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Gerald A. Faich, FISPE, Presidential Address - International Society ...

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State of the <strong>Society</strong><br />

<strong>Presidential</strong> <strong>Address</strong> to the<br />

Membership, August 2005<br />

Jerry <strong>Faich</strong>, MD MPH


ISPE is healthy and<br />

growing<br />

• Our numbers are great and growing<br />

• This Nashville meeting has exceeded<br />

every indicator of success<br />

• Our education efforts are expanding<br />

• We are solvent and<br />

• The environment is driving recognition<br />

of, and demand for, epidemiology<br />

• We have new initiatives


Our mission and program<br />

goals<br />

• Membership and finances<br />

• Mission<br />

– Forum<br />

– Educate<br />

– Advocate<br />

• For PE and Risk Management<br />

• Sharpened our mission statement “advance<br />

the health of the public”


Membership<br />

• We combined meeting registration and payment of<br />

membership fees and put all members on the same<br />

annual cycle. All attending this meeting (excluding<br />

exhibitors and one days) are now members!<br />

• Our membership is drawn from industry and<br />

nonindustry sources in about equal proportions.<br />

• It is important to note we are truly international<br />

with half the membership resident outside the US.


ISPE MEMBERSHIP BY COUNTRY<br />

Japan 2.8%<br />

Australia 2.4% Countries with less<br />

than 10 members 5.4%<br />

Canada 5.6%<br />

United Kingdom 6.0%<br />

2005<br />

Sweden 4.8%<br />

Spain 3.4%<br />

The Netherlands 3.1%<br />

France 2.4%<br />

Denmark 1.9%<br />

United States 57.4%<br />

Switzerland 1.8%<br />

Germany 1.7%<br />

Norway 1.2%<br />

TOTAL MEMBERSHIP = 881


We are solvent<br />

This year has been a transition year -we<br />

shifted the fiscal year- and I am pleased to<br />

report there has not been a mass defection.<br />

Kudos and thanks to:<br />

Frank May<br />

Judy Jones<br />

Development Committee-Nancy Dreyer<br />

Mark Epstein and PAI


ISPE Financial details fy 2004<br />

REVENUE $806,285 EXPENSES $743,535<br />

Miscellaneous<br />

income<br />

$12,633<br />

2%<br />

Donations - general<br />

and conference<br />

related<br />

$104,732<br />

13%<br />

Investment income<br />

$31,970<br />

4%<br />

Membership Dues<br />

$174,225<br />

22%<br />

Management and<br />

General<br />

$188,587<br />

25%<br />

ICPE & Midyear<br />

conference<br />

Exhibitors<br />

$21,150<br />

3%<br />

ICPE & Midyear<br />

conference<br />

registration fees<br />

$461,575<br />

56%<br />

Publication costs<br />

$23,906<br />

3%<br />

ICPE & Midyear<br />

conference costs<br />

$531,042<br />

72%<br />

Assets Dec 31, 2004 = $841,289<br />

Assets June 30, 2005=$1,263,000


2005 ICPE revenue sources-<br />

Development Committee<br />

• 10 Academic centers<br />

• 23 Sponsors $102k<br />

• 21 Exhibitors $31k<br />

• Other sources $26k


Forum-Meetings<br />

• Bordeaux meeting-Nick Moore-largest in<br />

attendance and number of abstracts<br />

• Barcelona-Elena Rivero<br />

Euro databases<br />

• Nashville-Wayne Ray and<br />

Billy Holden


Forum-Nashville<br />

Nashville-exceeded exceeded every<br />

indicator of success-abstracts<br />

(PDS)<br />

• From 1994 to 2003 the highest<br />

number of abstracts was 229.<br />

• In 2004 in Bordeaux, it jumped to 334<br />

abstracts.<br />

• This year the volume has grown to<br />

410 abstracts.


Nashville<br />

• Over 700 registrants<br />

• This is a tribute to the quality of the<br />

past meetings and the growth in the<br />

field as a whole.<br />

• No doubt the heightened attention<br />

given to risk and risk management is a<br />

major contributor attendance at this<br />

meeting.


Education<br />

•This meeting had over 250 registered for courses: Intro to<br />

Epidemiology, Advanced Topics or Risk Management.<br />

•FOR ALL SESSIONS, PLEASE TURN IN EVALUATIONS<br />

•Additionally one off site one course successfully done and<br />

another about to be conducted.<br />

•A A heartfelt thanks goes out to the instructors of our courses.<br />

•We hope these efforts will serve as a<br />

means to raise awareness and membership<br />

Special thanks to Jaques LeLorier


ISPE<br />

PUBLICATIONS<br />

PDS – Medline listed<br />

In 2004, in the top 22% of all<br />

biomedical journals<br />

Citation score has continued to<br />

grow, quality to improve.


Events of 2004-5 5 are driving recognition<br />

of, and demand for, epidemiology<br />

• Vioxx<br />

• FDA guidelines finalized March 2005<br />

• EMEA/ICH/CIOMS guidances<br />

• US Congressional and IOM inquiries<br />

• Tysabri, Bextra


Statement on Regulatory Systems to<br />

Improve Pharmaceutical Safety<br />

Three OF Eight<br />

Eight ISPE SUGGESTED ACTIONS, Feb 2005<br />

• MORE STUDIES- Rapid conduct of<br />

pharmacoepidemiologic studies should be done whenever<br />

an important safety concern arises for a marketed<br />

product<br />

• MORE REGULATORY AUTHORITY- In some countries<br />

there should be increased regulatory authority to require<br />

the conduct of postmarketing studies in a timely manner.<br />

• LIMITED PROMOTION- Cautious promotion of products<br />

during the initial marketing phase should be done


In Memoriam<br />

Bengt Eric (Beye(<br />

Beye) ) Wiholm MD


Leadership<br />

• Executive Committee-Sean Hennessey,<br />

Frank May, Susanna Perez<br />

• Board<br />

• Committees<br />

• Program Chairs<br />

• Executive Secretary and staff


Our (wonderful) Staff<br />

• Executive Secretary, Mark<br />

H. Epstein<br />

• Account Coordinator,<br />

Angela Charles<br />

• Staff Accountant<br />

(Membership/ Meeting<br />

Registration), Barry Gimble<br />

• Controller, Thomas O'Hora,<br />

CPA<br />

• PAI Management, Norman<br />

Wallis,<br />

President/Consultant


ISPE Committees-1<br />

Bylaws & Policy<br />

Development<br />

Education<br />

Fellowship & Awards<br />

Finance<br />

Global Development<br />

Hugh Tilson, Keith Beard,<br />

Michael Lewis<br />

Nancy Dreyer, Cees Schep,<br />

Krishna Bahadursingh<br />

Jacques LeLorier, Tom<br />

MacDonald, Sebastian<br />

Schneeweiss, , James Lewis<br />

Susana Perez-Gutthann,<br />

Jerry <strong>Faich</strong><br />

Frank May,<br />

Corinne de Vries<br />

Stan Edlavitch,<br />

Byung-Joo Park, Songlin Xue


ISPE Committees-2<br />

Strategic Planning<br />

Membership<br />

Public Policy &<br />

Ethics<br />

Public Relations<br />

Publications<br />

Scientific Program<br />

Sean Hennessy,<br />

Allen Mitchell<br />

Annette Stemhagen<br />

Elizabeth Andrews,<br />

Gottfried Kreutz, Susan<br />

Sacks<br />

Yola Moride<br />

Dan Fife, David Lilienfeld,<br />

Syed Rizwanuddin<br />

Ahmad, Harry Seifert<br />

Wayne Ray, Bert


Academic Council<br />

Stephen Evans<br />

Industry Council<br />

Alejandro Arana Navarro &<br />

Nancy Santanello<br />

Government Council<br />

Syed Rizwanuddin Ahmad &<br />

Kirsten Myhr<br />

Student Council<br />

Kevin Haynes


How does the future<br />

look? Initiatives


2005 Elections<br />

• You elected to the Board as officers and<br />

directors the following members:<br />

– Allen Mitchell, President Elect;<br />

– Corinne de Vries, Vice President Finance – Elect<br />

– Ken Rothman; Alec Walker; Lynn Bosco;<br />

Nicholas Moore; and Alejandro Arana- Board<br />

Members<br />

• Sincere appreciation to all of the members<br />

who agreed to stand for election this year


Challenges ahead<br />

• Membership-regulators,<br />

regulators, EURODurg<br />

• Risk management learnings,<br />

education, participation and<br />

assessment<br />

• Greater visibility and impact eg joining<br />

CIOMS<br />

• More member involvement


Special Interest Groups<br />

• Effective forum for major special interests<br />

within PE<br />

– Drug Utilization<br />

– Registries<br />

– Databases<br />

– Biologics<br />

– Devices<br />

– Vaccines<br />

• Petition board, elect own leaders, program<br />

suggestions, education, advocacy<br />

suggestions


• In my twenty years of involvement with pharmacoepidemiology I have never<br />

witnessed anything approaching the current level of interest, concern and<br />

commitment to the field. Epidemiology is being used to gather better<br />

evidence for medical product effectiveness, safety and value. Device failures,<br />

drug withdrawals, heightened provider and patient concern are fueling the<br />

demand for ways to better understand and measure product performance in<br />

the real world. Add to this requirements to intervene to minimize e risk, new<br />

regulatory guidance and conditions at time of approval of products and we<br />

see a veritable “perfect storm” effect. The challenge for us individually ividually and as<br />

a <strong>Society</strong> is to develop methods to obtain and use evidence to impact i<br />

on<br />

clinical practice and patient behaviors. We need to continue to advocate for<br />

the expanded use of epidemiology in these critical areas.<br />

• I thank you for allowing me this year to serve you and I hope to see you in<br />

Nashville.<br />

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