Newsletters

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NEWSLETTER – January 2017
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ADAPT SMART’s Webinar Discusses Positive Developments and Remaining Challenges for 2017 

On December 14th, IMI’s ADAPT SMART project heads and WP1-2-3 work package leads hosted an internal year-end webinar, updating on the project’s status and next steps for members of the consortium. Some 70 consortium members were guided through the project’s delivered first-year objectives and explained what will occur over next 12 months, until the end of ADAPT-SMART in December 2017.

Following an EMA hosted multi-stakeholder session on Adaptive Pathways (8 Dec), this webinar addressed both ADAPT SMART’s ongoing project deliverables, as well as the continuing need to included new actions and topics that address the evolving stakeholder concerns around the implementation of Medicine’s Adaptive Pathways to Patients (MAPPs) in Europe.

READ THE FULL WEBINAR REPORT

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“Seamless pathway and the impact on decision making: Exploring and aligning stakeholder needs”

On the 6th of July 2016 ADAPT SMART organised a one day workshops in London, entitled “The Seamless pathway and the impact on decision making: Exploring and aligning stakeholder needs”. More than 30 representatives including; European regulators, Health Technology Assessment (HTA) bodies, the pharmaceutical industry, patient organizations, health care professionals and academics attended the workshop.

The short report of the workshop can be found here.
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“Managed entry in the context of adaptive pathways”

On the 5th of July 2016 ADAPT SMART organised a one day workshop in London, entitled “Managed entry in the context of adaptive pathways.” The workshop was held in London and around 30 attendees represented key European stakeholder groups: health technology assessment (HTA) bodies, payer organisations, or manufacturers. The workshop was also attended by several patient representatives, healthcare professionals, and academics. The workshop was convened to discuss the findings of a series of interviews with HTA bodies, payers and industry representatives. The interviews discussed experiences with managed entry agreements for products that were introduced with considerable uncertainty at licensing in recent years (conditional approval/approval under exceptional circumstances).

The summary of the workshop can be found here.

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Report by Charles River Associates: use of managed entry agreements for products with a conditional or exceptional authorisations

As part of its work on ADAPT SMART, EFPIA commissioned CRA to conduct interviews on the experience with MEAs – Products with CMA or MA under exceptional circumstances were used as a proxy for MAPPs. The report and more information about it can be found here. The views expressed in this report are the views and opinions of the authors and do not necessarily reflect or represent the views of the ADAPT SMART consortium or its members.
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Progress Report Update

After a full year of hard work, a lot of deliverables have aready been completed or are well underway.

The deliverables matrix is designed to track the concrete progress made on specific deliverables for each work package.

Check here the updated progress report for more details.

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NEWSLETTER – 30 September 2016
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Podcast : ADAPT SMART & MAPPs from the Patient’s Perspective, with EPF and EURORDIS

On 6 September 2016, Nicola Bedlington from The European Patients Forum (EPF) and Yann Le Cam from Eurordis, two of Europe’s leading patient representatives, discussed adaptive pathways from the patient perspective.
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nicola-bedlington100x100 “The work undertaken in ADAPT SMART is not an attempt to break the patient safety net. Neither of our organisations, neither Eurordis nor EPF, whose core values revolve around patients’ rights and patients’ safety would accept this…”

Nicola Bedlington, Secretary General, European Patients Forum

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yannlecamm100x100 “…the question is ‘How to manage this risk?’ and we believe that MAPPs brings that, the management of risk.”

Yann Le Cam, Chief Executive Officer, Eurordis

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LISTEN TO THE FULL PODCAST
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ADAPT SMART Website : the new homepage is live!

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Since its official launch a little over one year ago, ADAPT SMART has made great strides in its work. To reflect the progress the consortium has made and share its outputs of the last year in a more efficient and effective manner, the ADAPT SMART website has undergone some changes. Click on the image below to discover the new homepage and its functionalities.
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Newsletter September 1st, 2016
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press release Press Release: ADAPT SMART Welcomes European Medicines Agency Report on Adaptive Pathways Pilot

(16 August 2016 – Brussels): ADAPT SMART welcomes the European Medicines Agency (EMA) report on its adaptive pathways pilot, considering this as a positive step in the current multi-stakeholder discussions about early access to medicines via a Medicines Adaptive Pathways to Patients in the EU.

READ THE FULL PRESS RELEASE

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ADAPT SMART Progress Matrix
Podcast: “MAPPs – Agreeing on Success”

On 5 July, MAPPs stakeholders met to discuss the tools needed to define endpoints and success measures in MAPPs. Participants included:

Richard Barker, Founding Director of the Centre for the Advancement of Sustainable Innovation (CASMI): “Although we would all like certainty, we don’t even have certainty today… The clinical data that comes in, even in today’s process, has a high degree of uncertainty. We have to square up in a very adult way, to the fact that there’s always uncertainty…”

Claudine Sapede-Kniffel, Global HTA & Payment Policy Lead, F. Hoffmann-La Roche: “I think success will depend really on the ability of manufacturers and then payers in each individual country to find a mutually acceptable solution. This is country-specific, because we need to look at the healthcare system, the disease specifics, and the difference requirements in terms of evidence that payers want to see…”

Anja Schiel, Senior Advisor and Statistician, NOMA (the Norwegian Medicines Agency): “We have to understand that there are patient populations that are aboslutely willing to take any risk for an active treatment, but no risk for being in the placebo arm… We have to listen to patients who say ‘fine, you want this data; but we want teatment’…”

LISTEN TO THE FULL PODCAST
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as ADAPT SMART Progress Matrix

ADAPT SMART consists of distinct work packages, each with an individual set of deliverables. This deliverables matrix is designed to track the concrete progress of specific deliverables for each work package.

VIEW THE MATRIX
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NEWSLETTER – 1st July 2016
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Jane-John Illustrated Article: “Early Access: Is it worth it?”

Following the stories of the characters Jane and John, this illustrated article, written by Hans-Georg Eichler (Senior Medical Officer, European Medicines Agency), explores the need for drug development to serve both current and future patients. It further explains the challenges facing MAPPs, while driving home the importance of putting patients first. Text by Hans-Georg Eichler, Senior Medical Officer, European Medicines Agency.

READ THE FULL ARTICLE

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arrows 2 ADAPT SMART Glossary Published

The ADAPT SMART glossary provides working definitions for common terms relevant for the consortium and includes references. The glossary is based on the input from members of the ADAPT SMART consortium representing different stakeholder groups. The definitions are based on relevant legislation or literature sources and written in the context of the ADAPT SMART project; where applicable, an EU perspective was chosen. Some definitions have been created without any direct reference source and these are shown as ‘ADAPT SMART’. This is a working document and will be updated during the lifespan of the ADAPT SMART project.

VIEW THE GLOSSARY

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as 29 February Workshop: Preliminary Conclusions Report & Blog

On the 29th of February, ADAPT SMART hosted an invitation-only multi-stakeholder workshop around selection criteria for MAPPs in Amsterdam, The Netherlands. A full report of the event will be available in due course. A preliminary overview of conclusions was prepared for the participants in the “Innovation for the benefit of the patient” conference organized by the Dutch Ministry of Health on 1-2 March 2016.

VIEW THE PRELIMINARY CONCLUSIONS

Additionally, a blog was co-authored by Angelika Joos (MSD) and Mathieu Boudes (EURORDIS). In their capacity as ADAPT SMART D2.03 leaders, they also provide reflections on the workshop’s outcomes.

VIEW THE BLOG

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NEWSLETTER – 12th May 2016
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Hans-Georg Eichler of EMA, Luk Maes of Bristol-Myers Squibb, Ad Schuurman of ZIN, and Sarah Garner of NICE

On 7 April 2016, key ADAPT SMART participants met to discuss the “evidence versus access” conundrum faced by MAPPs. Taking place at DIA Hamburg, the discussion included participation from regulators, payers and the pharmaceutical industry.

“…We have patients who need new drugs right now and their window of opportunity is closing. So we need to address this conundrum. Patients have the right to have well-tested drugs but this takes some time. So how can we square this circle?” – Hans-Georg Eichler, Senior Medical Officer, European Medicines Agency (EMA)

“One barrier is the skepticism among half the payers in Europe. The second half do think (MAPPs) can be a promising way of working for a few diseases where immediate life-threatening issues are at stake. But payers want to see control on volume and costs and data. And, until now, the data issue has not been solved. So it’s a real challenge to see if we can do that better in the future.” – Ad Schuurman, Head of Business Contact Centre & International Affairs, National Health Care Institute of the Netherlands (ZIN)

“MAPPs is still seen by many as an attempt by the industry to create a new ultra-accelerated review process… On the contrary, the MAPPs concept will be using existing regulatory and legal tools. We aren’t creating anything new…and it’s trying to bring much more control to the process from the very beginning and with all stakeholders.” – Luk Maes, Executive Director, Regulatory Scientific Policies Europe, Bristol-Myers Squibb

“One issue is the capacity of healthcare systems to collect the data needed. It’s just not there at the moment…And then we have this conundrum of who is actually paying. And there is no opportunity in the system to have a dialogue about how we jointly do that.” – Sarah Garner, Associate Director Science Policy & Research, National Institute of Health & Care Excellence (NICE)

LISTEN TO THE FULL PODCASTlittlesq 6

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NEWSLETTER – 15th March 2016
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In February 2016, Jacoline Bouvy, Scientific Adviser at NICE, and Claudine Sapede-Kniffel, Global HTA & Payment Policy Lead, F. Hoffmann-La Roche, met in London to discuss managed entry in the context of ADAPT SMART.

“In the context of an adaptive pathway, (managed entry) is exactly the kind of understanding we would need to move towards…” – Claudine Sapede-Kniffel

“To be able to make possible recommendations on what a managed entry agreement in the context of adaptive pathways might look like, we decided that we first need to see what the actual experience of different stakeholders has been in the past years.” – Jacoline Bouvy

LISTEN TO THE FULL PODCAST

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NEWSLETTER – 1st March 2016
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RichardBarker Webinar Report: Status Updates from ADAPT SMART Work Package Leads

On 8th January, ADAPT SMART Work Package Leads participated in a webinar to provide a status update on deliverables and timelines. ADAPT SMART consortium members were invited to participate in this internal webinar and had the opportunity to ask questions. A summary report of the webinar is now available for the public.

“There is a need to remain fully involved, so you can expect us to be reaching out to companies – especially in areas like IP and legal ethics, where there are a lot of strong viewpoints and extensive expertise. We want to make sure those viewpoints are on the table.” – Richard Barker, WP 3 Co-Lead

READ THE FULL WEBINAR REPORT

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arrows 2 Powerpoint Presentations: Download the Presentations from the 8th January Webinar

Powerpoint presentations from the 8th January webinar have been compiled into one master powerpoint for the public. You can download the presentations, which include greater detailed material from all of the work package leads who participated, on the ADAPT SMART website.

DOWNLOAD THE POWERPOINT

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NEWSLETTER – 15th January 2016
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AndreBroekmansLukMaes-1 Podcast: Views from Andre Broekmans and Luk Maes, ADAPT SMART Work Package Leads

In December 2015, ADAPT SMART work package leads André Broekmans and Luk Maes met to discuss the ambitious objectives of ADAPT SMART, the impact of the diverse participants involved in the project, and what sets this initiative apart from other programmes focussed on MAPPs.

  • “The good thing is that in the (ADAPT SMART) Navigator Group, all stakeholders are represented, from the patient representatives to HTA people. We even have, although they are not formally part of ADAPT SMART, the payers around the table…” – André Broekmans
  • “From the industry standpoint, the objective is clear… If we can get out of ADAPT SMART, a set of recommendations for the European Commission and other decision makers on what the next steps for MAPPs are in the European Union…” – Luk Maes

LISTEN TO THE FULL PODCAST

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adaptsmart Looking Ahead: 2016 Status Updates from Work Package Leads

On 8th January 2016, ADAPT SMART Work Package Leads participated in a webinar to provide a status update on their respective deliverables and timelines. ADAPT SMART consortium members were invited to participate in this internal webinar and had the opportunity to ask questions.

A summary report of the webinar will be made publicly available on the ADAPT SMART website and shared in an upcoming newsletter.

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Upcoming Events

A selection of events that may be of interest for those involved in ADAPT SMART:

28th Annual DIA EuroMeeting – Hamburg, Germany – 6-8 April 2016: The DIA EuroMeeting allows you to debate the issues across the entire drug development value chain during the conference & find solutions within the exhibition with 2,500+ other cross functional thought leaders. READ MORE
Inaugural Conference of the European Institute for Innovation through Health Data – Paris, France – 10th March 2016: This Conference will mark the parallel launch of a novel European platform to support multi-centre clinical research, the result of the European project EHR4CR (Electronic Health Records for Clinical Research). The platform can connect securely to data within multiple hospital EHR systems and clinical data warehouses across Europe, to enable a trial sponsor to predict the number of eligible patients for a candidate clinical trial protocol, to assess its feasibility and to locate the most relevant hospital sites. READ MORE
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NEWSLETTER – 9th December 2015
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AliciaRichard120120 Round Table: Thought Leaders Discuss Objectives and Approaches for Success

On 27th October, thought leaders in the field of adaptive pathways met in Washington D.C. to discuss the global objectives of IMI ADAPT SMART and what the landmark project hopes to achieve.The speakers were all ADAPT SMART work package leads or co-leads:

  • Richard Barker, founding director Centre for the Advancement of Sustainable Medical Innovation (CASMI)
  • Sarah Garner, Associate Director Science Policy and Research, National Institute for Health and Care Excellence (NICE)
  • Alicia Granados, Head Global Health Technology Assessment (HTA) Scientific Strategy Patients Outcomes and Medical Economics, Sanofi Genzyme

READ THE ROUND TABLE INTERVIEW

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Andre120x120 Editorial Contribution: Andre Broekmans, Coordinator ADAPT SMART, Looks Ahead

With the first few months of the ADAPT SMART project underway, coordinator André Broekmans (Escher Platform, TI Pharma) shares his views on what is needed to continue to drive the project forward.

READ THE FULL EDITORIAL

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Upcoming Events

A selection of events that may be of interest for those involved in ADAPT SMART:

28th Annual DIA EuroMeeting – Hamburg, Germany – 6-8 April 2016: The DIA EuroMeeting allows you to debate the issues across the entire drug development value chain during the conference & find solutions within the exhibition with 2,500+ other cross functional thought leaders. READ MORE
Inaugural Conference of the European Institute for Innovation through Health Data – Paris, France – 10th March 2016: This Conference will mark the parallel launch of a novel European platform to support multi-centre clinical research, the result of the European project EHR4CR (Electronic Health Records for Clinical Research). The platform can connect securely to data within multiple hospital EHR systems and clinical data warehouses across Europe, to enable a trial sponsor to predict the number of eligible patients for a candidate clinical trial protocol, to assess its feasibility and to locate the most relevant hospital sites. READ MORE
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NEWSLETTER – 16th October 2015
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panel Event Report and Photos

On Friday September 4th, 2015, a coalition of 90 European healthcare stakeholders from 32 organisations including patients, payers, regulators, HTAs, academic institutions, and industry took their first steps towards investigating MAPPs tools and methodologies, and engaging in a dialogue with all relevant stakeholders to prove and develop workable MAPPs concepts.

READ THE FULL EVENT REPORT

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Perss Release

A press release announcing the ADAPT SMART launch provides additional details about the initiative and its objectives.

READ THE PRESS RELEASE

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Media Coverage

Find out what is being said about ADAPT SMART in the media.

READ MORE

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wp Work Package Highlights

ADAPT SMART will support IMI2 projects investigating MAPPs tools and methodologies, and engage in a dialogue with all relevant stakeholders to prove and develop workable MAPPs concepts. ADAPT SMART will centre its initial work on four key work packages.

READ ABOUT THE INDIVIDUAL WORK PACKAGES

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NEWSLETTER – November 2016
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Work Package 1 Update: Evidence generation throughout the life cycle  

By the end of 2016 the WP1 consortium will deliver their first report on the analysis of mature IMI projects developed so far. The report has identified tools and methods developed by these IMI projects, and performed a preliminary gap analysis that should be completed with the analysis of EU non-IMI projects which should start soon, based on a similar research process used for IMI project analysis.At the Annual Meeting hosted by the EMA, a workshop involving WP1 members will be the opportunity to reflect on work done in 2016, review the preliminary gap analysis and agree the 2017 next steps.
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Update Work Package 2: Designing the MAPPs pathway

In 2016 the consortium delivered on most milestones for which WP 2 has responsibility.

The glossary (D2.02) has been published on the website (adaptsmart.eu).

The document on the engagement criteria for MAPPs (formerly known as the selection criteria, D2.03) will be published this month on the website together with the reports of the workshops “seamless pathway and decision points” (D2.05/D3.02) and “managed entry agreements” (D3.05-3.07).The work streams involved in the final report on “seamless pathway and decision points” are working hard to release the document by the end of the year.In June 2016 Adapt Smart together with MIT NEWDIGS and GetReal organised a two-day meeting at the EMA with a focus on scenario studies and real world evidence (D2.04). The objectives for Adapt Smart were to enable different stakeholders to express their views on concrete cases and to identify issues related to evidence-access trade-off decision making where there is lack of alignment among stakeholders. The report is published on the website (https://adaptsmart.eu/adaptive-design-laboratory-workshop/).
The EMA released its report on the adaptive pathway pilot in July 2016 (D2.06). EMA will host a webinar for the consortium members in the near future to discuss this report.

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Update Work package 3:  Identifying the opportunities and obstacles to a successful implementation of MAPPs

In 2016 the consortium delivered on most milestones for which WP 3 has responsibility.

WP3 undertook 2 successful workshops with WP2 to produce together the report of “Seamless pathway and decision points” (D2.05/D3.02) which plans to be ready for release by the end of the year.An additional workshop on “Managed entry agreements” (D3.05-3.07) has led to the formation of a paper that will be submitted for publication in a peer review journal, and a report that will be ready soon.

Good progress has been made on all other WP3 deliverables with 3 further joint workshops in the planning for 2017. One workshop, “Uncertainties and ethical and legal considerations” (D3.04/D3.08) will form the penultimate stage of these work streams and help finalize the reports of these deliverables. The other, “Tools/systems of prescription control and ethical and legal issues of prescribing in targeted populations” (D2.07/D3.09), will inform further work on these themes in 2017.
A third joint workshop with WP2 is in the planning for March 2017 on ”Legal, and intellectual property and regulatory exclusivity considerations under MAPPs” (D3.06/D2.08) Important learnings from deliverables completed in 2016 will inform and guide further work under WP3 in 2017.

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ADAPT-SMART Consortium participation during the 19th annual European congress of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR)

Members of the ADAPT-SMART Consortium held an issue panel during the 19th annual European congress of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) in Vienna on the  1st November 2016. The title of the panel was “Adaptive Pathways and Patient Access: Pushing Payer Boundaries or Facilitating New Payment Models?”
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The panel was moderated by Jacoline Bouvy (NICE) and panellists were Claudine Sapede (Roche), Ad Schuurman (MEDEV, ZIN), and Hans-Georg Eichler (EMA). The panel explored the challenges and opportunities of adaptive pathways for HTA agencies and payers in Europe and presented and discussed the findings of the work of work package 3 on the availability and suitability of managed entry agreements in the context of adaptive pathways. The findings illustrate that further work will be needed on the implications of adaptive pathways for access decisions at the national and regional levels.  A paper that will report the findings of this work is currently in preparation.
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Podcasts

On 17 February, ADAPT SMART had a discussion with Professor Hans-Georg Eichler, Senior Medical Officer EMA and ADAPT SMART project leader to find out the evolution of MAPPs in Europe and Internationally.

Listen to the podcast

feature-images05On 5 July, key stakeholders involved in the MAPPs conversation met to discuss the tools needed to define endpoints and success measures in MAPPs. Participants included Richard Barker, founding director, Centre for the Advancement of Sustainable Medical Innovation (CASMI); Claudine Sapede-Kniffel, Global HTA & Payment Policy Lead, F. Hoffmann-La Roche; Anja Schiel, Senior Advisor and Statistician, NOMA (The Norwegian Medicines Agency).

Listen to the podcast

screen-shot-2016-09-15-at-14-21-48On 7 April, key participants associated with the IMI ADAPT SMART project met to discuss the consortia’s progress in finding ways to implement MAPPs in Europe. Participants included: Hans-Georg Eichler, Senior Medical Officer at the European Medicines Agency (EMA); Luk Maes, Executive Director, Regulatory Scientific Policies – Europe, for Bristol-Myers Squibb; Ad Schuurman, Head of the Business Contact Centre & International Affairs National Health Care Institute of the Netherlands (ZIN); and Sarah Garner, Associate Science Policy and Research, National Institute of Health and Care Excellence (NICE).

Listen to the podcast

feature-images04On 17th February, Jacoline Bouvy of NICE and Claudine Sapede of F. Hoffmann-La Roche met in London to discuss managed entry in the context of the ADAPT SMART initiative.

Listen to the podcast

asIn December 2015, ADAPT SMART work package leads André Broekmans and Luk Maes met to discuss the ambitious objectives of ADAPT SMART, the impact of the diverse participants involved in the project, and what sets this initiative apart from other programmes focussed on MAPPs.

Listen to the podcast here

feature-images03On 6 September, Nicola Bedlington from The European Patients Forum (EPF) and Yann Le Cam from Eurordis, two of Europe’s leading patient representatives, discussed adaptive pathways from the patient perspective.

Listen to the podcast