Despite widespread interest and substantial investment in the adoption of sensor-based digital health technologies (sDHTs) for remote data capture in drug development trials, no drug has been approved based on an sDHT-derived primary endpoint in the United States (US). The review below describes two choices currently available to pharmaceutical study Sponsors as they consider the adoption of digital endpoints in their trials: 1. they may navigate the traditional route of compiling the evidence to support the sDHT-derived endpoint in their investigational new drug (IND) application, requiring specific expertise and substantial resources; or 2. they may navigate the drug development tool (DDT) pathway with the goal of qualifying their sDHT-derived endpoint as a biomarker or clinical outcome assessment applicable to a broader context of use (COU), either alone or as part of a partnership or consortium. The review describes the nuances of each regulatory pathway; the evidentiary requirements for supporting an sDHT-derived endpoint and the technology used to capture it; and the impact that an sDHT's regulatory status may have on a Sponsor's decision to use it for data capture in a clinical investigation. By systematically comparing the IND and DDT pathways, the overarching goals of the review are to support the increasing deployment of sDHTs within the clinical research setting and help advance regulatory science in the field of digital medicine. Read the "Regulatory Pathways for Qualification and Acceptance of Digital Health Technology-Derived Clinical Trial Endpoints: Considerations for Sponsors” review here: https://lnkd.in/eFHq7b6t By authors: Jessie Bakker, MS PhD? Elena Izmailova Aude Clement? Steve Hoffmann? Chris Leptak? Joseph Menetski? John Wagner, MD, PhD
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Increased statistical power ultimately saves money and provides faster research and better dosing through the following mechanisms: 1. Precision in Treatment Effects: By increasing statistical power, researchers can detect subtle treatment effects with smaller sample sizes, reducing the need for large, costly studies. This precision allows for more targeted dosing strategies, minimizing unnecessary medication use and associated costs. 2. Reduced Time to Find Significant Results: With increased statistical power, studies can reach statistically significant results more quickly. This accelerated pace saves time in the research process, enabling faster decision-making regarding dosing and treatment efficacy. 3. Optimized Resource Allocation: Higher statistical power allows for more efficient allocation of research resources. This optimization reduces the time and costs associated with conducting large-scale studies, ensuring that resources are directed toward the most promising research avenues. 4. Enhanced Drug Development Efficiency: Faster identification of significant treatment effects and optimal dosing regimens speeds up the drug development process. This efficiency accelerates the transition from preclinical research to clinical trials, reducing overall development timelines and costs. 5. Minimized Financial Risk: Increased statistical power lowers the risk of inconclusive or ambiguous study results, reducing financial uncertainty in research investments. This mitigates the risk of prolonged, costly research endeavors with limited potential for actionable outcomes. 6. Improved Dosing Precision: The robust statistical analyses enabled by increased power provide clearer insights into optimal dosing regimens. This precision enhances dosing strategies, reducing the risk of overmedication or suboptimal treatment, ultimately leading to improved patient outcomes and reduced healthcare costs. In summary, increased statistical power saves money and expedites research while also enhancing dosing accuracy by optimizing resource allocation, expediting the identification of treatment effects, and facilitating the development of precise dosing regimens.
IMC helps bring drugs to market sooner. Med-ic? is the only Smart blister ever submitted with a FDA priority review resulting in a blockbuster drug approval (Orlissa). med-ic.com
The cheapest most effective way to increase Statistical Power is at your Fingertips with objective adherence technologies In the world of pharmaceutical research, efficient management of clinical trials is crucial to the success of drug development. However, the traditional methods of observing medication adherence for trial participants are continuing to create unnecessary risks. Objective medication adherence technologies, such as eCAP and Med-ic smart blisters, are being mostly overlooked, presenting significant risks and concerns about the antiquated processes in clinical teams. The immediate adoption of objective medication adherence technology is essential for promoting patient-centric approaches and improving clinical trial outcomes. With the rising demand for pharmaceutical innovation, it is imperative for clinical teams to embrace modern medication adherence technologies, which effectively monitor and improve medication adherence among participants. Neglecting advanced medication adherence technologies can compromise the reliability of trial results, increase the risk of suboptimal patient outcomes, and significantly impact the financial viability of drug development. In contrast, leveraging these technologies enhances the precision and efficiency of data collection, enabling clinical teams to make informed decisions based on accurate and real-time insights. Amidst the evolving landscape of clinical research, the integration of eCAP and Med-ic smart blisters offers a transformative approach to trial management. These advancements are indispensable in driving the progress of drug development and ensuring the delivery of safe and effective therapies to patients. Embracing innovative technologies such as eCAP and Med-ic smart blisters is fundamental to optimizing trial efficiency, mitigating risks, and advancing patient-centric care. By harnessing the power of these technologies, clinical teams can elevate the standard of pharmaceutical research and cultivate a culture of innovation that prioritizes the well-being of patients and the success of drug development endeavors. There is an urgent need for Pharma to embrace novel approaches. #clinicaltrials #medicationadherence #pharmaceuticalresearch
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We're at a pivotal moment where the tools to measure the impact of patient engagement in pharma R&D are not just a concept but a growing reality. Recent efforts by PARADIGM and a collaborative initiative between the DIA and Tufts have introduced frameworks and metrics aimed at truly understanding and enhancing patient-centric approaches. These novel return-on-engagement tools are promising for everyone involved in patient-centric medicines development, but there's still work to be done. As outlined in our latest blog post, it's now up to industry leaders to step forward and put these tools to the test in real-world settings. Dive into our full analysis and explore how these advancements could revolutionise patient engagement in pharma. https://ow.ly/R6ne50RRoBX #PharmaLeadership #PatientEngagement #HealthcareInnovation #Pharmaceuticals #PatientCentricity #ROI #PARADIGM #DIATufts #InnovationInHealthcare
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Life Sciences Recruitment Consultant?? Pairing Biostatisticians with the Top Pharma, Biotech and CRO's across the US and Canada ??Call me on +16175467985
?? Understanding the Nuances: RWE vs. Clinical Evidence in Pharma ?? In the ever-evolving landscape of pharmaceuticals, the distinction between Real-World Evidence (RWE) and Clinical Evidence plays a pivotal role in shaping decision-making processes. Let's delve into the nuances: ?? RWE: Real-World Evidence is the data obtained from real-world settings, outside the controlled environment of clinical trials. It encompasses data from various sources such as electronic health records, patient registries, wearables, and claims databases. RWE provides insights into the effectiveness, safety, and utilization of treatments in real-world patient populations. ?? Clinical Evidence: On the other hand, Clinical Evidence stems from meticulously designed clinical trials conducted to assess the safety and efficacy of pharmaceutical interventions under controlled conditions. These trials follow strict protocols and involve a defined patient population, providing valuable insights into the drug's performance under ideal circumstances. ?? The Value Proposition: Both RWE and Clinical Evidence offer unique value propositions in the pharmaceutical industry. While Clinical Evidence remains the gold standard for regulatory approval and establishing initial efficacy and safety profiles, RWE complements this by offering insights into the long-term outcomes, real-world effectiveness, and safety profiles of treatments post-commercialization. ?? Strategic Utilization: Strategically integrating both RWE and Clinical Evidence empowers stakeholders to make informed decisions across the drug development lifecycle. Leveraging RWE can aid in post-market surveillance, identifying new indications, optimizing treatment pathways, and supporting value-based reimbursement models. ?? Driving Innovation: Embracing the synergy between RWE and Clinical Evidence fosters innovation and accelerates the pace of drug development. By harnessing real-world insights alongside traditional clinical data, pharmaceutical companies can optimize their research and development strategies, ultimately delivering safer, more effective treatments to patients worldwide. ?? Join the Conversation: How do you perceive the role of RWE and Clinical Evidence in shaping the future of the pharmaceutical industry? Share your insights and experiences in the comments below! #Pharma #RealWorldEvidence #ClinicalTrials #DrugDevelopment #HealthcareInnovation #DataScience #HealthTech #LinkedInDiscussion
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IMC helps bring drugs to market sooner. Med-ic? is the only Smart blister ever submitted with a FDA priority review resulting in a blockbuster drug approval (Orlissa). med-ic.com
The cheapest most effective way to increase Statistical Power is at your Fingertips with objective adherence technologies In the world of pharmaceutical research, efficient management of clinical trials is crucial to the success of drug development. However, the traditional methods of observing medication adherence for trial participants are continuing to create unnecessary risks. Objective medication adherence technologies, such as eCAP and Med-ic smart blisters, are being mostly overlooked, presenting significant risks and concerns about the antiquated processes in clinical teams. The immediate adoption of objective medication adherence technology is essential for promoting patient-centric approaches and improving clinical trial outcomes. With the rising demand for pharmaceutical innovation, it is imperative for clinical teams to embrace modern medication adherence technologies, which effectively monitor and improve medication adherence among participants. Neglecting advanced medication adherence technologies can compromise the reliability of trial results, increase the risk of suboptimal patient outcomes, and significantly impact the financial viability of drug development. In contrast, leveraging these technologies enhances the precision and efficiency of data collection, enabling clinical teams to make informed decisions based on accurate and real-time insights. Amidst the evolving landscape of clinical research, the integration of eCAP and Med-ic smart blisters offers a transformative approach to trial management. These advancements are indispensable in driving the progress of drug development and ensuring the delivery of safe and effective therapies to patients. Embracing innovative technologies such as eCAP and Med-ic smart blisters is fundamental to optimizing trial efficiency, mitigating risks, and advancing patient-centric care. By harnessing the power of these technologies, clinical teams can elevate the standard of pharmaceutical research and cultivate a culture of innovation that prioritizes the well-being of patients and the success of drug development endeavors. There is an urgent need for Pharma to embrace novel approaches. #clinicaltrials #medicationadherence #pharmaceuticalresearch
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In the latest of a series of papers released over the past few years, “Artificial Intelligence & Medical Products: How CBER, CDER, CDRH, and OCP are Working Together,” the U.S. Food and Drug Administration (FDA) further describes its initiatives for the incorporation of Artificial Intelligence (AI) in the development of drug products. Artificial Intelligence (AI) is revolutionizing the landscape of medical products, offering unprecedented opportunities for enhancing efficiency, accuracy, and patient outcomes. Within the regulatory framework of the FDA, various branches, including the Center for Biologics Evaluation and Research (CBER), the Center for Drug Evaluation and Research (CDER), the Center for Devices and Radiological Health (CDRH), and the Office of Combination Products (OCP), are collaborating synergistically to navigate the complex intersection of AI and medical products. Each division brings its unique expertise to the table, ensuring that AI-powered innovations meet rigorous safety and efficacy standards while fostering innovation and timely access to transformative healthcare solutions. This collaborative effort involves continuous communication and coordination among CBER, CDER, CDRH, and OCP to establish clear regulatory pathways for AI-integrated medical products. CBER focuses on ensuring the safety, purity, potency, and effectiveness of biological products, while CDER evaluates the safety and efficacy of pharmaceuticals. CDRH oversees medical devices, including AI-enabled technologies, to promote their safety and effectiveness. Meanwhile, OCP facilitates the regulation of combination products, ensuring that AI-driven innovations that combine drugs, devices, or biologics meet regulatory requirements. By harmonizing their efforts and leveraging their respective areas of expertise, these FDA branches are fostering an environment conducive to the responsible development and deployment of AI in healthcare, ultimately benefiting patients and advancing public health objectives. Companies like ThinkTrends are working with the FDA and other sponsors to further develop these technologies in the pursuit of more efficient and timely drug development.
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CEO at McElroy Global. Helping to Drive your Artificial Intelligence, Machine Learning, and NLP Initiatives.
???? Understanding the Impact of Evidence Generation on Drug Timelines ???? ?? **Accelerating Timelines**: Efficient evidence generation can help speed up drug development timelines. By designing robust clinical trials and utilizing innovative technologies, researchers can gather the necessary data more quickly and effectively. This streamlined approach can lead to faster approvals and bring life-changing therapies to patients sooner. ?? **Ensuring Safety and Efficacy**: Rigorous evidence generation is crucial for demonstrating the safety and efficacy of a new drug. By conducting well-designed studies that adhere to regulatory standards, researchers can build a compelling case for the benefits of the medicine. This evidence is essential for gaining regulatory approval and building trust with healthcare providers and patients. ?? **Informing Decision-Making**: Evidence generation plays a key role in informing critical decision-making throughout the drug development process. From early-stage research to post-market monitoring, data-driven insights guide researchers, clinicians, and regulators in assessing the impact and value of new medicines. This evidence-based approach helps optimize development strategies and improve patient outcomes. ?? **Supporting Market Access**: Robust evidence generation is vital for securing market access for a new drug. Payers, policymakers, and health authorities rely on data to evaluate the value of medicines and make informed coverage decisions. By providing compelling evidence of a drug's benefits, researchers can enhance market access and ensure that patients have access to the treatments they need. In an evolving healthcare landscape, the importance of evidence generation cannot be overstated. By prioritizing rigorous research, innovative approaches, and collaboration across stakeholders, we can improve the efficiency and effectiveness of drug development, ultimately benefiting patients worldwide. Let's continue to advance evidence generation practices and drive positive impact in the pharmaceutical industry. Together, we can bring innovative treatments to those who need them most. #EvidenceGeneration #biopharma #integratedevidence #drugtimelines
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?????? ???????????????? ?????? ???????????????? ?????????? ???????????? ???? ?????????????? ????????????????????, ?????????????????????????? The FDA has launched a new center called C3TI to promote innovation in clinical trials for drugs. This will be achieved through: Central hub for communication and collaboration:?C3TI will serve as a central point for sharing information and best practices on innovative clinical trial design and conduct. This will benefit both internal and external stakeholders, including researchers, sponsors, and patient groups. Promoting existing and future initiatives:?C3TI will work to advance existing CDER programs focused on clinical trial innovation and support the development of new ones. Demonstration program:?C3TI will manage a program that allows sponsors of innovative trials to interact with FDA staff and showcase their approaches as examples for others. Improved efficiency and drug development:?By facilitating communication and collaboration, C3TI aims to improve the efficiency of clinical trials, ultimately leading to faster development of safe and effective drugs. The focus areas of C3TI include: Point-of-care or pragmatic trials:?These trials are conducted in real-world settings, making them more efficient and potentially more generalizable to real-world use of drugs. Bayesian analyses:?This is a statistical approach that can be used to incorporate prior knowledge into clinical trial design and analysis, potentially leading to smaller and more efficient trials. Selective safety data collection:?This approach focuses on collecting safety data on the most important aspects of a drug, potentially reducing the burden on trial participants and sponsors. Overall, C3TI represents a significant step by the FDA to encourage and support innovation in clinical trials, with the ultimate goal of bringing new treatments to patients faster. Contact ?BIOBOSTON CONSULTING today or visit our? website to learn more about how we can support your organization. #pharmaceuticals #biotechnology #medicaldevices #consulting #fda? #quality #compliance #qualityassurance #regulatoryaffairs
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Today, we’re continuing to demystify the pharmaceutical development process with clinical trials. This is a longer post, so we will be breaking it up into two parts. Clinical trials involve closely studying and researching a drug’s safety and efficacy for human patients. These trials are broken down into distinct phases, Phase I to IV. Phase I- “How Does the Drug Affect the Human Body?” This involves a very small number of participants. A standard trial will only include 6-10 volunteers in good health, or those who are ill with limited alternative treatment options. In this preliminary phase, researchers and doctors are looking to understand how the compound is affecting the human subjects. Their goal is to assess the compound’s safety and tolerability once administered. All side effects are carefully monitored for severity and frequency of occurrence. Phase II- “How Effectively Does the Drug Treat the Intended Disease” Once the first phase concludes and it is determined to have an acceptable safety level, Phase II will begin. The trial pool is larger this time, increasing to 20-300 depending on what type of disease is being studied. The drug’s safety is still being tested, however a new emphasis emerges in this trial: how different doses will affect the treatment’s success. Participants are given differing dose amounts and monitored closely to compare the effects of the drug. Multiple studies are often conducted at this phase to test the different does across varied populations and/or demographics. The goal is to determine the safest and most effective dose.? Phase III- “Assurance of Large-Scale Effectiveness” This phase includes the largest patient pool including, on average, 300-3,000 or more. A large pool of patients is critical to confirm the drug’s safety and efficacy. As with the previous phases, there may be one or more “treatment arms” which allow for comparisons with other market-available drugs or treatments. This allows researchers to test their drugs in various combinations as well as determine how it will be prescribed. Stay tuned for Part Two, where we will finish up with Phase IV and another important piece of information you need before beginning the clinical study process. Did you learn anything new about clinical trials so far? Or do you have any specific questions we haven’t answered here? #Pharma #ClinicalResearch
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Top 10 Considerations For U.S. Biotechs Setting Up Clinical Studies In Europe https://lnkd.in/e_Niv9he IMAGE ANALYSIS GROUP Leading imaging Clinical Research Organization that combines medical and operational expertise with cutting-edge proprietary A.I. capabilities to power drug development, and to deliver the potential for companion diagnostic tool. IAG has been serving biotech and pharma clients globally since 2007, reliably supporting all aspects of phase I to III imaging trials across multiple indications. With a pioneering proven innovation strategy, we enhance the value and market potential of novel therapeutic assets, as demonstrated through successful pharmaceutical partnerships. I would be interested in meeting you to learn of any needs you might have, and perhaps challenges you've faced, and to present our solutions for in-flight trials, collect-hold data, retrospective data analysis, rescue studies and more. Reach-out to me here or at [email protected] #medicalimaging #cro #biotech #clinicaltrials #clinicalresearch
Top 10 Considerations For U.S. Biotechs Setting Up Clinical Studies In Europe
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If you work in clinical research, you must know Good Clinical Practice ICH GCP E6 – but have you ever wondered what the name means? The International Council for Harmonisation (ICH) groups its guidelines by key areas in drug development: E (Efficacy), S (Safety), Q (Quality), and M (Multidisciplinary). Each category represents a crucial part of bringing safe, effective drugs to patients. Here’s a quick breakdown: E – Efficacy: Guidelines related to clinical trials and human health. For example: E6 sets standards for Good Clinical Practice (GCP), covering how to protect trial participants and ensure reliable data, while E2 focuses on reporting side effects and monitoring safety. S – Safety: Guidelines for lab studies that test a drug’s safety before human trials. For instance, S1 covers cancer risks, and S6 guides testing for biotech products. Q – Quality: Standards for drug quality, manufacturing, and testing. Q1 deals with stability testing to see how long a drug lasts, and Q8 focuses on designing high-quality drugs from the start. M – Multidisciplinary: Topics that apply across the board, like data standards and common medical terms. M1 is the Medical Dictionary for Regulatory Activities (MedDRA), and M7 covers ways to test for DNA-damaging impurities. So, what’s E6(R3)? It’s the third, and so far the last revision of the GCP guideline. The new version encourages modern methods, like risk-based monitoring and efficient trial design, while still ensuring participant safety and data quality. Each of these guidelines is part of a global effort to harmonize standards, ensuring that drug development is safe, effective, and high quality around the world.
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