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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?
36/37
Youranswershouldbenomorethan1000characterslong.
45.a. Pleasecommentonyourresponsebelow:
46. Whatwouldyouliketoseeincludedthatisn'tcoveredintheaboveactivities?(pleaseexplainbelow)
47. Whichactivitiesdoyouconsidertobelessimportant?(pleaseexplainbelow)
37/37
Page19:Thankyouforyourresponse
Thankyouforsubmittingyourviewsonthe2018ResearchandInnovationStrategy,weappreciateyourinputandcontribution,whichwillhelptoshapeJPND'sfutureprioritiesandinvestmentinneurodegenerativediseaseresearchoverthenext5-10yearsandbeyond.
Allconsultationquestionnairesreceivedareformallyrecordedandinaccordancewithdataprotectionyourpersonaldetailsareusedsolelyinconnectionwiththeconsultationprocess.Toviewourprivacystatementpleaseclickhere.