Phd Position F/m An International Multi-registry Approach to Identify Pre-clinical Markers of Neurodegenerative Disease

Le descriptif de l’offre ci-dessous est en Anglais_

**Type de contrat**: CDD

**Niveau de diplôme exigé**: Bac + 5 ou équivalent

**Fonction**: Doctorant

**Niveau d'expérience souhaité**: Jeune diplômé

**Contexte et atouts du poste**:
Through collaboration between the Paris Brain Institute (France), the Karolinska Institute (Sweden), and the University of Queensland (Australia), we propose to use electronic health records (EHR) to identify biomedical risk factors by studying prior diagnoses (pre-clinical comorbidities), drug prescriptions, healthcare utilization, and biological test results. This analysis will leverage longitudinal EHR data from millions of patients, each followed for at least 10 years before diagnosis, across four healthcare systems: Australia, France, the UK, and Sweden, focusing on four neurodegenerative diseases: Alzheimer’s disease (AD), Parkinson’s disease (PD), dementia with Lewy bodies (LBD), and motor neuron diseases (MND). The goal is to identify both common and differentiating biomedical risk factors for these conditions.

Within the Inria ARAMIS team at the Paris Brain Institute (ICM), we have begun analyzing the SNDS database, which contains medical records covering 98% of the French population, to study the prodrome of neurodegenerative diseases. Similar to genome-wide analyses, phenome-wide analyses require a very large sample size due to the number of tested associations and the potentially small effect sizes of each. By integrating transnational, population-based data from four countries, we are uniquely positioned to overcome two key challenges in real-world data analysis: the typical lack of statistical power and the need to control for biases.

**Mission confiée**:
The PhD student will perform association testing in collaboration with consortium members to identify preclinical markers associated with the risk of neurodegenerative diseases. They will examine relationships between clinical diagnoses, prescription drug use, healthcare utilization, and biological test results. These analyses will encompass disease-specific investigations (AD/PD/MS/MND) as well as cross-disorder studies, adjusting for factors such as age, sex, socioeconomic status, and disease susceptibility (e.g., family history) when possible. Given the recent emergence of large real-world databases, the PhD student will develop new statistical methods to leverage these resources effectively. Causality methods will also be developed to clarify the different relationships identified by preliminary statistical studies.

**Examples of papers from the consortium**:
[1] Wei D., Guinebrétièr. O. ,Fang F., Nedelec T., Ten years preceding a diagnosis of neurodegenerative disease in Europe and Australia, _eBioMedicine_, 2025

[2] Nedelec T., Couvy-Duchesne B.,... & Corvol J.C.. A comparison between early presentation of dementia with Lewy Bodies, Alzheimer's disease and Parkinson's disease: evidence from routine primary care and UK Biobank data., _Annals of Neurology_, 2023.

[3] Nedelec T, Couvy-Duchesne B, Monnet F, et al. Identifying health conditions associated with Alzheimer's disease up to 15 years before diagnosis: an agnostic study of French and British health records. _Lancet Digital Health_ 2021;

[5] Yazdani S, Mariosa D, Hammar N, Andersson J, Ingre C, Walldius G, Fang F. Peripheral immune biomarkers and neurodegenerative diseases: A prospective cohort study with 20 years of follow-up. Ann Neurol. 2019;86:913-926.

**Principales activités**:
Main activities:

- bibliographical work
- data management of large data sets of medical records
- design, implementation and conduct of complex analysis plans
- critical analysis results in light of the current literature
- present results at scientific conferences and in peer-reviewed scientific journals.

**Compétences**:
Required:

- advanced statistics (master level)
- scientific computing including data management in Python (master level)
- able to propose and implement complex data analysis plans

Understanding the key challenges of real-world data analysis would be a plus.

Languages : fluent in scientific english (oral and written)

Relational skills : able to work in multidisciplinary teams at the interface between statistics, medicine and epidemiology.

Other valued appreciated : interest in neurodegenerative diseases

**Avantages**:

- Subsidized meals
- Partial reimbursement of public transport costs
- Leave: 7 weeks of annual leave + 10 extra days off due to RTT (statutory reduction in working hours) + possibility of exceptional leave (sick children, moving home, etc.)
- Possibility of teleworking and flexible organization of working hours
- Professional equipment available (videoconferencing, loan of computer equipment, etc.)
- Social, cultural and sports events and activities
- Access to vocational training
- Social security coverage

**Informations générales**:

- **Thème/Domaine**: Neurosciences et médecine numériques
Biologie et santé, Sciences