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Cancer Research - Europa

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European LeukaemiaNet<br />

Strengthen and develop scientifi c and<br />

technological excellence in research<br />

and therapy of leukaemia (CML, AML,<br />

ALL, CLL, MDS, CMPD) by integration<br />

of the leading national leukaemia<br />

networks and their interdisciplinary<br />

partner groups in Europe<br />

Summary<br />

Leukaemias are a challenge to society and a cost factor<br />

because of their frequency in all age groups. They also serve as<br />

a model for a variety of diseases and possess exemplary relevance<br />

for basic research and patient care. Leukaemia research<br />

and therapy have achieved high standards and even a leading<br />

position in several European countries with regard to clinical<br />

trials, standardisation of diagnostics and molecular studies of<br />

signal transduction and gene expression. A true European<br />

world leadership, however, has not been accomplished yet due<br />

to national fragmentation of leukaemia trial groups, diagnostic<br />

approaches and treatment research activities and a need for<br />

central information and communication structures.<br />

Problem<br />

Leukaemia trial groups, diagnostic approaches and treatment<br />

research are currently fragmented. There is a clear<br />

need for benchmarking, information and communication<br />

structures at a clinical level in Europe.<br />

Aim<br />

Keywords | Leukaemia | CML | AML | ALL | CLL | MDS | CMPD |<br />

The objective is to integrate the 95 leading leukaemia trial<br />

groups (chronic myeloid leukaemia (CML), acute myeloid<br />

leukaemia (AML), acute lymphoblastic leukaemia (ALL),<br />

chronic lymphoid leukaemia (CLL), myelodysplastic syndromes<br />

(MDS), chronic myeloproliferative disorders (CMPD),<br />

their 102 interdisciplinary partner groups (diagnostics, treatment<br />

research, registry, guidelines), industry and SMEs across<br />

Europe to form a cooperative network for advancements in<br />

leukaemia-related research and health care. Integration will be<br />

supported by central information, communication, education<br />

and management structures. Other goals are to intensify<br />

target and drug discovery, to shorten the time period to<br />

clinical translation, to apply advanced genomics, telematics<br />

and biotechnology to therapeutic progress and to promote<br />

research relevant also for solid cancers by large clinical trials.<br />

Furthermore, meta-analyses of specifi c subaspects, elaboration<br />

of prognostic scores, recognition of gender-specifi c<br />

diff erences, creation of uniform data sets for trials and registration,<br />

introduction of standards for diagnostics and treatment<br />

and development of evidence-based guidelines will be promoted<br />

throughout Europe. The proposed network will have<br />

the expertise and critical mass for European added value and<br />

world leadership. It will structure European research durably,<br />

spread European scientifi c excellence in the fi eld of leukaemias<br />

and can start immediately. The 95 leukaemia trial groups<br />

and their 102 interdisciplinary partner groups representing<br />

several thousand participating centres and ten thousands of<br />

study patients treated within the trial groups form the backbone<br />

of the network. The network consists of 16 work<br />

packages. Of these, six deal with the various diseases (AML,<br />

ALL, CLL, CML, MDS, CMPD) and represent sub-networks on<br />

their own. Seven work packages represent interdisciplinary<br />

platforms which provide the support and research expertise<br />

required for high quality networking and excellence. Three<br />

core work packages provide central communication and management<br />

services for the whole network. The integration and<br />

interdisciplinary cooperation brings together 133 participants<br />

and approximately 1 000 researchers from 28 countries. The<br />

network will overcome national fragmentation and provide<br />

the critical mass to achieve research and treatment goals that<br />

cannot be achieved by single European countries.<br />

Expected results<br />

1. Establishment of central information and communication<br />

structures to create networks and platforms for all leukaemias<br />

and their interdisciplinary partners.<br />

Integration is mediated by exchange of current trial protocols<br />

and procedures, information on participating centres and<br />

recruited patients and employment of uniform common data<br />

sets for comparable study outcomes and evaluations provided<br />

by the biometrical center (WP 17). This objective will be<br />

achieved through central services: Network Management Center<br />

(NMC, WP 1), European Leukaemia Information Center (ELIC,<br />

WP 2) and Central Information and Communication Services<br />

(CICS, WP 3). The central service groups benefi t from a three<br />

years’ experience in similar tasks for the German Competence<br />

Network for Acute and Chronic Leukaemias funded by the German<br />

Ministry for Education and <strong>Research</strong> (BMBF) and provide<br />

the basis for a head start of the network. These groups will also<br />

provide training programmes, workshops, symposia, exchange<br />

of researchers and information programmes, thereby spreading<br />

excellence to health care personnel, researchers and to<br />

other countries not yet participating in the network. With the<br />

support of NMC (WP 1) the network will be managed in a twolayer<br />

networking organisation. Clinical trial groups for each<br />

leukaemia and their interdisciplinary partner will form their own<br />

European subnet organizations with coordinators, steering<br />

196 CANCER RESEARCH PROJECTS FUNDED UNDER THE SIXTH FRAMEWORK PROGRAMME

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