AdvaMed Seeks Clarification on Ethnicity Data in RWE

Share

The Advanced Medical Technology Association (AdvaMed) says FDA’s draft guidance on “Diversity Plans to Improve Enrollment of Participants From Underrepresented Racial and Ethnic Populations in Clinical Trials” needs to address what sponsors should do in the case of persons who choose not to identify race or ethnicity or those unable to respond to such requests. “Sponsors routinely rely on race and ethnicity designations in electronic health records (EHRs) in real-world evidence (RWE) studies (e.g., prospective registry studies or prospective studies that are supplemented with RWE),” the group says in comments to the agency.

 “However,” Advamed continues, “following the guidance, it would appear to suggest that since the patient was unable to respond, race and ethnicity information should not be accessed from the EHR. We recommend that the guidance clearly state that it is applicable to RWE studies and that race and ethnicity information from the EHR may be utilized.”

AdvaMed says RWE can help demonstrate that underrepresented racial, ethnic, or sex groups benefit from a device or alternatively that a product is not performing well in certain populations. “Race and ethnicity data from the EHR is important information in the context of postmarket RWE,” it says. “It is equally important in the context of RWE premarket data. Failure to allow use of race and ethnicity information in the EHR in the premarket setting will create significant incongruities between the use of RWE in the premarket and postmarket settings.”

Read more