Inspiration REPORT - YEARS
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Table of Contents Our legend 4 Our story 6 Our journey so far 8 Our Board 10 Our inspiring research leaders 12 Our compassionate clinical leaders 16 Our research collaboration 20 Our clinics 21 Our links 22 Our supporters 24 Our inspiration 26 Our impact 30 Our commercialisation 38 We acknowledge the traditional custodians of this land, the Whadjuk Our future 42 people of the Noongar nation, Our request to you 46 and pay respects to their Elders Our gratitude 47 past and present.
4 Perron Institute Inspiration Report 5 After a lifetime of research in neuropathology, I am proud the Institute I started in 1982 turns 40 this year! We have made some incredible discoveries, and I am sure we’ll make many more. Thank you to everyone who has been a part of our journey so far. I look forward to what the future brings – including developing new treatments for devastating conditions which continue to affect millions of people around legend the world. Emeritus Professor Byron Kakulas AO Founder, Perron Institute Emeritus Professor Byron Kakulas AO Founder, Perron Institute
6 Perron Institute Inspiration Report 7 Our story Since its inception, the Perron Institute for Neurological and of genomics, using genetic data to inform and personalise Translational Science has built an international reputation as an diagnostics and therapies. My father, the late Stan innovative and collaborative centre of excellence for medical research. Our goal is to continue to build on our globally relevant Perron AC, first met Professor research capacity, nurturing and Byron Kakulas as a result of Dad’s The Institute celebrates its 40th discoveries and treatments for and partners, from over 450 supporting our research teams, anniversary in 2022 as Western the community’s benefit. research institutes, hospitals and involvement with his local Rotary widening the scope of research Australia’s longest established universities worldwide. and developing collaborations Club and was inspired to become a Our values are integrity, respect, medical research organisation. We have opened new pathways, that generate and efficiently significant supporter on hearing of responsibility, excellence and translate research evidence for We’re proud to mark this community. They guide our twice leading the world in his pioneering research on Duchenne health benefit. anniversary as an important activities and reflect those held research breakthroughs, muscular dystrophy. Dad’s personal opportunity to acknowledge our by our highly respected and beginning with the remarkable Our patrons support was to become a lifelong achievements and recognise longstanding supporters, the discovery by our founder the contributions of the many late Stan Perron AC and his Emeritus Professor Byron commitment and was extended talented, inspiring and dedicated family. Kakalus AO that degenerated when he established the Stan people who are part of the muscle could regenerate in the Perron Charitable Foundation in Perron Institute story — our Our purpose Rottnest Island quokka. 1978. The work of what is now the leaders, our researchers and The Institute’s core purpose clinicians, our support teams, Building on this quantum leap, Perron Institute was supported by is translational medicine, the Professors Steve Wilton AO and our benefactors and our transfer of new understanding Sue Fletcher AO and their team Dad because it aligned with the key partnering organisations. of disease mechanisms gained developed three drugs approved purpose of the Foundation, which Integral to this, are the in the laboratory, new methods by the United States Food and is to help people in need, especially contributions of those who of diagnosis, treatment and Drug Administration to slow children battling chronic disease and participate in our research prevention. The end goal is to the progression of Duchenne projects and clinical trials. provide better quality of life and muscular dystrophy in boys and at severe disadvantage. improve clinical outcomes for young men suffering from this Together we have gone forward millions of people around the genetic disease. FDA approvals As Chair of the Foundation, it is my to find answers to complex The Honourable Kim Beazley AC world suffering from devastating are very hard to achieve. It’s Governor of Western Australia privilege to continue and extend neurological disorders and neurological conditions. an incredible achievement in a translate research outcomes into Dad’s philanthropy and it is my great researcher’s lifetime, an outcome improved diagnostics and novel Solid foundations very few experience. pleasure to congratulate Emeritus therapies. There have been and of discovery and Professor Kakulas AO and everyone continue to be many challenges, Connecting our researchers with but our successes, for example innovation med-tech focused entrepreneurs at the Perron Institute on this world first therapies for Duchenne With our focus on unlocking to make the complex journey momentous achievement. muscular dystrophy, have been mysteries in the neurosciences to commercialisation has been Elizabeth Perron significant, widening horizons and field and taking our discoveries integral to this success. Chair, Stan Perron Charitable Foundation improving the lives of many. from ‘bench to bedside’, the Perron Institute is helping to A new frontier Our vision shape the future of health care. As part of the next phase of our To positively change lives and Our clinicians and scientists work evolution, we are expanding the make a difference by continuing collaboratively within a global research platforms developed to drive our research translation network of over 900 researchers over decades and we are active forward and develop new and health professionals in the rapidly advancing area Professor Lyn Beazley AO FTSE
8 Perron Institute Inspiration Report 9 Our journey so far As the first medical research institute in Western Australia, we are New Research Chair in Palliative Care delighted to be celebrating our 40th Anniversary in 2022. Professor Samar Aoun became Perron Institute Research Chair in Palliative Emeritus Professor Perron Institute The Institute takes Centre for Care at UWA. Byron Kakulas AO contributed to the on the Perron name Molecular Medicine Sarich family donates Emeritus Professor discovery of the In 2017, we proudly and Innovative significant funding Byron Kakulas AO, SOD1 MND gene became the Perron Therapeutics $1million donated to research, The Quokka Story then Professor of Location Institute for Neurological opening Researchers at the including Bryant Stokes Revolutionary discovery Neuropathology at the established Perron Institute and Translational Science This joint research Research Fund. by Emeritus Professor University of Western at SCGH (then the Australian in recognition of Mr initiative between Byron Kakulas AO that Australia, in partnership The WA Government Neuromuscular Research Stan Perron AC and his Murdoch University and New Research Chair degenerated muscle with a group of parents indicated that it was family’s long-standing Institute) played a the Perron Institute, the in Stroke tissue in the Rottnest whose children suffered prepared to make significant part in philanthropic support. Centre for Molecular Island quokka could be Professor Graeme Hankey from muscular dystrophy space available in the discovering the first Medicine and Innovative regenerated. Moved into our became the Perron Institute took the bold decision old Sir Charles Gairdner gene (SOD1) associated Therapeutics (CMMIT), Chair in Stroke Research to establish the Muscular Hospital building at with motor neurone new building brings together at UWA. A cornerstone for Dystrophy Association the Queen Elizabeth disease in collaboration Moved into the Ralph researchers and the development of a Centre of Western Australia, II Medical Centre in with researchers in the & Patricia Sarich specialist clinicians from of Excellence in Stroke. now Muscular Dystrophy Nedlands. United States, Canada Neuroscience Institute a range of disciplines Western Australia. and Europe. Building to bring with a common focus Byron Kakulas Annual neuroscience groups on developing precision Medal and Lecture together. medicine solutions. An inaugural signature event. 1965 1971 1982 2016 2019 2021 1960 1967 1978 1993 2017 2019 2022 Inclusion Body Official Second drug Third drug for Myositis identified establishment for Duchenne Duchenne achieves as a clinical of ANRI achieves US US FDA accelerated identity In 1982, the Australian FDA accelerated approval Major International Neuromuscular Research First Duchenne approval Inclusion body myositis The third treatment for [IBM] was distinguished Congress on Institute was established drug receives Duchenne muscular Developed by Professors from polymyositis in a Muscle Diseases with Professor Kakulas accelerated Sue Fletcher AO and dystrophy developed by our biopsy examined by Perth hosted a major as its Founding Director. approval from the Steve Wilton AO at the WA research team led by Professor Byron Kakulas international congress on US FDA Perron Institute via The Professors Steve Wilton AO AO in 1965. Neurologist muscle diseases where A ground-breaking drug University of Western and Sue Fletcher AO, received Dr Frederick Samaha the idea of establishing developed by Professors Australia, Vyondys accelerated approval by the went on to clearly define a neuromuscular Steve Wilton AO and 53 is the second exon United States Food and Drug the entity which was research institute in Sue Fletcher AO to treat skipping therapy for Administration (US FDA). later elucidated via Perth was born. Duchenne muscular Duchenne muscular electron microscopy by dystrophy received dystrophy to receive Argenica Therapeutics neurologist Dr Sam Chou. accelerated approval from accelerated approval by lists on ASX the US Food and Drug the United States Food The first listing of intellectual Administration. The first and Drug Administration. property from Perron Institute of three Duchenne drugs and UWA to drive stroke approved by the US FDA. discoveries forward.
10 Perron Institute Inspiration Report 11 Our Board Our Board members are collectively proud of the Perron Institute’s achievements over many Rob McKenzie Abigail Davies Ian Green Torsten Ketelsen OAM years. We are grateful to Board Chair Board Director Board Director Board Director (appointed May 2022) our Board members, who volunteer their time, and for the range of expertise they provide. Steve Arnott Professor Norman Palmer Dr Rebekah Puls Jo Wilkie CEO Board Director Board Director, Chair of the Board Director Research Advisory Committee generosity Dr James Williams Board Director Professor Stephen Wilton AO Board Director
12 Perron Institute Inspiration Report 13 Our Our research team leaders are inspiring determined to deliver positive outcomes for people living with research leaders Dr May Aung-Htut Professor Minghao Zheng Professor Samar Aoun neurological and neuromuscular Molecular Therapies Research Brain and Bone Axis Research Palliative Care Research conditions. Their commitment, dedication and expertise are The group led by Professor The group is exploring the The focus of Professor Aoun We are a dynamic, Wilton and Dr May Aung-Htut at interaction between the brain and her group is on a public something to behold and this is the Centre for Molecular Medicine and bones, in particular the health approach to palliative multidisciplinary institute and Therapeutics (CMMIT), relationship between bone care, viewing the community going to make a difference. for neurological research Murdoch University, develops treatments for inherited and/ fractures and the progression of dementia. The aim is to develop as an equal partner with health service providers in ensuring Research is a 24/7 undertaking. and translation. We or acquired diseases, applying treatments for age-related quality care throughout the the successful genetic ‘patching’ disorders such as Alzheimer’s end-of-life journey. You need passion, perseverance conduct research across a technology created for Duchenne disease, other forms of and tenacity to succeed, along broad range of conditions muscular dystrophy. dementia and osteoporosis. with a little luck and a lot of such as stroke, Parkinson’s, community support. motor neurone disease, multiple sclerosis and rare Professor Steve Wilton AO Perron Institute Director muscle diseases such as Duchenne muscular dystrophy and myositis. We are proud of our successful record in research translation – transforming scientific Associate Professor Rakesh Veedu Professor Bruno Meloni Professor Merrilee Needham discoveries into clinical treatments for people in the community. Nucleic Acid Therapeutics Research Stroke Research Myositis Research See our research groups The laboratory team led by The core focus of the group Led by Professor Needham, and their leaders. Associate Professor Veedu based led by Clinical Professor Neville the group (based at CMMIT, leadership at CMMIT, Murdoch University Knuckey and Professor Meloni, Murdoch University) has a focuses on developing therapeutic is to develop early intervention longstanding dedication to the and diagnostic technologies neuroprotective treatments to investigation of clinical, genetic designed for the treatment of minimise brain damage after and immunological aspects of the various inherited/genetic and stroke and other neurological inflammatory myopathies, with a acquired diseases such as macular disorders causing brain injury. focus on Inclusion Body Myositis, degeneration, Type-2 diabetes, Argenica Therapeutics Ltd is the most common muscle disease psoriasis and liver cancer. driving this forward. associated with ageing.
14 Perron Institute Inspiration Report 15 Professor Lindy Fitzgerald Professor Allan Kermode Professor Soumya Ghosh Professor Sulev Koks Dr Athanasios Gaitatzis Dr Sarah Rea Neurotrauma Research Demyelinating Diseases Research Restorative Neurology Research Genetic Epidemiology Research Epilepsy Research Functional Genomics Research The group led by Professor The team, led by Clinical Led by Clinical Professor Ghosh The team led by Professor The aims of the group led Dr Rea’s group, based at Fitzgerald (Curtin University Professor Kermode (Perron and Professor Frank Mastaglia AM, Koks (CMMIT and Perron by consultant neurologist CMMIT, is researching the and Perron Institute) seeks to Institute and CMMIT), is the group based at Perron Institute Institute) aims to understand Dr Gaitatzis (Perron Institute underlying mechanisms that understand whether oxidative dedicated to investigating the uses advanced methodologies, how genetic factors interact and Sir Charles Gairdner cause neurodegeneration damage to certain cells is a causes of multiple sclerosis (MS) including balance assessment and with environmental factors Hospital) are to understand the and bone disease, particularly feature that unifies neurotrauma, and improving the treatment therapy, pulmonary function and in Parkinson’s and motor factors that affect the clinical motor neurone disease and neurodegenerative and and management of people with therapy and non-invasive brain neurone disease. The goal is to expression of epilepsy and its frontotemporal degeneration. demyelinating diseases, and to MS and related diseases. This stimulation to develop treatments use genomic technologies in response to treatment, and to The group is also investigating identify potential targets for early includes study of the influence for Parkinson’s and other longitudinal studies as predictors identify biomarkers and develop the functional impacts of disease- preventative treatments. of immune-related genes. neurological conditions. for neurodegenerative personalised treatments. associated gene changes on outcomes. neurons and bone cells. Associate Professor Jenny Rodger Associate Professor Stuart Hodgetts Professor Anthony Akkari Brain Plasticity Research Spinal Cord Repair Research Motor Neurone Disease Genetics and Therapeutics Research inspire The group led by MSWA Dr Hodgetts’ objective at The group led by Professor Senior Research Fellow and UWA and Perron Institute is Akkari (CMMIT and Perron A/Professor Rodger (UWA and to develop clinically relevant Institute), aims to identify genetic Perron Institute) is developing strategies for the treatment mechanisms and mutations interventions that promote of spinal cord injury resulting in neurological conditions, healthy brain development and from trauma (falls, sporting and particularly motor neurone function, as well as repairing road accidents) and applying disease. The goal is to develop damaged brains after injury and these strategies towards other personalised treatments based non-invasively treating mental medical conditions such as on the successful antisense illness, including depression. stroke and brain injury. oligonucleotide technology. Pictured right: Emeritus Professor Byron Kakulas AO and Abbey Figliomeni, PhD student and Kakulas Scholarship recipient
16 Perron Institute Inspiration Report 17 Our compassionate clinical leaders Our on-site treatment clinics, led by Manager Clinical Services Sue Walters, are among the Perron Institute’s key strengths. Clinical Professor David Blacker Clinical Professor William Carroll Dr Rajini (Sivarajini) Rajanayagam Stroke Clinic and Research Multiple Sclerosis Clinic and Research Movement Disorders, MND and MS Clinic and Research In the late 1980s, Professor An arrangement with Sir Charles Neurone Disease, Neuromuscular Frank (Francis) Mastaglia was Gairdner Hospital enables the Conditions and Epilepsy. Clinical Professor David Blacker, Professor William (Bill) Carroll Consultant neurologist Dr invited by Professor Kakulas to institute to offer these specialised Perron Institute’s Medical AM was appointed President Rajini Rajanayagam provides clinical services. Our Medical Director is Clinical Director and clinical neurologist, of the World Federation of diagnostic and treatment- join the Institute and establish Professor David Blacker. specialises in the diagnosis and Neurology in 2018. He is a based services in her various a Clinical Research Program Our clinic team includes management of stroke, provides multiple sclerosis clinician clinics. Patients have access to which he developed with Associate Professor Rick Stell and consultant neurologists, See our specialist a comprehensive and ongoing and researcher at the Perron advanced disease management nurses and other allied health subsequently Ms Walters. professionals. consultant service, and leads the clinic Institute, and a consultant therapies including deep brain alongside nursing and allied neurologist at Sir Charles stimulation, Duodopa and neurologists and health staff. He also leads Gairdner and St John Apomorphine therapies. Our clinicians treat people Clinics include Stroke, Multiple with some of the most complex Sclerosis, Movement Disorders their clinics and stroke research. of God hospitals. neurological disorders. (including Parkinson’s), Motor areas of research. Clinical Professor Soumya Ghosh Professor Merrilee Needham Dr Dev Nathani Movement Disorders (incl. Neuromuscular (incl. Inclusion Body Motor Neurone Disease Clinic Parkinson’s) Clinics and Research Myositis) Clinic and Research and Research Professor Frank Mastaglia AM A/Professor Rick Stell Sue Walters Clinical Professor Soumya Ghosh Professor Merrilee Needham Dr Dev Nathani joined our motor is a consultant neurologist at the leads an integrated neurone disease clinic in 2021. The Perron Institute, and Sir Charles Inflammatory Myopathies clinic offers multidisciplinary care Gairdner, Perth Children’s Clinic also known as the including nursing and occupational and Fiona Stanley hospitals. Neuromuscular Clinic. Professor therapy, as well as support from Professor Ghosh also heads the Needham is an established Sir Charles Gairdner Hospital’s Institute’s Restorative Neurology neurologist and Head of Respiratory Sleep Disorders Research. He completed a Myositis Research at the Perron Clinic, gastroenterology, speech The clinics really are the human side to our success. PhD in neurophysiology at the Institute and CMMIT. pathology, dietetics, physiotherapy Australian National University. and palliative care. Sue Walters Manager Clinic Services
18 Perron Institute Inspiration Report 19 Associate Professor Rick Stell Dr Jason Burton Dr Athanasios Gaitatzis Dr Srimathy Vijayan Movement Disorders (incl. Multiple Sclerosis Clinic and Epilepsy (incl. Epilepsy and Movement Disorders (incl. Parkinson’s) Clinic and Research Research Pregnancy) Clinic and Research Parkinson’s) Clinics and Research Movement Disorders specialist Consultant neurologist Dr Athanasios Gaitatzis is Dr Srimathy Vijayan is a Associate Professor Rick Dr Jason Burton runs a weekly a consultant neurologist consultant neurologist in the Stell provides diagnostic and multiple sclerosis clinic at the specialising in epilepsy at Perron Institute clinic. Her key treatment-based services in his Perron Institute and Fiona Perron Institute and Sir Charles interest is movement disorders various clinics. Patients have Stanley Hospital. Gairdner Hospital. He qualified including the management access to advanced disease in Greece and completed his of Parkinson’s Disease and management therapies including specialist training in London. advanced therapies, particularly deep brain stimulation and He runs WA’s only dedicated deep brain stimulation. She botulinum toxin treatments. He Epilepsy and Pregnancy clinic, completed her medical training helped establish our clinics in the the second in Australia. at John Radcliffe Hospital in 1990s and conducts research. Oxford, UK. Dr Janavi Dunuwille Dr Wayne Yau Dr Shruthi Kamath Epilepsy Clinic and Research Movement Disorders Clinic Multiple Sclerosis Clinic and Research possibilities and Research Consultant neurologist Consultant neurologist Dr Wai Consultant Neurologist Dr Janavi Dunuwille provides Yan (Wayne) Yau studied at Dr Shruthi Kamath joined diagnosis, management and UWA, the University of Sydney the Perron Institute clinics in treatments for patients with and University College London 2021. She provides specialty epilepsy. Dr Dunuwille is also (UCL). His medical training took multiple sclerosis clinics at the head of Neurology at Sir place in Perth, Sydney and United Perron Institute. Dr Kamath also Charles Gairdner Hospital. Kingdom, where he completed provides general neurology and his movement disorders stroke services at Fiona Stanley fellowship and obtained his PhD and Bunbury Regional hospitals. in neurogenetics at UCL. Pictured right: Alexa, Anne and Clinical Professor Soumya Ghosh clinic consultation
20 Perron Institute Inspiration Report 21 Our research collaboration Our clinics For over 40 years, the Perron Institute has continued to build its Our clinicians deliver specialist services for some of the most reputation as a world-class medical research institute with national complex cases. They are also working to create the future of and worldwide links. personalised medicine. 893 454 224 researchers and health research cities 21 treatment clinics 14 clinical trials 8 neurologists leading professionals institutes per week research projects 105 Australian universities, 44 countries 75+ PhD and master students 13 consultant neurologists 3,117 clinic visits in 2021 hospitals and medical and all involved in research research institutes We are a leader in delivering research outcomes to the community. Pictured right: Demyelinating Diseases Research Team
22 Perron Institute Inspiration Report 23 Our links collaboration Collaboration with researchers and institutions worldwide is integral to success in scientific research. One of our strengths is the extent of links and collaborations globally. and unity Science is a global endeavour. Ideas transcend national borders and in an increasingly interconnected world, international collaboration is absolutely essential if Australian science is to flourish. Professor Steve Wilton A0 Perron Institute and CMMIT Director
24 Perron Institute Inspiration Report 25 Our University partners: Our With our significant supporters cohort of partners and supporters, we are well With sincere appreciation, positioned to do great we’re proud to list our many Our supporting, corporate and community partners: things. This includes partners, collaborators, supporting scientific breakthroughs, funding bodies and drug development supporters. They include: innovative models of Our Founding and care, new technology longtime supporters: and services. Professor Alan Robson Perron Institute Chair appreciation Neurotrauma Research Program
26 Perron Institute Inspiration Report 27 Our inspiration Seeing people in our community who are suffering from Consumer and Australian Health Translation Network (WAHTN) Consumer devastating disorders where treatments are insufficient or, in Community and Community Involvement A few years ago, Involvement Program, formed a Consumer many cases, unavailable motivates us every day to pursue my greatest hope Program Advisory Group in 2020. The discoveries that will bring hope in areas of unmet need and Improving health outcomes for group comprises individuals and dream was with experience of some of the ultimately change lives. people is the goal of medical most debilitating conditions funding becoming research and there is increasing awareness of and emphasis under investigation by available for researchers. Compassionate end-of-life, increasing people’s The City of Bunbury, as part given to the need for consumer drug trials. The connectedness to their of its Strategic Community and community involvement in In 2021, the WAHTN launched Communities community. Plan, has recently included all phases. the Consumer and Community Sirolimus trial Network an ‘Aspiration’ to foster: ‘a Involvement handbook, a is about to start The Compassionate Connectors Our researchers at Perron compassionate and inclusive practical step by step guide Professor Samar Aoun is the Model of Care initiative, in Institute and CMMIT, with the Perron Institute Research Chair in partnership with Palliative community’. assistance of the Western for organisations, researchers, at the Perron consumers and funders. Palliative Care at UWA. She has Care WA, has been adopted In 2021, the first South West Institute. My influenced rapid system change by the WA Country Health Compassionate Communities by engaging the community Service as ‘business as usual’ Network forum was held in new hope is through the South West function of the existing Bunbury Bunbury. Bringing together Compassionate Communities that clinicians Hospital Volunteer Program. politicians, researchers and Network which she co-founded This program was selected as people in the community to and researchers in 2018 and chairs. a finalist for the Palliative Care discuss and share practical tips Trial offers hope in tissue, especially in the arms can discover a Awards in the Outstanding on how to help each other deal and legs. At this stage, there Compassionate Communities fight against IBM is a global movement that Regional/Rural Team Delivering with challenging topics such as is no effective treatment and treatment or cure encourages social networks Holistic Palliative Care in any death, dying and grief. My name is Damian Slater. people like me end up requiring to play a much stronger role Setting award. In 2008, aged 35, I was assistive devices for daily living. for all of us living diagnosed with Inclusion Body I am now confined to an electric in supporting those at the wheelchair. with this rare Myositis (IBM). It was just six months after I was married, and I The hardest thing about living disease. was one of the youngest people with my condition has been the in Australia to be diagnosed with Damian Slater limitations it puts on what I can this disease. do with my son and wife. My son The diagnosis was devastating is just amazing, though, and my for me and my wife, but with the wife’s loving, positive outlook is support of my wonderful team my greatest motivation. of specialists, we remain positive about future upcoming drug trials and grants to find a cure. IBM is a rare, incurable disease where the body’s immune system attacks healthy muscle Pictured left amd right: Samar, Drew and Maureen at Perron Institute; Damian and Carmen Slater. Photo credit Tony McDonough, The Australian 2020
28 Perron Institute Inspiration Report 29 Involving the broader community in shaping our research is crucial if we are to succeed in our mission of translating findings from the laboratory into outcomes that directly benefit patients. Clinical Professor David Blacker Perron Institute Medical Director Defying his disease Almost six years since approval of the first drug Exondys 51 Making life easier influence 21-year-old Billy Ellsworth, still (eteplirsen), Billy maintains Jenny Dixon is a patient of participating in a US clinical stability and defies his disease the Perron Institute clinic and trial for Duchenne muscular by not being confined to a is happy to talk about her dystrophy, graduated in 2019 wheelchair. deep brain stimulation (DBS) and is studying at college. He operation which she said has is still able to walk due to the Billy’s mother Terri Ellsworth made her life so much easier. pioneering and life-changing said: “I’m so grateful to the therapies developed by Perron Institute, UWA and “Without the DBS operation I Professors Steve Wilton, Sue Murdoch University. I think it would not be the person I am Fletcher and their team. Three is important, motivational and today. I can feed myself without treatments received accelerated inspirational to see Billy walking breaking teeth, cook for myself approval by the United States well at 21 years of age.” and carry a cup of tea with one Food and Drug Administration hand. It has changed my life for in 2016, 2019 and 2021. the better in so many ways.” Jenny Dixon Pictured top and bottom right: Emeritus Professor Byron Kakulas AO and Billy Ellsworth; Anne and Alexa Jefferson in the clinic
30 Perron Institute Inspiration Report 31 Our impact Translating results into community benefit Strategic priorities Research translation is part for research of our DNA. Patients need The Perron Institute is of making a major contribution industry, non-governmental Foster the development and access to safe medicines as to the health of the community. organisations, communities retention of clinician scientists proud of its success and community organisations, to drive clinical practice quickly as possible. We have In striving to achieve our in delivering research objectives in translational patients and carers. innovation and quality built a platform to take our Drive translational research outcomes to the medical research, we see In working to improve the lives preclinical developments from through engagement with community. the rapidly advancing field and the prospects for people of molecular genetics as a with neurological disorders, network partners the lab, through the regulatory tremendous opportunity. including those with rare Grow clinical trials capacity Research excellence and participation processes and into the clinic as The personalised therapy diseases, our researchers are for the future pathway, to refine diagnostic tackling complex issues and Support translational research fast as possible. processes and tailor therapies applying advanced research through engagement between The Perron Institute, a centre clinicians, patients, academic Professor Anthony Akkari to specific groups and technologies. of excellence in neuroscience partners and industry Head of MND Genetics and Therapeutics individuals, is a major focus for research, is committed to Clinical research must be Research and Black Swan Pharmaceuticals the Institute – an area in which Maximise success in Chief Scientific Officer continuing on its pathway of responsive to changing we are confident we can have a obtaining competitive grant collaboration and affiliation, community needs. Contemporary significant impact. and industry funding connecting people, ideas issues include a diverse and Improving research and alliances with innovative We achieve ageing population, developments governance, support strategies. in data acquisition and analytics outcomes by capacity and technologies that functions and infrastructure Growth - a engaging with enable personalised medicine. to support research to maximise successes continuing end-users Also, the expectation that consumers have a voice in Increasing research profile trajectory An essential ingredient in the development of research through publications, We have grown to include over successful medical research translation, leadership priorities and how care is 250 clinicians, researchers is engaging with the various and engagement with delivered. and staff, with an extensive people affected by the entire the community network of partnerships and process, so that we focus on Our strategic plan must reflect relationships across the nation the priorities and that the these external realities. and internationally. By working outputs of our research can collaboratively, we have been be translated into outcomes able to deliver many shared to benefit patients. End- persevere research successes with the aim users include government,
32 Perron Institute Inspiration Report 33 Four major milestones in Byron Kakulas clinician-scientists, he will lead projects and programs at the development of a Stroke the Perron Institute. The very Centre of Excellence. generous commitment will fund Annual Medal and Lecture our 40th year projects focusing on translating This new chair position will discoveries into new therapies enable dedicated researchers to In February 2022, Professor and clinical processes. develop a leading international Steve Wilton advised he would site for stroke research, Associated with the Sarich be proud to support the education, care and advocacy. family support is the creation inaugural Byron Kakulas Annual Medal and Lecture. The launch Research Chair in an international leader in conditions. The core aspects of It will enable Professor Hankey of a fund named in recognition of this award coincides with the promoting and advocating for this program include increasing to build on the excellent stroke of distinguished neurosurgeon Palliative Care a public health approach to support for family carers, grief research being undertaken Emeritus Professor Bryant Institute’s 40th Anniversary. In January 2022, Professor palliative and end-of-life care. and bereavement support, at the Perron Institute and Stokes AO for his contribution Emeritus Professor Byron Samar Aoun was announced and improving grief and death to collaborate with several to the Perron Institute and She has published extensively Kakulas AO, founder of the the Perron Institute Research literacy around end-of-life and existing outstanding clinical and advancement of neurosciences and her research outcomes Perron Institute, has been Chair in Palliative Care at The palliative care. research stroke groups. research. The Bryant Stokes have been influential in the an innovator throughout his University of Western Australia. Neurological Research Fund career. His research has tackled development of policy and Chair in Stroke Professor Hankey will will support seven projects some of the bigger questions Professor Samar Aoun joined practice guidelines at national spearhead the formation of the institute as head of Palliative and international levels. Research new lines of research and to be selected in 2022, up to in medicine, resulting in some $100,000 each. Care Research in 2018 and is Another partnership between attract leading colleagues paradigm-shifting findings that As Chair, Professor Aoun will from interstate and overseas We are indebted and very have changed the direction the University of Western focus on developing models of to join forces here and provide grateful to Professor Stokes, a of scientific thinking. This is Australia and the Perron integrated care which mobilise ongoing momentum for further former Perron Institute Board exemplified by his work on Institute is paving the way for community assets, improve advances. Director, who has championed muscle regeneration. the future of medicine. primary care engagement, and excellence in clinical practice The award will recognise enhance partnerships between In mid-2022, internationally Sarich family funding and medical research. His specialist and generalist services. renowned Winthrop Professor innovators in a broad sense. Graeme Hankey became the and Bryant Stokes vision to bring together key This could include researchers, neuroscience research groups Other areas target improved Chair in Stroke Research. Fund to foster collaboration resulted clinicians, health administrators models of care for non-cancer and media figures who have Recognised for decades as a We are extremely grateful in the development of the Ralph conditions such as motor changed the face of medical global leader in stroke research to receive support from the & Patricia Sarich Neuroscience neurone disease (MND) and research and/or service delivery and one of Australia’s leading philanthropic Sarich family to Institute Building which opened other neurodegenerative for the better. The recipient will fund important research at the QEll Medical Centre in 2017. receive a medal, a cash award of $5,000 and will present the annual Kakulas Lecture. Pictured: Prof Alan Robson, Prof Bryant Stokes and Steve Arnott excellence
34 Perron Institute Inspiration Report 35 Key research Genetic variant discovered for the progression of dementia Recent Recognition HIGH IMPACT Duchenne resulted in three FDA approved drugs that for has been massive. Perron Institute researchers proved highlights in Parkinson’s Professor Steve Wilton AO, Professor Sue Fletcher AO AREAS the first time enable clinicians their adaptability by being part Revolutionary nerve repair Parkinson’s non-contact to treat the underlying gene of this effort as shown in one treatment developed by Prof and Professor Frank Mastaglia Translational medical research defect in Duchenne. Combined, example below. Others can be boxing study Minghao Zheng and team via AM recognised in Queen’s is a lengthy process. It can take the three drugs developed can found in the Commercialisation First recruiting site for IBM Birthday Honours 2021 Orthocell many years for a discovery treat almost thirty per cent of section. study with Abcuro in the USA Jacinta Thorne wins the in the laboratory or clinic to patients diagnosed with this Rapid and accurate COVID-19 test developed with Avicena Advanced Trainee Clinic 3 Minute Thesis competition translate into an outcome such form of muscular dystrophy. A rapid paper test program with SCGH for large scale screening 2022 as a new diagnostic, a new for SARS-CoV-2 $1m sepsis grant – A/Prof New genetic marker Frances Theunissen wins the treatment or changes in health End-of-Life Care discovered for motor neurone policy or clinical practice that In partnership with the Fiona Rakesh Veedu and Dr Andrew Best Paper competition 2022 Professor Samar Aoun’s disease by Prof Anthony directly benefits patients. As Stanley Hospital and Centre for Currie, CMMIT Emily King receives Geoffrey research has led to Entrepreneurial Research and Akkari and team an example, the first report by 2 x $250k FightMND grants Blee Neuroscience Honours development of the Public Innovation, Associate Professor Perron Institute hosts Steve Wilton and colleagues for motor neurone disease Prize 2021 Health Model for Bereavement Rakesh Veedu has developed a its first cohort of Curtin on the capacity of antisense research Alex Tang receives Young Tall Support. In turn, this has led to novel lateral flow paper test to University Medical School oligonucleotides (AO) to Poppy Award 2021 improved practice and policy detect the presence of SARS- Prof Minghao Zheng’s undergraduates promote exon skipping in at national and international CoV-2 in swabs. The test is collaboration and PearlBone Sarah Hellewell receives Duchenne muscular dystrophy Hole in One event raises levels. Internationally, for discovery for bone formation Perron Institute Aspire appeared in 1997. It took until both highly accurate and yields money for Telethon funded example, elements of the model Award 2021 2016 – 19 years later – before results in minutes. The test is World Stroke Organization research have been adopted by the UK the first drug, Exondys 51 was being evaluated for sensitivity by award for treatment and care Chidozie Anyaegbu receives National Bereavement Alliance $1.8m grant received for IBM researchers in Singapore and is Millennium Science Award approved by the US FDA. Prof Sulev Koks’ cancer paper trial led by Professor Merrilee Taskforce of the European the subject of a provisional patent 2021 Despite these long timelines, in Nature Biotechnology Needham and team Association of Palliative Care application. This research was Perron Institute’s research Prof Minghao Zheng’s Alex Tang nominated for and Irish Hospice Foundation. US FDA approves third drug includes some outstanding supported by the Government lymphedema study Premier’s Science Prize 2021 for Duchenne muscular examples of successful impact. of Western Australia’s COVID-19 dystrophy The COVID-19 Special Initiative Scheme. Development pandemic of drugs for the By March 2022, reported deaths treatment of from the pandemic had passed six million and it is thought likely Duchenne muscular that the real figure is far greater. dystrophy The worldwide research effort Professors Steve Wilton and Sue to develop vaccines, adjunct Fletcher and team’s research therapies and reliable and fast on AO-based therapeutics for diagnostic screening systems innovative, resilient and sustainable
36 Perron Institute Inspiration Report 37 Non-contact physiologist, researcher and Parkinson’s. So far, the program In 2021 to build on the program, and Precision Nucleic Acid Perron Institute Research has improved balance, fitness Professor Fitzgerald launched Therapeutics led by Associate Boxing study for Affiliate Dr Travis Cruickshank and overall wellbeing for and became the CEO of Professor Rakesh Veedu. Parkinson’s disease and PhD student Mitchell Turner, participants. The team looks Connectivity, a not-for-profit Perron Institute Medical Director both from ECU, along with Claire forward to publishing its results organisation working to raise WA Brain Bee and consultant neurologist Tucak, Perron Institute senior in the coming months. awareness of concussion and Challenge The brain is Clinical Professor David Blacker neurophysiotherapist, are also traumatic brain injury (TBI) in is leading a non-contact boxing on the team. Concussion and the community. Connectivity Associate Professor Jenny the last frontier. Rodger, senior MSWA Research exercise study for Parkinson’s Connectivity links patients, carers, disease. The study is being Professor Blacker has a highly researchers, clinicians and Fellow and head of Brain If we have a good personalised point of view as In 2019, the Federal Government Plasticity Research at UWA health care providers to build conducted at Edith Cowan a neurologist and having been announced $50m funding for the evidence base and improve and Perron Institute, has understanding University’s Joondalup campus diagnosed with Parkinson’s. the Australian Government’s been involved in UWA’s Brain in collaboration with the Perron He is a strong advocate for research funding program, the outcomes for people following Bee Challenge for 15 years. of it, we will be Institute and UWA. TBI of all severities, including exercise, given that it has Mission for Traumatic Brain concussion. The competition encourages transformed. Professor Blacker is significantly helped to reduce Injury. The Mission’s Expert students to consider a career his symptoms. Working Group is chaired Among their exciting new in science and neuroscience Don’t look at your collaborating with former Golden Gloves Boxing Through the FIGHT-PD study, by Professor Melinda (Lindy) projects are an online course for in particular, and to promote interest in the champion and fitness instructor Fitzgerald, who heads the first responders, and education the study of neuroscience as a Rai Fazio who developed the Dr Blacker and the team seek Neurotrauma Research Group at and outreach with aboriginal multidisciplinary endeavour. brain in a limited to show the benefits of boxing the Perron Institute. communities in regional WA. program with him. Exercise as an exercise therapy for Winners of the 2021 WA way. The sky is the Centre for Brain Bee Challenge were limit. congratulated at a special Molecular Medicine awards ceremony at the Perron Pictured: FIGHT-PD study team and Innovative Institute, with awards presented Professor Amit Chakma Therapeutics by UWA Vice-Chancellor UWA Vice-Chancellor Professor Amit Chakma. Established as a joint venture between the Perron Institute and Murdoch University, the Pictured: A/Prof Rodger, Mr Arnott, Brain Bee 2021 winner Catherine Centre for Molecular Medicine Yang and Prof Chakma and Innovative Therapeutics at Murdoch University was opened in 2019. Professor Steve Wilton AO and Dr May Aung-Htut are Co-Directors. They lead a team of over ten research groups, seven of which are co-located at Murdoch University and Perron Institute. They are: believe educate Demyelinating Diseases led by Professor Allan Kermode, Motor Neurone Disease led by Professor Anthony Akkari, Functional Genomics led by Dr Sarah Rea, Molecular Therapy led by Professor Steve Wilton, Neurodegenerative Diseases led by Professor Sulev Koks, Myositis led by Professor Merrilee Needham,
38 Perron Institute Inspiration Report 39 Our commercialisation In the latest phase of our development, building our commercialisation capability has become a key focus. This is to ensure we maintain the sustainability of our organisation for another 40 years. While we hear quite often of Sarepta RAGE Biotech innovation in industry - energy, minerals, agriculture, for example Therapeutics Professor Steve Wilton, in - we sometimes lose sight collaboration with RAGE The advanced technology of the phenomenal medical Biotech and Monash University, developed by Professors Steve research history of our State. is involved in research using Wilton AO, Sue Fletcher AO Pictured above: A/Prof Rakesh Veedu and his team. Photo credit Murdoch University We’re proud of WA’s history of antisense oligonucleotide and their team with their drugs medical research innovation and technology in respiratory for Duchenne, has provided the contribution of the Perron disorders such as those internationally we collaborate Institute Medical Director Murdoch University and Perron a platform for potential Institute and its partners in associated with the coronavirus, with renowned researchers Clinical Professor David Blacker Institute) for the manufacture treatments for numerous that context. The next decade as well as other conditions such at Duke University and the is the Chairman of the Clinical of research grade nucleic conditions, such as motor for our organisation involves as sepsis and diabetes. University of Colorado. Advisory Committee and acids and to commercialise neurone disease, Parkinson’s new commercial partnerships and spinal muscular atrophy. Professor Meloni is the Chief intellectual property created We also have Memoranda of with promising molecules and therapeutics in development The technology also has Understanding with several A GROWING Scientific Officer. The company (ASX:AGN) listed on the by A/Professor Veedu in the areas of diabetes and macular potential for the treatment for a range of neurological and of COVID-19. scientific organisations locally, nationally and internationally. In PORTFOLIO OF Australian Stock Exchange degeneration. other conditions. Western Australia, this includes Preveceutical Medical, interstate PATENTS AND mid 2021. Avicena Systems Here are some of the impressive we work with GenieUs, and SPIN-OFFS Black Swan Avicena Systems was examples. Pharmaceuticals established by Professor Over the past few years, several An international collaboration Paul Watt and several spin-off companies have been between Australia, the other WA research leaders. established to drive the Perron USA and the UK, Black They have developed the Institute’s drug development Swan Pharmaceuticals was ‘Avicena Sentinel’ machine, forward. established in 2019 to expedite a highly sensitive population screening platform for viruses Argenica drug development, particularly such as COVID-19, which aims for motor neurone disease. Therapeutics Professor Anthony Akkari to make repeated testing quicker and easier without pioneer In 2020, Argenica Therapeutics is the Chief Scientific Officer, Ltd was set up for the Dr Loren Flynn is the Director of compromising testing quality. commercialisation of very Therapeutic Development and Professor Sulev Koks (Perron promising neuroprotective Professor Steve Wilton AO is on Institute and CMMIT) is one of peptides for the early the Scientific Advisory Board. the researchers collaborating intervention of stroke with the multidisciplinary team. discovered by Clinical Professor SynGenis Neville Knuckey and Professor SynGenis was established in Bruno Meloni at the Perron 2020 by Associate Professor Institute and UWA. Perron Rakesh Veedu (CMMIT, Pictured left: Dr May Aung-Htut and Professor Steve Wilton
40 Perron Institute Inspiration Report 41 SCIENTIFIC COLLABORATION Brain and Bone Since joining the institute, his research has expanded and orthopaedics to include the role of bone One of the Professor Minghao Zheng, cell-derived factors in brain defining features head of the Perron Institute’s function and disease. Brain and Bone Axis Research of the Perron Professor Zheng and team group, is best known for his have developed a patented Institute is work on bone and joint disease technology for the manufacture and regenerative medicine. its success in of a collagen device, CelGro®, He has published over 250 papers and holds 11 patent to enhance the capability for translational nerve repair in patients with families in orthopaedics and peripheral nerve injury. This has research and cellular therapy worldwide. been licensed to Orthocell Ltd, commercialisation, an ASX-listed company founded to commercialise technologies which can bring developed by Professor Zheng, including the cell therapies significant and Ortho-ATI™ and Ortho-ACI™ timely benefits for the regeneration of damaged tendon and cartilage, to the Western respectively, and now extended Australian to include CelGro®. community and beyond. Professor Minghao Zheng Head of Brain and Bone Axis Research (Perron Institute and UWA) and Orthocell Co-Founder and Consultant Chief Scientific Officer imagine
42 Perron Institute Inspiration Report 43 Our future Genomics Research Other exciting new areas to find answers to complex include developing synthetic diseases and their future molecules for mRNA drugs management. With our partners, we have an and investigating the role evolving focus and investment of genetics in depression to We are supporting the exciting in genomics. This work is led tailor treatments, particularly work of our research groups as by Professor Sulev Koks at they broaden their horizons and Perron Institute and CMMIT, Cultivating an inclusive culture of creativity for people whose condition is networks to take their discoveries Murdoch University, looking to resistant to medication. and leadership from bench to bedside. expand research by studying Achieving greater understanding the structure of the genome to of the brain and bone axis and We encourage and support stratify treatments to achieve its implications for potential new cross-institutional collaboration, improved targeting. therapies for Alzheimer’s and creativity, and innovation As we celebrate our 40th All the above are helping to to push the limits of what dementia is also promising. The findings have potential anniversary and look to the ensure that the Perron Institute is possible. Creating multi- for many facets of science Our goal is to be future, we will continue to is well placed to achieve a high Strategic Research disciplinary collaborations and health, including disease build on our foundations as a level of research impact focused between scientific and non- an international resilient and innovative centre on improving health outcomes. Review detection, healthy ageing, scientific experts with the mental health and optimising leader in delivering of medical research excellence We are working to continue to With the help of an external resources, capability and healthy brain function. with a translational focus. build on our research scope panel, the Institute undertook networks to take translation With a growing number of high-quality and and capacity by investing in a Strategic Research Review processes forward is an ageing patients presenting Our Board, chaired by Professor collaborations that generate comprehensive Alan Robson AO CitWA, brings and translate research evidence. in early 2022 to gauge how essential part of this. with complex conditions in a depth of knowledge and we’re tracking and to provide the contemporary health patient-focused experience to its governance Ensuring that we remain insights to help shape our future Alignment of research focus environment, these are vital. areas with key research direction. The key learnings will neuroscience care and strategic leadership roles, financially sustainable through partners will drive discovery and working closely with senior diverse funding sources, be considered in developing the Developing improvements in translational through research, management. Our highly including philanthropy, success Institute’s priorities, goals and antisense therapies medicine to benefit people strategies for our development collaboration regarded neuroscientists and in attracting research grants over the next few years. with neurological disorders. for Psoriasis clinicians, our very talented and achieving commercialisation In creating new knowledge and and service. We early career researchers, our is vitally important. Professor Sulev Koks is also achieve this by clinic managers and allied One of several focus areas we SHAPING THE therapeutic products, there is also significant commercial expanding his research on the chronic and complex continuing on the health professionals and support staff are making an are excited about expanding is FUTURE OF potential which could benefit the Institute, our partners and autoimmune skin disease path of innovation, outstanding contribution. stroke, where we are well on the way to fulfilling a ten year vision HEALTH CARE the broader Western Australian psoriasis, working with Postdoctoral researcher Dr Vidya economy. Other strengths are our close to be recognised nationally and The Perron Institute is playing Krishnan who joined the Perron developing new links with clinical and health internationally as a centre of its part in the future of health There are many exciting areas Institute in 2020. knowledge and services, our collaborative excellence. care by bringing together of investigation and research approach in pursuing complex, some of the brightest minds being developed and expanded. delivering services multi-disciplinary research, our Other important fields are in neuroscience and medicine genetics, phenomics and affiliations with academic and to help reduce research institutions Australia- pathology and the role these can play in fast-tracking research and the burden of opportunities wide and internationally, and translation, including in tackling our close relationships with neurological government and community- rare diseases - a huge area of unmet need. We are committed based health support groups. disorders in the to harnessing information As well as our pride in our encoded in the genome to better community research achievements and the diagnose, predict, treat, and quality of care delivered by our prevent diseases that profoundly Steve Arnott clinics, we strive to be a great impact society. Perron Institute CEO place to work.
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