FDA Expanding Real-World Evidence Use in Device Regulation

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FDA says it is “redoubling efforts to utilize real-world evidence (RWE) across a wider range of medical devices to support timely access to safe and effective technologies, foster innovation, and strengthen the foundation of regulatory decision-making.” To that end, the agency has published a new set of 73 examples of marketing authorizations using RWE from FY 2020-2025, building on the foundation of a 2021 publication.

Writing in an FDA Voices online post, CDRH director Michelle Tarver and CDRH Office of Clinical Evidence and Analysis director Daniel Carlos say the 73 new examples “represent a broad spectrum of clinical and device areas throughout CDRH across the total product lifecycle while demonstrating the evolving landscape of data sources used to generate RWE. However, they do not represent an exhaustive list of all submissions that have relied on RWE, at least in part, to inform a regulatory decision. While registries have long played a central role, other data sources such as electronic health records aggregators, administrative claims and billing data, device-generated data, digital health platforms, and increasingly sophisticated data linkages are contributing to a broader and more dynamic evidence environment.”

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