开放之手倡议:通过合作和透明度,促进在监管提交中使用现实世界的证据
Elodie Baumfeld Andre1, Matthew Gee2, Carsten Magnus3
1Roche Diagnostics, Santa Clara, California, USA.
Clinical pharmacology and therapeutics
|December 24, 2024
概括
开放手倡议促进FDA和设备制造商之间的合作,以改善在体外诊断 (IVD) 监管审查中使用真实世界数据 (RWD) 和真实世界证据 (RWE). 这种方法增强了RWD/RWE收集市场前提交的信息.
科学领域:
- 医疗器械规则 医疗器械规则
- 现实世界的证据.
- 在体外诊断中诊断.
背景情况:
- 现实世界的数据 (RWD) 和现实世界的证据 (RWE) 可以加速获得新的体外诊断 (IVD).
- 关于收集适合用途的RWD及其在IVD监管决策中的使用存在不确定性.
- 美国食品和药物管理局 (FDA) 和设备制造商需要明确的指导方针来利用RWD/RWE.
研究的目的:
- 引入和评估开放手倡议,一种协作性监管审查方法.
- 确保RWD/RWE的适当使用,以支持IVD的监管决策.
- 识别障碍并促进用于IVD市场前提交的强大的RWE的生成.
主要方法:
- 开放手倡议涉及FDA和设备制造商之间提交前的保密互动.
- 从这些互动中获得的高级别学习经验被分享,以推进RWD/RWE利用.
- 一项试点研究的重点是SARS-CoV-2血清IVDs从紧急使用授权 (EUA) 过渡到完全市场授权.
主要成果:
- 参与者证实,坦率的讨论对于确定RWE发电方面的挑战至关重要.
- 关于RWE的监管要求,我们吸取了宝贵的经验教训.
- 该试点突出了SARS-CoV-2测试的复杂性以及大流行对RWD可用性和质量的影响.
结论:
- 开放之手倡议促进了在IVD监管流程中利用RWD/RWE的有效合作.
- 这种方法可以指导制造商收集高质量的RWD用于市场前应用.
- 该倡议提供了一个可扩展的模型,用于使用RWE改进监管决策.
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