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Appreciating the Past and Anticipating the future The Liberati Initiative Roberto D’Amico Italian Cochrane Centre
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Page 1: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Appreciating the Past and

Anticipating the future

The Liberati Initiative

Roberto D’Amico

Italian Cochrane Centre

Page 2: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

The Italian Cochrane Centre Mario Negri Institute 1994-2011

Page 3: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Italian Cochrane Centre University of Modena

Page 4: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Liberati Initiative

To identify, promote, disseminate all those

initiatives, which share the vision summarised

in Alessandro Liberati’s final publication.

Page 5: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Liberati’s several hats

Medical doctor

Researcher/epidemiologist/professor

An expert of organising and funding research

Patient

Page 6: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Liberati A. BMJ 2004;328 (Published 26 February 2004)

«As a patient I felt even more strongly about what I’ve been fighting for throughout my career.

Research results should be easily accessible to people who need to make decisions about their own health »

Page 7: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process
Page 8: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

The need to realign patient-oriented and commercial and academic research

« Almost 10 years later- after a relapse of my disease- I looked at

the « epidemiology » of myeloma studies on ClinicalTrials.gov .

On July 31,2011 a search identified 1384 studies . Only 10 studies

were phase 2/3 studies with overall survival as primary endpoint .

No trial was a head-to-head comparison of different drugs or

strategies »

Page 9: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

“I have had the opportunity to consider from more than one perspective the mismatch

between what clinical researchers do and what patients need.... Left to themselves,

researchers cannot be expected to address the current mismatch..... A new research

governance strategy is needed.... An essential component of this governance strategy would

be to bring together all the stakeholders, starting from an analysis of existing and ongoing

research, produced independently of vested interests”. Alessandro Liberati. Need to realign patient-oriented and commercial and academic research (Correspondence). Lancet 2011; 378: 1777-8

Page 10: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Liberati principle

Multiplicity Sharing Transparency Research as Public Good

The research process has to involve different stakeholders and take

into account research evidence, which in turn has to be easily

accessible.

Page 11: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

To share, identify, promote, disseminate all those

initiatives, which reflect the vision summarised in

Alessandro Liberati’s final publication.

Page 12: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Some examples

Page 13: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Some examples

Page 14: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Some examples

Page 15: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Some examples

Page 16: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process
Page 17: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process
Page 18: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process
Page 19: Appreciating the Past and Anticipating the future The Liberati … · 2020. 7. 22. · Liberati principle Multiplicity Sharing Transparency Research as Public Good The research process

Thank you


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