawiderangeofsectorsandstakeholdersforeffectivetranslationintopolicyandpractice.JPNDwillensurethatallstakeholdercommunitiesarewellinformedaboutongoingNDresearchanditsoutcomes,increasingawarenessandsupportforNDresearchamongdecisionmakers,patients,carerorganisationsandthepublic.ThisshouldalsohelptoincreaseresearchparticipationandreducedthestigmaattachedtoND.Topromotecommunicationandoutreachwithawiderangeofstakeholders,JPNDcontinuesto:

A.DisseminateNDresearchoutcomestoallstakeholdercommunitiesinaneffective,balancedandconsistentmannertoassistsuccessfultranslationintopolicyandpractice.

B.ConsulttheJPNDPPIStakeholderAdvisoryBoardregardingJPNDinitiativesandresearchoutcomes.

C.IncreaseawarenessandsupportforNDresearchamongstdecisionmakersinparticipatingcountries.

D.EncourageJPND-fundedresearcherstoengageindisseminationandoutreachactivitiesasappropriate.

E.PromotethedevelopmentofinnovativetoolstofacilitatecommunicationbetweenindividualswithND,theirfamiliesandcarers,healthcareprofessionals,andcareserviceproviders.

F.Continuetosupportdialoguewithstakeholdercommunitiesonanationalandinternationallevel.

ForfurtherdetailsontheabovepointspleaseseethefullversionoftheJPNDResearchandInnovationAgendabyclickinghere.

Agree

Undecided

Disagree

45. Doyouagreewiththeactivitiesoutlinedinthistheme?

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Youranswershouldbenomorethan1000characterslong.

45.a. Pleasecommentonyourresponsebelow:

46. Whatwouldyouliketoseeincludedthatisn'tcoveredintheaboveactivities?(pleaseexplainbelow)

47. Whichactivitiesdoyouconsidertobelessimportant?(pleaseexplainbelow)

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Page19:Thankyouforyourresponse

Thankyouforsubmittingyourviewsonthe2018ResearchandInnovationStrategy,weappreciateyourinputandcontribution,whichwillhelptoshapeJPND'sfutureprioritiesandinvestmentinneurodegenerativediseaseresearchoverthenext5-10yearsandbeyond.

Allconsultationquestionnairesreceivedareformallyrecordedandinaccordancewithdataprotectionyourpersonaldetailsareusedsolelyinconnectionwiththeconsultationprocess.Toviewourprivacystatementpleaseclickhere.