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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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