New £14 million investment targets rare diseases

A group of doctors with laptop on conference, medical team discussing issues.

A new platform bringing together UK strengths in rare diseases research to improve diagnosis and treatment through better understanding of the disease.

The UK Rare Disease Research Platform has been established with a £14 million investment over five years by the Medical Research Council (MRC) and the National Institute for Health and Care Research (NIHR).

It is made up of a central coordination and administrative hub and 11 specialist nodes based at universities across the UK.

The aim of the platform is to bring together expertise from across the UK rare disease research system to foster new and innovative treatments for those directly and indirectly impacted by rare conditions.

One in 2,000 people

A rare disease is one that affects fewer than one in 2,000 people.

However, there are thousands of these conditions, with around one in 17 people in the UK being affected at some point in their lifetime.

More than 30% of children with a rare disease die before they are five.

Rare diseases bring common challenges

Professor John Iredale, MRC Executive Chair said:

The UK has great strengths in rare disease research. However, that very rarity means it can be difficult to bring the right people, technologies and tools together to develop effective approaches.

Although these diseases are diverse and have different causes, they often bring common challenges for research into disease mechanisms, diagnosis, management and treatment.

The platform will bring people together, link participants to resources and activities in the UK and internationally, and support projects that deliver advances in rare disease research.

Essential ongoing research

Professor Lucy Chappell, Chief Executive of the NIHR, said:

The UK Rare Disease Platform marks a significant advance in accelerating rare disease research, supported through NIHR funding and our partners the Medical Research Council.

The platform will enable greater collaboration between patients and those working across academic, clinical and industry research.

By bringing the right people and expertise together, we will be able to provide better care more quickly to those living with rare diseases.

The NIHR continues to lead essential ongoing research into rare diseases, including through our Biomedical Research Centres, and we are making it easier for people with rare diseases to take part in research opportunities via our Be Part of Research Service, which can now be accessed through the NHS app in England.

We look forward to working with our partners further to accelerate our understanding and treatment of rare diseases affecting millions of people across the UK.

Specialist nodes based at universities

The 11 nodes each involve several universities and organisations working together across the UK. They are:

  • Epigenomics Rare Diseases (EpiGenRare) led by University of Exeter and The University of Manchester
  • mTOR Pathway Diseases led by King’s College London
  • Changing clinical practice in rare diseases through innovative trial designs (CAPTIVATE) led by University of Birmingham
  • Histiocytic Disorders (HistioNode) led by Newcastle University and The University of Nottingham
  • Lipidomics and Metabolomics led by Swansea University
  • Ethical Legal and Social Issues in Rare Conditions Research and Clinical Practice (ELSI) led by The University of Manchester
  • Early Assessment, Diagnosis and Treatment of Parkinson’s Plus Related Syndromes (ExPRESS) led by University College London
  • Rare Early Onset Lower Urinary Tract (REOLUT) led by The University of Manchester
  • Renal Ciliopathies National Network (RCNN) led by Newcastle University
  • Cardiovascular Rare Disease led by Imperial College London
  • UK Platform of Nucleic Acid Therapy for rare disease treatment (UPNAT) led by University College London

A platform hub will bring these specialist nodes together and deliver wider activities for all the UK interests in rare disease research.

The hub contract has been awarded through an open competitive procurement exercise to a consortium led by Newcastle University, with Newcastle NHS Trust and Genetic Alliance UK.

Platform will support new projects

The platform will bring greater coordination to UK research into rare diseases. It will provide a point of entry for industry and international partners and aim to attract investment into UK research.

It will also support a set of new projects that will identify and solve particular challenges and unblock progress across many rare diseases or groups of rare diseases.

The UK government recently established a UK Rare Diseases Framework.

Each nation of the UK has published action plans that aim to ensure those living with rare diseases receive better care and treatment and more rapid diagnosis.

Further information

Nodes

EpiGenRare

EpiGenRare will establish a multidisciplinary network of clinicians, researchers and patient support groups to:

  • coordinate research to understand, diagnose and treat rare epigenetic disorders
  • develop and expand the use of novel epigenomic approaches for the diagnosis of rare diseases

mTOR Pathway Diseases

The mTOR Pathway Diseases node aims to transform the understanding, diagnosis and treatment of 14 rare diseases that share hyperactivation of the mTOR pathway as a common underlying molecular mechanism.

CAPTIVATE

Our vision for CAPTIVATE is to develop a ‘one-stop-study’ that encompasses all phases of clinical trials to enable the efficient evaluation of treatments for rare diseases with limited numbers of participants.

HistioNode

HistioNode is a clinical and academic network for the histiocytic disorders.

Lipidomics and Metabolomics

The goal of the Swansea led node is to bring mass spectrometry based lipidomic or metabolomic science into the arena of rare disease research to enable earlier diagnosis, intervention and improved clinical outcomes.

ELSI

ELSI aims to accelerate research and drive innovation in ethical, legal and social cross-cutting issues ranging from the impact of rare conditions to the design of clinical trials for treatments of rare conditions.

ExPRESS

ExPRESS will enable the early diagnosis of rare neurodegenerative forms of parkinsonism including progressive supranuclear palsy, multiple system atrophy and corticobasal degeneration, working with study sites across the UK.

REOLUT

REOLUT aims to find the causes, understand the biological basis, and develop the treatments for children affected by devastating bladder disorders.

RCNN

RCNN will allow harmonisation of the investigation, management, and treatment of all patients with inherited forms of cystic kidney disease and allow cohorts of patients for specific groups to become clinical trial ready.

Cardiovascular Rare Disease

The Cardiovascular Rare Disease node will tackle fundamental challenges in our understanding of rare inherited cardiovascular conditions. This includes the primary causes of sudden death in young adults and the leading causes of heart transplantation.

UPNAT

UPNAT will bring together relevant stakeholders to expedite the preclinical development and clinical translation of RNA therapy for rare disease treatment.

Top image:  Credit: Halfpoint, iStock, Getty Images Plus via Getty Images

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