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Julia Wilson
Wellcome Trust Sanger Institute
genomicsandhealth.org
The Challenge
Unparalleled generation of
human genetic data
In a way that allows data to be shared
on a global level
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How do we unlock its potential?
Thus empowering new knowledge, new
diagnostics and new therapeutics for patients
and populations
genomicsandhealth.org
The Challenge
Data from millions of samples may be needed to achieve results and
progress - showing patterns that would otherwise remain obscure.
That will take new methods and organizational models.
Historically:
• Data is typically in silos: by type, by disease, by country, by institution
• Analysis methods are non-standardized, few at scale
• Approaches to regulation, consent and data sharing limit interoperability
Don’t act: an overwhelming mass of fragmented data, such as electronic
medical records in many countries
Collective Action: achieve the interoperability of the www or global
telecommunications – Smart phones.
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genomicsandhealth.org
Mission
To accelerate progress in human health by helping to establish
a common framework of harmonized approaches to enable
effective and responsible sharing of genomic and clinical data,
and by catalyzing data sharing projects that drive and
demonstrate the value of data sharing
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genomicsandhealth.org
Role
Convene stakeholders
GA4GH does not directly:
Catalyze sharing of data
Generate or store data
Create harmonized approaches
Perform research or care
for patients
Act as a clearinghouse
Interpret genomes
Foster innovation
Commit to responsible data sharing
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Be exclusive to entities
that have and share data
genomicsandhealth.org
Overall approach
Work together internationally to ensure interoperability of data and of
methods, to harmonize approaches to ethics and regulation, and to promote
participant autonomy
Support pilots, reference implementations and data sharing projects that
responsibly and effectively harmonize, analyze and share genomic and clinical
data
Engage professional communities and the public; build trust and encourage
appropriate sharing and learning
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genomicsandhealth.org
Organizational Model
Executive
Committee
Steering
Committee
Strategic
Advisory
Board
Secretariat
Working
Groups
…
Team
Team
Lead
Team
Lead
Lead
Teams
DWG
REWG
SWG
CWG
Team
Team
Lead
Team
Lead
Lead
Teams
Team
Team
Lead
Team
Lead
Lead
Teams
Team
Team
Lead
Team
Lead
Lead
Teams
Team
Team
Lead
Team
Lead
Lead
Teams
Initiatives (Projects and Task
Teams)
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Future
Initiatives
…
Demonstration
Projects
genomicsandhealth.org
Membership
Global Alliance members include:
450+
900+
•
Universities and research institutes (32%)
Organizational
Members
Individual
Members
•
Academic medical centers and health
systems (5%)
•
Disease advocacy organizations and
patient groups (10%)
•
Consortia and professional societies (6%)
•
Funders and agencies (5%)
•
Life science and information technology
companies (42%)
70+
Countries
Last Update: January 2017
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genomicsandhealth.org
Countries
70+ Countries represented in the Global Alliance
• 450+ Organizational Members
• 900+ Individual Members
Afghanistan
Argentina
Australia
Austria
Belgium
Botswana
Brazil
Cameroon
Canada
China
Colombia
Congo
Costa Rica
Croatia
Czech Republic
Denmark
Egypt
Estonia
Finland
France
Georgia
Germany
Ghana
Greece
Hong Kong
India
Ireland
Israel
Italy
Japan
Kenya
Luxembourg
Malawi
Malaysia
Mali
Mauritius
Mexico
Morocco
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Peru
Philippines
Portugal
Qatar
Russian Federation
Sierra Leone
Singapore
Slovenia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Sweden
Switzerland
Taiwan
Tanzania
Tunisia
Turkey
Uganda
Ukraine
United Kingdom
United States
Uruguay
Venezuela
Virgin Islands, U.S.
Last Update: January 2017
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genomicsandhealth.org
Operations and funding
• Host institutions
• Wellcome Trust Sanger Institute
• Ontario Institute for Cancer Research
• Broad Institute of MIT and Harvard
• Funding
• Working with major international funders (NIH, Wellcome,
Genome Canada) to support and expand core funding
• Outreach to other public and philanthropic funders to
support reference implementations, pilots, and global reach
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genomicsandhealth.org
Working Groups
Clinical Working Group enables compatible, readily accessible, and scalable approaches
for sharing clinical data and linking genomic data. Clinical Working Group strives to
address both research and clinical use scenarios.
Data Working Group concentrates on data representation, storage, and analysis of
genomic data, including working with academic and industry leaders to develop
approaches that facilitate interoperability.
Regulatory and Ethics Working Group focuses on ethics and the legal and social
implications of the Global Alliance, including harmonizing policies and standards, and
developing forward-looking consent, privacy procedures, and best-practices in data
governance and transparency.
Security Working Group leads the thinking on the technology aspects of data security,
user access control, and audit functions, working to develop or adopt standards for
data security, privacy protection, and user/owner access control.
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genomicsandhealth.org
Key Deliverables
•
•
•
Genomics API
File Formats Standard
Standard for DNA sequence reads
•
•
•
•
•
Framework for Responsible Sharing of Genomic and Health Related Data
Accountability Policy
Privacy and Security Policy
Data Sharing Lexicon
Consent Policy
SWG
•
•
Security Infrastructure
Data Safe Havens
CWG
•
Catalogue of Global Activities
eHealth
International Genomic Data Initiatives
Mendelian
Family History Tools
Clinical Cancer Genome - Cancer Data Sharing
eHealth Family History Tools Statement of Best Practice
DWG
REWG
•
•
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genomicsandhealth.org
Discovery, Sharing, & Exchange
Data
Discovery
Beacon Project
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Data
Sharing
Knowledge
Exchange
Framework for
Responsible Sharing
of Genomic and
Health-Related Data
BRCA Exchange
Genomics API
Matchmaker
Exchange
Security Technology
Infrastructure
Cancer Gene Trust
genomicsandhealth.org
Beacon - Data Discovery
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genomicsandhealth.org
Framework for Responsible Sharing of Genomic
and Health-Related Data
The Framework is currently available in 12 languages. Thank you to all the volunteers!
•
Arabic
‫إطار لتبادل مسؤول للمعلومات الجینومیة والمتصلة بالصحة‬
•
Chinese
基因组学与健康相关数据负责任的共享框架
•
French
Cadre pour un partage responsable des données génomiques et des données de santé
•
German
Rahmenkonzept für die verantwortungsvolle Datenweitergabe genomischer und
gesundheitsbezogener Daten
•
Greek
Πλαίσιο για την Υπεύθυνη Κοινοχρησία Γονιδιωματικών και άλλων Ιατρικών Δεδομένων
•
Hindi
•
Italian
Framework per la condivisione responsabile di dati genomici e relativi alla salute
•
Japanese
ゲノム及び健康関連データの責任ある共有に関する枠組み
•
Portuguese
Framework para Compartilhamento Responsável de Dados Genômicos e Relacionados à Saúde
•
Russian
Концепция ответственного обмена данными и данными, связанными со здоровьем человека
•
Spanish
Marco de actuación para el uso compartido responsable de datos genómicos y relativos a la salud
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genomicsandhealth.org
GA4GH developer site – ga4gh.org
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genomicsandhealth.org
Catalogues of Global Activities
eHealth: a catalogue to identify and aggregate global resources for
sharing clinical and genomic eHealth data.
Family History Tool: a catalogue of family history tools currently
available for documenting family history health information.
23 Tools
Mendelian: a catalogue of current activities for sharing data on
Mendelian Genetic Disorders.
39 Initiatives
International Genomics Data Initiatives: provides information on
world-wide genomic data initiatives, including national precision
medicine initiatives, data-sharing initiatives, databases and
repositories, international genomics research consortia and projects,
and other genomics data resources.
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85 initiatives
93 Initiatives
genomicsandhealth.org
Current demonstration projects
• Through a series of Demonstration Projects, GA4GH is putting these tools
to use in real-world settings to demonstrate the value of data sharing.
BRCA Challenge: aims to advance understanding of the genetic basis of breast cancer
and other cancers by pooling data on BRCA genetic variants from around the world
and expert-classifying variants in BRCA1 & BRCA2.
➔ www.brcaexchange.org
Matchmaker Exchange: a federated network of databases whose goal is to find
genetic causes of rare diseases by matching similar phenotypic and genotypic profiles.
➔ www.matchmakerexchange.org
Beacon Project: open web service that tests the willingness of international sites to
share genetic data.
➔ www.beacon-network.org
Cancer Gene Trust: an online network for sharing somatic cancer genomic and clinical
data from around the world.
➔ www.cancergenetrust.org
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genomicsandhealth.org
MME - Rare disease patient matching
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genomicsandhealth.org
This document describes the Cancer Gene Trust, a
somatic cancer data sharing Demonstration Project
developed in collaboration with the Global Alliance
for Genomics and Health.
We encourage members of the GA4GH and cancer
research communities to send us feedback on the
white paper and to participate in the CGT.
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genomicsandhealth.org
Challenges & Opportunities
• The boundary between research and clinical care is blurring;
opportunity for accelerated learning
• Linkage of research and health data is critically important but
significantly increases the challenges and complexity of data
sharing – particularly across jurisdictional boundaries…
• Patients attitudes to data sharing and research vary by disease and
by culture
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genomicsandhealth.org
Challenges & Opportunities
• The boundary between research and clinical care is blurring;
opportunity for accelerated learning
• Linkage of research and health data is critically important but
significantly increases the challenges and complexity of data
sharing – particularly across jurisdictional boundaries
Lessons Learned
• Interoperability through API’s and, where appropriate, standards
• International data sharing by federation and use of metadata while
respecting national/regional health data privacy and security
requirements
• Data discovery is a pre-requisite to effective and expedient data
sharing (send the question to the data)
• Genomic data is relatively simple compared to phenotype and FHx
• Beyond human scale - machine readable, machine learning
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genomicsandhealth.org
2017 and beyond
• Individuals are key to creating the new tools, frameworks,
enablers, solutions and opportunities
• Organizations are key to ensuring the dissemination and
adoption of best practices and to support and reward
responsible data sharing
• We need to fully engage with individuals and organizations in
all continents to be truly global
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genomicsandhealth.org
Engaging with the GA4GH
• Visit us at www.genomicsandhealth.org
• Read our June 2016 Perspective Paper published in Science
• Participate in the www.YourDNAYoursay.org survey on participant
values about the sharing of genomic data
• Become an Individual member and encourage your organisation to
join to fully engage with us
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genomicsandhealth.org
Thank you
genomicsandhealth.org