report on rare disease research, its determinants in ... - Orphanet
report on rare disease research, its determinants in ... - Orphanet
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REPORT ON RARE DISEASE RESEARCH, ITS DETERMINANTS IN EUROPE AND THE WAY FORWARD<br />
2.2.2.14. ITALY<br />
Research activities<br />
In Italy, there are efforts to coord<strong>in</strong>ate <strong>research</strong> between the Regi<strong>on</strong>s, Italian Drug Agency (AIFA) 33 ,<br />
M<strong>in</strong>istry of Health and ISS. Funds for <strong>rare</strong> <strong>disease</strong> <strong>research</strong> are provided by the M<strong>in</strong>istry of Health,<br />
ISS, AIFA and M<strong>in</strong>istry of Educati<strong>on</strong>, University and Research, Teleth<strong>on</strong>, patient organisati<strong>on</strong>s and a<br />
few charities. The last Health M<strong>in</strong>istry call for projects for <strong>rare</strong> <strong>disease</strong>s 34<br />
had a total budget of € 8<br />
milli<strong>on</strong>. The call for projects was published <strong>in</strong> 2008 and 13 projects were granted fund<strong>in</strong>g <strong>in</strong> 2010.<br />
AIFA issued calls to fund <strong>in</strong>dependent <strong>research</strong> <strong>on</strong> the development of orphan drugs. In particular,<br />
AIFA f<strong>in</strong>anced a three-year <strong>in</strong>itiative, launched <strong>in</strong> 2005, to support cl<strong>in</strong>ical <strong>research</strong> <strong>on</strong> drugs of<br />
<strong>in</strong>terest to the NHS where commercial support is <strong>in</strong>adequate: <strong>on</strong>e of the c<strong>on</strong>cerned areas was the<br />
field of <strong>rare</strong> <strong>disease</strong>s and orphan drugs. Three topics were <strong>in</strong>cluded <strong>in</strong> the cl<strong>in</strong>ical <strong>research</strong> area<br />
c<strong>on</strong>cern<strong>in</strong>g <strong>rare</strong> <strong>disease</strong>s: the benefit-risk profile of orphan drugs designated by EMA; the benefit-risk<br />
profile of off-label drug use (and <strong>in</strong> particular generics); the benefit-risk profile of drugs for n<strong>on</strong>resp<strong>on</strong>ders<br />
to standard treatments. Projects <strong>in</strong> these topic areas were funded for up to a maximum<br />
of € 300 000, with the therapy costs funded separately. From 2008 <strong>on</strong>wards, <strong>rare</strong> <strong>disease</strong>s and<br />
orphan drug <strong>research</strong> was funded by the M<strong>in</strong>istry of Health, with<strong>in</strong> the general health <strong>research</strong> call,<br />
with a specific budget reserved for <strong>rare</strong> <strong>disease</strong>s <strong>research</strong>. A specific call to fund <strong>research</strong> projects <strong>on</strong><br />
<strong>rare</strong> <strong>disease</strong>s was issued by the M<strong>in</strong>istry of Welfare <strong>in</strong> 2009.<br />
The annual Teleth<strong>on</strong> was able to fund 36 out of the 48 selected <strong>research</strong> projects <strong>on</strong> genetic <strong>disease</strong>s<br />
thanks to fundrais<strong>in</strong>g activities <strong>in</strong> 2009.<br />
Foundati<strong>on</strong>s and associati<strong>on</strong>s promote campaigns fund<strong>in</strong>g genetic <strong>research</strong> or <strong>research</strong> <strong>on</strong> specific<br />
<strong>disease</strong>s. Voluntary funds can be collected through general taxati<strong>on</strong>.<br />
E-Rare<br />
Italy, represented by the ISS, is a partner of the E-Rare project and took part <strong>in</strong> all three Jo<strong>in</strong>t<br />
Transnati<strong>on</strong>al Calls. Italy participated <strong>in</strong> 12 of the 13 c<strong>on</strong>sortia selected for fund<strong>in</strong>g by the first call. In<br />
the sec<strong>on</strong>d E-Rare transnati<strong>on</strong>al call, Italy participated <strong>in</strong> 8 of the 16 c<strong>on</strong>sortia/projects selected for<br />
fund<strong>in</strong>g with a budget of about € 1 milli<strong>on</strong>. Italy will participate <strong>in</strong> the 3 rd Jo<strong>in</strong>t Transnati<strong>on</strong>al Call <strong>in</strong><br />
2011.<br />
Participati<strong>on</strong> <strong>in</strong> European projects<br />
Italy participates, or has participated, <strong>in</strong> the follow<strong>in</strong>g European Reference Networks for <strong>rare</strong><br />
<strong>disease</strong>s: Dyscerne, ENERCA, EPNET, EPI, EUROHISTIONET, NEUROPED, PAAIR, EN-RBD (ma<strong>in</strong> partner)<br />
and TAG.<br />
Italy participates, or has participated, <strong>in</strong> European <strong>rare</strong> <strong>disease</strong> <strong>research</strong> projects <strong>in</strong>clud<strong>in</strong>g: AAVEYE,<br />
ADIT, ANTIMAL, BIG HEART, BIOMALPAR, BIO-NMD, CARDIOGENET, CUREHLH, CUREFXS, CLINIGENE,<br />
CONTICANET, CSI-LTB, ENRAH, EURADRENAL, EUCILIA, EUCLYD, EMSA-SG, EUROBONET, EUROGROW,<br />
EURO-LAMINOPATHIES, EUROPAPNET, EUROBNFS, EURO-CGD, EUROTRAPS, EURPIFNET, EURODSD,<br />
EPINOSTICS, ERMION, EUROGEBETA, EURORETT, EUROPSPA, EUMITOCOMBAT, EURAMY, EURAPS,<br />
EUREGENE, EUROCARE-CF, EUROPEAN LEUKEMIA NET, EUROSCA, EUROWILSON, GENESKIN,<br />
INHERITANCE, HAE III, HMA-IRON, HSCR, KINDLERNET, MTMPATHIES, LEISHMED, LIGHTS, MALARIA<br />
AGE EXPOSURE, MANASP, MITOCIRCLE, MOLDIAG-PACA, MCSCS, MILD-TB, MM-TB, MYELINET,<br />
MYORES, NANOMYC, NEUROKCNQPATHIES, NEUROPRION, NEUROPROMISE, NEUROSIS, NMD-CHIP,<br />
NSEURONET, OSTEOPETR, PEROXISOMES, PNSEURONET, PROTHETS, PODONET, PEMPHIGUS, RD<br />
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