Real-World Evidence Framework is ‘Good Foundation’: Merck
Merck says the FDA Framework for FDA’s Real-World Evidence Program, which fulfills the 21st Century Cures Act requirement for the agency to establish a program to evaluate potential use of real-world evidence to help support approval of a new indication for a drug approved under section 505(c) and to help support or satisfy post-approval study requirements “provides a good foundation for exploring the full potential of real-world evidence for regulatory decision making and welcomed insight on FDA’s current views on this important topic.” The company’s comment letter offers suggestions to strengthen the framework to (1) clarify how real-world evidence might meet the evidentiary requirements for regulatory decisions; (2) identify and strengthen opportunities for shared learning under the Framework; and (3) explore demonstration projects.
ISPOR, the professional society for health economic and outcomes research, congratulates FDA for producing a comprehensive implementation outline for its real-world evidence program. It says that real-world data and real-world evidence “are key building blocks to understanding real-world usage and effects of pharmaceutical products.” The society also provides specific comments on sections that are particularly relevant to its members’ mission.