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有效数据共享作为推进医疗产品开发的渠道。

Effective Data Sharing as a Conduit for Advancing Medical Product Development.

作者信息

Karpen Stephen R, White J Kael, Mullin Ariana P, O'Doherty Inish, Hudson Lynn D, Romero Klaus, Sivakumaran Sudhir, Stephenson Diane, Turner Emily C, Larkindale Jane

机构信息

Critical Path Institute, 1730 E. River Rd. Ste 200, Tucson, AZ, 85718, USA.

出版信息

Ther Innov Regul Sci. 2021 May;55(3):591-600. doi: 10.1007/s43441-020-00255-8. Epub 2021 Jan 4.

Abstract

INTRODUCTION

Patient-level data sharing has the potential to significantly impact the lives of patients by optimizing and improving the medical product development process. In the product development setting, successful data sharing is defined as data sharing that is actionable and facilitates decision making during the development and review of medical products. This often occurs through the creation of new product development tools or methodologies, such as novel clinical trial design and enrichment strategies, predictive pre-clinical and clinical models, clinical trial simulation tools, biomarkers, and clinical outcomes assessments, and more.

METHODS

To be successful, extensive partnerships must be established between all relevant stakeholders, including industry, academia, research institutes and societies, patient-advocacy groups, and governmental agencies, and a neutral third-party convening organization that can provide a pre-competitive space for data sharing to occur.

CONCLUSIONS

Data sharing focused on identified regulatory deliverables that improve the medical product development process encounters significant challenges that are not seen with data sharing aimed at advancing clinical decision making and requires the commitment of all stakeholders. Regulatory data sharing challenges and solutions, as well as multiple examples of previous successful data sharing initiatives are presented and discussed in the context of medical product development.

摘要

引言

患者层面的数据共享有潜力通过优化和改进医疗产品开发流程,对患者的生活产生重大影响。在产品开发环境中,成功的数据共享被定义为在医疗产品的开发和审评过程中可采取行动并有助于决策的数据共享。这通常通过创建新的产品开发工具或方法来实现,例如新颖的临床试验设计和富集策略、预测性临床前和临床模型、临床试验模拟工具、生物标志物以及临床结局评估等。

方法

要取得成功,必须在所有相关利益攸关方之间建立广泛的伙伴关系,包括行业、学术界、研究机构和协会、患者权益倡导团体以及政府机构,以及一个能够为数据共享提供竞争前空间的中立第三方召集组织。

结论

专注于确定可改进医疗产品开发流程的监管交付成果的数据共享面临重大挑战,这些挑战在旨在推进临床决策的数据共享中并不存在,并且需要所有利益攸关方的承诺。在医疗产品开发的背景下,介绍并讨论了监管数据共享的挑战和解决方案,以及以前成功的数据共享举措的多个实例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b449/8021507/f97a9a558b4c/43441_2020_255_Fig1_HTML.jpg

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