Melanoma

in  the north of europe. 



11th- 13th October 2019 

DOCKYARD HOTEL
Skeppet Ärans Väg 23, Nya Varvet, 426 71  Västra Frölunda
Gothenberg, Sweden




PROGRAM

version 16th September 2019

Work in progress


Friday, 11th October 

morning
Nordics hubs meeting (arrival the evening before)

13.30- 14.30 Melanoma QuickStart 


  • Melanoma basics- disease and therapies
  • Introduction to the weekend 


14.30- 15.30 Coffee and registration

15.30- 17.00  We in the Nordics opening session

Welcome to Gothenburg and motivation for the first Nordic Melanoma patient conference

MPNE nordics steering committee

The latest from ESMO 2019 

ESMO is the largest European cancer congress and members of our network attend every year. We expect several Melanoma updates- and we'll share the most important ones here!

Bettina Ryll and Fredrik Östman, MPNE



17.00- 18.30 How novel medicines reach Melanoma patients- Sweden in focus
Novel therapies have turned advanced Melanoma from a disease with no hope to one where survival is a real possibility. Due to their high cost, the introduction of these novel therapies was however not without challenges and timely access to new therapies has been one of our biggest concerns in Melanoma. 


Most countries try to use their resources so that the largest number of people has the highest possible benefit. Countries therefore assess new medicines and therapies, also called 'Health Technologies' for their value and cost-effectiveness ('value for money'). That assessment helps to decide whether a new therapy is covered by the national health insurance- or not.


The way medicines are assessed and how that assessment is taken into account differs from country to country- so in this year's session, we will start with the Swedish example.

At the same time, collaboration between different HTA bodies is already increasing and comes with the hope that this translates into faster and more equal access to new medicines for patients. Finland, Norway and Sweden have already started a collaborative project- FINOSE- so what will that mean for patients in the Nordics? 


Learning objectives

- What is HTA- Health Technology Assessment?

- Why do it?

- Discuss concepts like value and opportunity cost

- HTA collaboration between different countries

- and where is the patient in all this?

Introduction: how novel medicines reach patients- the general principle in 2 min
Fredrik Östman, MPNE

Health Technology Assessment in Sweden

Jan Liliemark, SBU, confirmed 

Niklas Hedberg, TLV, invited


Discussion


Background reading
Health Technology Assessment in the Nordics 


19.00 Welcome reception and Dinner


Saturday, 12th October

9.00- 10.30  Session 1a: The latest Melanoma development: adjuvant treatment- and the very latest: neo-adjuvant treatment.


What does it mean? What does the data say? Which therapies are approved and which are reimbursed? And what is happening in the neo-adjuvant setting? 

Adjuvant therapy in Melanoma

Ana Carneiro, Lund University, invited 


Access to adjuvant therapies in the Nordics

Tone Skajaa Rye, invited 


Adjuvant versus neo-adjuvant Melanoma treatment 

Judith Versluis, NKI, Amsterdam, Netherlands, confirmed 

The latest approvals for Melanoma treatment were in the adjuvant setting for patients with Stage 3 disease. Now, neo-adjuvant treatments are also tested. Find out what we know about adjuvant treatments so far and how neo-adjuvant treatment differs.


Further reading on neo-adjuvant therapies

articles

​https://www.ncbi.nlm.nih.gov/pubmed/30297911

​https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481682/

comments

https://www.esmo.org/Oncology-News/Neoadjuvant-Immune-Checkpoint-Blockade-in-Melanoma

https://www.nature.com/articles/s41591-018-0250-0?WT.feed_name=subjects_clinical-trials

9.00- 10.30  Session 1b: Melanoma of the Eye- treating Uveal Melanoma (focus on the primary tumour)

chair Erik Näsman


An introduction to ocular Melanoma (anatomy, different types of ocular Melanoma and their differences)

speaker tbc

Clinical Management of the primary tumour

Charlotta All-Eriksson, invited 

Risk stratification: who will progress?

speaker tbc

The importance of surveillance

speaker tbc

10.30- 11.00 Coffee 


11.00- 12.30 Session 3: Challenging situations in Melanoma- treating when evidence is scarce 

  • Resistance to therapy and particular focus on brain mets 

When therapies fail patients- a patient perspective
Kristian Øye,
Norway

Intra-tumoral therapies

Marius Normann, Norway, invited 

Best standard of care

Lisbet Rosenkrantz Hölmich​, Copenhagen University, invited


  • Microbiome and response to Immune therapy

A topic often discussed on patient forums- can I influence my response to immune therapy by what I eat?

Max Levin, Gothenberg University, invited

 

11.00- 12.30 Parallel session: metastatic ocular Melanoma 
Liver-directed therapies in uveal Melanoma

Ana Carneiro, Lund University, invited

HER2-CART in uveal Melanoma

further reading

https://www.ncbi.nlm.nih.gov/pubmed/30622115



12.40- 13.50 Lunch

14.00- 14.30 Melanoma & Men- journal club
Why do men with Melanoma seem to do worse?

​Göran Jönsson, Lund, Sweden, invited

further reading

https://www.sciencedirect.com/science/article/pii/S2211124719306989#!

14.30- 16.00 Access to treatment

Accessing clinical trials abroad

Eric Näsman, MPNE, confirmed

Access to clinical trials abroad- the Danish example
Access to clinical trials abroad- the Norwegian example


16.00- 16.30 Coffee and CAKE 🍰and find your group

16.30- 17.00
Country-specific Group activity


17.00- 17.45 'Have a Margarita with your oncologist' with Gil Morgan

Back after the success at MPNE 2018- have a margarita with your oncologist.

Good communication between patients and their medical team is critical for high quality care.

We felt that the current way of dealing with the challenge- patients attending workshops 'how to get the most out of your oncologist' and oncologist attending workshops 'how to talk to difficult patients' were painfully illustrating what wasn't working in that communication- and decided to therefore have a session TOGETHER. Find out why talking to patients can be hard- and why talking to oncologists is as least as hard. And obviously also how we ended up having margaritas with our oncologists!

​​
18.00 Reception 

19.00 Conference Dinner


Sunday, 13th October

Advocacy day- patient advocates only

9.00 - 9.45 Knowledge protects.
‘Fake news’ are a real danger for Melanoma patients- but finding correct information isn’t always easy. This session will explain the difference between real science and pseudoscience and how to check whether medical information is valid. And end with a chilling example about how difficult it can be to find out what is actually solid evidence.


Pseudo Science versus Real Science

Gilly Spurrier, MPNE, France, invited

Rigvir- a drug without evidence

Olga Valcina, MPNE, Latvia, confirmed

How to read Scientific papers

Bettina Ryll, MPNE, Sweden


9.45- 10.30 EUPATI- you cannot change a system you don't understand

EUPATI is a former IMI program designed to train patient advocates in the development in new medicines. A crucial topic when survival depends so much on new medicines like in Melanoma! Members of our network have participated in the program since the beginning- hear how they program came to be in the first place, experiences from participants and from EUPATI nordics, the sister initiative for our region!


Background on the European Patient Academy for Therapeutic Innovation 

Anders Olauson, former EPF president and the 'grandfather' of EUPATI, confirmed

EUPATI nordics 

Mirjami Tran Minh, Kari Anne Fevang, Merete Schmiegelow


10.30- 11.00 Coffee

11.00 - 12.30 Making a difference for Melanoma patients in the Nordics


Vigiaccess- a powerful resource about side effects

Rebecca Chandler, Uppsala Monitoring Centre, Sweden, invited

Effective Melanoma therapies are new and have only been approved in the European Union since 2011. As the clinical trials have been small and especially checkpoint inhibitors are an entirely new class of therapies, we are still learning about new side effects and Vigiaccess is a very useful tool!

Panel discussion: looking at our challenges, what can we as network do?

 

  • potential collaborations/ joint projects
  • rare Melanomas


12.30- 12.45 next steps and conference closure

13.00- 14.00 Lunch and departure




We are looking forward to seeing you in Gothenberg!

Last update 16th September 2019 BR


MPNE nordics 2019



Surviving Melanoma in Europe.  

Access to prevention, early detection and effective treatment for all.

Melanoma Patient Network Europe