1
|
Kork AA, Antonini C, García-Torea N, Luque-Vílchez M, Costa E, Senn J, Larrinaga C, Bertorello D, Brichetto G, Zaratin P, Andreaus M. Collective health research assessment: developing a tool to measure the impact of multistakeholder research initiatives. Health Res Policy Syst 2022; 20:49. [PMID: 35501895 PMCID: PMC9063051 DOI: 10.1186/s12961-022-00856-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 04/12/2022] [Indexed: 11/27/2022] Open
Abstract
Background The need to more collaboratively measure the impact of health research and to do so from multidimensional perspectives has been acknowledged. A scorecard was developed as part of the Collective Research Impact Framework (CRIF), to engage stakeholders in the assessment of the impacts of health research and innovations. The purpose of this study was to describe the developmental process of the MULTI-ACT Master Scorecard (MSC) and how it can be used as a workable tool for collectively assessing future responsible research and innovation measures. Methods An extensive review of the health research impact literature and of multistakeholder initiatives resulted in a database of 1556 impact indicators. The MSC was then cocreated by engaging key stakeholders and conducting semi-structured interviews of experts in the field. Results The MSC consists of five accountability dimensions: excellence, efficacy, economic, social and patient-reported outcomes. The tool contains 125 potential indicators, classified into 53 impact measurement aspects that are considered the most relevant topics for multistakeholder research and innovation initiatives when assessing their impact on the basis of their mission and their stakeholders’ interests. The scorecard allows the strategic management of multistakeholder research initiatives to demonstrate their impact on people and society. The value of the tool is that it is comprehensive, customizable and easy to use. Conclusions The MSC is an example of how the views of society can be taken into account when research impacts are assessed in a more sustainable and balanced way. The engagement of patients and other stakeholders is an integral part of the CRIF, facilitating collaborative decision-making in the design of policies and research agendas. In policy making, the collective approach allows the evaluation perspective to be extended to the needs of society and towards responsible research and innovation. Multidimensionality makes research and innovations more responsive to systemic challenges, and developing more equitable and sustainable health services. Supplementary Information The online version contains supplementary material available at 10.1186/s12961-022-00856-9.
Collapse
Affiliation(s)
- Anna-Aurora Kork
- Faculty of Social Sciences, Tampere University, Tampere, Finland.
| | - Carla Antonini
- Department of Accounting, Universidad Autónoma de Madrid, Madrid, Spain
| | - Nicolás García-Torea
- Department of Economy and Business Administration, Universidad de Burgos, Burgos, Spain
| | - Mercedes Luque-Vílchez
- Department of Agriculture Economy, Finance and Accounting, Universidad de Córdoba, Córdoba, Spain.,European Financial Reporting Advisory Group (EFRAG), Brussels, Belgium
| | - Ericka Costa
- Department of Economic and Management, University of Trento, Trento, Italy
| | | | - Carlos Larrinaga
- Department of Economy and Business Administration, Universidad de Burgos, Burgos, Spain
| | | | | | - Paola Zaratin
- FISM-Italian Multiple Sclerosis Society Foundation, Genoa, Italy
| | - Michele Andreaus
- Department of Economic and Management, University of Trento, Trento, Italy
| |
Collapse
|
2
|
Zaratin P, Bertorello D, Guglielmino R, Devigili D, Brichetto G, Tageo V, Dati G, Kramer S, Battaglia MA, Di Luca M. The MULTI-ACT model: the path forward for participatory and anticipatory governance in health research and care. Health Res Policy Syst 2022; 20:22. [PMID: 35177080 PMCID: PMC8853400 DOI: 10.1186/s12961-022-00825-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 01/31/2022] [Indexed: 12/18/2022] Open
Abstract
The COVID-19 pandemic has unmasked even more clearly the need for research and care to form a unique and interdependent ecosystem, a concept which has emerged in recent years. In fact, to address urgent and unexpected missions such as “fighting all together the COVID-19 pandemic”, the importance of multi-stakeholder collaboration, mission-oriented governance and flexibility has been demonstrated with great efficacy. This calls for a policy integration strategy and implementation of responsible research and innovation principles in health, promoting an effective cooperation between science and society towards a shared mission. This article describes the MULTI-ACT framework and discusses how its innovative approach, encompassing governance criteria, patient engagement and multidisciplinary impact assessment, represents a holistic management model for structuring responsible research and innovation participatory governance in brain conditions research.
Collapse
Affiliation(s)
- Paola Zaratin
- Italian Multiple Sclerosis Society Foundation, Genova, Italy.
| | | | | | | | | | | | - Gabriele Dati
- Italian Multiple Sclerosis Society Foundation, Genova, Italy
| | | | - Mario Alberto Battaglia
- Italian Multiple Sclerosis Society Foundation, Genova, Italy.,Department of Life Sciences, University of Siena, Siena, Italy
| | - Monica Di Luca
- European Brain Council, Brussels, Belgium.,Laboratory of Pharmacology of Neurodegeneration-DiSFeB at the University of Milano, Milano, Italy
| |
Collapse
|
3
|
Salvetti M, Battaglia MA, Di Filippo M, Mancardi GL, Mancuso M, Patti F, Sormani MP, Zaratin P. An "all-wheel drive" proposal to accelerate clinical research in common and rare neurological diseases. Neurol Sci 2019; 41:789-793. [PMID: 31858329 PMCID: PMC7160195 DOI: 10.1007/s10072-019-04189-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Accepted: 12/03/2019] [Indexed: 12/01/2022]
Abstract
The complex biology of neurological diseases calls for collaborative efforts that may increase the success rate of clinical research. Models have been proposed, but concrete actions remain insufficient. Based on recent considerations from basic science, from science of patient input and from an analysis of scientific resources in Italy, we here explain why our country may represent an appropriate environment for such actions. Furthermore, we sketch operational framework and business model to be applied in order to accelerate, in parallel, the development of therapies in common and rare diseases.
Collapse
Affiliation(s)
- Marco Salvetti
- Department of Neuroscience Mental Health and Sensory Organs (NEMOS), Sapienza University, Sant' Andrea Hospital, Rome, Italy. .,IRCCS NEUROMED - Mediterranean Neurological Institute, Pozzilli, Italy.
| | - Mario A Battaglia
- Italian Multiple Sclerosis Foundation, Genoa, Italy.,Department of Life Sciences, University of Siena, Siena, Italy
| | - Massimiliano Di Filippo
- Section of Neurology, Department of Medicine, Santa Maria Della Misericordia Hospital, University of Perugia, 06132, Perugia, Italy
| | - Gian Luigi Mancardi
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova and Scientific Clinical Institutes Maugeri IRCCS, Pavia-Genova Nervi, Italy
| | - Michelangelo Mancuso
- Department of Clinical and Experimental Medicine, Neurological Institute, University of Pisa, Pisa, Italy
| | - Francesco Patti
- Department of Medical and Surgical Sciences, and Advanced Technologies, "G.F. Ingrassia", Multiple Sclerosis Center, University of Catania, Catania, Italy
| | | | - Paola Zaratin
- Italian Multiple Sclerosis Foundation, Genoa, Italy.
| |
Collapse
|
4
|
Carugo A, Draetta GF. Academic Discovery of Anticancer Drugs: Historic and Future Perspectives. ANNUAL REVIEW OF CANCER BIOLOGY-SERIES 2019. [DOI: 10.1146/annurev-cancerbio-030518-055645] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The identification and prosecution of meritorious anticancer drug targets and the discovery of clinical candidates represent an extraordinarily time- and resource-intensive process, and the current failure rate of late-stage drugs is a critical issue that must be addressed. Relationships between academia and industry in drug discovery and development have continued to change over time as a result of technical and financial challenges and, most importantly, to the objective of translating impactful scientific discoveries into clinical opportunities. This Golden Age of anticancer drug discovery features an increased appreciation for the high-risk, high-innovation research conducted in the nonprofit sector, with the goals of infusing commercial drug development with intellectual capital and curating portfolios that are financially tenable and clinically meaningful. In this review, we discuss the history of academic-industry interactions in the context of antidrug discovery and offer a view of where these interactions are likely headed as we continue to reach new horizons in our understanding of the immense complexities of cancer biology.
Collapse
Affiliation(s)
- Alessandro Carugo
- Center for Co-Clinical Trials and Institute for Applied Cancer Science, MD Anderson Cancer Center, Houston, Texas 77030, USA
- Moon Shots Program™, MD Anderson Cancer Center, Houston, Texas 77030, USA
| | - Giulio F. Draetta
- Moon Shots Program™, MD Anderson Cancer Center, Houston, Texas 77030, USA
- Department of Genomic Medicine, MD Anderson Cancer Center, Houston, Texas 77030, USA
| |
Collapse
|
5
|
Salvetti M, Lubetzki C, Kapoor R, Ristori G, Costa E, Battaglia MA, Andreaus M, Abbracchio MP, Matarese G, Zaratin P. Steps towards Collective Sustainability in Biomedical Research. Trends Mol Med 2018; 24:429-432. [PMID: 29588144 DOI: 10.1016/j.molmed.2018.03.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Accepted: 03/02/2018] [Indexed: 12/22/2022]
Abstract
The optimism surrounding multistakeholder research initiatives does not match the clear view of policies that are needed to exploit the potential of these collaborations. Here we propose some action items that stem from the integration between research advancements with the perspectives of patient-advocacy organizations, academia, and industry.
Collapse
Affiliation(s)
- Marco Salvetti
- Center for Experimental Neurological Therapies, Sant'Andrea Hospital, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University of Rome, Rome, Italy; IRCCS Istituto Neurologico Mediterraneo (INM) Neuromed, 86077 Pozzilli, IS, Italy.
| | - Catherine Lubetzki
- Sorbonne Universités UPMC Univ Paris 06, Inserm, CNRS, APHP, ICM-GH Pitié-Salpetrière, Paris, France
| | - Raj Kapoor
- The Queen Square Multiple Sclerosis Centre, National Hospital for Neurology and Neurosurgery, London, UK
| | - Giovanni Ristori
- Center for Experimental Neurological Therapies, Sant'Andrea Hospital, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University of Rome, Rome, Italy
| | - Ericka Costa
- Department of Economy and Management, University of Trento, Trento, Italy
| | - Mario A Battaglia
- Department of Research, Italian Multiple Sclerosis Foundation, Genoa, Italy; Department of Life Science, University of Siena, Siena, Italy
| | - Michele Andreaus
- Department of Economy and Management, University of Trento, Trento, Italy
| | - Maria Pia Abbracchio
- Laboratory of Molecular and Cellular Pharmacology of Purinergic Transmission, Department of Pharmacological and Biomolecular Sciences, University of Milan, Milan, Italy
| | - Giuseppe Matarese
- Laboratorio di Immunologia, Istituto di Endocrinologia e Oncologia Sperimentale, Consiglio Nazionale delle Ricerche (IEOS-CNR), Naples, Italy; Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università di Napoli 'Federico II', Naples, Italy
| | - Paola Zaratin
- Department of Research, Italian Multiple Sclerosis Foundation, Genoa, Italy.
| |
Collapse
|
6
|
Pedrini M, Langella V, Battaglia MA, Zaratin P. Assessing the health research’s social impact: a systematic review. Scientometrics 2017. [DOI: 10.1007/s11192-017-2585-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
7
|
The Italian Neuroimaging Network Initiative (INNI): enabling the use of advanced MRI techniques in patients with MS. Neurol Sci 2017; 38:1029-1038. [PMID: 28293740 DOI: 10.1007/s10072-017-2903-z] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Accepted: 03/07/2017] [Indexed: 10/20/2022]
Abstract
Magnetic resonance imaging (MRI) is an important paraclinical tool to diagnose and monitor multiple sclerosis (MS). Conventional MRI measures lack of pathological specificity and are weakly correlated with MS clinical manifestations. Advanced MRI techniques are improving the understanding of the mechanisms underlying tissue injury, repair, and functional adaptation in MS; however, they require careful standardization. The definition of standardized methods for the collection and analysis of advanced MRI techniques is central not only to improve the understanding of disease pathophysiology and evolution, but also to generate research hypotheses, monitor treatment, increase cost-effectiveness and power of clinical trials. We promoted the Italian Neuroimaging Network Initiative (INNI), involving centers and investigators with an International recognized expertise, with the major goal to determine and validate novel MRI biomarkers to be utilized as predictors and/or outcomes in future MS studies. The INNI initiative supported the creation of a centralized repository, where advanced structural and functional MRI scans available at the participating sites, with the related clinical and neuropsychological data, are collected. These data will be used to perform research studies to identify clinical, neuropsychological and imaging biomarkers characteristics of the entire spectrum of MS. INNI will be instrumental to help to define standardized MRI and clinical protocols towards an increasing uptake of personalized interventions for people with MS at a national and international level. Upon approval of the INNI Steering Committee, the data collected in the online database will be shared with any research center detailing specific research proposals on disease pathophysiology or treatment effects.
Collapse
|
8
|
Zaratin P, Comi G, Coetzee T, Ramsey K, Smith K, Thompson A, Panzara M. Progressive MS Alliance Industry Forum: Maximizing Collective Impact To Enable Drug Development. Trends Pharmacol Sci 2016; 37:808-810. [PMID: 27554755 DOI: 10.1016/j.tips.2016.07.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Accepted: 07/28/2016] [Indexed: 11/16/2022]
Abstract
The Progressive MS Alliance Industry Forum describes a new approach to address barriers to developing treatments for progressive multiple sclerosis (MS). This innovative model promises to facilitate robust collaboration between industry, academia, and patient organizations and accelerate research towards the overarching goal of developing safe and effective treatments for progressive MS.
Collapse
Affiliation(s)
- P Zaratin
- Italian Multiple Sclerosis Foundation, Genoa, Italy.
| | - G Comi
- Department of Neurology and Institute of Experimental Neurology (INSPE), Vita-Salute San Raffaele University, Ospedale San Raffaele, Milan, Italy
| | - T Coetzee
- National Multiple Sclerosis Society, New York, USA
| | - K Ramsey
- National Multiple Sclerosis Society, New York, USA
| | - K Smith
- National Multiple Sclerosis Society, New York, USA
| | - A Thompson
- Department of Brain Repair and Rehabilitation, Institute of Neurology, Faculty of Brain Sciences, University College London, London, UK
| | - M Panzara
- WAVE Life Sciences, 733 Concord Avenue, Cambridge, MA 02138, USA
| |
Collapse
|