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The HI Global Registry Patient-Powered Research Connecting All HI Stakeholders Collaboration of HI Experts Biotech & Healthcare Pharma Caregivers Patients Professionals Advocacy Researchers Family Organizations Members Leads to


  1. The HI Global Registry Patient-Powered Research Connecting All HI Stakeholders

  2. Collaboration of HI Experts Biotech & Healthcare Pharma Caregivers Patients Professionals Advocacy Researchers Family Organizations Members Leads to knowledge, treatments and improved patient care

  3. KEY FACTS CHI is the sponsor of the HI Global Registry (HIGR) IAMRARE registry platform, hosted by NORD Long-term natural history study including QoL measures Primary Objectives:  Better treatments  Improved quality of life  Cures Protocol and study documents IRB approved Collaborative, diverse HIGR Steering Committee

  4. HOW DOES THE HI GLOBAL REGISTRY WORK? ? ? ? ? ? ? Country/Region HI Groups 3

  5. # of SURVEY Type CONTENT Questions Contact Basic contact info and preferences 13 Updatable Information (GRDR-compliant) 20 Demographics Updatable Key characteristics of the participant Data submitted Pertinent information about 13 Pregnancy once mother’s pregnancy with participant Data submitted Pertinent information about 27 Birth once participant’s birth Detailed questions about how the 81 Diagnosis Updatable participant was ultimately diagnosed with HI Medication Current & past HI medication 132 Updatable Management treatment(s) Diet & Feeding Current & past feeding routes 32 Updatable Management and regimens

  6. # of SURVEY Type CONTENT Questions Whether pancreatectomy was Surgical considered, and relevant details if 44 Updatable surgery was performed, including Management glycemic outcomes Commonly related diagnoses noted in the HI community, such as epilepsy, 42 Other Diagnosis Updatable diabetes, pancreatic insufficiency, neurologic and other conditions Glucose Longitudinal – Method and frequency of checking 26 Monitoring every 6 months blood sugar levels Growth & development as well as any 22 Developmental Updatable therapeutic interventions General, physical, social, emotional Longitudinal – 39 QOL (Parent/LAR) wellbeing & school/work, Annual healthcare experience General, physical, social, emotional Longitudinal – 42 QOL (Participant) wellbeing & school/work, Annual healthcare experience, 14+ year old

  7. DATA VALIDATION • Started with existing surveys created/used by HI centers • Core Data Set rigorously reviewed/approved by HIGR Steering Committee, CHI R&D Committee • Beta-tested registry prior to launch • Data Management Plan to monitor and protect data quality → Initial participant review for HI diagnosis → Review for consistent answers on similar questions → Regular review of “free text” responses

  8. DATA VALIDATION • Started with existing surveys created/used by HI centers • Core Data Set rigorously reviewed/approved by HIGR Steering Committee, CHI R&D Committee • Beta-tested registry prior to launch • Data Management Plan to monitor and protect data quality → Initial participant review for HI diagnosis → Review for consistent answers on similar questions → Regular review of “free text” responses

  9. BENEFITS TO PATIENTS Better understanding of how the whole community of HI patients is affected by the condition Individualized comparison of participant to the HI patient community Becoming part of the HI community Notification of new clinical studies Patient community driving change De-identified information shared with researchers dedicated to improving treatments and patient outcomes

  10. BENEFITS TO RESEARCHERS/CLINICIANS Connection with truly global set of HI patients • Broadest compiled set of HI data • Study participation recruitment At least annual reporting: • Natural history of HI • Status of current, global HI management Fertile ground for future research projects

  11. KEY PERFORMANCE INDICATORS Enrollment • At least 100 participants (by October 2019) • At least 300 participants (by October 2021) Reporting • Ongoing evaluation of data, at least quarterly (2019) • General reporting, at least annually (2020) Research • At least 1 successful research recruitment cycle (by early 2021) • Proof of concept for use of registry to design prospective clinical trial (by end of 2021)

  12. HIGR STEERING COMMITTEE International Patient Advocates Davelyn Hood, Chair Maria Paz Oviedo Isabel Calderón, Vice Chair Michelle Walkley Julie Raskin Sarah Dearman Ulrike Seyfarth HI Patient Representative Rianna Sommers Scientific Advisors Jean-Baptiste Arnoux Klaus Mohnike Pratik Shah Indi Banerjee Diva De Le ó n Charles Stanley Paul Thornton Sian Ellard Registry Manager Jacqui Kraska

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