Improve Post-Market Evidence Generation: Report

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A new Reagan-Udall Foundation report, “Enhancing Post-Market Evidence Generation for Medical Products,” addresses barriers, proposes solutions, and makes recommendations to FDA and other stakeholders that aim to facilitate evidence generation in the postmarket setting. The report defines pragmatic evidence generation as conducting prospective clinical studies of medical products already on the market for at least one indication.

It says a pragmatic evidence generation system requires health systems, sponsors, administrative/regulatory systems, funders, payers, and FDA to:

  • design pragmatic, resource-efficient studies that resolve evidence gaps and generate clinically meaningful results that affect clinical practice;
  • streamline data collection as much as possible while ensuring that data quality and completeness are acceptable for regulatory purposes;
  • provide opportunities and incentives to the entire patient care team to engage in pragmatic evidence generation;
  • prioritize studies based on public health needs and gaps in clinical evidence; and
  • engage relevant stakeholders to address who decides the priorities for knowledge generation.

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