The Michael J. Fox Foundation Annual Report 2018 Impact + Innovation | Page 7

2018 Annual Report targeted therapies in PD patients who don’t carry the LRRK2 mutation in their upcoming phase II clinical trial. A robust pipeline also includes eight therapies in human testing against the clumping of the protein alpha-synuclein in cells. MJFF funded three of the programs directly, and our tools and resources are helping them all advance. Fox Insight, an online clinical study collecting patient-reported data about health-related experiences from volunteers with and without Parkinson's disease, has become the largest and most representative Parkinson’s research study to date with 37,000 participants to date yet still striving to recruit over 100,000 (learn more about how you can participate at foxinsight.org). We continue to balance our portfolio of grants between “disease modification” and “improved symptom management.” We are driving new options for managing symptoms — both for motor and non-motor issues — with support for trials of therapies against anxiety, constipation, and swallowing problems and leveraging applied technologies to address issues such as speech and gait and balance. Looking ahead, we’ll continue to push hard on promising ideas and seed the pipeline with more possibilities to meet the urgent need for new Parkinson’s therapies. As promising therapies move beyond laboratory science into human testing, our efforts to engage the patient and family as research volunteers is also expanding. Our Foundation is gathering critical information from Parkinson’s experts — the patients — to help researchers better understand PD and design better drug trials (see page 23). Large-scale biomarker studies like the Parkinson’s Progression Markers Initiative (PPMI) has changed the way Parkinson’s research is done. PPMI’s collection of comprehensive clinical information from volunteers has become a deep well for discovery and validation that has significantly grown understanding of PD. In 2018, PPMI, now a $100-million effort, directed us to new ways to define and measure Parkinson’s, supplied data and samples for next-generation molecular analysis, and began planning for its next frontier: early detection and prevention of PD. Our impact and innovation are made possible by people, partners and teams who support us. We are all part of the answer and throughout this report, you’ll hear more about what’s been made possible through your generosity. On behalf of everyone at MJFF, thank you. With gratitude, Todd Sherer, PhD Chief Executive Officer Deborah W. Brooks Co-Founder and Executive Vice Chairman 5