Update on FDA Real-World Evidence Activities

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FDA commissioner Robert Califf says the agency “is already capable of reviewing submissions that include or rely entirely on RWD (real-world data). Enabling advanced data analytics, including RWD, is also incorporated in FDA’s information technology strategy for 2024-2027.” Writing in an FDA Voices Catching Up with Califf column, he says that supporting robust data infrastructure, developing new methods and analytical tools, and integrating RWE (real-world evidence) with traditional clinical trial evidence will require collaboration across the clinical care, research, and technology sectors, in addition to the direct involvement of patients.

“To help in this context,” Califf writes, “FDA is supporting research (or demonstration) projects that seek to improve the quality of RWD and RWE. Strengthening systems for generating and gathering new and better data and studying those data to provide reliable evidence to inform and improve the many decisions we make as consumers, patients, families, clinicians, and regulators, is key.”

The article refers to a series of FDA guidances to help advance RWE and especially these three recent guidances:

  • using real-world evidence to support regulatory decision-making for medical devices;
  • assessing registries to support regulatory decision-making for drugs and biological products; and
  • data standards for drug and biological product submissions containing real-world data.

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