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利用患者体验数据指导欧盟的药物研发、监管、准入决策和临床护理。

Leveraging patient experience data to guide medicines development, regulation, access decisions and clinical care in the EU.

作者信息

Almeida Diogo, Umuhire Denise, Gonzalez-Quevedo Rosa, António Ana, Burgos Juan Garcia, Verpillat Patrice, Bere Nathalie, Sepodes Bruno, Torre Carla

机构信息

Laboratory of Systems Integration Pharmacology, Clinical and Regulatory Science, Research Institute for Medicines (iMed.ULisboa), Lisbon, Portugal.

Faculdade de Farmácia, Universidade de Lisboa, Lisbon, Portugal.

出版信息

Front Med (Lausanne). 2024 May 23;11:1408636. doi: 10.3389/fmed.2024.1408636. eCollection 2024.

Abstract

Patient experience data (PED), provided by patients/their carers without interpretation by clinicians, directly capture what matters more to patients on their medical condition, treatment and impact of healthcare. PED can be collected through different methodologies and these need to be robust and validated for its intended use. Medicine regulators are increasingly encouraging stakeholders to generate, collect and submit PED to support both scientific advice in development programs and regulatory decisions on the approval and use of these medicines. This article reviews the existing definitions and types of PED and demonstrate the potential for use in different settings of medicines' life cycle, focusing on Patient-Reported Outcomes (PRO) and Patient Preferences (PP). Furthermore, it addresses some challenges and opportunities, alluding to important regulatory guidance that has been published, methodological aspects and digitalization, highlighting the lack of guidance as a key hurdle to achieve more systematic inclusion of PED in regulatory submissions. In addition, the article discusses opportunities at European and global level that could be implemented to leverage PED use. New digital tools that allow patients to collect PED in real time could also contribute to these advances, but it is equally important not to overlook the challenges they entail. The numerous and relevant initiatives being developed by various stakeholders in this field, including regulators, show their confidence in PED's value and create an ideal moment to address challenges and consolidate PED use across medicines' life cycle.

摘要

患者体验数据(PED)由患者/其护理人员提供,未经临床医生解读,直接反映了患者对自身病情、治疗及医疗保健影响更为关注的方面。PED可通过不同方法收集,且这些方法需具备可靠性并经过验证以适用于其预期用途。药品监管机构越来越鼓励利益相关方生成、收集和提交PED,以支持研发项目中的科学建议以及关于这些药品批准和使用的监管决策。本文回顾了PED的现有定义和类型,并展示了其在药品生命周期不同阶段的潜在用途,重点关注患者报告结局(PRO)和患者偏好(PP)。此外,本文还探讨了一些挑战和机遇,提及已发布的重要监管指南、方法学方面以及数字化问题,强调缺乏相关指南是在监管申报中更系统地纳入PED的关键障碍。此外,本文还讨论了可在欧洲和全球层面实施的利用PED的机遇。允许患者实时收集PED的新数字工具也有助于这些进展,但同样重要的是不能忽视它们带来的挑战。包括监管机构在内的该领域各利益相关方正在开展的众多相关举措,表明了他们对PED价值的信心,并为应对挑战和巩固PED在药品生命周期中的应用创造了理想时机。

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