Major health stakeholders in France launch the PACIFIC Consortium to redefine heart failure with preserved ejection fraction (HFpEF)
Paris (France) - January 21, 2019 - Sanofi, Servier, Medicen Paris-Region, BpiFrance, the “Secrétariat Général Pour l’Investissement”, “l’Assistance Publique– Hôpitaux de Paris”, Inserm, Bioserenity, Casis, Fealinx and Firalis announced the launch of the PACIFIC consortium (Physiopathology, Classification, Innovation in Heart Failure) to redefine heart failure with preserved ejection fraction (HFpEF).
Cardiovascular diseases are by far the leading cause of death in the world and amongst these pathologies, heart failure affecting nearly one million people in France1 is constantly increasing. Half of patients with heart failure present with a preserved ejection fraction (HFpEF), a complex syndrome that is misunderstood, highly heterogeneous and often associated with multiple co- comorbidities.
The disease is a source of repeated hospitalizations, with major consequences on the quality of life and has a significant impact on health expenditures. The prognosis for this pathology remains unfavorable: one out of two patients dies within five years of onset2.
The diagnosis of this disease is difficult because there is no specific diagnostic test. To date, no treatment in heart failure with preserved ejection fraction has been shown to reduce mortality or the number of hospitalizations. HFpEF remains the highest unmet medical need in cardiology.
A new transdisciplinary and structuring approach to the disease
The PACIFIC consortium aims to redefine heart failure with preserved ejection fraction through a comprehensive approach that combines state of the art science and disruptive technologies. The main objective is to improve patient care and healthcare circuits in HFpEF.
PACIFIC is a 5-year project (“Projet de Recherche et Développement Structurant pour la Compétitivité” -PSPC). Operated by Bpifrance, the PSPC's mission is to organize or stimulate the development of new industrial sectors through collaborations between private and academic partners on ambitious projects.
PACIFIC originates from a call for projects in 2017, initiated by two pharmaceutical companies Sanofi and Servier, together with Medicen, the Paris Region competitiveness cluster.
- De Peretti, et Prevalence and functional status of ischemic heart disease and heart failure in the adult population in France: contributions from "disability-health" declarative surveys, BEH 2014; (9-10): 172-81
- Nature Review in 2017; 14: 591-602 / Dunlay Shannon et al.
The main objective of PACIFIC is to redefine HFpEF in order to:
- Better understand patient heterogeneity (phenotypes) by setting up a prospective clinical study to collect more comprehensive data.
- Stratify the HFpEF patient population into more homogeneous subgroups.
- Apply the latest innovations in the field of artificial intelligence (unsupervised and supervised machine learning) to HFpEF, to allow a thorough data analysis and development of precision medicine.
- Develop specific diagnostic tools.
- Structure an innovation network in France around HFpEF.
A project serving patient care circuits
Most recent advances in science and technology will be applied in the PACIFIC project. This will allow a simple and rapid diagnosis for personalized care and improved healthcare circuits.
This progress will be possible thanks to the development and validation of new algorithms allowing patient stratification. In addition, the advancement in HFpEF knowledge and the experience acquired throughout this project could pave the way for the development of future personalized treatments for each subpopulation with HFpEF.
An innovative and unique project bringing together key partners in the French health ecosystem
Funded by public and private funds and coordinated by the Assistance Publique - Hôpitaux de Paris (AP-HP), as the promoter of the clinical study, the PACIFIC consortium led by Sanofi brings together state of the art clinical expertise and research:
- Sanofi and Servier will contribute by their expertise in data management, biological analysis and biostatistics to develop in the medium-term new therapeutic solutions.
- The five cardiology hospitals and clinical investigation centers of AP-HP –Hôpital Européen Georges Pompidou (HEGP), Bichat, Henri-Mondor, Lariboisière and Pitié-Salpêtrière will recruit patients under the coordination of Professor Jean-Sébastien Hulot, HEGP.
- Unit 979/7587 "Wave physics for medicine" (Inserm unit - CNRS-ESPCI), Unit U970 "Paris Cardiovascular Research Center - PARCC" (Inserm Unit - Université Paris-Descartes) and the unit 1146 "Laboratory of Biomedical Imaging - LIB" (Inserm unit - CNRS - Sorbonne University) will bring their expertise in the field of biomedical ultrasound and cardiovascular imaging analysis.
- Four SMEs will develop innovative technologies and analysis softwares: Bioserenity (connected textiles for remote patient monitoring), Casis (AI image analysis software), Fealinx (development of AI algorithms), and Firalis (soluble and molecular diagnostic biomarkers).
This collaboration is possible thanks to the support of Medicen-Paris-Région, a competitiveness cluster for innovative health technologies, with national and international scope.
Dr. Philip Janiak, Director of Research, Cardiovascular and Metabolism Sanofi, says: "This unprecedented consortium brings together the best public and private experts in France to lead an innovative international project in cardiology addressing a major public health issue. Sanofi, the leader in the health and biomedical research sector in France, will lead this project along with Servier, Medicen Paris Region and Assistance Publique - Hôpitaux de Paris."
Dr. Benoît Tyl, Director of Translational and Cardiovascular Clinical Research at Servier, says: "Servier has been a major player for more than 20 years in the field of cardiology, one of its priority research areas. This new project is part of the Servier philosophy that combines its know-how with that of partners with complementary knowledge and technologies, whether public, including academia, or private, to offer new therapeutic solutions that bring hope for patients."
Paul-François Fournier, Executive Director Innovation at Bpifrance, says:
"We are very pleased to support this research project, which brings together leading French private and public entities, large companies and SMEs. It is a perfect illustration of the ability of our various innovation ecosystems to mobilize together for ambitious projects focused on medical progress."
Christian Lajoux, President of Medicen, Paris Region, says: "Medicen is delighted with the progress of the Pacific project. This project illustrates the capability of “ensemblier” and facilitator of the competitiveness cluster in the service of excellence and competitiveness of the Ile-de-France and national ecosystem, one of the most successful in the world."
Prof. Jean-Sébastien Hulot, from the CIC1418 clinical investigation center at the AP-HP Hôpital Européen Georges Pompidou, says: "The AP-HP will be the promoter and sole recruiting center for patients in the framework of the PACIFIC research project. At its five cardiology centers that are expert in the management of heart failure, coordinated by the AP-HP Hôpital Européen Georges Pompidou, we will identify patients, set up clinical investigations and collect data relevant to the study. The AP-HP will thus dedicate its expertise as a key player in clinical research, in addition to its state-of-the-art equipment (imaging and biology platform, etc.) toward this true public health challenge."
Jean-Joseph Christophe, President of CASIS, says: "At CASIS we are very excited about meeting the challenges in heart imaging analysis for a better understanding of heart failure. We are also delighted with the opportunity to participate in this very ambitious, large-scale project."
Marc Frouin, President of Bioserenity France, says: "For the deployment of digital health service in France, BFM would say that we have everything needed to succeed. It is incredible to be able to co-work with a group of experts who are each the best in their category. For BioSerenity and its 150 young employees, this project corresponds to our goal of helping millions of patients by providing them with a solution for better management of their diseases."
Pr. Hüseyin FIRAT, CEO of Firalis, says: "Firalis is very pleased to contribute to the Pacific project. Through its proprietary targeted sequencing tools such as FiMICS and BIOPRED, and innovative platforms such as QMAP, Firalis will develop new biomarker-based precision medicine tools for HFpEF patients’ care."
Bruno Virieux, Managing Director of Fealinx, says: "It is through the augmented intelligence, combining the human intelligence of the consortium actors and the artificial intelligence technologies brought by Fealinx, that a better understanding of preserved ejection fraction heart failure will be possible!"
Jean-Luc Moullet, Program Director, General Secretariat for Investment, says: "The PACIFIC project is emblematic of the winning projects of the Investments for the Future Program. It responds to a strong medical challenge of diagnosis and treatment design for the 13 million people affected by preserved ejection fraction heart failure. It is highly collaborative, associating start-ups, hospitals and public research laboratories as well as large pharmaceutical companies. It addresses various technological challenges in the fields of cardiac imaging, molecular biomarkers and stratification or diagnostic algorithms. Finally, it also is ambitious in terms of business development and employment. The General Secretariat for Investment is therefore pleased to have been able to support this project with € 7.3 m, with more than half in the form of reimbursable advances."
AP-HP, Greater Paris University Hospitals, is a first-in-class European and world-renowned university hospital. AP- HP is deeply structured around the 7 Universities of Paris and well integrated in the Paris and Ile-de-France metropolitan area. It collaborates closely with the entire French institutional research ecosystem (CNRS, INSERM, CEA, INRA, Institut Pasteur, etc.) thanks to the presence of joint research units distributed among its 10 hospital clusters. AP-HP also hosts 3 world-class Hospital-University-Institutes. A major player in applied research and health innovation, Greater Paris University Hospitals have created a network of support structures for the organization of research and for clinical investigation with: 14 clinical research units, 17 centers for clinical investigation, 4 centers for clinical research and 2 centers for early stage trials, 12 platforms for biological sample collections, 2 sites of state-of- the-art research on cancer, and 1 health data warehouse collecting healthcare data from the 8 million patients admitted each year. AP-HP researchers annually sign nearly 10,000 scientific publications and more than 4,450 research projects are currently under development, with academic or industrial promotion, at the national, European and international levels. With a portfolio of more than 500 patents, databases and unique biological materials, AP-HP promotes outstanding research by biologists and clinical researchers in its 39 hospitals. Nearly half of the patented innovations are licensed to companies around the world and leaded to the creation of about 60 startups. www.aphp.fr
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