2022 Annual Report

From Testing to Targeted Treatments

Making precision medicine a reality to all patients who can benefit from it - by aggregating & accelerating global good practices

Introduction to FT3

Precision medicine (PM) has the potential to change outcomes and experiences of patients who could benefit from it, yet access to PM is uneven or, in some cases, non-existent. The From Testing to Targeted Treatments (FT3) program is a global collaborative multi-stakeholder initiative working to make precision medicine (PM) an accessible reality for patients who could benefit, in oncology and beyond.

Acting as a global accelerator, FT3 identifies and highlights learnings and good practices in the broader community and uses this knowledge to co-create practical and easily-adaptable tools and solutions to broaden patient access to PM at the local level. This work is driven by a dynamic and growing multi-stakeholder community of over 26 members and 137 contributors.

In 2022 the community continued to deliver co-created tools that support our educational efforts, such as the Access Barrier Cause-Effect Canvas and the Q&A Resource Biomarker testing for cancer,  alongside approaches to better understand patient experiences at the care level to inform the use of Patient Experience Data, and new advocacy tools for PM champions such as the “Story of PM” platform. Moreover, the community continued to grow the Precision Medicine Synapse ecosystem with valuable resources from the wider PM community. We also submitted two publications that will hopefully be available for the wider PM ecosystem in early 2023.

We also submitted two publications that will hopefully be available for the wider PM ecosystem in early 2023.

The FT3 Country Pilots initiative also started in 2022. An important initiative for FT3, these “local partnerships for precision medicine”  aim to build on the experiences of the global community to better understand local challenges in access, and to test and share learnings of approaches that could increase access to PM in different country contexts. 

An important priority in 2022 was co-creating an enhanced 2027 strategy based on close collaboration with FT3 members and input from the multi-stakeholder FT3 community of practice and beyond. A robust strategy will enable the program to shift to the next level in terms of maturity and impact. The approval of the strategy by the Board  highlights the high degree of continued alignment and commitment among Board members.

Click on each circle to see details

1A

Establish a common understanding of (the value of) PM

1B

Accelerate efforts to address structural barriers to PM

1C

Support the responsible collection and use of data and evidence

2A

Increase patient awareness and support patient empowerment

2B

Accelerate efforts to address care level barriers to PM

2C

Support HCPs and clinical shared decision making

3A

Increase patient awareness and support patient empowerment

3B

Accelerate efforts to address care level barriers to PM

3C

Support HCPs and clinical shared decision making

FT3 Vision:   Precision medicine is accessible to all patients who could benefit from it

FT3 owes its success to its Members, who bring rich insights into the patient experience, challenges and learnings across different country contexts, and support the wider dissemination of the FT3 frameworks and resources. In 2022, FT3 welcomed six new member organizations, including Colorectal Cancer Canada, Merel’s Wereld, International Cancer Advocacy Network (ICAN), Blueprint Medicines, Takeda, Association of Community Cancer Centers (ACCC), and MSD. Moreover, and five new Board members were elelected, including (Nicole Sheahan, (GCCA) and James Creeden (Independent Expert), whose terms began at the start of the year, and Dr. Charles Alessi, (Independent Expert), Barry Stein (Colorectal Cancer Canada), and Lee-Anne Zinetti, (Novartis) who were elected to the Board at the end of the year. In addition, FT3 joined The Union for International Cancer Control (UICC) as a member.

FT3’s main focus areas for 2023 include the new Country Pilot program, multi-stakeholder discussions to identify what level of “evidence” is needed by different stakeholders to make PM an accessible reality, amplifying best practices in provider-patient communications, and supporting HCPs’ genomic confidence by accelerating efforts to improve the usability of biomarker test reports. All of these will continue to reinforce FT3’s role as a convenor and amplifier of best practices in improving access to PM for all patients who could benefit.

Achievements

The country pilots are a key strategic workstream in FT3. The goals are:

  • learning about (local) barriers and solutions to make PM more accessible to patients who could benefit,
  • testing how to apply & improve global learnings and best practice resources from the community locally, to accelerate access,
  • enabling best practice sharing within and outside of the FT3 community, including through the development of case studies,to support local champions/advocates in improving access to PM
First cohort of Country Pilots 2022-2023
Pilot lead: Lélek-Zet Association

Scope (TBC): Adress low levels of awareness of NGS/CGP testing among patients through adapted materials that are easy to digest and meet the patients where they are, fot patients who could benefit in Hungary

Hungary Pilot Contributors:

Erika Pataki

Public Health Expert

Dr. Zsuzsanna Orosz

University of Debrecen

Dr. Eszter Czibula

National Koranyi Institute of Pulmonology

Flora Bery-Junusko

Roche

Kerstin Ebel

Roche

Andrea Cszászár

Roche

Jeanie Hsieh

MSD

Gabor Popp

Amgen

Éva Balogh

MSD

Dean Werner

MSD

Helena Harnik

FT3

Silvia Bornengo

FT3


Pilot leads: Asociación Española de Afectados de Cáncer de Pulmón, Fundación MÁS QUE IDEAS

Scope (TBC): Support advocacy efforts to reduce inequalities in access by mapping access to biomarker testing per autonomous community to target politicians & managers, and support patient awareness & education about biomarker testing and precision medicine in Spain

Spain Pilot Contributors:

Cristian Perez

Takeda

Belén Gimeno

AEACaP

Laura Gutierrez Nicuesa

Amgen

Diego Villalón García

Fundación MÁS QUE IDEAS

Bernard Gaspar

AEACaP

Vincent Raske

Associate Program Manager

Maximiliane Rauch

Program Manager

Lidewij Eva Vat

Program Director


Pilot lead: Lung Health Foundation

Scope (TBC): Promote awareness and education of testing especially among underserved and hard-to-reach patient communities in Canada (to start with Ontario)

Canada Pilot Contributors:

We thank the pilot task force members who are providing rich expertise and experiences to shape and guide this piloting program.

Amy Moore

LUNGevity

Anne-Marie Baird

Lung Cancer Europe

Marcia K. Horn

ICAN

Dr. Leigh Boehmer

ACCC

Jeanie Hsieh

MSD

Sandra Blum

Roche

Lisa Cruz

Takeda

Tugba Camli Canturk

Amgen

An essential dimension of FT3’s 2022 strategy was supporting data and evidence development to demonstrate benefits of PM on patient outcomes, as well efforts to put in place a data governance structure.

A first focus point was building on patient experiences that can accelerate efforts to address structural & care-level barriers to PM.

Key achievements in 2022

Creating a repository of patient “lived experiences” in PM.  Then extrapolating  barriers, individual and collective learnings in the patient pathway, which will inform patients, HCPs and decision makers of good care practices.


10 patient stories visualized, spanning 3 geographies and multiple conditions : NSCLC, digestive cancers, CUP, cervical cancer


What’s next?

Working on the stories’ actionability, through case studies to drive change on different levels

Accelerating efforts to address care level barriers to PM along the entire patient pathway by creating a repository of resources that inform the understanding, interpretation, and issuing of biomarker test reports. Analysis and validation of learnings then forming the basis for further ensuring streamlining and comprehensive exploration of biomarker test reports in clinical practice.


Gaps in data education and guidance around biomarker test reports were identified and validated. 50+ educational & guidance resources biomarker  test reporting have been mapped.


Preliminary learnings include:

  • Lack of data sharing between care facilities, which can lead to delays
  • A positive change in the patient experience after testing

What’s next?

Patient-centered guiding principles are now in development.

Since the inception of FT3, the members always place a high priority on learning from good practices and patient input to develop fit-for-purpose educational resources. Because we know a more informed patient leads to better outcomes. FT3 thus acts as a catalyst for best practices -  we aggregate them and build on them through multi-stakeholder collaboration. The results are made freely available to help reduce the burden of developing new resources or making updates to existing ones.

The whole collaborative process moved forward efficiently based on the precise aim of supporting patient organizations. This resource really helps our organization in our mission of informing and thus empowering patients

Marianna Vitaloni

DiCE. Impact interview available here

We don’t have that level of expertise to start the process of developing a resource like that.. It has saved us an incredible amount of money and the collaboration has been hugely successful. It was a godsend - 80% of the work was already done for us. It’s no lie to say we wouldn't have this resource today if it was not for FT3.

Debra Montague

ALK + UK. Impact interview available here.

If in 2021 we focused on developing and launching a number of educational resources - such as the Patient Information Needs Map, the Questions & Answers Resource Builder, or the Canvas to identify access barriers and solutions, the Biomarker for testing  resources for cancer in 2022 we focused on adapting and piloting these, as well as on answering new needs coming from the community.

Key successes in 2022

Adaptable resources to accelerate efforts in addressing care level barriers to PM by increasing patient awareness and education of PM & supporting shared and informed decision-making between patients and providers

Creating the right culture for change through storytelling that

  • makes PM more comprehensible, showcasing why it’s exciting in the wider medical context, and why it’s worth pursuing
  • explores what different stakeholder groups think about PM, their expectations, and the different needs/barriers they experience

Improving shared decision making in precision medicine clinical care by amplifying best practices in provider - patient communications & supporting the empowerment of patients in their clinical care


Development of The Biomarker Testing for Cancer Treatment adaptable resource


The topic has been discussed in the “ Shared Clinical Decision Making in Precision Medicine - The societal value of shared decision making with Precision Medicine as an example, and overcoming ethical challenges of open dialogue between healthcare professionals and patients” session, that attracted 93 XX participants. A diverse panel to convey the importance of open dialogue and patient empowerment in precision medicine clinical care  has been engaged:

Speakers here:

Merel Hennink

Lung Cancer Patient and Patient Advocate - Founder of Merels Wereld, The Netherlands

Luciana Holtz de C. Barros

Founder & President of Oncoguía, Brazil

Rod Padua

President of Touched By Max Philippines

Marius Geanta

Co-founder & President of Centre for Innovation in Medicine, Romania

Moderated by:

Helena Harnik

Executive Director, FT3

As part of a pilot on colorectal cancer between DiCE, CCC and GCCA, the Q&A was adapted with DiCE and made available in English, Spanish and French


The beta version of the “Story of PM” launched in the beginning of 2023 and is now available for you to review and use.


Launch of co-created resources to support patient advocates and patient organizations in helping patients find the right information and make informed decisions and actions at the right time when it comes to biomarker testing.

This resource has already been piloted and adapted to  lung cancer in partnership with ALK+ UK.

The resource is: 

  • accelerating efforts to address the lack of genomic confidence of HCPs in incorporating PM appropriately, starting with the understanding and use of biomarker testing reports.
  • creating a repository of resources that inform the understanding, interpretation, and issuing of biomarker test reports.

Targeted Cancer Therapy Adaptable Resource to be launched in 2023. It is based on  80+ resources consulted out of 300+ mapped on Synapse

Our membership clearly spoke their mind - evidence-based PM being accepted by decision makers and accessible to patients who could benefit from it,  is a clear program priority. And it has been since its inception. Given the global diversity of our health systems, it’s a massive undertaking, but a key one if we want PM to truly be available to everyone who can benefit from it. 

A common understanding of the value of PM, addressing structural barriers to PM across countries with different levels of PM availability, as well as responsible data collection to demonstrate the impact of PM are but a few of our key priorities.

Key achievements and focus areas in 2022

Advancing the work on “Country & Condition cards”, to accelerate efforts in addressing structural & care-level barriers to PM by 

  • raising awareness of access to biomarker testing & targeted treatments across the globe
  • partnering with stakeholders key countries and/or conditions to identify barriers & good care practices and develop an action plan to start addressing them

Utilizing the access barrier cause effect canvas to address structural & care-level barriers to PM in various contexts


FT3 has submitted a scientific publication for review in November 2022. Results coming out soon.


In partnership with PFMD, FT3 held an interactive session with the Alliance and Partnerships for Patient Innovation and Solutions (APPIS) Initiative. We presented the  Access Barrier Cause Effect Canvas to a global audience of patients and other stakeholders, mainly from the Asia Pacific region. The session and the tool were translated into Japanese and Mandarin/Chinese.


Running a multi-stakeholder qualitative research, identifying and sharing different stakeholder expectations of PM to enable alignment of perspectives, including the “what’s in it for me” aspect, thus enabling the right culture & readiness for change.


Now available: 

These materials clearly illustrate which PM tests and/or therapies are available in a particular jurisdiction, helping patients and champions know what they can advocate for.


Coming soon: country agnostic thyroid cancer card, Brazil Country Card and cards for the FT3 Country Pilots.

Precision Medicine Synapse supports the creation of a unified and accelerated PM ecosystem.

What is Synapse?

A global, interactive, and searchable platform that aims to showcase existing precision medicine initiatives and actors, to bring together people and projects, match solutions to resources, and solve specific needs in an efficient and sustainable way.

An interconnected and dynamic repository of precision medicine experts, activists, initiatives and resources that is focused on building a crowdsourced global actionable community on precision medicine. A tool to map the precision medicine landscape on various scales through different lenses, reduce duplication, and increase access to potential collaborations.

Synapse in numbers

Synapse steadily grew its network over the past 12 months and, by January 2023, included:

222

Experts

578

Organizations

129

Initiatives

190

Events

872

Resources

Work continued on building our advanced PM resources for patient advocates, with over 160 resources added  on Synapse. This includes more than 40 educational & guidance resources in biomarker test report data education.

Explore Synapse
2022 Highlights

To reduce fragmentation in the PM landscape, you can now find a landing page for our adaptable resources on PM

Condition-specific landing pages that compile global information around different condition

As part of our Ukraine response, we have mapped 50+ resources, cancer care & rare disease facilities that correspond to/can also be found on PM Synapse - contact us for adding to PM resources that can be beneficial for Ukrainian refugees

Building FT3’s visibility through events, conferences and strategic partnerships

14 events in 2022 and opportunities emerging for 2023

January

Festival of Genomics and Biodata multi-stakeholder panel reached over 7000 participants

March

Toolkit for precision medicine champions presented at Amgen Global Advocacy Network learning session FT3 at DIA Europe

August

  • APPIS Academy session to introduce FT3 and its tools to patient organizations in the Asia-Pacific region
  • FT3 collaborative side event at World Congress on Lung Cancer
  • Lung Cancer Europe Dialogue Session on biomarkers

September

  • FT3 all-members meeting
  • ESMO 2023 Congress
  • Program update presented to PCC Board
  • FT3 presented to the Swiss Learning Health System

Early October

Piloting the Access Barrier Cause-Effect Canvas at the Patient Engagement Open Forum

Late October

FT3 at UICC World Cancer Congress

FT3 presented to PHC Onco Council

November

  • Patient Engagement Open Forum session on shared clinical decision making in PM: register here
  • FT3 represented at The Economist’s 8th Annual World Cancer Series
  • FT3 represented at a Lung Cancer event at the European Parliament

2023

FT3 at UICC World Cancer Congress

Session accepted at DIA Europe 2023 on capturing effective evidence to support regulatory decision making

  • Bringing FT3’s unique multi-stakeholder perspectives
  • Showcasing FT3’s ongoing and upcoming work
  • Engaging new audiences and perspectives towards co-creation on FT3’s deliverables
Building visibility of FT3 and of the work of the community of practice

Building an engaged online community around FT3

+236% of engagement on social compared to previous period (Jan-May 2022 vs. June-Oct 2022) including mentions, repost and comments

Building visibility for the work of the FT3 community

  • 5 editorial pieces shining a light on the tools value and impact 
  • 149 downloads of the tools (on FT3.org only)

Increasing the impact & adoption of the FT3 outcomes

  • 2 joint editorials created
  • 9500+ organic Impressions during CUP awareness Week

Membership

Expanding multi-stakeholder diversity & expertise - new & deepening relationships in 2022

Aligning with other initiatives and platforms to build strategic relationships and develop expertise

Financial report

892 000

Turnover

888 770

Project expenses

The FT3 Team

The From Testing to Targeted Treatments team consists of:

Nicholas Brooke

Executive Director

Helena Harnik

Synergist Programs Director

Jean-Christophe Capelle

Financial Director

Roxana Radu

Communications Manager

Nicole Wicki

Program Director

Silvia Bornengo

Program Manager

Lidewij Eva Vat

Program Director

Vincent Raske

Associate Program Manager

Lise Brooke

Product Owner & Communication Manager

Adeola Aderemi

Communication Manager

Maximiliane Rauch

Program Manager

Danielle Barron

Editor in Chief