OADR Report FY 2023–2024

Summary of the FY23-24 Report of the Office of Autoimmune Disease Research in the Office of Research on Women’s Health (OADR-ORWH)

The newly established Office of Autoimmune Disease Research (OADR-ORWH) within the Office of Research on Women’s Health (ORWH) is tasked with enhancing coordination and innovation in autoimmune disease research across the National Institutes of Health (NIH).

OADR-ORWH was formed following a 2022 consensus report by the National Academies of Sciences, Engineering, and Medicine (NASEM), which highlighted the lack of a unified strategic plan for autoimmune disease research at NIH. Congress responded by directing NIH to create OADR-ORWH under the Consolidated Appropriations Act, 2023, with a mission to coordinate research efforts across NIH’s Institutes, Centers, and Offices (ICOs).

Key Congressional Directives & Achievements

The office was established with six primary directives to strengthen autoimmune disease research:

1. Developing a Multi-Institute and Center Strategic Plan

  • OADR-ORWH led the development of an NIH-wide strategic plan for autoimmune disease research, bringing together 22 ICO representatives.
  • In December 2023, they issued a Request for Information (RFI) to gather input from researchers, advocacy groups, and the public.
  • The strategic plan is expected to be finalized by late FY25, guiding future NIH priorities in autoimmune disease research.

2. Identifying Emerging Areas of Innovation

3. Coordinating Collaborative Research Across ICOs

  • NIH-funded autoimmune disease research spans 140+ diseases across multiple organ systems, necessitating interdisciplinary collaboration.
  • OADR-ORWH co-funded 92 research projects across 15 ICOs, including:
    • The EXACT-PLAN Initiative: Established interdisciplinary research networks for exposome research, which examines environmental triggers of autoimmune diseases.
    • The Accelerating Medicines Partnership® (AMP® AIM) Program: Focused on identifying novel drug targets for autoimmune diseases.
    • New Collaborations with the Autoimmunity Centers of Excellence (ACE): Expanded research into endocrine-specific autoimmune conditions.

4. Evaluating the Autoimmune Research Portfolio

  • OADR-ORWH analyzed NIH’s autoimmune disease funding to identify gaps and future research needs.
  • Their analysis included diseases ranging from systemic conditions (lupus, rheumatoid arthritis) to more specialized disorders (autoimmune inner ear disease, myasthenia gravis, PANDAS, etc.).
  • Findings will inform the NIH-wide strategic plan and future funding priorities.

5. Providing Resources for Collaboration & Innovation

  • OADR-ORWH funded initiatives to enhance research infrastructure, including:
    • The NEXUS Coordinating Center: Aims to integrate exposomics (study of environmental exposures) across autoimmune disease research.
    • Editorial Publications in Scientific Journals: Highlighting the role of exposome research in autoimmune diseases.
    • The EXACT-PLAN Summit: Convened experts to discuss integrating environmental factors into autoimmune disease studies.

6. Creating a Central Repository for Autoimmune Disease Research

  • OADR-ORWH partnered with the National Library of Medicine (NLM) to pilot a federated data platform for autoimmune disease research.
  • This approach allows researchers to analyze data without centralizing it, maintaining privacy and security while improving access to autoimmune disease datasets.
  • Common Data Elements (CDE) initiative was launched to standardize data collection across NIH-funded autoimmune disease studies.
Full Report:

https://orwh.od.nih.gov/sites/orwh/files/docs/FY23-24%20Report%20of%20the%20Office%20of%20Autoimmune%20Disease%20Research%20in%20the%20Office%20of%20Research%20on%20Women%27s%20Health.pdf