{"id":26544,"date":"2023-05-12T18:09:08","date_gmt":"2023-05-12T16:09:08","guid":{"rendered":"https:\/\/www.ipsen.com\/non-classifiee\/understanding-the-true-impact-of-living-with-fop\/"},"modified":"2023-05-24T11:12:50","modified_gmt":"2023-05-24T11:12:50","slug":"understanding-the-true-impact-of-living-with-fop","status":"publish","type":"post","link":"https:\/\/www.ipsen.com\/fr\/actualites\/rare-diseases-fr\/understanding-the-true-impact-of-living-with-fop\/","title":{"rendered":"Comprendre le v\u00e9ritable impact de la vie avec la FOP"},"content":{"rendered":"\n<p>Cette ann\u00e9e marque le 17<sup>e<\/sup>&nbsp;anniversaire de l\u2019annonce de la d\u00e9couverte du g\u00e8ne&nbsp;<em>ACVR1<\/em>, une \u00e9tape scientifique majeure dans la recherche sur la fibrodysplasie ossifiante progressive (FOP) qui nous a aid\u00e9 \u00e0 comprendre ce qui provoque cette pathologie. Le 23&nbsp;avril, nous avons c\u00e9l\u00e9br\u00e9 la journ\u00e9e de sensibilisation \u00e0 la FOP pour marquer cet important anniversaire, sensibiliser \u00e0 cette maladie g\u00e9n\u00e9tique ultra-rare et c\u00e9l\u00e9brer la force de la communaut\u00e9 de la FOP qui est confront\u00e9e chaque jour \u00e0 des d\u00e9fis que la plupart d\u2019entre nous trouveraient inimaginables. Chez Ipsen, nous reconnaissons l\u2019importance de d\u00e9fendre les besoins uniques et complexes des personnes vivant avec la FOP et, bien que la journ\u00e9e de sensibilisation \u00e0 la FOP soit une journ\u00e9e tr\u00e8s importante, nous ne perdrons jamais de vue le fait que la communaut\u00e9 de la FOP m\u00e9rite notre engagement continu et \u00e0 long terme chaque jour. Pour r\u00e9pondre aux importants besoins non satisfaits qui existent, il est primordial de travailler avec la communaut\u00e9 de la FOP.<\/p>\n\n\n\n<p>Nous pensons qu\u2019il est de notre responsabilit\u00e9 d\u2019\u00e9couter les exp\u00e9riences directes de la communaut\u00e9 de la FOP afin de susciter un changement positif. Une fa\u00e7on d\u2019y parvenir consiste \u00e0 mener des \u00e9tudes qui placent v\u00e9ritablement les personnes atteintes de FOP au centre de nos recherches, telles que des enqu\u00eates sur le fardeau de la maladie et des \u00e9tudes sur l\u2019histoire naturelle, qui sont des outils essentiels pour \u00e9largir nos connaissances sur les maladies rares. Cette recherche nous permet de concevoir des essais cliniques qui explorent les aspects d\u2019une maladie qui ont le plus d\u2019impact et sont pertinents pour les patients, tels que la progression de la maladie, les r\u00e9sultats physiques, sociaux, \u00e9motionnels et de qualit\u00e9 de vie.<\/p>\n\n\n\n<p>Il serait impossible pour la plupart d\u2019entre nous de comprendre ce que subit une personne atteinte d\u2019une affection chronique, progressive et ultra-rare, comme la FOP.<sup>1,<\/sup><sup>2<\/sup>&nbsp;Ce que nous savons, cependant, est que la FOP provoque une croissance osseuse permanente et irr\u00e9versible dans les tissus mous en dehors du syst\u00e8me squelettique normal, que l\u2019on appelle ossification h\u00e9t\u00e9rotopique (OH).<sup>3<\/sup>&nbsp;Cette nouvelle croissance osseuse entra\u00eene l\u2019immobilisation des articulations, ce qui aboutit \u00e0 une perte progressive du mouvement. De nombreuses personnes atteintes de FOP doivent utiliser un fauteuil roulant avant l\u2019\u00e2ge de 30 ans.<sup>2,4<\/sup>&nbsp;Une croissance osseuse suppl\u00e9mentaire associ\u00e9e \u00e0 la FOP peut \u00e9galement entra\u00eener un blocage de la m\u00e2choire, ce qui entra\u00eene des difficult\u00e9s pour manger et pour parler. En outre, les restrictions thoraciques peuvent entra\u00eener une insuffisance cardiorespiratoire et, au final, conduire de nombreuses personnes atteintes de FOP \u00e0 une esp\u00e9rance de vie r\u00e9duite.<\/p>\n\n\n\n<p>Le mieux que nous puissions faire pour comprendre les r\u00e9alit\u00e9s de la vie avec une maladie rare comme la FOP consiste \u00e0 \u00e9couter activement les patients quant \u00e0 l\u2019impact r\u00e9el qu\u2019ils subissent dans tous les aspects de leur vie. En veillant \u00e0 ce que la voix des patients soit int\u00e9gr\u00e9e dans le processus de bout en bout de d\u00e9veloppement clinique, y compris la diffusion des r\u00e9sultats, la recherche qui en r\u00e9sulte peut \u00eatre utilis\u00e9e pour apporter un changement significatif.<\/p>\n\n\n\n<p><strong><u>Affiner la recherche sur les maladies rares<\/u><\/strong><\/p>\n\n\n\n<p>La recherche sur les maladies rares et ultra-rares pr\u00e9sente des d\u00e9fis diff\u00e9rents de ceux d\u2019autres maladies. Il s\u2019agit de tr\u00e8s petites populations de patients qui rendent difficile la recherche de personnes dispos\u00e9es et capables de participer \u00e0 une recherche, mais \u00e9galement<sup>6<\/sup>&nbsp;du manque de connaissances sp\u00e9cifiques \u00e0 la maladie \u00e0 grande \u00e9chelle<sup>6<\/sup>&nbsp;et de l\u2019expertise \u00e0 d\u00e9velopper,<sup>4<\/sup><sup>, 7<\/sup>&nbsp;de la complexit\u00e9 des essais cliniques, qui manquent de crit\u00e8res d\u2019\u00e9valuation connus et convenus,<sup>6<\/sup>&nbsp;des co\u00fbts \u00e9lev\u00e9s de recherche et d\u00e9veloppement<sup>8<\/sup>&nbsp;avec un taux d\u2019\u00e9chec notable, et des cadres efficaces inexistants pour \u00e9valuer la valeur.<sup>6<\/sup><\/p>\n\n\n\n<p>Pour tenter de supprimer certains de ces obstacles et mieux comprendre les r\u00e9alit\u00e9s quotidiennes des personnes vivant avec la FOP, des membres de leur famille et des soignants, ainsi que des professionnels de sant\u00e9 qui les soutiennent, nous avons con\u00e7u deux projets compl\u00e9mentaires&nbsp;: une \u00e9tude prospective de l\u2019histoire naturelle et une enqu\u00eate sur le fardeau de la maladie. Les deux \u00e9tudes ont \u00e9t\u00e9 cr\u00e9\u00e9es en partenariat avec la communaut\u00e9 de la FOP, qui a non seulement contribu\u00e9 \u00e0 les concevoir, mais qui continue d\u2019\u00eatre d\u00e9terminante dans notre travail pour comprendre et d\u00e9chiffrer les connaissances.<\/p>\n\n\n\n<p>Tout d\u2019abord, l\u2019\u00e9tude de l\u2019histoire naturelle&nbsp;: une premi\u00e8re dans son genre dans la FOP. Auparavant, les recherches dans ce domaine \u00e9taient limit\u00e9es, de sorte que l\u2019\u00e9tude a \u00e9t\u00e9 con\u00e7ue pour d\u00e9crire de mani\u00e8re plus exhaustive la progression naturelle de la maladie. Il s\u2019agissait de la premi\u00e8re fois qu\u2019une \u00e9valuation longitudinale, prospective et globale de la FOP \u00e9tait r\u00e9alis\u00e9e, avec des donn\u00e9es recueillies sur une p\u00e9riode de 36&nbsp;mois. Les r\u00e9sultats ont d\u00e9montr\u00e9 l\u2019impact invalidant et la nature progressive de la FOP. Les informations cl\u00e9s comprennent&nbsp;:<\/p>\n\n\n\n<!--Alert Card Layout Start Here-->\n<section class=\"alertcard-section\">\n      <div class=\"container\">\n        <!--Alert Box HTML Start Here-->\n        <div class=\"alert-box info-box\">\n                  <div class=\"info-contents\">\n          <h4 role=\"heading\" aria-level=\"2\" class=\"info-head heading-four heading-four\"><\/h4>\n            <p class=\"info-sub-head-para hidden heading-para\"><\/p>\n            <div class=\"alert-content visible\"><ul>\n<li>L\u2019accumulation la plus importante de nouvelles OH survient pendant l\u2019enfance et au d\u00e9but de l\u2019\u00e2ge adulte.<sup>10<\/sup><\/li>\n<li>L\u2019utilisation d\u2019aides, de dispositifs d\u2019assistance et d\u2019adaptations (ADAA) a consid\u00e9rablement augment\u00e9, avec plus de 90\u00a0% des patients utilisant au moins un nouvel ADAA pendant l\u2019\u00e9tude, ce qui sugg\u00e8re que l\u2019utilisation d\u2019ADAA pourrait \u00eatre un indicateur r\u00e9el de la diminution de la mobilit\u00e9 dans la FOP.<sup>10<\/sup><\/li>\n<\/ul>\n<\/div>\n          <\/div>\n        <\/div>\n        <!--Alert Box HTML Start Here-->\n      <\/div>\n    <\/section>\n<!--Alert Card Layout End Here-->\n\n\n\n<p>En compl\u00e9ment de cela, nous nous sommes \u00e9galement associ\u00e9s avec des consultants de la communaut\u00e9 de la FOP pour mener la premi\u00e8re enqu\u00eate internationale sur le fardeau de la maladie (FdM) afin de saisir l\u2019impact multidimensionnel de la FOP, notamment l\u2019effet sur les familles et les soignants. L\u2019enqu\u00eate FdM a r\u00e9v\u00e9l\u00e9 l\u2019\u00e9tendue de l\u2019impact social et \u00e9conomique de la FOP, ainsi que son impact sur la qualit\u00e9 de vie. Ses r\u00e9sultats d\u00e9montrent que&nbsp;:<\/p>\n\n\n\n<!--Alert Card Layout Start Here-->\n<section class=\"alertcard-section\">\n      <div class=\"container\">\n        <!--Alert Box HTML Start Here-->\n        <div class=\"alert-box info-box\">\n                  <div class=\"info-contents\">\n          <h4 role=\"heading\" aria-level=\"2\" class=\"info-head heading-four heading-four\"><\/h4>\n            <p class=\"info-sub-head-para hidden heading-para\"><\/p>\n            <div class=\"alert-content visible\"><ul>\n<li>La perte progressive de la mobilit\u00e9 et de la fonction articulaires est associ\u00e9e \u00e0 un impact n\u00e9gatif consid\u00e9rable sur la qualit\u00e9 de vie des personnes vivant avec la FOP.<sup>11<\/sup><\/li>\n<li>Au fur et \u00e0 mesure que l\u2019invalidit\u00e9 augmente au fil du temps, la fa\u00e7on dont la FOP est prise en charge change, en mettant davantage l\u2019accent sur les soins et le soutien quotidiens, en faisant davantage confiance \u00e0 l\u2019aide des membres de la famille pour effectuer les activit\u00e9s quotidiennes, et en limitant la mobilit\u00e9, ce qui limite la capacit\u00e9 \u00e0 se d\u00e9placer.<sup>11<\/sup><\/li>\n<li>Les personnes pr\u00e9sentant les limitations physiques les plus s\u00e9v\u00e8res ont rapport\u00e9 des scores de qualit\u00e9 de vie nettement inf\u00e9rieurs \u00e0 ceux g\u00e9n\u00e9ralement rapport\u00e9s par les personnes vivant avec un diab\u00e8te de type\u00a02, un cancer et la scl\u00e9rose en plaques. Les r\u00e9sultats sugg\u00e8rent \u00e9galement que la perte de la fonction articulaire entra\u00eene un impact financier n\u00e9gatif en raison de l\u2019augmentation des co\u00fbts, car le besoin d\u2019adaptations de la vie, la probabilit\u00e9 de changements dans les plans de carri\u00e8re et les jours de travail manqu\u00e9s pour ces personnes et leurs familles augmentent.<sup>11<\/sup><\/li>\n<\/ul>\n<\/div>\n          <\/div>\n        <\/div>\n        <!--Alert Box HTML Start Here-->\n      <\/div>\n    <\/section>\n<!--Alert Card Layout End Here-->\n\n\n\n<p><strong><u>Pouss\u00e9s par les voix de la FOP<\/u><\/strong><\/p>\n\n\n\n<p>Chez Ipsen, nos \u00e9quipes travaillent tous les jours pour soutenir les personnes de la communaut\u00e9 des maladies rares. Mais la seule fa\u00e7on de saisir r\u00e9ellement \u00e0 quoi ressemble la vie d\u2019une personne atteinte d\u2019une maladie rare est de lui demander. L\u2019\u00e9tude de l\u2019histoire naturelle et l\u2019enqu\u00eate FdM ont \u00e9t\u00e9 des outils importants qui nous ont permis de poser des questions et d\u2019\u00e9couter la communaut\u00e9 pour essayer de comprendre leurs exp\u00e9riences. Nous tenons \u00e0 remercier personnellement la communaut\u00e9 de la FOP qui a contribu\u00e9 \u00e0 rendre ces \u00e9tudes percutantes et qui nous a offert des occasions de mieux comprendre et de partager ces connaissances importantes.<\/p>\n\n\n\n<p>Ce n\u2019est que par une v\u00e9ritable compr\u00e9hension que nous pouvons continuer \u00e0 prendre les bonnes d\u00e9cisions pour soutenir les communaut\u00e9s de la FOP et des maladies rares.<\/p>\n\n\n\n<!--Alert Card Layout Start Here-->\n<section class=\"alertcard-section\">\n      <div class=\"container\">\n        <!--Alert Box HTML Start Here-->\n        <div class=\"alert-box general-box\">\n                    <div class=\"info-icon\">\n              <span class=\"info-circle\"><img decoding=\"async\" src=\"https:\/\/www.ipsen.com\/wp-content\/themes\/ipsen-main\/dist\/images\/alert-info-icon.png\" alt=\"Alert\"\/><\/i>\n            <\/div>\n                    <div class=\"info-contents\">\n          <h4 role=\"heading\" aria-level=\"2\" class=\"info-head heading-four heading-four\">R\u00e9f\u00e9rences<\/h4>\n            <p class=\"info-sub-head-para hidden heading-para\"><\/p>\n            <div class=\"alert-content visible\"><p>1. Baujat, G et al., 2017, Prevalence of fibrodysplasia ossificans progressiva (FOP) in France: an estimate based on a record linkage of two national databases,\u00a0<em>Orphanet Journal of Rare Diseases<\/em>, vol.12, no.1, pp.1-9.<\/p>\n<p>2. Connor JM, Evans DA. Fibrodysplasia ossificans progressiva. The clinical features and natural history of 34 patients. J Bone Joint Surg Br. 1982;64(1):76-83.<\/p>\n<p>3. Kaplan FS, et al. 1993, The Histopathology of Fibrodysplasia Ossificans Progressiva.\u00a0<em>J Bone Joint Surg Am<\/em>, Vol 75, no. 2, pp. 220-30.<\/p>\n<p>4. Pignolo, R. et al., 2020. Self-reported baseline phenotypes from the International Fibrodysplasia Ossificans Progressiva (FOP) Association Global Registry.\u00a0<em>Bone,<\/em>\u00a0134, p.115274.<\/p>\n<p>5. Kaplan FS, Zasloff MA, Kitterman JA, et al. Early mortality and cardiorespiratory failure in patients with fibrodysplasia ossificans progressiva.\u00a0<em>J Bone Joint Surg Am.<\/em>\u00a02010;92(3):686\u2013691.<\/p>\n<p>6. Neez E, Gentilini A, Hutchings A. \u00a02021. Addressing unmet needs in extremely rare and paediatric-onset diseases: how the biopharmaceutical innovation model can help identify current issues and find potential solutions. \u00a0<em>EFPIA,<\/em>\u00a0viewed 28 September 2022,\u00a0<a href=\"https:\/\/dolon.com\/rare-knowledge\/publications\/addressing-unmet-needs-in-extremely-rare-and-paediatric-onset-diseases\">https:\/\/dolon.com\/rare-knowledge\/publications\/addressing-unmet-needs-in-extremely-rare-and-paediatric-onset-diseases<\/a>.<\/p>\n<p>7. Qi, Z., Luan, J., Zhou, X., Cui, Y., &amp; Han, J. 2017. Fibrodysplasia ossificans progressiva: Basic understanding and experimental models.\u00a0<em>Intractable &amp; rare diseases research<\/em>, 6(4), 242\u2013248. https:\/\/doi.org\/10.5582\/irdr.2017.01055.<\/p>\n<p>8. Jayasundara K, et al 2019, \u2018Estimating the clinical cost of drug development for orphan versus non-orphan drugs.\u2019,\u00a0<em>Orphanet Journal of Rare Diseases,<\/em>\u00a0Vol.14, no. 12.<\/p>\n<p>9. Wong CM, et al 2019, \u2018Estimation of clinical trial success rates and related parameters\u2019\u00a0<em>Biostatistics<\/em>, Vol. 20, no. 2, pp. 273\u2013286.<\/p>\n<p>10. Pignolo et al. The Natural History of Fibrodysplasia Ossificans Progressiva: A Prospective, Global, 36-Month Study.\u00a0<em>Genetics in Medicine.\u00a0<\/em>2022. https:\/\/doi.org\/10.1016\/j.gim.2022.08.013.<\/p>\n<p>11. Mukaddam MA. et al. 2022. The impact of fibrodysplasia ossificans progressive (FOP) on patients and their family members: results from an international burden of illness survey,\u00a0<em>Expert Review of Pharmacoeconomics &amp; Outcomes Research.<\/em>\u00a0<a href=\"https:\/\/doi.org\/10.1080\/14737167.2022.2115360\">DOI: 10.1080\/14737167.2022.2115360<\/a>.<\/p>\n<\/div>\n          <\/div>\n        <\/div>\n        <!--Alert Box HTML Start Here-->\n      <\/div>\n    <\/section>\n<!--Alert Card Layout End Here-->\n","protected":false},"excerpt":{"rendered":"<p>Cette ann\u00e9e marque le 17e&nbsp;anniversaire de l\u2019annonce de la d\u00e9couverte du g\u00e8ne&nbsp;ACVR1, une \u00e9tape scientifique majeure dans la recherche sur<\/p>\n","protected":false},"author":9,"featured_media":36678,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1192],"tags":[4394,4393],"class_list":["post-26544","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rare-diseases-fr","tag-rare-disease-fr","tag-patient-fr","entry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - 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