Syracuse University, 343 Hinds Hall, Syracuse, NY, 13244, USA.
Castleman Disease Collaborative Network, 3535 Market Street, Suite 700, Philadelphia, PA, 19104, USA.
Orphanet J Rare Dis. 2023 Apr 11;18(1):75. doi: 10.1186/s13023-023-02678-6.
There are approximately 10,000 rare diseases that affect around 30,000,000 individuals in the U.S.A., most of which do not have an FDA-approved treatment. This fact highlights the failure of traditional research approaches to overcome the unique challenges of developing rare disease treatments. The Castleman Disease Collaborative Network was founded in 2012 to advance research and treatments for Castleman disease, a rare and deadly disease that involves the immune system attacking the body's vital organs for an unknown cause. It has spearheaded a novel strategy for advancing biomedical research, the Collaborative Network Approach. This approach consists of eight steps, one of which is to identify and prioritize high-impact research questions through crowdsourcing ideas from the entire community of stakeholders: patients, loved ones, physicians, and researchers. Rather than hoping that the right researcher will apply for the right research project at the right time, crowdsourcing high-priority research projects into a research strategy ensures that the most high-impact, patient-centered studies are prioritized. The Castleman Disease Collaborative Network launched an initiative in 2021 to systematically generate this list of community-directed studies to focus Castleman disease research efforts.
The Castleman Disease Collaborative Network was able to successfully create a patient-centered research agenda through engaging the entire community of stakeholders. The community contributed important questions about Castleman disease, which were prioritized and reviewed by our Scientific Advisory Board, and the result was a finalized list of studies that address these prioritized questions. We were also able to generate a best practices list which can serve as a model that can be utilized for other rare diseases.
Creating a patient-centered research agenda through crowdsourcing research ideas from the community is one of the most important ways that the Castleman Disease Collaborative Network operationalizes its commitment to keeping patients at the center of research and we hope that by sharing these insights we can assist other rare disease organizations to pursue a patient-centric approach.
美国约有 10000 种罕见病,影响着 3000 万人,其中大多数疾病都没有获得 FDA 批准的治疗方法。这一事实突显了传统研究方法在克服罕见病治疗独特挑战方面的失败。卡斯特曼病协作网络成立于 2012 年,旨在推进卡斯特曼病的研究和治疗,卡斯特曼病是一种罕见且致命的疾病,其免疫系统会攻击身体的重要器官,而原因不明。它率先提出了一种推进生物医学研究的新策略,即协作网络方法。该方法包括八个步骤,其中之一是通过从整个利益相关者社区(包括患者、家属、医生和研究人员)中众包想法来确定和优先考虑具有高影响力的研究问题。通过将高优先级研究项目众包到研究策略中,而不是希望合适的研究人员在合适的时间申请合适的研究项目,协作网络确保了最具高影响力、以患者为中心的研究得到优先考虑。卡斯特曼病协作网络于 2021 年发起了一项倡议,旨在系统地生成这份社区主导的研究清单,以集中卡斯特曼病的研究工作。
卡斯特曼病协作网络通过让整个利益相关者社区参与进来,成功地制定了一个以患者为中心的研究议程。社区提出了有关卡斯特曼病的重要问题,这些问题由我们的科学顾问委员会进行了优先排序和审查,结果是确定了一份解决这些优先问题的研究清单。我们还能够生成一份最佳实践清单,可为其他罕见病提供参考。
通过从社区众包研究想法来制定以患者为中心的研究议程,是卡斯特曼病协作网络践行让患者始终处于研究中心地位的承诺的最重要方式之一,我们希望通过分享这些见解,能够帮助其他罕见病组织采取以患者为中心的方法。