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Published on: May 27, 2022
Facilitating Clinical Studies in Rare Diseases.
Rashmi Gopal-Srivastava1, Petra Kaufmann2
1Extramural Research Program, Office of Rare Diseases Research (ORDR), National Center for Advancing Translational Sciences (NCATS), National Institutes of Health (NIH), Bethesda, MD, 20892-1851, USA. Rashmi.Gopal-Srivastava@nih.gov.
Advancing rare disease research requires patient involvement and streamlined infrastructure. Focusing on platforms for groups of rare diseases, rather than single conditions, is key for effective treatment development.
Area of Science:
- Rare disease research
- Patient advocacy
- Clinical study infrastructure
Background:
- Despite advances, many rare diseases lack effective treatments and complete etiological understanding.
- Patient outcomes are hindered by incomplete incidence and prevalence data.
- Over 6000 rare diseases exist, necessitating scalable research approaches.
Purpose of the Study:
- To highlight the critical need for stakeholder involvement, particularly patient groups, in rare disease research.
- To emphasize the importance of streamlined infrastructure for multi-site clinical studies.
- To advocate for a group-based, rather than single-disease, research strategy.
Main Methods:
- Engaging all stakeholders, especially patient groups.
- Developing streamlined infrastructure for multi-site clinical studies.
- Fostering multi-disciplinary teams focused on disease groups.
- Collecting standardized data for meta-analyses and data sharing.
- Establishing central data management and coordinating centers.
Main Results:
- Active involvement of patient groups is crucial for advancing rare disease research.
- Streamlined infrastructure and multi-disciplinary teams enhance study efficiency.
- Standardized data collection and central management improve data quality and facilitate sharing.
- Platform-based approaches for disease groups are more impactful than single-disease focus.
Conclusions:
- Effective rare disease research necessitates patient engagement and robust infrastructure.
- Collaborative, standardized, and group-focused research platforms are essential for developing treatments.
- A shift towards supporting groups of rare diseases will accelerate progress and improve patient health.
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