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Malta Business Review ONE-ON-ONE Q & A: Cancer Ahead of the Curve By Sarah Wheaton As the European Medicines Agency’s senior medical officer, Hans-Georg Eichler has a front row seat to how the regulatory system adapts to new discoveries. Cancer, he told Sarah Wheaton, is “the thin end of the wedge” of how research is conducted and regulated. Eichler talked me through how cancer research offers a preview of what’s to come in medicine. Hans-Georg Eichler MBR: How would you characterize the state of European cancer research? HGE: I would say the state of funding in cancer research is not bad. When it comes to basic research, I think Europe is also pretty good. It is becoming absolutely clear that we will only be able to answer a fraction of all the relevant research questions [with] clinical trials. Many other questions, like what is the right combination, what is the right [timing for] this or that treatment, will have to be answered on the basis of real-world data. We suffer in Europe still from large fragmentation. There are data, but they don’t talk to each other. We have not yet cracked how to be able to combine this into one machinery.” MBR: We are speaking on the same day the developers of immunotherapy won the Nobel Prize. How have regulators responded to revolutionary new treatments like these? HGE: What we’ve now seen in some of these products is very dramatic [evidence of effectiveness], in smaller studies. That is the good news. The bad news is you have a smaller evidence base, and that is sometimes being held against us. People will say, “Oh, this product was authorized based on data from only 70 or 80 patients.” We have to communicate that when we have very substantial effect sizes, it is in patients’ best interest to allow a product onto the market based on smaller studies.” MBR: A lot of what I hear about cancer research could probably be said about any other biomedical research. What’s unique about oncology? HGE: Cancer is definitely the fastest advancing field in the life sciences. The idea of the platform trials, [which simultaneously investigate multiple treatments], where have those emerged from? Again, cancer. We have so many drugs to treat the same condition in the pipeline that it absolutely makes sense to tell five or 10 companies, “Look, would you please run a platform trial instead of your usual one-off, each one of you. It is more efficient, it is more informative, get together.” It took a little while, but I think in oncology, it is here to stay. In other fields it is here to come. Creditline: Pro Intelligence – POLITICO Global Policy Lab Pro Intelligence is POLITICO’s brand new platform that fuses the power of technology with the power of journalism, delivering the insight you need every day. MBR Creditline: POLITICO Cancer rate by country Germany has the highest rate of new cancer cases per 1,000 inhabitants in the EU. Source: World Health Organization International Agency for Research on Cancer 22
MALTA’S BEST ENTREPRENEUR OF THE YEAR AWARDS 2018 ® Leading the way, going the way and showing the way SPECIAL FEATURE THE WINNERS Elena & Oleg Roslavitskiy - Multimaxx Ltd - Best Entertainment Entrepreneur of the Year Oliver Scicluna - Chic Med Aesthetic Clinic - Best Healthcare Entrepreneur of the year - Best Male Entrepreneur of the Year Jonas Eneroth - Karmafy Holdings Ltd - Best Tech/Web Developer Entrepreneur of the Year - Best Start-up Entrepreneur of the Year - Best CSR Entrepreneur of the Year Alison White - Alison White Dance Studio - Lifetime Achievement Award Ramona & Roberta Preca - Tal- Familja Restaurant - Best Family Business Entrepreneur of the Year Damian Galea & Jeffrey Sciberras - Northern Properties - Best Real Estate & Property Entrepreneur of the Year Joseph Portelli - J Portelli Projects - Best Land & Property Entrepreneur of the Year Daniel Grech - Shoreditch Bar & restaurant - Best Innovation Entrepreneur of the Year Vasilije Lekovic - Trustly - Best Emerging Entrepreneur of the Year - Best Igaming Entrepreneur of the Year Paul Magro - Risk Cap International Ltd - Best Young Entrepreneur of the Year - Best Consulting, Advisory, Audit & Tax Entrepreneur of the Year Philip Farrugia - Dpro Ltd & Domos - Best International Trade Entrepreneur of the Year - Best Interior Design & Decor Entrepreneur of the Year Kristina Hambardzumyan - Betconstruct - Best Female Entrepreneur of the Year John Zanni - Acronis - Best Digital/IT Entrepreneur of the Year Mark Farrugia - Lidl Malta ltd - Award for Excellence Edwin Mintoff - EM Architects & Civil Engineers - Best Architecture & Interior Design Carlos & Ismael Borg - Mannarino Caterers Entrepreneur of the Year - Best Food & Beverage Entrepreneur of - Chairman Value Award the Year - Overall Best Entrepreneur of the Year Christina & Stephan Ellul Vincenti - CS Projects Ltd - Best Industry Entrepreneur of the Year
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