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Innovation at the Intersection of Clinical Trials and Real‐World Data Science to Advance Patient Care

机译:在临床试验和现实世界数据科学相交处进行创新以提高患者护理水平

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摘要

While efficacy and safety data collected from randomized clinical trials are the evidentiary standard for determining market authorization, this alone may no longer be sufficient to address the needs of key stakeholders (regulators, providers, and payers) and guarantee long‐term success of pharmaceutical products. There is a heightened interest from stakeholders on understanding the use of real‐world evidence (RWE) to substantiate benefit–risk assessment and support the value of a new drug. This review provides an overview of real‐world data (RWD) and related advances in the regulatory framework, and discusses their impact on clinical research and development. A framework for linking drug development decisions with the value proposition of the drug, utilizing pharmacokinetic–pharmacodynamic–pharmacoeconomic models, is introduced. The summary presented here is based on the presentations and discussion at the symposium entitled Innovation at the Intersection of Clinical Trials and Real‐World Data to Advance Patient Care at the American Society for Clinical Pharmacology and Therapeutics (ASCPT) 2017 Annual Meeting.
机译:虽然从随机临床试验中收集到的功效和安全性数据是确定市场授权的证据标准,但仅凭此一项可能已不足以满足主要利益相关者(监管者,提供者和付款人)的需求并保证药品的长期成功。利益相关者对了解使用现实世界证据(RWE)证实利益风险评估和支持新药价值的兴趣日益浓厚。这篇综述概述了现实世界数据(RWD)和监管框架中的相关进展,并讨论了其对临床研究和开发的影响。介绍了一种利用药代动力学-药效学-药物经济学模型将药物开发决策与药物价值主张联系起来的框架。此处提供的摘要基于在美国临床药理学和治疗学学会(ASCPT)2017年年会上题为临床试验与现实世界数据的交叉点以提高患者护理水平的研讨会上的演讲和讨论。

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