ADNI Data and Publications: A Unique Model of Open Data Access

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ADNI Data and Publications: A Unique Model of Open Data Access Robert C. Green, MD, MPH Associate Director for Research, Partners Center for Personalized Genetic Medicine Division of Genetics, Department of Medicine Brigham and Women s Hospital, Harvard Medical School

NIH Grant Funding U01 HG006500 (Green) R01 HG002213 (Green) R01 HG005092 (Green) K24 AG027841 (Green) R01 AG031171 (Qiu) P50 HG003170 (Church) R21 HG00603 (Wang) U01 AG024904 (Weiner) R01 AG021136 (Tschanz) R01 HG06615 (Holm) P60 AR047782 (Karlson/Katz) R01 HG003178 (Wolf)* RC1 HG005491 (Holm)* R21 DK084527 (Grant)* *recently completed

ADNI Data and Publications Committee

ADNI DPC Responsibilities Manage access to ADNI data Design and update policies for data access Approve access for each user Maintain table of users and their goals Obtain annual renewal for each user Troubleshoot data access for users Manage publication process for ADNI users Review each manuscript for compliance Track publications Intervene with journal editors when necessary

ADNI is a unique experiment in open data access credit to Mike Weiner, Arthur Toga and the Informatics Core (Ivani Dos Santos, Karen Crawford), and the Executive Committee

Four Interlocking Policies Create Innovative Data Sharing System 1. Consent for sharing 2. Applications for data access 3. Data downloads 4. Manuscript management

Consent for Sharing broad sharing explicitly requested willingness to trust

Consent for Sharing http://adni.loni.ucla.edu/wp-content/uploads/how_to_apply/adni_dsp_policy.pdf

RORR Statement Locations in ADNI Consents ADNI n = 58 ADNI-GO n = 55 ADNI-2 n = 56 PET-PIB n = 15 Total n = 184 Access to research records 2 5 7-14 Benefits 7 4 3 8 22 Confidentiality 1 3 4-8 Procedures 3 2 2-7 Risks 3 5 6-14 Sample storage and future use 54 55 55-164 Incidental findings 3 2 5-10 Use of results in clinical care 1 1 1-3 What else do you need to know? 1 - - - 1

RORR Statement Referenced in ADNI Consents (ADNI-2) Type of data referenced in RORR statement Routinely returned Not returned If clinically significant No statement present Total Biomarker - 53-3 56 Genetic - 55 1-56 Imaging, MRI 2 2 7 45 56 Imaging, PET - 2 1 53 56 Imaging, Florbetapir - - 1 55 56 Imaging, Nonspecific - - - 56 56 Lab tests 2 1-53 56 Lumbar puncture 2 1-53 56 Neuropsychological - 1 1 54 56 Nonspecific statement 5 4 4 43 56 Total 11 119 15 415 560

Applications for Data Access simple application process rapid review of applicants low threshold for acceptance no control over analysis plans

ADNI Data Use Agreement http://adni.loni.ucla.edu/wpcontent/uploads/how_to_apply/adni_data_use_agreement.pdf

Number of Applications Number of Accepted and Rejected Applications per Year 700 600 500 400 Total Accepted 300 Rejected 200 100 0 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 Academic Year

Number of Accepted Applications Number of Accepted Applications by Sector per Year 500 450 400 350 300 250 200 University/Research Industry Government Other 150 100 50 0 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 Academic Year

Number of Accepted Applications Number of Accepted Applications by Country Per Year 300 250 200 USA 150 100 United Kingdom China Japan Canada Other 50 0 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 Academic Year

Number of Investigators in Applications Number of Investigators of Approved Applications by Education Level of User Applicants Per Year 600 500 400 Bachelor's 300 Master's PhD/MD 200 100 0 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 Academic Year

Data Download available in real time (no embargo) re-sharing not permitted

Individuals Downloading Data Number of Users that Downloaded Each File at Least Once 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 Imaging 147 189 204 255 356 449 Non-imaging Zip files 78 205 266 415 513 223 Individual files 0 0 0 0 224 881 Table B2: Non-imaging downloads and imaging downloads aggregated by number of users that downloaded a file at least once per year. Each unit in the count refers to

Number of Image Downloads 1000000 Imaging Downloads Per Year 900000 800000 700000 600000 500000 400000 300000 200000 100000 0 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 Academic Year

Manuscript Management rapid administrative review limited scientific review publication tracking

ADNI Publications http://adni.loni.ucla.edu/publications/

Manuscripts from ADNI Total Reviewed by ADNI DPC 515 Total Published 247 Total Epubs 24 Total In Press 5 Total Under Revision 2 Total In Submission 220 Total Withdrawn 11 Under Review by ADNI 6 Total Using ADNI Data Not Reviewed by DPC 35 In compliance with requirements 6 Not in compliance with requirements 29 Total Manuscripts Using ADNI Data 550

Manuscripts Submitted to DPC Requiring 1 or No Revisions No Revision Required 1 Revision Required 53% 47%

Manuscripts Published Without Compliance to ADNI Publishing Policy: 35 Paper s published without reviewed by DPC 6 Published in compliance with ADNI Data requirements, although they did not receive formal DPC review 29 Published without compliance to ADNI Data Protocol 20 Missing or Incomplete ADNI Acknowledgement with Authorship 19 Missing or Incomplete Acknowledgement of Grants and Sponsors 7 Missing or Incomplete Methods Section

Number of Published Manuscripts Number of Published Manuscripts with and without DPC Review per Year 120 100 80 Number of Published Manuscripts Reviewed by DPC 60 40 Number of Published Manuscripts Not Reviewed by DPC 20 0 2005 2006 2007 2008 2009 2010 2011 Calendar Year

ADNI Sequencing Initiative Lead: Co-Lead: Structure: Robert C. Green Andy Saykin Arthur Toga Genetics Core Informatics Core Data & Publications

http://www.genome.gov/sequencingcosts

Medical sequencing: a disruptive technology Time Period Genomes 1990-2003 1. NIH reference 2. Celera reference Turnaround time FTEs Cost per genome ~5 years ~5,000 ~$2-3 billion 2003-2009 12 additional ~6 months Dozens $300,000 30,000 2010-2014 10 3-10 4 2-4 weeks 3-4 $10,000 1,000 2015-2020 Millions 15 minutes <<1 $100 333 machines each machine generates 1.2 Mb 1 machine generates 400 Mb per day In development 150 Mb in 6 hours

The first humans to be sequenced

It is estimated that 30,000 genomes will be sequenced by the end of 2011, with over 9000 in the USA. From: Genomes by the thousand. 2010. Nature 467.

Too Much Data? Translational scientist 40 foot wall of data

Too Much Data?

Too Much Data?

Variant Filtration 2 5 Million Variants Pathogenic Annotation (DB Truncating Specific) GeneTests Genes Predicted Impact (Tool Specific) Frequency <1% Familial Segregation Other Bins Variants to Be Manually Assessed 0-2 Causative Variants Slide courtesy of Sandy Aronson

ADNI Cases Sent for Sequencing N = 818 AD ~ 128 MCI ~ 415 Controls ~ 267 Unstable ~ 8

Questions??