为数字终点作为药物开发工具建立有意义变化估计的考虑和方法
Marie Mc Carthy1, Joseph C Cappelleri2, Bill Byrom3
1Digital Endpoint Lead, Novartis Ireland Ltd, Merrion Rd, Dublin, D4, Ireland. marie-1.mccarthy@novartis.com.
Therapeutic innovation & regulatory science
|May 13, 2025
概括
从数字健康技术 (DHT) 来确定数字终点 (DE) 的有意义的变化存在独特的挑战. 需要新的方法来确保DEs充分支持药物开发,并反映患者报告的结果.
科学领域:
- 数字卫生技术 (DHTs) 是指数字卫生技术.
- 临床结果评估 (COA)
- 药物开发工具 (DDT) 是一种药物开发工具.
背景情况:
- 数字健康技术 (DHT) 越来越多地用于临床试验.
- 来自DHT (DEs) 的终点提供了新的数据收集方法.
- 确保DE体现有意义的患者体验对于药物开发至关重要.
研究的目的:
- 确定在确定DEs有意义的变化时的复杂性.
- 提出评估DEs有意义变化的方法.
- 倡导使DE能够充分发挥其作为药物开发工具的潜力的方法.
主要方法:
- 使用了FDA的以患者为中心的药物开发 (PFDD) 指南.
- 与传统的COA相比,DEs面临的挑战.
- 探索了定义DE的有意义变化的细微差别.
主要成果:
- 开发经验具有独特的特征,对有意义的变化确定构成独特的挑战.
- 确保以患者为中心,并选择适当的是关键的复杂性.
- 对于传统的COAs,现有的方法对于连续的DE数据是不够的.
结论:
- 在临床试验中使用DHT和DE正在发展.
- 确定DE的有意义变化比传统COA更为细微.
- 需要新的方法和协作努力来完善DE方法.
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