Research Model 1: Recessive Disorder

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Patrick Terry
PXE International

Research is coordinated by the advocacy organization at various sites. The advocacy organization serves as the liaison between the research participants and the research consortium.

Mission: To initiate, conduct and fund pseudoxanthoma elasticum (PXE) research; to educate clinicians about PXE and to support individuals affected by PXE.

Contents

The Problem

  • Limited funding
  • Incomplete data
  • Lack of information about manifestations, natural history, epidemiology, mode of inheritance
  • Difficult sample acquisition
  • Locating and collecting affected individuals
  • Explaining that research is an experiment, not a diagnostic test
  • Describing research with hope, not hype
  • Obtaining informed voluntary participation
  • Patient confidentiality

The Approach

  • Manage integrated database of affected individuals, pedigrees, 1000 DNA samples, tissue samples, and epidemiological data from 700 affected individuals
  • Initiate and fund research projects—genetic/molecular/epidemiological/clinical
  • Describe studies to affected individuals in a comprehensive manner
  • Expend 80% of operating budget on direct and indirect costs of research
  • Sponsor research and patient meetings to encourage expedient definition of problems and to open new avenues for further research
  • Present abstracts, posters and lectures at medical and research meetings
  • Write grants and apply for funding from foundations and NIH
  • Participate in alliances and coalitions for increasing public awareness
  • Advocate for the NIH and medical institutions
  • Coordinate and facilitate collaborations between laboratories, offering them both a safe information repository and channel through which to share information
  • Integrated database
  • Support and maintain privately held PXE International Blood and Tissue Bank

Results

  • PXE Research Consortium—19 labs in eight countries, FY 04 $550,000 in funding
  • NIH-sponsored International Research Meetings on PXE with a multidisciplinary approach—international collaborations among many disciplines
  • Focused agenda—accelerates research in the service of the patient population
  • Increased congressional awareness—real outcomes in research funding
  • Integrated information to synthesize relevant data
  • Co-authored back-to-back papers in Nature Genetics (June 2000)

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