future directions for personalised health in the nordics ... · • the nordic council (1952) is...
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Future directions for personalised healthin the Nordics and Europe
Jan-Ingvar Jönsson
Secretary General at the Swedish Research Council
Helsinki, November 19, 2019
The International Consortium forPersonalised Medicine
Jan-Ingvar Jönsson
chair ICPerMed and NOS-M
Helsinki, November 19, 2019
Helsinki, November 19, 2019
ICPerMed – An International Consortium
• More than 40 European and international partners
• Representing ministries, funding agencies and
the European Commission (EC)
• ICPerMed started in November 2016
Aim: To coordinate and foster research to
develop and evaluate personalised
medicine approaches
Helsinki, November 19, 2019
Characterisation of individuals’ phenotypes and genotypes (e.g. molecular
profiling, medical imaging, lifestyle data) for tailoring the right therapeutic
strategy for the right person at the right time, and/or to determine the
predisposition to disease and/or to deliver timely
and targeted prevention".
According to: Horizon2020 and the European Council Conclusions on personalised medicine for patients (2015/C 421/03)
Personalised Medicine (PM) – a definition
Helsinki, November 19, 2019
• Establish ICPerMed members as global leaders in personalised
medicine research
• Support the personalised medicine science base through a
coordinated approach to research
• Support research to investigate the benefits of personalised
medicine to citizens and healthcare systems
• Pave the way for personalised medicine approaches for citizens
ICPerMed Vision Statement
Research as driver of personalised medicine
Helsinki, November 19, 2019
• Establish ICPerMed members as global leaders in personalised
medicine research
• Support the personalised medicine science base through a
coordinated approach to research
• Support research to investigate the benefits of personalised
medicine to citizens and healthcare systems
• Pave the way for personalised medicine approaches for citizens
ICPerMed Vision Statement
Platform to support Coordination, Sharing, and CollaborationStrategies, Funding, Information, Best Practices
Helsinki, November 19, 2019
ICPerMed – Coordinating PM research
Provides a tool to coordinate and augment the activities of individual members.
ICPerMed Action Plan
A) Research activities:
• Data
• Technologies, Methods and Processes
• People
• Cross-Cutting
B) Support activities:
• Structures
• Methods and Processes
• People
Helsinki, November 19, 2019
• Future vision of ICPerMed on personalised medicine
research and implementation by 2030
“How can personalised approaches pave the way to
next-generation medicine”
• Based on consultation of European and international
experts, covering the entire range of relevant sectors
and professional backgrounds
• Available for download on the ICPerMed website
ICPerMed Vision Paper
Perspective 1: Informed, empowered, engaged, and responsible citizensPerspective 2: Informed, empowered, engaged, and responsible health providers
Perspective 3: Healthcare systems that enable personally tailored health promotion, prevention, diagnosis, and treatment for the benefit of citizens and patientsPerspective 4: Availability and optimal use of health-related information for
optimised treatment, care, prevention, and researchPerspective 5: Economic value by establishing the next generation of medicine
ICPerMed Vision 2030
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ICPerMed Vision for 2030 – five perspectives
Perspective 1: Informed, empowered, engaged and responsible citizens
• Health-related data is controlled by the citizen, including input, monitoring and access;
• Easily accessible, reliable, and understandable sources of health information are available.
Perspective 2: Informed, empowered, engaged and responsible health providers
• The safe, responsible, and optimal use of health information and research results for PM is routine in the clinic.
• PM requires clinical decisions by multidisciplinary teams that integrate novel health-related professions.
• The education of healthcare professionals has adopted the interdisciplinary aspects of PM.
• Clinicians and researchers work closely to support the rapid development and implementation of PM solutions.
ICPerMed Vision for 2030 – five perspectives
Perspective 3: Healthcare systems enable personally tailored and optimised health promotion, prevention, diagnosis and treatment for the benefit of patients
• Equitable access to PM services for all citizens is a reality.
• PM services are optimised in terms of effectiveness and equity.
• Allocation of resources within healthcare systems is consistent with societal values.
• Secure health data flow from citizens and healthcare systems to regulatory authorities and research is in place.
ICPerMed Vision for 2030 – five perspectives
Perspective 4: Available health related information for optimised treatment, care, prevention and research
• Personal data in Electronic Health Records (EHRs) is used by healthcare providers and researchers for more efficient PM.
• Harmonised solutions to ensure data privacy, safety, and security are applied in health-data management.
• Optimised treatment and prevention based on personal data benefit citizens, while minimising costs and risks.
ICPerMed Vision for 2030 – five perspectives
Perspective 5: Economic value by establishing the next generation of medicine
• A reasonable balance between investment, profit, and shared-benefit for the citizen is a reality for PM.
• Appropriate business concepts and models are in place for PM.
• Telemedicine and mobile solutions promote PM and are of economic value.
• New jobs in healthcare systems are created.
ICPerMed Vision for 2030 – five perspectives
Build trust of all stakeholders in research, within health care systems, health policy decision-makers, and society
Helsinki, November 19, 2019
ICPerMed “family“ and related initiatives
Nordic strengths in health research
• Long tradition of Nordic political cooperation:
• The Nordic Council (1952) is the cooperation between
Nordic parliamentarians.
• The Nordic Council of Ministers (NCM) (1971)
is the official governmental co-operation.
• NordForsk was founded by the NCM in 2005.
• NOS-M (Medical Research Councils) was established in 1968.
Nordic strengths in health research
o Similar health care systems available to all citizens
o Publicly funded universities
o Extraordinary research infrastructures (registers and biobanks)
o Long history of Nordic cooperation between scientists ando political stakeholders
o Health research is high on the political agenda
o Citizens have trust in research; high acceptance to join clinical trials
o Established research and research infrastructure networks (e.g. cancer registries, biobanks, precision medicine, epidemiology)
A Nordic goldmine for research
o The Nordic countries have a unique knowledge resource in its longitudinal disease and population registers
o The Personal Identification Number (PIN) allows linkage to biobanks and other databases
o Nordic data allows comparisons between countries or analysis at the Nordic level
o Population of 27 million - analysis at Nordic level will increase the possibility to findassociations for rare diagnoses and events
o Could be used to find solutions to societal and public health challenges, evidence-based decisions, as well as to follow up political incentives
Nordic Common Strengths and Future Potential in the Field of
Personalised Medicine
NOS-M Workshop 2016
Conclusions from the Workshop
- Personalised medicine may lead to major improvements in health care, but there are a number of major ethical, societaland legal challenges that need to be tackled before this can be accomplished.
- Policy directives need to be aligned at the Nordic level.
- There are several Nordic advantages, including a number ofunique registers, cohorts and biobanks; high qualityepidemiology and clinical research; public-funded health careand a population that is generally very positive towardsparticipating in research.
- Rare diseases and cancer are appropriate focus areas for Nordic cooperation.
Research and Innovation
#HorizonEU
European Partnerships
New approach to European partnerships
New generation of objective-driven and more ambitious partnerships in
support of agreed EU policy objectives
Key features
▪ Simple architecture and toolbox
▪ Common set of criteria
▪ Coherent life-cycle approach
▪ Strategic orientation
Co
-pro
gra
mm
ed Based on
Memoranda of Understanding / contractual arrangements; implemented independently by the partners and by Horizon Europe
Co
-fu
nd
ed Based on a joint
programme agreed by partners; commitment of partners for financial and in-kind contributions & financial contribution by Horizon Europe
Ins
titu
tio
na
lis
ed Based on long-term
dimension and need for high integration; partnerships based on Articles 185 / 187 of TFEU and the EIT-Regulation supported by Horizon Europe
Portfolio of candidates for European Partnerships (46)
HEALTH
EU-Africa Global Health
Innovative Health Initiative
Chemicals Risk Assessment
Fostering an ERA for Health research
Large-scale innovation and
transformation of health systems in a
digital and ageing society
Pre-clinical / clinical health research
Personalised Medicine
Rare Diseases
AMR One Health
DIGITAL, INDUSTRY AND SPACE
High Performance Computing
Key Digital Technologies
Smart Networks and Services
AI, data and robotics
Photonics Europe
Clean Steel - Low Carbon Steelmaking
European Metrology
Made in Europe
Carbon Neutral and Circular Industry
Global competitive space systems
CLIMATE, ENERGY AND MOBILITY
Transforming Europe's rail system
Integrated Air Traffic Management
Clean Aviation
Clean Hydrogen
Built environment and construction
Towards zero-emission road transport
Mobility and Safety for Automated Road Transport
Batteries
Clean Energy Transition
FOOD, BIOECONOMY, NATURAL RESOURCES, AGRICULTURE AND
ENVIRONMENT
Accelerating farming systems transition
Animal health: Fighting infectious diseases
Environmental Observations for a sustainable EU agriculture
Rescuing biodiversity to safeguard life on Earth
A climate neutral, sustainable and productive Blue Economy
Safe and Sustainable Food System for People, Planet & Climate
Circular bio-based Europe
Water4All: Water security for the planet
PILLAR III AND
CROSS-PILLAR
EIT Climate KIC
EIT Health
EIT Manufacturing
EIT Food
EIT InnoEnergy
EIT Manufacturing
EIT Raw Materials
EIT Digital
EIT Urban Mobility
Innovative SMEs
European Open
Science Could
(EOSC)