THANK YOU FOR JOINING ISMPP U TODAY! The program will begin promptly at 9:00 am (CSTChina) March 19, 2015 FOR YOUR BEST ISMPP U EXPERIENCE . . . To optimize your webinar experience today, please: • If using VOIP (Voice Over Internet Protocol) vs. your phone, turn up the volume of your computer speakers • Use a hardwire connection if available • Use the fastest internet connection available to you • If you experience audio problems, switch to an alternative access method (VOIP phone or phone VOIP) 2 ISMPP WOULD LIKE TO THANK. . . . . . the following Titanium and Platinum Corporate Sponsors for their ongoing support of the Society: Questions… • To ask a question, please type your query into the Q&A box. • To ensure anonymity, please choose the drop box option "Hosts, Presenters and Panelists." Otherwise, all audience members will be able to see your submitted question. • Every attempt will be made to respond to all questions. 4 A PRACTICAL GUIDE TO IMPLEMENTING GLOBAL PUBLICATION PLANNING PRACTICES IN ASIA-PACIFIC COUNTRIES AND EMERGING MARKET REGIONS Moderator: Julliana Newman, ELS, CMPP Director, Publications Operations and Strategy AstraZeneca Pharmaceuticals LTD DISCLOSURES – JULLIANA NEWMAN, ELS, CMPPTM • • I am a full-time employee of AstraZeneca Pharmaceuticals LTD. • • • I serve as Chair of the ISMPP Asia-Pacific Education Task Force. • The opinions expressed in this presentation are my personal views and do not represent the views of my employer or of ISMPP. I am a member of ISMPP and an ISMPP Certified Medical Publications Professional (CMPP) . I am a voting member of the ISMPP CMPP Board of Directors. I am a Certified Editor of the Life Sciences (ELS) by the Board of Editors in the Life Sciences (BELS). 6 SPEAKER Tim Collinson, BSc (Hons), ISMPP CMPP™ • >19 years’ medical writing and editorial management experience in global medical communications and pharma, in the UK, USA and Canada • Currently, Business Unit Head, West Coast, Fishawack Communications, San Francisco • ISMPP Asia-Pacific Education Taskforce member • ISMPP Communications Committee member • Certified Medical Publication Professional (CMPP)™ • Honours degree in Physiology/Pharmacology with Health Studies SPEAKER Lin Lin, PhD • Currently, Medical Publication Manager at Shanghai Roche Pharmaceuticals • ISMPP Asia-Pacific Education Taskforce member • Medical communications agency experience in China • Postdoctoral research fellow in endocrinology at University College London, UK • MSc in Neuro and Molecular Pharmacology, and PhD in Molecular Pharmacology from University of Birmingham, UK • Bachelor’s degree in Clinical Medicine from Sun Yat-Sen University, Guangzhou, China OBJECTIVES: AT THE END OF THIS SESSION, YOU SHOULD BE ABLE TO: 1. Understand the challenges inherent in managing data dissemination on a global level across heterogeneous regions 2. Apply tailored strategies for scientific exchange at local levels by balancing cultural sensitivities and adherence to global ethical standards 3. Appreciate how markets are moving towards a universal understanding of publication planning and a consistent application of best practices 4. Strengthen your awareness of the challenges and highlight the opportunities for publication professionals in developing and implementing publication plans in Asia-Pac A PRACTICAL GUIDE TO IMPLEMENTING GLOBAL PUBLICATION PLANNING PRACTICES IN ASIA-PACIFIC COUNTRIES AND EMERGING MARKET REGIONS Tim Collinson, ISMPP CMPPTM Business Unit Head, West Coast, Fishawack Communications, San Francisco, USA DISCLOSURES – TIM COLLINSON, ISMPP CMPPTM • • I am a full-time employee of Fishawack Communications • The opinions expressed in this presentation are the personal views of the speaker and do not represent the views of his employer or of ISMPP I am a member of ISMPP and serve on its Communications Committee and its Asia-Pacific Education Task Force 11 OVERVIEW • Pharma’s increasing move from mature markets to seek growth in developing nations • Clinical trials in new locations, data originating from different regions • Reassessment of dissemination and communication of data • Engagement with different audiences in different regions • Requirement for different approach to publication planning? 12 EMERGING MARKETS • • “BRIC nations” — Brazil, Russia, India, China Argentina, Venezuela, Mexico and Turkey among the most rapidlygrowing “pharmemerging” markets Emerging markets’ drive to improve access to health care Rated Top 10 Emerging Markets 2012‐2017 Upscaling of research activities in emerging regions Corresponding significant escalation in data Growing need for publications Source: Global Intelligence Alliance, Business Perspectives on Emerging Markets 2012‐2017 Survey. Question: Which are the top 5 Emerging Markets for your industry over the next 5 years? N=38 IMS Health 2012 report. http://www.globalintelligence.com/insights/all/pharma‐and‐healthcare‐companies‐find‐local‐emerging‐market‐conditions‐and‐prices‐challenging [accessed February 2015] 13 PHARMA UNDER SCRUTINY – MOVE TOWARDS ETHICAL COMPLIANCE IN EMERGING MARKETS • Bribery scandals, e.g. illegal payments by GSK to doctors in China − − • Low base salaries among hospital physicians String of investigations by authorities at China-based global pharma companies − − • China healthcare spend forecast to triple 2013–2020 Industry responding by tightening compliance policies Triggering of anti-corruption drive across many emerging markets Increasing need for publication planning activities to stand up to scrutiny 14 PUBLICATION PLANNING IN ASIA-PACIFIC Common goal to increase patient access to healthcare Cultures Languages Common wish to publish in transparent, compliant, ethical manner Socioeconomic status Healthcare delivery 15 Are emerging markets driving a need for a new approach to publication planning? 16 …THE PRINCIPLES OF PUBLICATION PLANNING REMAIN THE SAME Disseminating global data within local emerging markets Publishing globally, data originating from emerging markets Core publication planning principles remain the same Scientific engagement with diverse audiences within culturally diverse regions Regional unmet needs for education on publication planning Evolution of publication planning to meet market needs 17 BALANCING COMPLIANCE AND CULTURE Differing local needs, clinical practices and cultural protocol may require different contextualization of data Publication planning governance – the “rock” Approaches, whether global or local, in markets mature or emerging, should remain the same 18 PUBLICATION PLANNING: APPROPRIATE, CREDIBLE, UNBIASED DISSEMINATION OF ALL DATA TO MEET THE INFORMATION NEEDS OF HEALTH-CARE AUDIENCES GPP Ethics Transparency Compliance Scientific exchange Effectiveness of publications in informing clinical practice relies on cultural understanding and country‐ specific nuances Variation in global and regional data sources — e.g., increasing relevance of real‐world data Informational needs of health‐care audiences Evolution and diversity in publication media and formats Relative importance of audiences, e.g., payors (HE data) in publication planning GPP, Good publication practice; HE, health economics 19 ASIA-PACIFIC REPRESENTS A DIFFERENT PUBLICATIONS LANDSCAPE • • • • • • Access to the literature differs across regions − Affordability of subscriptions a barrier Access to medical education generally lower Hierarchy remains a significant authorship issue Acceptance of “Western” medicine Paper versus online access − Adoption of online access to medical information differs among countries and between practitioners and researchers Reprints and republications − Translation is common but not always authorized 20 PUBLISHING SCIENTIFIC LITERATURE IN ASIA-PACIFIC • Unique challenges for regional, local and international journal publishers • Relative to other world regions, journal editors may need to handle high numbers of submissions from non-native Englishspeaking countries • Submissions reflecting wide-ranging cultures and health-care practices • Wide-ranging educational needs among journal readership 21 LANGUAGE • • • Not everyone understands English! • Clinicians and their staff commonly require translated materials • Digital components of publications (e.g. author videos) useful in enhancing communication However, publishing in English is highly valued Academics are motivated to read English to further their own publication accomplishments 22 UNIQUE CHALLENGES AND CULTURAL PERSPECTIVES Resistance to change Authorship and traditional Differing treatment beliefs: respect for elders, guidelines/standards teachers, senior Widely colleagues practiced gift Product life-cycle management (emerging authorship markets usually launch months, even years, after the initial launch) Stipend for volume and placement of publications in Trial Encore abstracts top-tier journals registration Role of medical Communication writers Language Copyright preferences issues (face-to-face) 23 THINK GLOBALLY; ACT LOCALLY • Publishing in Asia-Pacific regions requires a tailored approach using local publication options − Chinese Academy of Sciences rivals National • • • • Institutes of Health for volume of publications Regional differences in perception of some diseases and treatment Navigation of traditions around authorship Poor publication practice at local level can now have rapid global impact Locally- or regionally-based publications committees can facilitate alignment of global/“Western” publication plans to local needs, cultures and languages 24 PUBLICATION STEERING COMMITTEES: KEY ROLE, BUT STILL A YOUNG CONCEPT IN ASIA-PACIFIC • Establishing publication steering committees offers key guidance within rapidly advancing regions, such as Asia-Pacific − − − • − Guidance on authorship and journal selection Ensuring a commitment to ethical practices is integral to planning Adherence not only to local industry codes, but also international legislation and compliance directives Appropriately addressing sensitivities around local cultures/practices Unmet need for education at regional level on the formation, role and value of publication steering committees 25 ISMPP DRIVING EDUCATION AND ADVOCACY FOR GOOD PUBLICATION PRACTICE IN ASIA-PACIFIC APET, Asia‐Pacific Education Task Force 26 SUMMARY • • • • Emerging markets are hugely diverse — health-care systems, clinical practice, cultures and attitudes to therapy Challenges are inherent in managing the communication of data on a global level across heterogeneous regions such as Asia-Pacific Tailored strategies for scientific exchange at local levels must be carefully balanced with cultural sensitivities and an unfaltering adherence to global ethical standards Asia-Pacific is moving toward a universal understanding of publication planning and a consistent application of best practices in its execution . . . a long, winding, but worthwhile journey! http://bestfreewallpapers.info Like climbing the Great Wall . . . 27 RESOURCES • • GPP2 guidelines available at: http://www.ismpp.org/gpp2 • ISMPP: http://www.ismpp.org/asia-pacific-platform ICMJE recommendations available at: http://www.icmje.org/recommendations/ − Asia-Pacific Advisory Committee − Asia-Pacific Education Task Force Guidelines in Chinese and Japanese are available on the ISMPP website http://www.ismpp.org/ 28 THE CHALLENGE AND OPPORTUNITY FOR PUBLICATION PLANNING IN ASIAPACIFIC: LOCAL EXAMPLES AND EXPERIENCE FROM CHINA Lin Lin, PhD MEDICAL PUBLICATION MANAGER, SHANGHAI ROCHE PHARMACEUTICALS LTD. DISCLOSURES – LIN LIN • I am a full-time employee of Shanghai Roche Pharmaceuticals Ltd, focusing on publication strategy and medical education in China • I am a member of ISMPP’s Asia-Pacific Education Task Force • The opinions expressed in this presentation are the personal views of the speaker and do not represent the views of her employer or of ISMPP 30 INCREASING PUBLICATION VOLUMES IN APAC REGION Adapted by permission from Macmillan Publishers Ltd: Nature 492, 324-327 copyright (2012) 31 OVERVIEW Generation of Publication Plan − − − Products life-cycle management Differing treatment guidelines/standards Language Implementation of Publication Plan − − Publish in transparent, compliant and ethical manner Timeline management 32 OVERVIEW Generation of Publication Plan − − − Products life-cycle management Differing treatment guidelines/standards Language Implementation of Publication Plan − − Publish in transparent, compliant and ethical manner Timeline management 33 CHALLENGES: PRODUCTS LIFE-CYCLE MANAGEMENT • Emerging markets usually launch months, even years, after the initial launch in the West • Under the new policy from China FDA (CFDA), registration of new drug in China may delay further 2-3 years from 2015 • Most of obvious publication gaps have been filled Figure 1.6 The life cycle, An introduction to nutrition v.1.0 34 CHALLENGES: PRODUCTS LIFE-CYCLE MANAGEMENT • • Generic drug and biosimilar High-tier journal lost interest to publish papers of a drug that has lost patent CFDA: Principles and guidelines on development and evaluation of biosimilar -- released on 25th Feb 2015 35 OPPORTUNITIES: PRODUCTS LIFE-CYCLE MANAGEMENT • Phase IV studies with good quality - standing on the shoulders of giants • Publication of local data from a multi-centered global study • Unique population/disease characteristics in local region www. mrseah.com 36 CHALLENGES: DIFFERENT TREATMENT GUIDELINES/STANDARDS • Not able to follow global guidelines e.g., different drug access between global and local market • • Lack of local treatment guidelines Difficult to target global high-tier journals and congresses Global Local Vs. 37 OPPORTUNITIES: DIFFERENT TREATMENT GUIDELINES/STANDARDS • Choose target journals and congresses carefully e.g., target journals or congresses in APAC region who can understand the local situation more • • Improve the updating of local treatment guidelines Improve the awareness and follow-up of global treatment guidelines 38 LANGUAGE: DIVERSIFIED READERS IN CHINA • Distribution of 1st to 5th tier cities in China • Different levels of doctors in China International National 1 International Congresses 5 English Journals 2 3 4 Regional City/Local Local Congresses Chinese Journals Encore Abstracts 39 LANGUAGE: DIVERSIFIED READERS IN CHINA While international journals and congresses play a more important role, local Chinese media is a significant source of information. *Survey conducted in 2013Q2. Totally 240 responders including Pathologists, Hematologists, Oncologists (LC, BC, GC, CRC). 40 CHALLENGES AND OPPORTUNITIES: LANGUAGE More than 50% of Chinese doctors don’t know English well and have limited resource to attend international congress • Local congresses and journals are also important for communication purpose • • Translation of papers published in English journals are helpful Copyright for encore abstract and translated manuscript are very important 41 OVERVIEW Generation of Publication Plan − − − Products life-cycle management Differing treatment guidelines/standards Language Implementation of Publication Plan − − Publish in transparent, compliant and ethical manner Timeline management 42 OVERVIEW Generation of Publication Plan − − − Products life-cycle management Differing treatment guidelines/standards Language Implementation of Publication Plan − − Publish in transparent, compliant and ethical manner Timeline management 43 CHALLENGES: PUBLISH IN TRANSPARENT, COMPLIANT AND ETHICAL MANNER • Authorship: e.g., gift authorship and traditional beliefs: respect for elders, teachers, senior colleagues • Acknowledgement and disclosure of conflict of interest, e.g. role of pharmaceutical company and medical writers • • Trial registration • Copyright issues Stipend for volume and placement of publications in top-tier journals 44 CHALLENGES: PUBLISH IN TRANSPARENT, COMPLIANT AND ETHICAL MANNER • Stipend for volume and placement of publications in top-tier journals At Guangzhou Medical University the payment scale is: IF 1, 3,000 RMB IF <2, 15,000 RMB IF < 3, 25,000 RMB IF < 4, 35,000 RMB IF < 5, 45,000 RMB IF < 8,70,000 RMB IF < 10, 90,000 RMB IF < 15, 130,000 RMB IF 15, 300,000 RMB RMB: Renminbi, Chinese yuan, CNY 1000 RMB ≈ US $155 10,000 RMB ≈ US $1,550 50,000 RMB ≈ US $7,750 200,000 RMB ≈ US $31,000 300,000 RMB ≈ US $46,500 SOURCE: The outflow of academic papers from China: why is it happening and can it be stemmed? Learned Publishing 24(2):95—97, 2011 45 OPPORTUNITIES: PUBLISH IN TRANSPARENT, COMPLIANT AND ETHICAL MANNER • International standards or guidelines for medical publications SOURCE: Graf C., et. al., BMJ. 2009 46 OPPORTUNITIES: PUBLISH IN TRANSPARENT, COMPLIANT AND ETHICAL MANNER • • ICMJE recommendations Good publication practice (GPP2) SOURCE: Graf C., et. al., BMJ. 2009 http://www.ismpp.org/gpp2 SOURCE: Graf C., et. al., BMJ. 2009 http://www.icmje.org/recommendations/ 47 CHALLENGES: TIMELINE MANAGEMENT • • Delay of study and SAR generation Delay of manuscript generation and publication − − − − Journal selection (over expectation) Repeated revision Simple outlines Lack of awareness on the importance in timely publication 48 OPPORTUNITIES: IMPLEMENTATION OF PUBLICATION PLAN • • Publication Steering committee Investigators meeting SOURCE : Marisa Peacock, CMSwire, Dec 17 2013 • Education − − Communication and visiting Publication workshop SOURCE : www.sitepoint.com 49 SUMMARY Local Publication Plan Local situation • Journal • Congress • Guideline • Drug access • Local needs • Publication steering committee • Investigator meetings • Education Global situation • Journal • Congress • Guideline • Drug access • Studies and publications Publish in transparent, compliant and ethical manner 50 QUESTIONS...... To ask a question, please type your query into the Q&A box. To ensure anonymity, please choose the drop box option "Hosts, Presenters and Panelists." Otherwise, all audience members will be able to see your submitted question. Every attempt will be made to respond to all questions. Workshop on APAC Publications at ISMPP’S 11th Annual Meeting If you plan to attend the Annual Meeting, why not sign up for the premeeting workshop, “Publication Planning in the Asia-Pacific Region”? • Learn to navigate challenges and utilize opportunities to build a foundation for good publication practice in the increasingly important APAC region • An interactive session providing practical examples for facilitating the publication of scientifically significant information in a compliant and transparent manner • Monday, April 27, 8:30AM-1:00 PM • Taught by APET’s Tim Collinson and Julie Newman 52 UPCOMING APET ISMPP U • Waking the Sleeping Tiger: An overview of Scientific Publications in India (June 2015) • Back to basics: a review of good publication practices for Asia-Pac (September 2015) • Update on GPP3: Understanding its impact on publications practice in Asia-Pac (November 2015) 53 2 0 1 5 A S I A PAC I F I C M E E T I N G O F I S M P P COLLABORATING FOR. . . ETHICAL & EFFECTIVE MEDICAL PUBLICATIONS Early September, 2015 Beijing, China Tokyo, Japan THANK YOU FOR ATTENDING! • We hope you enjoyed today's presentation. Please take a few moments to complete the survey that will appear on your screen immediately after the presentation. We depend on your valuable feedback as we develop future educational offerings. 55
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