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i. Institute for Medical Research

No Strategy Activities Implementation

period Indicator Collaboration /

Coordinating Agencies b. NPC Lab-to-clinic

program • Lab-to-clinic

- NPC

Developmental Therapeutics:

Repurposing of FDA approved drugs.

- Developmental therapeutics and Biomarkers:

Identification of new targets for therapy, development of new therapies and companion diagnostics;

strategic partnership for the development of affordable effective therapeutic agents for major cancers

2016-2020

2016-2025

• Candidate drugs with evidence to justify clinical trials

• Identified targets, candidate drugs, companion diagnostics assays.

• Establishment of a drug discovery and chemical biology centre at the IMR to address national health priorities including cancers.

• Evaluation of companion diagnostics to optimize matching of cancer patients to treatment

MoH (IMR, CRC) IMUSMDC, UCSF

MoH (IMR, CRC, IKN, other MoH Health Facilities) IMUSMDC, UCSF Drug companies Other hospitals

2. Develop Leukemia

program at the IMR • Development of precision medicine for leukemia

2016-2025 • Companion diagnostics assays for leukemia

MoH (IMR)

3. Develop the Bio-bank to support research programs at the IMR

• Review of SOPs

• Implementation of processes

• Establishment of bio-bank mirror site and satellite collection sites at major hospitals (inclusive of minor renovations and purchase of equipment)

• Development of network for collection of specimens and

• QC and audit data system

2016-2020 • Fully functional

bio-bank MoH (IMR, MoH

Health Facilities, CRC, Clinical Research Malaysia (CRM)

No Strategy Activities Implementation

period Indicator Collaboration /

Coordinating Agencies 4. Strengthening animal

research capabilities for in vivo drug testing

• Hiring and training of permanent officer

• Development of SOPs and implementation of in vivo drug testing pipeline

• AAALAS training and certification of personnel

• AAALAC accreditation of facility

2016-2020 • Fully functional facility for laboratory small animal research

• Candidate drugs tested

• Candidate drugs tested which proceeded into clinical trials

• Candidate genes/

drug targets/

prognostic markers evaluated

MoH (IMR)

5. Strengthening of genomics and bioinformatics

• Hiring of bio-informatician

• Training of staff in genomics and bioinformatics

• Strengthening of downstream studies

2016-2020 • Fully functional genomics and bioinformatics facility

• Candidate genes identified and validated

• Diagnostic assays developed based on findings

MoH (IMR)

6. Strengthening of in vitro

drug discovery pipeline • Hiring of staff

• Screening of compound libraries

• Validation of hits

2016-2020 • Established drug discovery pipelines

• Candidate drugs identified which proceeded to in vivo validation studies

MoH (IMR)

7. Develop strategic

collaborations with other groups to strengthen research to address issues related to cancer in the country

• Collaborative arrangements/

agreements

• Implementation of collaborative work

2016-2020 • Successful collaborations which resulted in useful output/

outcomes

MoH (IMR) Other organisations

No Strategy Activities Implementation

period Indicator Collaboration /

Coordinating Agencies 8. Strategic planning of

research programs and Scientific Advisory Board Reviews

• Sessions for in-depth strategic planning of research programs

• Scientific advisory board reviews (2016/2017: strategic plan review; 2018:

midterm review;

2020 full review and planning for next 5 year cycle)

• Revise current mechanisms to ensure implementation of best practices of research management in line with the IMR Transformation Program

• Ensure that scientific reviews (prospective/

retrospective) are carried out by independent experts in the field (need to be identified)

• Establish mechanism for long term research programs designed to

maximize impact on cancer, with focus on quality and impact rather than mere number of projects

• Strategic planning of the use of resources to maximize impact

2016-2020 • Strategic plan

• Appointment of International Scientific Advisory Board

• Scientific advisory board reviews conducted

• Scientific advisory board recommendations which have been successfully implemented

MoH (IMR)

No Strategy Activities Implementation

period Indicator Collaboration /

Coordinating Agencies 9. Strengthening the

information and communication

technology (ICT) facilities to enhance cancer

research

• Upgraded ICT to curate and analyse “big data” emerging from laboratory studies as well as encourage and facilitate collaborative projects between local and international research teams.

• Adequate technical ICT support

• Tap on Malaysian Health Data Warehouse (MyHDW) to retrieve clinical data to support research through the Bio-specimen bank.

2016-2020 • Collaborative projects between local/international research teams facilitated by ICT

• Impact of research projects supported by ICT to retrieve clinical data from MyHDW via bio-specimen bank

MoH (IMR) MyHDW

10. Strengthening cancer research by recruiting and keeping talent as well as combining effort from the public sector as well as research universities

• The possibility of setting up a National Cancer Research Consortium to increase research cooperation and collaboration between research institutes and universities from the public and private sector as well as to enhance international networks and partnerships and the NIH

(Malaysia) should be considered.

(this will become the link between the research communitry and the Steering Committee for the National Cancer Control Program)

2016-2020 MoH (IMR, IKN)

local universities etc

No Strategy Activities Implementation

period Indicator Collaboration /

Coordinating Agencies

• Possibility of setting up laboratories at the IMR serving as the National Laboratories for the consortium should be explored.

• Create a mechanism to hire / offer internationally competitive post-doctoral training fellowships, fellowships for Masters and PhD as well as long term training in cancer which allows recent PhD graduates from local and foreign universities to work at the NIH Malaysia in the area of cancer and for IMR staff to be trained abroad (short and long term)

• Explore the possibility of setting aside a National Cancer Research Grant to supplement current research funding including a Cancer Research Challenge Fund which encourages donation for cancer research and training (including attendance at international cancer conferences)

• Mechanism to hire post-doctoral fellow being set up

• Numbers of post-doctoral, master and PhD fellowships given to facilitate cancer research

No Strategy Activities Implementation

period Indicator Collaboration /

Coordinating Agencies Prevention

1. To assess awareness and knowledge of general public on common cancers in Malaysia and their risk factors

• KAP study on cancer prevention (and screening) among public

2020 • Study conducted

and report produced

MoHMoE

Screening

1. Exploring new cost effective modalities for cancer screening

• Conduct research / HTA on

feasibility of using other available cancer screening modalities:

- Cervical cancer screening - Colorectal

Cancer

- Prostate cancer screening using MRI and PSA - NPC screening

using EBV Serology and EBV DNA

• HTA conducted

• Research conducted and report produced

• HTA conducted

• HTA/Pilot Study- report produced

• Research conducted and report produced

• Research conducted and report produced

MoH,MoE, Professional Bodies

MoH (MaHTAS)

College of Radiology, IPR

MoH (MaHTAS)

College of Radiology, HTA unit, Surgery

IMR, College of Radiology, IKN, MoH

Appendix 11 (b)

Key Strategy 5 : MONITORING, SURVEILLANCE, RESEARCH AND DEVELOPMENT

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