希望不是策略:利用强有力的现实世界的证据,做出更好的临床开发决策
Nicolle M Gatto1,2, Ulka B Campbell3,4
1Aetion, Inc., 5 Pennsylvania Plaza, New York, NY, 10001, USA. nicolle.gatto@aetion.com.
Therapeutic innovation & regulatory science
|July 18, 2025
概括
系统地生成真实世界的证据 (RWE) 对于改善临床试验设计和决策至关重要. 这种方法提高了对患者群体的理解,从而导致更有效的药物开发.
科学领域:
- 临床研究 临床研究
- 药物经济学 药物经济学
- 生物统计学 生物统计学
背景情况:
- 临床开发面临延误和失败,原因是依赖于基于专家意见或历史数据的非最佳试验设计.
- 代表性,现实世界的护理点数据在了解患者群体和指示特征方面未得到充分利用.
- 系统地生成现实世界的证据 (RWE) 对于明智的临床开发决策至关重要.
研究的目的:
- 为了使集成的现实世界证据 (RWE) 生产更具说服力和可行性.
- 为设计现实研究提供蓝图,采用与临床开发投资一致的分阶段方法.
- 促进在开发过程的早期更广泛地采用系统的RWE发电.
主要方法:
- 解决生物制药领导人关于RWE生成提出的担忧.
- 开发一个分阶段的方法来设计现实世界的研究.
- 将RWE生成集成到临床开发生命周期中.
主要成果:
- 目前的RWE发电实践并不系统,尽管有公认的价值.
- 拟议的战略旨在克服整合RWE发电的障碍.
- 一个分阶段的方法可以使RWE研究与临床开发投资保持一致.
结论:
- 系统的RWE生成,从开发初期开始,对于基于证据的决策至关重要.
- 强大的RWE确保赞助商,监管机构和付款人及时获得数据.
- 改善RWE实践可以提高临床开发效率和公共卫生结果.
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