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Developing a shared infrastructure for
personalised health and medicine research:
experience from the Netherlands
International Conference on Perspectives in Precision MedicineCopenhagen, 1 March 2018
Prof Alain van Gool
The Dutch way of collaborating
2 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Source: www.waterschappen.nl
Source: www.leestekensvanhetlandschap.nl
Source: http://www.deltawerken.com
30 April 2009 A-STAR biomarker seminar, Singapore
The Dutch way of collaborating
Collaboration is key to advance in health research
Dutch CC meeting ‘Personalized Health Care”
Ede, 2 October 2013
Alain van Gool
Lecture LKCH, UMC Utrecht
29 October 2013
Alain van Gool
Knowledge
validation &
application
Knowledge
translation
Knowledge
exploitation
Fundamental
knowledge
Universities IndustryUniversity medical
centers
Applied Research
Institutes
4 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Collaboration is key to advance in health research
Dutch CC meeting ‘Personalized Health Care”
Ede, 2 October 2013
Alain van Gool
Lecture LKCH, UMC Utrecht
29 October 2013
Alain van Gool
Knowledge
validation &
application
Knowledge
translation
Knowledge
exploitation
Fundamental
knowledge
Universities IndustryUniversity medical
centers
Applied Research
Institutes
5 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Money fuels collaboration
Dutch CC meeting ‘Personalized Health Care”
Ede, 2 October 2013
Alain van Gool
Lecture LKCH, UMC Utrecht
29 October 2013
Alain van Gool
6 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Highlights discussed today
• Netherlands Genomics Initiative (NGI)
• Public Private Partnerships (TIP, CTMM, BMM)
• Topsector Life Science Health (Health~Holland)
• Dutch Techcenter for Life Sciences (DTL)
• Dutch National Research Agenda (NWA)
• Radboudumc Technology Centers (RTC)
• Large scale technology Infrastructures (X-omics)
• Dutch infrastructure for personalized
medicine and health research (Health-RI)
7 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Funding large scale Netherlands technological networks2002-20103
8 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Funding large public-private partnership programs
(Centre for Translational Molecular Medicine) (Top Institute Pharma)
(BioMolecular Materials)
2006-2015
9 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Funding large public-private partnership programs
(Centre for Translational Molecular Medicine) (Top Institute Pharma)
(BioMolecular Materials)
2006-2015
Outcome:
1. Results (drugs, diagnostics, devices)
2. Culture change in Netherlands
10 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
11 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Redefine private interest in Public-Private Partnerships
{www.rijksoverheid.nl}
{http://www.zonmw.nl/nl/roadmaps-lsh/}
Roadmap Molecular Diagnostics:
• Build an efficient biomarker development pipeline in Netherlands
• Bring all stakeholders together in a functional open innovation network based on public-private-partnerships
• Have end-users (patients) direct biomarker discovery in beginning
• Improve progress of biomarkers from discovery to clinical implementation
9 TopSectors Multiple Roadmap teams per TopSector
2011-2012
Science for Science
Science for Industry
Science for Society
Strategy building
Nico van Meeteren
Email: [email protected]
Ambitions
Dutch Delta
Buck Consultatnts international, 2016
Growth
2017 2017
Growth
An ‘aligned’ cluster reaching out
37 applied universities69 vocational education institutes
“If ‘I’ is replaced by ‘we’,
even illness turns into wellness”
Redefine private interest in Public-Private Partnerships
{www.rijksoverheid.nl}
{http://www.zonmw.nl/nl/roadmaps-lsh/}
9 TopSectors Multiple Roadmap teams per TopSector
2011-2012
18 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
DUTCH TECHCENTER FOR LIFE SCIENCESNL platform enabling cross-disciplinary research
PARTNERSHIP FOR DATA, TECHNOLOGIES & LEARNING
>100 EXPERT GROUPS INVOLVED SO FAR
Nijmegen
Amsterdam
Wageningen
Utrecht
Rotterdam
Eindhoven
Maastricht
Groningen
Leiden
Delft
Enschede
Zeist
Hanze University
University Groningen
UMCG
Hubrecht Institute
UMCU
Utrecht University
Wageningen UR
PRI
TU Twente
Radboudumc
Radboud University
Maastricht Univ.
MUMC+
CTMM
TUe
ErasmusMC
Generade
LUMC
Leiden University
Naturalis
TUDelft
AMC
AMOLF
CWI
NLeSC
NKI
SURFSARA
University of Amsterdam
VU University Amsterdam
VUMC
TNO
20
17
44
13 115
6
4
5
1
9Technology & data
hotels
Access to high-tech
expertise & facilities
Wetlab & data facilities
Collections of
biosamples/cohorts
Public and private labs
Training & education
High-quality
experimental design
measuring
data stewardship
21 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Enabling Technology Hotels
program
www.dtls.nlwww.zonmw.nl
• Explore and use the DTL network• 4 rounds of funding 30k projects• Total 4,2M euro• 5 page proposals• 50% success rate
22 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
FOCUS ON CRITICAL COMPONENT: THE DATA
{Wilkinson et al, Nature Scientific Data, 2016}
Data capture
Data stewardship (FAIR)
23 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
FAIR EVOLVING RAPIDLY INTO A GLOBAL MOVEMENT
Rapid acceptance and endorsement process
✓ The conference
✓ The Website
✓ Research Data Alliance endorsement
✓ DTL flagship project
✓ FORCE11 international partner
✓ Articles accepted in NATURE
✓ NIH accepts FAIR compliance in Life Sciences Commons
✓ DTL Data lead Prof. Barend Mons Chair High Level Expert Group EC
✓ The Personal Health Train Initiative started
✓ EC announces European Open Science Cloud with FAIR as leading principle
World 2017
24 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
ALSO THE G20 HAS RECENTLY ADOPTED FAIR!
“We support appropriate efforts to promote open science and facilitate
appropriate access to publicly funded research results on findable, accessible,
interoperable and reusable (FAIR) principles.” (Statement 12)
http://europa.eu/rapid/press-release_STATEMENT-16-2967_en.htm
25 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Personal Health Train
26 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
27 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Redefine public needs: Dutch National Research Agenda
2ND intl Pharma-Nutrition Conference
Singapore, 17 April 2013
Alain van Gool
Lecture LKCH, UMC Utrecht
29 October 2013
Alain van Gool
https://wetenschapsagenda.nl/?lang=en
2016
• 12.000 questions from citizens• Summarized in 140 cluster questions• Addressed in 16 routes• Translated into National Research Agenda• Presented to government
Highlights discussed today
• Netherlands Genomics Initiative (NGI)
• Public Private Partnerships (TIP, CTMM, BMM)
• Topsector Life Science Health (Health~Holland)
• Dutch Techcenter for Life Sciences (DTL)
• Dutch National Research Agenda (NWA)
• Radboudumc Technology Centers (RTC)
• Large scale technology Infrastructures (X-omics)
• Dutch infrastructure for personalized
medicine and health research (Health-RI)
29 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
www.radboudumc.nl
30 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Genomics
Bioinformatics
AnimalResearch Facility
Stemcells
Translationalneuroscience
Image-guided treatment
Imaging
Microscopy
Biobank
Healtheconomics
Mass Spectrometry
RadboudumcTechnology
Centers
Investigationalproducts
Clinicalstudies
Health Data
Biostatistics
Humanperformance
Datastewardship
Molecule
Flowcytometry
3D lab
100+ technology experts working in 19 Technology Centers, ~1800 users (internal, external), ~150 consortiawww.radboudumc.nl/research/technologycenters
31
Build biomarker validation pipelines
Standardisation, harmonisation, knowledge sharing in:
1. Assay development
2. Clinical validation
www.biomarkerdevelopmentcenter.nl
Rainer BischoffTheo Luider,
Alain van Gool and
32 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Collaboration towards Good Biomarker Practices
{van Gool et al, Nature Reviews Drug Discovery, Apr 2017}
COST action CA16113 http://clinimark.eu
33 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Fund large scale scientific infrastructures
www.nwo.nl
2016:• Inventory• Clustering• Communicating
2017:• 1st call for proposals
(100M)
2018:• Funding
2019:• 2nd call for proposals
(100M)
34 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
The Netherlands X-omics Initiative
www.x-omics.nl
2018-2023 ?
35 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Further joining forces in NetherlandsTo drive personalized medicine & health research
2015
36 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Organize a scattered landscape …
Knowledge institutes
VSNU
Beta
NFU projects
Topinstitutes
CTMM / TraIT
TI Pharma /
Mondriaan
NL Roadmap largescale research
infrastructure/ ESFRI
EATRIS-
NL/EATRIS
DTL/ELIXIR-
NL/ELIXIR
BBMRI-NL /
BBMRI
- /ECRIN
NeCEN/
INSTRUCT
PSI/Life Lines
Funding other than ESFRI
ZonMW
Various charities
BioImagingNL/Bioi
maging
IMI
RIVM
private
institutes
NKI
Sanquin
Top-sectors
Ministeries
OC&W
International community
Many different parties
BMM
Sector/cross-sector platforms
Health~Holland
NGI/NBIC
Registratie aan
de Bron
Platform Clinical Research
Horizon 2020
NWO
eScience
Center
NFU
UU LU VU UvA
3TU RUG UM
VWS
DTLBMS.NL
Partners in PPP
CRO’s
Standardisation institutes
NEN NICTIZPharma
MKB / Spin off
Patient organisations
Various patient organisations
Hospitals
Diverse andere ziekenhuizen
Suppliers
EPD’s suppliers
IT companies (IBM, Oracle,
SAS etc.)
Largescale devices (Philips
e.a.)
SURF/VANCIS
TNO
EZ
Hubrecht
Institute
UMC Utrecht LUMC VUmc AMC
RadboudMC ErasmusMC UMCG MUMC
Radboud
KNAW
(overig)
CBS
37 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Bring together relevant initiatives …
2014
2016
- 2009 200 biobanks
38 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Nationwide community in personalized healthcare
www.health-ri.org39 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
1-3-2018 40
Towards life-spanning personalized health and medicine research
Source: Nico van Meeteren, Health~Holland
41 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
The ‘funhouse mirror’ effect in Precision Medicine
• Multiple sources of your data
• EPD• Diagnostics• Wearables• Health apps• Commercial health
tests• Social media• Surrounding
• Each give an(incomplete) image of you
• Some you want to see, some you don’t
• Not technical issue• Ethical, philosophical
42 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018
Acknowledgements
Hans Wessels Jolein Gloerich
Roel Tans Esther Willems
Maurice van Dael Jenneke Keizer
Dirk Lefeber Monique van
Scherpenzeel
Leo Kluijtmans Ron Wevers
Marcel Verbeek Karlien Coene
Jan Kremer Bas Bloem
Lucien Engelen Paul Smits
the Radboudumc Technology Centers
and many others
Jan van der Greef Ben van Ommen
Ivana Bobeldijk Hans Princen
Lars Verschuren Marjan van Erk
Suzan Wopereis Heleen Wortelboer
Wessel Kraaij Jildau Bouwman
Peter van Dijken and many others
Ruben Kok Barend Mons
Jaap Heringa Merlijn van Rijswijk
and many others
Anton Ussi Florence Bietrix
Laura Bermejo Andreas Scherer
Sulev Koks Marian Hajduch
Toni Andreu
and many others
Collaborators/funders
CarTarDis
www.linkedIn.com
www.slideshare.net/alainvangool
43 Alain van Gool, Int Conf on Perspectives in Precision Medicine, Copenhagen, 1 March 2018