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Pa#ent	
  rights	
  in	
  	
  
research	
  and	
  treatment	
  
Feedback	
  to	
  Plenary	
  
Main	
  issues	
  and	
  discussion	
  topics	
  
1.  Lack	
  of	
  informa#on	
  on	
  research	
  process	
  
2.  Problem	
  of	
  too	
  few	
  people	
  par#cipa#ng	
  in	
  research	
  is	
  linked	
  to	
  lack	
  of	
  informa#on	
  (what	
  
studies	
  are	
  on-­‐going	
  in	
  my	
  country,	
  where,	
  am	
  I	
  eligible,	
  what	
  are	
  my	
  rights?)	
  
3.  Conflict	
  between	
  pa#ent	
  goal	
  (cure)	
  vs	
  reality	
  (true	
  benefit,	
  risks)	
  
4.  News	
  drugs	
  mean	
  new	
  challenges	
  (stay	
  on	
  current	
  drug,	
  change	
  to	
  new	
  drug,	
  do	
  I	
  really	
  
understand	
  the	
  implica#ons,	
  ethical	
  issues)	
  
5.  Access	
  to	
  DMT	
  and	
  to	
  symptoma#c	
  therapies	
  differs	
  across	
  countries	
  
6.  Neurologist-­‐pa#ent	
  partnership	
  needs	
  to	
  be	
  beQer	
  defined,	
  shared,	
  promoted	
  
7.  Media	
  communicates	
  only	
  posi#ve	
  and	
  some#mes	
  unrealis#c/untrue	
  messages	
  aTer	
  
studies	
  are	
  published	
  
8.  Right	
  to	
  personalized	
  medicine	
  –	
  a	
  difficult	
  endeavor	
  for	
  neurologists	
  once	
  person	
  has	
  
received	
  «	
  biased	
  informa#on	
  »	
  
9.  Risk	
  vs.	
  Benefit	
  –	
  it’s	
  a	
  judgment	
  not	
  an	
  objec#ve	
  conclusion	
  (benefit	
  for	
  the	
  pa#ent,	
  
family,	
  what	
  is	
  valuable,what	
  am	
  I	
  willing	
  to	
  risk	
  personally?)	
  
MS	
  Pa#ent	
  Summit	
  -­‐	
  Rome	
  
	
  
201	
  
Pa5ent	
  rights	
  in	
  
research	
  and	
  treatment	
  
What	
  needs	
  to	
  be	
  done?	
  
1.  MS	
  organisa#ons	
  need	
  to	
  be	
  link	
  between	
  researchers	
  and	
  people	
  with	
  MS	
  –	
  informa#on,	
  contacts,	
  
linking	
  people	
  to	
  studies	
  
2.  Educate	
  clinicians/researchers	
  on	
  involving	
  people	
  in	
  research,	
  communica#ng	
  their	
  research	
  
3.  People	
  with	
  MS	
  can	
  be	
  examples	
  to	
  others	
  (if	
  you’ve	
  par#cipated	
  in	
  research,	
  find	
  ways	
  to	
  tell	
  
others	
  about	
  it)	
  
4.  MS	
  organisa#ons,	
  PAG,	
  pharma,	
  country	
  level	
  ethical	
  commiQees,neurological	
  socieites	
  have	
  to	
  
have	
  role	
  in	
  assuring	
  ethics	
  in	
  repor#ng	
  research	
  results	
  –	
  messages	
  in	
  the	
  media	
  clear,	
  honest,	
  
realis#c	
  
5.  Need	
  to	
  understand	
  role	
  of	
  e#cal	
  commiQee	
  
6.  Find	
  ways	
  to	
  involve	
  people	
  with	
  MS	
  in	
  research	
  process	
  (scien#fic	
  commiQee)	
  
7.  Each	
  country	
  needs	
  to	
  have	
  a	
  census	
  of	
  the	
  MS	
  popula#on	
  and	
  not	
  rely	
  on	
  es#mates	
  
MS	
  Pa#ent	
  Summit	
  -­‐	
  Rome	
  
	
  
202	
  
Pa5ent	
  rights	
  in	
  
research	
  and	
  treatment	
  
Examples	
  of	
  good	
  prac5ce	
  
1.  EMSP	
  Under	
  Pressure	
  Campaign	
  (showing	
  differences	
  across	
  
countries	
  on	
  serious	
  impact	
  of	
  lack	
  of	
  access	
  to	
  therapies)	
  
2.  EurMS	
  Registry	
  
3.  MS	
  Awareness	
  Day	
  in	
  the	
  European	
  Parliament	
  
4.  MS	
  Barometer	
  
MS	
  Pa#ent	
  Summit	
  -­‐	
  Rome	
  
	
  
203	
  
Pa5ent	
  rights	
  in	
  
research	
  and	
  treatment	
  
Proposal	
  -­‐	
  Ac5on	
  Plan	
  
1.  MS	
  organisa#ons	
  need	
  to	
  collect	
  data	
  on	
  access/availability	
  
of	
  therapies	
  in	
  each	
  country	
  and	
  healthcare	
  professionals	
  
need	
  to	
  collect	
  accurate	
  data	
  on	
  all	
  pa#ents	
  
2.  Understand	
  why	
  specific	
  regula#ons	
  exist,	
  what	
  are	
  they	
  
based	
  on?	
  	
  
3.  Agree	
  on	
  a	
  common	
  posi#on	
  on	
  which	
  to	
  base	
  lobbying	
  plan	
  
MS	
  Pa#ent	
  Summit	
  -­‐	
  Rome	
  
	
  
204	
  
Pa5ent	
  rights	
  in	
  
research	
  and	
  treatment	
  

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MS Patient Summit 2015, Rome: Patient Rights - Feedback to Plenary

  • 1. Pa#ent  rights  in     research  and  treatment   Feedback  to  Plenary  
  • 2. Main  issues  and  discussion  topics   1.  Lack  of  informa#on  on  research  process   2.  Problem  of  too  few  people  par#cipa#ng  in  research  is  linked  to  lack  of  informa#on  (what   studies  are  on-­‐going  in  my  country,  where,  am  I  eligible,  what  are  my  rights?)   3.  Conflict  between  pa#ent  goal  (cure)  vs  reality  (true  benefit,  risks)   4.  News  drugs  mean  new  challenges  (stay  on  current  drug,  change  to  new  drug,  do  I  really   understand  the  implica#ons,  ethical  issues)   5.  Access  to  DMT  and  to  symptoma#c  therapies  differs  across  countries   6.  Neurologist-­‐pa#ent  partnership  needs  to  be  beQer  defined,  shared,  promoted   7.  Media  communicates  only  posi#ve  and  some#mes  unrealis#c/untrue  messages  aTer   studies  are  published   8.  Right  to  personalized  medicine  –  a  difficult  endeavor  for  neurologists  once  person  has   received  «  biased  informa#on  »   9.  Risk  vs.  Benefit  –  it’s  a  judgment  not  an  objec#ve  conclusion  (benefit  for  the  pa#ent,   family,  what  is  valuable,what  am  I  willing  to  risk  personally?)   MS  Pa#ent  Summit  -­‐  Rome     201   Pa5ent  rights  in   research  and  treatment  
  • 3. What  needs  to  be  done?   1.  MS  organisa#ons  need  to  be  link  between  researchers  and  people  with  MS  –  informa#on,  contacts,   linking  people  to  studies   2.  Educate  clinicians/researchers  on  involving  people  in  research,  communica#ng  their  research   3.  People  with  MS  can  be  examples  to  others  (if  you’ve  par#cipated  in  research,  find  ways  to  tell   others  about  it)   4.  MS  organisa#ons,  PAG,  pharma,  country  level  ethical  commiQees,neurological  socieites  have  to   have  role  in  assuring  ethics  in  repor#ng  research  results  –  messages  in  the  media  clear,  honest,   realis#c   5.  Need  to  understand  role  of  e#cal  commiQee   6.  Find  ways  to  involve  people  with  MS  in  research  process  (scien#fic  commiQee)   7.  Each  country  needs  to  have  a  census  of  the  MS  popula#on  and  not  rely  on  es#mates   MS  Pa#ent  Summit  -­‐  Rome     202   Pa5ent  rights  in   research  and  treatment  
  • 4. Examples  of  good  prac5ce   1.  EMSP  Under  Pressure  Campaign  (showing  differences  across   countries  on  serious  impact  of  lack  of  access  to  therapies)   2.  EurMS  Registry   3.  MS  Awareness  Day  in  the  European  Parliament   4.  MS  Barometer   MS  Pa#ent  Summit  -­‐  Rome     203   Pa5ent  rights  in   research  and  treatment  
  • 5. Proposal  -­‐  Ac5on  Plan   1.  MS  organisa#ons  need  to  collect  data  on  access/availability   of  therapies  in  each  country  and  healthcare  professionals   need  to  collect  accurate  data  on  all  pa#ents   2.  Understand  why  specific  regula#ons  exist,  what  are  they   based  on?     3.  Agree  on  a  common  posi#on  on  which  to  base  lobbying  plan   MS  Pa#ent  Summit  -­‐  Rome     204   Pa5ent  rights  in   research  and  treatment