Research: Spring 2015 Broad PFAs Thursday, February 12, 2015 - - PowerPoint PPT Presentation

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Research: Spring 2015 Broad PFAs Thursday, February 12, 2015 - - PowerPoint PPT Presentation

PCORI Funding for Rare Disease Research: Spring 2015 Broad PFAs Thursday, February 12, 2015 Welcome and Introductions We welcome your questions and comments via the chat function on the right side of your screen We welcome your comments via


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PCORI Funding for Rare Disease Research: Spring 2015 Broad PFAs

Thursday, February 12, 2015

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Welcome and Introductions

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We welcome your questions and comments via the chat function on the right side of your screen We welcome your comments via Twitter to @PCORI and #PCORI An archive of this webinar will be posted to http://www.pcori.org/get-involved/pcori-in-practice/ following this event.

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Agenda for today’s webinar

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Time Agenda Item 3:00 - 3:10 p.m.

Welcome and Overview of PCORI

3:10 - 3:25 p.m.

PCORI’s Rare Disease Portfolio

3:25 – 3:45 p.m.

New Funding Opportunity for Rare Disease Research

3:45 – 4:00 p.m.

Question and Answer

4:00 p.m.

Adjourn

David Hickam, MD, MPH Program Director, Clinical Effectiveness Research

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Goals for Today

To provide an overview of PCORI To explore PCORI’s current investments in rare disease research To provide a background behind this special pool of funds for rare disease research To prepare potential applicants for this rare disease research funding with the information needed to submit a responsive letter of intent (LOI)

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PCORI has designated a special pool

  • f $12 million to fund rare disease

research as part of the Spring 2015 Broad PCORI Funding Announcements (PFAs). This funding will be available through the broad national priorities areas:

  • Assessment of Prevention,

Diagnosis, and Treatment Options,

  • Improving Health Care Systems,
  • Communication and Dissemination

Research, and

  • Addressing Disparities.
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About PCORI

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About PCORI

An independent research institute authorized by Congress in 2010. Governed by a 21-member Board representing the entire healthcare community. Funds comparative clinical effectiveness research (CER) that engages patients and

  • ther stakeholders throughout the research

process. Seeks answers to real-world questions about what works best for patients based on their circumstances and concerns.

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For all the advances it produces, research still has not answered many questions patients face. People want to know which treatment is best for them. Patients and their clinicians need information they can understand and use.

Why PCORI?

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Compares two or more options for prevention, diagnosis,

  • r treatment (can include “usual care”)

Considers the range of clinical outcomes relevant to patients Is conducted in real-world populations and real-world settings Attends to differences in effectiveness and preferences across patient subgroups Often requires randomized trial design

What is Comparative Effectiveness Research?

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Comparative effectiveness research that has the goal of helping people make better-informed healthcare decisions. Actively engages patients and key stakeholders throughout the research process. Examines important clinical management options. Evaluates the outcomes that are the most important to patients. Addresses implementation of findings in clinical care environments.

What is Patient-Centered Outcomes Research?

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Research We Support

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The Research We Fund is Guided by Our National Priorities for Research

Assessment of Prevention, Diagnosis, and Treatment Options Improving Healthcare Systems Communication & Dissemination Research Addressing Disparities Accelerating PCOR and Methodological Research

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Snapshot of Funded Projects

Number of projects: 360 Amount awarded: $671 million Number of states where we are funding research: 39 (plus the District of Columbia

and Quebec)

As of September 30, 2014

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Current Status of Funded Studies in Rare Disease

PCORI uses the federal government’s definition

  • f rare diseases.

Conditions that affect fewer than 200,000 people in the United States (i.e., less than 1 in 1,500 persons) Special efforts, such as combining data across large populations, may be needed to address these conditions.

PCOR has appointed the RDAP. Current portfolio:

  • 17 RD research projects
  • 9 RD PPRNs
  • 2 pipeline to proposal awards

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PCORI’s Current Portfolio of RD Projects

Pediatric neurologic disorders (5 projects) Immunologic disorders (4 projects) Sickle cell disease (3 projects) Genetic testing (2 projects) Nephrotic syndrome Cystic fibrosis Management of symptoms

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Highlighted Projects

A Randomized Controlled Trial of Anterior Versus Posterior Entry Site for Cerebrospinal Fluid Shunt Insertion

Principal Investigator: William Whitehead, MD, MPH

Comparative Efficacy of Therapies for Eosinophilic Esophagitis

Principal Investigator: Marc Rothenberg, MD, PhD

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A Randomized Controlled Trial of Anterior Versus Posterior Entry Site for Cerebrospinal Fluid Shunt Insertion

William Whitehead, MD, MPH Baylor College of Medicine Houston, TX Methods

  • Randomized controlled trial
  • Head to head comparison

Engagement

  • The Hydrocephalus Association

Patient Partner Committee will monitor the project.

  • Input on study design and conduct

coming from pediatric neurosurgeons Potential Impact

  • Could change practice if one

technique found to be superior for shunt survival that results in fewer hospitalizations, diagnostic tests, and days off from school and work Aims to determine if the choice of entry site (anterior vs. posterior) results in a significant improvement in shunt survival for pediatric patients, if quality of life differs due to shunt entry site, and to compare shunt infection rate, length of surgery, number of catheter passes, and length of stay associated with anterior and posterior shunt entry site techniques.

Assessment of Prevention, Diagnosis, and Treatment Options, awarded September 2014

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Comparative Efficacy of Therapies for Eosinophilic Esophagitis

Marc Rothenberg, MD, PhD Cincinnati Children’s Hospital Medical Center Cincinnati, OH Methods

  • Randomized controlled trial of

dietary regimens. Engagement

  • The stakeholders’ advisory board

will guide all aspects of the project. Potential Impact

  • Could change practice by

identifying simpler and easier diet- management protocols that will require fewer endoscopies and improve quality of life.

Aims to determine whether simpler, markedly less restricted diets might effectively treat eosinophilic esophagitis (EoE) in addition to current standard therapies that either eliminate all foods triggering a reaction during allergy testing or eliminate the six most commonly allergenic foods.

Assessment of Prevention, Diagnosis, and Treatment Options, awarded September 2014

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This map depicts the number of PCORI-funded Patient-Powered

  • r Clinical Data

Research Networks that have coverage in each state.

PCORnet: A Network of Networks

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PCORnet’s goal

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PCORnet seeks to improve the nation’s capacity to conduct clinical research by creating a large, highly representative, national patient- centered network that supports more efficient clinical trials and observational studies.

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Rare Disease Cohorts in CDRNs

CDRN Rare Disease Mid-South CDRN Sickle Cell Disease LACDRN Sickle Cell Disease; rare cancers CAPriCORN Sickle Cell Disease; recurrent C. Difficile colitis SCIHLS Pulmonary arterial hypertension PORTAL Severe congenital heart disease PEDSNet Hypoplastic left heart syndrome GPC ALS NYC-CDRN Cystic fibrosis ADVANCE Alpha 1 Antitrypsin deficiency PaTH Idiopathic pulmonary fibrosis pSCANNER Kawasaki disease

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Rare Disease Cohorts in PPRNs

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PPRN Disease ImproveCareNow Pediatric Crohn’s disease & ulcerative colitis PARTNERS Consortium Juvenile Rheumatic Disease ALD Connect Adrenoleukodystrophy PMS_PPRN Phelan-McDermid syndrome PI-CONNECT Primary immunodeficiency diseases The Vasculitis PPRN Vasculitis DuchenneConnect Duchenne & Becker muscular dystrophy NephCure Primary Nephrotic syndrome REN Aicardi, Lennox-Gastaut, Phelan-McDermid, Dravet Syndromes; Hypothalamic Hamartoma; Tuberors Sclerosis CENA Alström, Joubert, Klienfelter Syndromes; Gaucher Disease, PXE, etc. .

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Our Application Process

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Who Can Apply?

Private Sector

  • Nonprofit and for-profit research organizations

Public Sector

  • Universities and colleges; Hospitals and healthcare systems; Laboratories

and manufacturers; Units of state, local, or federal government.

US Organizations

  • Must be recognized by the Internal Revenue Service

Foreign Organizations and Nondomestic Components of US Organizations

  • May apply if here is demonstrable benefit to the US healthcare system;

US efforts in the area of patient-centered research can be clearly shown

Individuals

  • Not permitted to apply

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Annual Funding Cycles

Funding Cycle Application Opens Application Closes Winter

November February

Spring

February May

Summer

May August

Fall

August November

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Assessment of Prevention, Diagnosis, and Treatment Options

  • Comparative studies in prevention, screening, diagnosis, treatment,

and long-term management that have not been adequately addressed previously.

  • Comparative studies that also reported on treatment effect modifiers

including demographic, biological, clinical, socioeconomic, and other factors.

  • Comparative studies addressing rare diseases.

Available funds: Up T

  • $32 Million

Budget: $2 million in direct costs Project Period: 3 years

Assessment of Prevention, Diagnosis, and Treatment Options

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Improving Healthcare Systems

  • Information technology (IT) or other

electronic technologies

  • Novel deployment of personnel
  • Organizational policies
  • Award Types
  • Large Awards
  • Up to $5 million in direct costs
  • Up to 5 years
  • SmallAwards
  • Up to $1.5 million in direct costs
  • Up to 3 years

Available funds: Up T

  • $16 Million

Improving Healthcare Systems

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Communication and Dissemination Research

  • Address critical elements in the communication and dissemination process among

patients, their caregivers and clinicians

  • Address critical knowledge gaps in the communication and dissemination process
  • Gaps to consider:
  • The communication and dissemination health information to patients, their

caregivers, and clinicians

  • The communication between patients, caregivers, and clinicians in the service
  • f enabling patients and caregivers to make the best possible decisions in

choosing among available options for care and treatment

Available funds:Up T

  • $8 Million

Budget: $1.5 million in direct costs Project Period: 3 years

Communication & Dissemination Research

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Addressing Disparities

  • Inform the choice of strategies to reduce or eliminate disparities
  • Focus on areas of importance where there are critical disparities that

disadvantage members of at least one of the program’s target population groups and limit their ability to achieve optimal, patient- centered outcomes

  • We are not interested in studies that describe disparities; instead we

want studies that identify best options for eliminating disparities Available funds: Up T

  • $8 Million

Budget: $1.5 Million in direct costs Project Period: 3 years

Addressing Disparities

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What we would like to see in an application for Rare Disease Research

PCORI is especially interested in the investigation of strategies that address care for patients with life- threatening or chronically debilitating rare diseases.

PCORI has designated a special pool of $12 million to fund rare disease research as part

  • f the Spring 2015 Broad PCORI Funding

Announcements (PFAs). This funding will be available through the broad national priorities areas:

  • Assessment of Prevention, Diagnosis, and

Treatment Options,

  • Improving Health Care Systems,
  • Communication and Dissemination Research,

and

  • Addressing Disparities.

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Applicant Resources

Refer to PCORI’s Funding Center for the following resources:

  • PFA andApplication Guidelines
  • PCORI Online User Manuals
  • Sample Engagement Plans
  • GeneralApplicant FAQs: http://bit.ly/applicant_faqs
  • PCORI Online: https://pcori.fluxx.io/
  • Research Methodology: http://www.pcori.org/node/4020

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~5 Months

What Happens Next? PCORI’s Merit Review Process

Application Deadline Final Decision

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Question and Answer Session

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Submitting Questions: Submit questions via the chat function in on the right of your screen If we are unable to address your question during this time, please e-mail your question to us at getinvolved@pcori.org An archive of this webinar will be posted to http://www.pcori.org/get- involved/pcori-in-practice/ following this event. Accessing this Webinar:

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Have More Questions?

General Inquiries info@pcori.org | (202) 827-7200 Research/Programmatic Questions sciencequestions@pcori.org | (202) 627-1884 Administrative/Financial/Technical Questions pfa@pcori.org Find us Online at: www.pcori.org

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