Haase Rocco, Wunderlich Maria, Dillenseger Anja, Kern Raimar, Akgün Katja, Ziemssen Tjalf
a Center of Clinical Neuroscience, Department of Neurology , University Hospital Carl Gustav Carus, Dresden University of Technology , Dresden , Germany.
b MedicalSyn GmbH , Stuttgart , Germany.
Expert Opin Drug Saf. 2018 Apr;17(4):369-378. doi: 10.1080/14740338.2018.1437144. Epub 2018 Feb 13.
For safety evaluation, randomized controlled trials (RCTs) are not fully able to identify rare adverse events. The richest source of safety data lies in the post-marketing phase. Real-world evidence (RWE) and observational studies are becoming increasingly popular because they reflect usefulness of drugs in real life and have the ability to discover uncommon or rare adverse drug reactions.
Adding the documentation of psychological symptoms and other medical disciplines, the necessity for a complex documentation becomes apparent. The collection of high-quality data sets in clinical practice requires the use of special documentation software as the quality of data in RWE studies can be an issue in contrast to the data obtained from RCTs. The MSDS3D software combines documentation of patient data with patient management of patients with multiple sclerosis. Following a continuous development over several treatment-specific modules, we improved and expanded the realization of safety management in MSDS3D with regard to the characteristics of different treatments and populations.
eHealth-enhanced post-authorisation safety study may complete the fundamental quest of RWE for individually improved treatment decisions and balanced therapeutic risk assessment. MSDS3D is carefully designed to contribute to every single objective in this process.
在安全性评估方面,随机对照试验(RCT)无法完全识别罕见不良事件。安全性数据最丰富的来源在于上市后阶段。真实世界证据(RWE)和观察性研究越来越受欢迎,因为它们反映了药物在现实生活中的效用,并且有能力发现不常见或罕见的药物不良反应。
加上心理症状和其他医学学科的记录,复杂记录的必要性就变得明显了。在临床实践中收集高质量数据集需要使用特殊的记录软件,因为与从随机对照试验获得的数据相比,真实世界证据研究中的数据质量可能是个问题。MSDS3D软件将患者数据记录与多发性硬化症患者的患者管理相结合。经过针对几个特定治疗模块的持续开发,我们根据不同治疗方法和人群的特点,改进并扩展了MSDS3D中安全管理的实现。
电子健康增强型上市后安全性研究可能会完成真实世界证据对于个性化改善治疗决策和平衡治疗风险评估的基本追求。MSDS3D经过精心设计,有助于实现这一过程中的每一个目标。