International Epilepsy Day event in the European Parliament reports on the unmet needs in the field of epilepsy and the status of epilepsy research priorities at a global level.
The event was organised by Epilepsy Alliance Europe joint task force of IBE and ILAE in Europe and hosted by the European Advocates for Epilepsy MEP group in the parliament.
Two years ago, in February 2017, Epilepsy Alliance Europe organised a very significant meeting in the European Parliament in Brussels to highlight the need for a global effort if appropriate advances were to be made in addressing the unmet needs of epilepsy, both in Europe and around the world.
The meeting heard that, although very little progress had been made in improving medical outcomes of people with epilepsy during the last decades, a large amount of data derived from extensive pre-clinical research has become available which provided a strong rationale for the conduction of potentially ground-breaking academically-driven clinical studies tackling several priority issues that were acknowledged by the epilepsy community:
- prevention of epilepsy;
- prevention of sudden unexpected death in epilepsy (SUDEP);
- optimization of epilepsy surgery;
- worldwide development of mobile health programs to disseminate essential knowledge about epilepsy;
- assembling of a very large well characterized cohort of persons with epilepsy that could be participate in all the above projects and in the development of personalized therapies for seizures, syndromes and related comorbidities.
All of these objectives would require recruitment and financial capacities that could only be achieved at the global level, and justify the building of a global alliance program for epilepsy research. The closed invitation-only event was hosted by Brian Hayes, President of the 67-member-strong group of Members of the European Parliament (MEPs) who form the European Advocates for Epilepsy group in the parliament, a number of whom attended the event. Also present were some of the most senior representatives of a number of agencies and associations from Europe and North America. These included the Head of Sector for Neuroscience at DG Research, the Head of the ERN program at DG Santé, the NIH Program Director of Epilepsy, the Scientific Director of the Institute of Neurosciences of the Canadian Institute for Health Research, the Presidents of IBE and ILAE, the President of the American Epilepsy Society, the President and CEO of Epilepsy Foundation of America, the Chair of the Epilepsy Panel of the European Academy of Neurology, the President of the European Federation of Neurological Associations, and a number of other stake-holders, including the pharma industry.
Participants heard how, despite intensive and ongoing research, epilepsy research still faces several unmet needs, with major gaps in understanding the disease with large economic and societal costs. The event provided the opportunity to synergise the results of the seven diverse projects and to identify the several bottle necks which still remain. Delegates included basic and clinical epilepsy researchers, big and small pharma, and patient organisations. Other participants included Dr Karim Berkouk, Dr Stefan Hogan and Ms Anna Graca from the European Commission’s Directorate-General Research & Innovation and representatives of the European Brain Council. The meeting showed how a bottom up approach is needed to coordinate research and policies with more collaborative research, including public partnerships, public private partnerships, and global co-operation. On the following day, the EU Research Commission held a workshop titled ‘Shaping the Future of Epilepsy Research’ with a global panel of speakers from Europe, Asia, Africa, and North and South America, at which it was reported that the upcoming EU Horizon Europe framework for research would be calling for bold inspirational approaches with wide societal relevance, including open science, global challenges and open innovation pillars. Also looking to develop a global perspective, a call under the H2020 project titled ‘Coordinating European brain research and developing global initiatives’ was underway with the European Brain Council’s European Brain Research Area (EBRA) proposal being selected to coordinate the project.
An issue for concern was the lack of support in Europe for the WHA Resolution on Epilepsy, approved by the World Health Assembly in 2015, with report back in 2018. Few countries had addressed the recommendations of the resolution and efforts were now underway for a call to action. While support had been received from some countries including Russia, China and Brazil, there had been no support from EU Member States, despite their support for the EU Written Declaration in 2011. The argument was that epilepsy was too narrow a topic. However, the counter arguments were that epilepsy encompassed several hundred diseases; was sufficiently wide to have been selected for an EU-funded European Reference Network (ERN); 50 million people worldwide had been diagnosed with epilepsy; and it ranked second in the league of years of life lost. In her presentation, Francesca Sofia, an Italian mother of a young child with epilepsy, said that her biggest wish was for her daughter simply to be happy, adding that this was a wish shared by all parents for their children. Francesca’s daughter Bea has a complex form of epilepsy which is resistant to medication. She continues to have seizures and requires a lot of support.
“I wish my daughter simply to be happy”
Despite the hardships that life has thrown at her, Bea remains a happy loving 9-year old, who goes to school and who yearns to have friends. But the sad situation is that she has never had a friend and has never been invited to a play-date or party by classmates. Any invitation sent by Francesca to her daughters classmates for play dates or parties have always been declined by their parents. A strong indication that there is still huge misconception and stigma attached to a diagnosis of epilepsy. And if the parents are discriminatory towards Bea, this is likely to run off onto their young children.
Brian Hayes MEP
Brian Hayes served as a member of Dail Eireann (Irish Parliament) from 1997-2002 and 2007-2014, until his election to the European Parliament in May 2014. He was appointed to three European Parliament Committees – Economic & Monetary Affairs, Development, and Budgetary Control. He is a member of the Delegations to Iraq and South Africa.
Prof Martin Brodie is President of the International Bureau for Epilepsy (IBE) and Co-chair Epilepsy Alliance Europe. His involvement with IBE goes back more than 30 years, having served as a member of its board from 2005 to 2009.
His research interests include antiepileptic drug neuropharmacology, randomised clinical trials, prognostic outcome studies, management of epilepsy and factors affecting antiepileptic drug response.
Dr Sofia is a molecular biologist with a PhD in neuroscience. She specialized in healthcare economics and policy as a research program manager for an Italian health foundation, dedicated to rare genetic diseases.
Her career path changed when her youngest daughter was diagnosed with a rare form of epilepsy, in 2011. In July 2014, she joined the Italian Epilepsy Federation with the aim of fostering epilepsy research. Recently, she founded Science Compass, an enterprise that provides services and tools for effective investments in the biomedical sector to non-profit organizations.
Frédéric Destrebecq is Executive Director of the European Brain Council. In this capacity, he is responsible for providing strategic direction and leadership while managing the day-to-day operations of EBC and its ongoing relationships with its member associations and other stakeholders, as well as representing the organisation in various European and national forums.
Prior to this position, Fred served the European Union of Medical Specialists (UEMS) as Chief Executive Officer, and previously as Director for European Affairs.
Dr Ryvlin is Professor of Neurology and Chair of the Department of Clinical Neurosciences at University Hospital of Lausanne (CHUV), Switzerland, and Director of the Epilepsy Institute (IDEE) in Lyon, France. He is President of the European Epilepsy Monitoring Association (EEMA), co-Chair of the Epilepsy Alliance Europe Task Force, founder of the European Network for Epilepsy Research (ENER), and coordinator of the EU funded pilot ERN – (E-PILEPSY).
Members of the European Advocates for Epilepsy Group
President: Brian Hayes (Ireland)
Vice President: Nathalie Griesbeck (France)
Heinz Becker (Austria), Bendt Bendtsen (Denmark), Franc BogoviČ (Slovenia), Michal Boní (Poland), David Borelli (Italy), Paul Brannen (UK), Christian-Silviu Bușoi (Romania), Matt Carthy (Ireland), David Casa (Malta), Nessa Childers (Ireland), Lefteris Christoforou (Cyprus), Kostas Chrysogonos (Greece), Deirdre Clune (Ireland), Miriam Dalli (Malta), Tanja Fajon (Slovenia), José Inácio Faria (Portugal), Eleonora Forenza (Italy), Lampros Fountoulis (Greece),
Jens Gieseke (Germany), Theresa Griffin (UK), Jytte Guteland (Sweden), András Gyürk (Hungary), Marian Harkin (Ireland), Anna Hedh (Sweden), Liisa Jaakonsaari (Finland), Anneli Jäätteenmäki (Finland), Barbara Kappel (Austria), Karin Kadenbach (Austria), Seán Kelly (Ireland), Katerina Konečná, (Czech Republic), Miapetra Kumpula-Natri (Finland), Merja Kyllönen (Finland), Giovanni La Via (Italy), Jean Lambert (UK), Marian-Jean Marinescu (Romania), Costas Mavrides (Cyprus), Mairead McGuinness (Ireland), Roberta Metsola (Malta), Tilly Metz (Luxembourg), Ulrike MŰller (Germany), James Nicholson (UK), Demetris Papadakis (Cyprus), Dimitrios Papadimoulis (Greece), Emilian Pavel (Romania), Alojz Peterle (Slovenia), Sirpa Pietikáinen (Finland), Pavel Poc (Czech Republic, Dominique Riquet (France), Paul Rübig (Austria), Sofia Sakorafa (Greece), Christel Schaldemose (Denmark), Annie Schreijer-Pierik
(Netherlands), Olga Sehnalová (Czech Republic), Igor Šoltes (Slovenia), Maria Spyraki (Greece), Neoklis Sylikiotis (Cyprus), Eleftherios Synadinos (Greece), Claudiu-Ciprian Tânâsescu (Romania), Patrizia Toia (Itlay), Nils Torvalds (Finland), Ivo Vajgl (Slovenia), Julie Ward (UK), Theodoros Zagorakis (Greece), Tomáš Zdechovský, (Czech Republic), Jana Žitňanská (Slovakia).