Appreciating the Past and
Anticipating the future
The Liberati Initiative
Roberto D’Amico
Italian Cochrane Centre
The Italian Cochrane Centre Mario Negri Institute 1994-2011
Italian Cochrane Centre University of Modena
Liberati Initiative
To identify, promote, disseminate all those
initiatives, which share the vision summarised
in Alessandro Liberati’s final publication.
Liberati’s several hats
Medical doctor
Researcher/epidemiologist/professor
An expert of organising and funding research
Patient
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 »
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 »
“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
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.
To share, identify, promote, disseminate all those
initiatives, which reflect the vision summarised in
Alessandro Liberati’s final publication.
Some examples
Some examples
Some examples
Some examples
Thank you