www.eurordis.org




               EPIRARE:
Building Consensus and Synergies for the
EU Registration of Rare Disease Patients



                   Yann LE CAM
                Chief Executive Officer
                      EURORDIS
The EPIRARE project


    General Objectives:
    To build consensus and synergies to address the regulatory,
     ethical and technical issues associated with the registration of
     rare disease patients in Europe.
    To explore the feasibility of registration of minimum data set
     common to all rare disease
    To elaborate possible policy scenarios for EU policy on rare
     disease patients registries
    To prepare the feasibility of a future EU registry platform (legal
     basis, governance framework, option for sustainability, …).




2   The EPIRARE Project
The EPIRARE project

    A 30-month project

    Coordinated by the
    Istituto Superiore di Sanità (ISS) (Italian Ministry of Health)
                                        +
                                   2 private organisations
    10 Associated Partners:
                                   8 public institutions


     Total budget of 1.1M€
     (60% of which from the European Commission)



3    The EPIRARE Project
The EPIRARE project

    Organisation of the work:
           WP1- Coordination of the project
           WP2 - Dissemination of the project
           WP3 - Evaluation of the project
           WP4 - Legal basis
           WP5 - Policy Scenarios on the scope aims, governance and
            sustainability of registration of RD patients
           WP6 - Common data set and disease specific data collection
           WP7 - Data quality, validation and data sources integration
           WP8 – Current needs of EU registration on RD and platform
            facilities serving registration need


4    The EPIRARE Project
The EPIRARE project
                             WP1- Coordination of the
                                     project


                            WP8 – Current needs of EU
                            registration on RD and
                            platform facilities serving
                            registration need
    WP6 - Common
    data set and                                          WP4 - Legal basis
    disease specific        WP7 - Data quality,
    data collection         validation and data
                            sources integration


                          WP5 - Policy Scenarios on
                          the scope aims, governance
                          and sustainability of
          WP2 -           registration of RD patients          WP3 -
     Dissemination of                                       Evaluation of
        the project                                          the project

5   The EPIRARE Project
The EPIRARE project
WP8 – Current needs of EU registration on RD and platform
           facilities serving registration need
A survey to be conducted through existing registries, in order to collect
 information on existing registration initiatives within the interests not
 only of academicians and private companies, but also of the patients.
 Addressed aspects: scope and aims, legal base for collection of data,
 measures for data protection, organisational and financial support,
 number of patients registered, unmet needs, data collected, means of
 collection and quality of data and data sources.
A survey, conducted by EURORDIS, will also address experience and
 expectations of patients organizations regarding patient registries run
 by academic groups, industry or public administrations.
The information collected will be used to identify the services necessary
 to improve the quality, promote and facilitate the use of the registry
 platform and to report appropriately to the public and other
 stakeholders.

 6   The EPIRARE Project
The EPIRARE project
                           WP4 - Legal basis

       • This WP will assess the current transposition of the Data
          Protection Directive and in particular the transposition of
          Art. 8 of the Directive,
       • will consult EUCERD Member and other national policy
          makers and
       • will set out the elements (e.g.: scope of data collection, the
          nature of data to be collected, the data sources to be used)
          to generate a policy option (best practice model) which can
          be assured and implemented by national policy makers /
          institutions.




7   The EPIRARE Project
The EPIRARE project
WP6 - Common data set and disease specific data collection


        • This WP defines a common data set with correlated
          Standard Operating Procedures, which is independent
          of the registered rare disease, and of other disease-
          specific modules, in order to provide information
          consistent with the agreed scope of the registers which
          is useful for public health actions and for other aims.




8   The EPIRARE Project
The EPIRARE project
WP7 - Data quality, validation and data sources integration

This WP assesses:
a) the internal and external validity of existing data as well as the use of
  primary or secondary data sources and completeness of follow-up.
b) the need for performing an external quality control scheme to
  monitor compliance of platform registration activities to inclusion
  criteria
c) the need for the transnational pooling of collections on RD patients,
  in order to attain sufficient statistical power for clinical and public
  health investigations
c) the necessary data source integration and completeness of reporting
  to get reliable results with respect to different aims and data analysis
  and ways to assess it.
d) the opportunities offered by the collaboration of patients and POs in
  increasing the completeness of case registration.

9   The EPIRARE Project
The EPIRARE project
WP5 - Policy Scenarios on the scope aims, governance and
       sustainability of registration of RD patients

  • This WP addresses the scope, aims, governance and
    ownership of RD patient registration and develop possible
    policy scenarios.
  • Consensus will be build toward an agreed “common data set”
    for all RD registries and databases
  • Different options ensuring the long-term sustainability of the
    RD registers without affecting the independence and scientific
    value of the registration activities and products will also be
    assessed.
  • This work will be conducted by EURORDIS – ISS and all
    project partners - in close relation with the EUCERD, and it will
    support a specific workshops on “registries and data bases”.



10 The EPIRARE Project

Workshop 3 - "Presentation of the Epi-Rare project"

  • 1.
    www.eurordis.org EPIRARE: Building Consensus and Synergies for the EU Registration of Rare Disease Patients Yann LE CAM Chief Executive Officer EURORDIS
  • 2.
    The EPIRARE project General Objectives: To build consensus and synergies to address the regulatory, ethical and technical issues associated with the registration of rare disease patients in Europe. To explore the feasibility of registration of minimum data set common to all rare disease To elaborate possible policy scenarios for EU policy on rare disease patients registries To prepare the feasibility of a future EU registry platform (legal basis, governance framework, option for sustainability, …). 2 The EPIRARE Project
  • 3.
    The EPIRARE project A 30-month project Coordinated by the Istituto Superiore di Sanità (ISS) (Italian Ministry of Health) + 2 private organisations 10 Associated Partners: 8 public institutions Total budget of 1.1M€ (60% of which from the European Commission) 3 The EPIRARE Project
  • 4.
    The EPIRARE project Organisation of the work: WP1- Coordination of the project WP2 - Dissemination of the project WP3 - Evaluation of the project WP4 - Legal basis WP5 - Policy Scenarios on the scope aims, governance and sustainability of registration of RD patients WP6 - Common data set and disease specific data collection WP7 - Data quality, validation and data sources integration WP8 – Current needs of EU registration on RD and platform facilities serving registration need 4 The EPIRARE Project
  • 5.
    The EPIRARE project WP1- Coordination of the project WP8 – Current needs of EU registration on RD and platform facilities serving registration need WP6 - Common data set and WP4 - Legal basis disease specific WP7 - Data quality, data collection validation and data sources integration WP5 - Policy Scenarios on the scope aims, governance and sustainability of WP2 - registration of RD patients WP3 - Dissemination of Evaluation of the project the project 5 The EPIRARE Project
  • 6.
    The EPIRARE project WP8– Current needs of EU registration on RD and platform facilities serving registration need A survey to be conducted through existing registries, in order to collect information on existing registration initiatives within the interests not only of academicians and private companies, but also of the patients. Addressed aspects: scope and aims, legal base for collection of data, measures for data protection, organisational and financial support, number of patients registered, unmet needs, data collected, means of collection and quality of data and data sources. A survey, conducted by EURORDIS, will also address experience and expectations of patients organizations regarding patient registries run by academic groups, industry or public administrations. The information collected will be used to identify the services necessary to improve the quality, promote and facilitate the use of the registry platform and to report appropriately to the public and other stakeholders. 6 The EPIRARE Project
  • 7.
    The EPIRARE project WP4 - Legal basis • This WP will assess the current transposition of the Data Protection Directive and in particular the transposition of Art. 8 of the Directive, • will consult EUCERD Member and other national policy makers and • will set out the elements (e.g.: scope of data collection, the nature of data to be collected, the data sources to be used) to generate a policy option (best practice model) which can be assured and implemented by national policy makers / institutions. 7 The EPIRARE Project
  • 8.
    The EPIRARE project WP6- Common data set and disease specific data collection • This WP defines a common data set with correlated Standard Operating Procedures, which is independent of the registered rare disease, and of other disease- specific modules, in order to provide information consistent with the agreed scope of the registers which is useful for public health actions and for other aims. 8 The EPIRARE Project
  • 9.
    The EPIRARE project WP7- Data quality, validation and data sources integration This WP assesses: a) the internal and external validity of existing data as well as the use of primary or secondary data sources and completeness of follow-up. b) the need for performing an external quality control scheme to monitor compliance of platform registration activities to inclusion criteria c) the need for the transnational pooling of collections on RD patients, in order to attain sufficient statistical power for clinical and public health investigations c) the necessary data source integration and completeness of reporting to get reliable results with respect to different aims and data analysis and ways to assess it. d) the opportunities offered by the collaboration of patients and POs in increasing the completeness of case registration. 9 The EPIRARE Project
  • 10.
    The EPIRARE project WP5- Policy Scenarios on the scope aims, governance and sustainability of registration of RD patients • This WP addresses the scope, aims, governance and ownership of RD patient registration and develop possible policy scenarios. • Consensus will be build toward an agreed “common data set” for all RD registries and databases • Different options ensuring the long-term sustainability of the RD registers without affecting the independence and scientific value of the registration activities and products will also be assessed. • This work will be conducted by EURORDIS – ISS and all project partners - in close relation with the EUCERD, and it will support a specific workshops on “registries and data bases”. 10 The EPIRARE Project