82_FR_35679 82 FR 35534 - Developing a Framework for Regulatory Use of Real-World Evidence; Public Workshop

82 FR 35534 - Developing a Framework for Regulatory Use of Real-World Evidence; Public Workshop

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 145 (July 31, 2017)

Page Range35534-35535
FR Document2017-16021

The Food and Drug Administration (FDA, the Agency, or we) is announcing the following public workshop entitled ``Developing a Framework for Regulatory Use of Real-World Evidence.'' Convened by the Duke-Robert J. Margolis, MD, Center for Health Policy at Duke University and supported by a cooperative agreement with FDA, the purpose of the public workshop is to bring the stakeholder community together to discuss a variety of topics related to the use of real- world data (RWD) and real-world evidence (RWE) in drug development and regulatory decision making. Topics will include an update on FDA's activities to address the use of RWE in regulatory decisions and the development of a framework for tackling challenges related to RWE's regulatory acceptability. In addition, panelists will discuss opportunities to improve data development activities, study designs, and analytical methods used to create robust RWE.

Federal Register, Volume 82 Issue 145 (Monday, July 31, 2017)
[Federal Register Volume 82, Number 145 (Monday, July 31, 2017)]
[Notices]
[Pages 35534-35535]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-16021]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-N-0001]


Developing a Framework for Regulatory Use of Real-World Evidence; 
Public Workshop

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA, the Agency, or we) is 
announcing the following public workshop entitled ``Developing a 
Framework for Regulatory Use of Real-World Evidence.'' Convened by the 
Duke-Robert J. Margolis, MD, Center for Health Policy at Duke 
University and supported by a cooperative agreement with FDA, the 
purpose of the public workshop is to bring the stakeholder community 
together to discuss a variety of topics related to the use of real-
world data (RWD) and real-world evidence (RWE) in drug development and 
regulatory decision making. Topics will include an update on FDA's 
activities to address the use of RWE in regulatory decisions and the 
development of a framework for tackling challenges related to RWE's 
regulatory acceptability. In addition, panelists will discuss 
opportunities to improve data development activities, study designs, 
and analytical methods used to create robust RWE.

DATES: The public workshop will be held on September 13, 2017, from 9 
a.m. to 4:30 p.m., Eastern Time.

ADDRESSES: The public workshop will be held at the Conference Center at 
1777 F Street NW., Washington, DC 20006. For additional travel and 
hotel information, please refer to the following Web site: https://healthpolicy.duke.edu/events/public-workshop-developing-framework-regulatory-use-real-world-evidence. There will also be a live webcast 
for those unable to attend the meeting in person (see Streaming Webcast 
of Public Workshop).

FOR FURTHER INFORMATION CONTACT: Kayla Garvin, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 6314, Silver Spring, MD 20993, (301) 796-
7578, [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    RWD (data relating to patient health status and/or the delivery of 
health care routinely collected from a variety of sources) and RWE 
(clinical evidence regarding the usage and potential benefits or risks 
of a drug derived from analysis of RWD) are increasingly being used by 
multiple stakeholders within the health care system. Payers may rely on 
RWD and RWE to refine formularies or assist in coverage decisions. 
Physicians and professional societies can utilize RWE to further tailor 
clinical practice guidelines and decision-support tools. Medical 
product developers can use RWE to further develop a product's benefit-
risk profile, monitor postmarket safety and adverse events, or generate 
additional hypotheses for continued clinical development.
    The 21st Century Cures Act, section 3022 (Pub. L. 114-255), enacted 
on December 13, 2016, directed FDA to establish a program to evaluate 
the potential use of RWE. The framework of the program was to include 
information describing the sources of RWE, the gaps in data collection, 
standards and methods for collection and analysis, and the priority 
areas and challenges.
    To date, RWD and RWE have been used in very specific regulatory 
contexts. Some treatments for rare diseases, for example, have utilized 
RWE as part of the historical controls used for clinical study and, 
ultimately, regulatory submission. Postmarket safety surveillance has 
also relied heavily on RWD-generating networks. As part of exploring 
the opportunities for enhanced use of these types of data and evidence 
in additional regulatory decision-making contexts, FDA is seeking input 
on the opportunities and challenges in using RWE to support the 
approval of a new indication for an already approved drug, and to help 
support or satisfy postapproval study requirements.
    This public workshop is being held to engage external stakeholders 
in discussions around the current state of RWE development and 
potential challenge areas for using RWE in regulatory decisions beyond 
postmarket safety surveillance.

II. Topics for Discussion at the Public Workshop

    During the course of the public workshop, speakers and participants 
will cover a range of issues related to

[[Page 35535]]

the development of RWE and its applicability within specific regulatory 
decision-making contexts. This will include, but not be limited to, 
challenges related to RWD collection and quality, innovative methods 
for developing RWE from RWD, and promising areas for RWE pilot 
demonstrations.

III. Participating in the Public Workshop

    Registration: To register for the public workshop, please visit the 
following Web site before September 12, 2017: https://healthpolicy.duke.edu/events/public-workshop-developing-framework-regulatory-use-real-world-evidence. There will be no onsite 
registration. Please provide complete contact information for each 
attendee, including name, title, affiliation, address, email, and 
telephone.
    Registration is free and based on space availability, with priority 
given to early registrants. Early registration is recommended because 
seating is limited; therefore, FDA may limit the number of participants 
from each organization. A 1-hour lunch break is scheduled, but food 
will not be provided. There are multiple restaurants within walking 
distance of the Conference Center.
    If you need special accommodations due to a disability, please 
contact Joanna Higgison at the Duke-Margolis Center for Health Policy, 
908-432-4872, [email protected], no later than September 6, 
2017.
    Streaming Webcast of the Public Workshop: This public workshop will 
also be webcast and archived video footage will be available at the 
Duke-Margolis Web site (https://healthpolicy.duke.edu/events/public-workshop-developing-framework-regulatory-use-real-world-evidence) 
following the workshop. Persons interested in viewing the live webcast 
must register online by September 12, 2017, at 5 p.m. Eastern Time (see 
Registration). Early registration is recommended because webcast 
connections are limited. Organizations are requested to register all 
participants, but to view using one connection per location whenever 
possible. Webcast participants will be sent technical system 
requirements in advance of the event. Prior to joining the streaming 
webcast of the public workshop, it is recommended that you review these 
technical system requirements.
    FDA has verified the Web site addresses in this document, as of the 
date this document publishes in the Federal Register, but Web sites are 
subject to change over time.
    Meeting Materials: All event materials will be provided to 
registered attendees via email prior to the workshop and publicly 
available at the Duke-Margolis Web site (https://healthpolicy.duke.edu/events/public-workshop-developing-framework-regulatory-use-real-world-evidence).
    Transcripts: Please be advised that transcripts will not be 
available.

    Dated: July 25, 2017.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2017-16021 Filed 7-28-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                35534                           Federal Register / Vol. 82, No. 145 / Monday, July 31, 2017 / Notices

                                                November 17, 2017 by 4 p.m. If selected                    Dated: July 20, 2017.                               Hampshire Ave., Bldg. 51, Rm. 6314,
                                                for presentation, any presentation                       Anna K. Abram,                                        Silver Spring, MD 20993, (301) 796–
                                                materials must be emailed to Paula                       Deputy Commissioner for Policy, Planning,             7578, Kayla.Garvin@fda.hhs.gov.
                                                Caposino (see FOR FURTHER INFORMATION                    Legislation, and Analysis.                            SUPPLEMENTARY INFORMATION:
                                                CONTACT) no later than November 21,                      [FR Doc. 2017–16007 Filed 7–28–17; 8:45 am]
                                                                                                                                                               I. Background
                                                2017. No commercial or promotional                       BILLING CODE 4164–01–P
                                                material will be permitted to be                                                                                  RWD (data relating to patient health
                                                presented or distributed at the public                                                                         status and/or the delivery of health care
                                                workshop.                                                DEPARTMENT OF HEALTH AND                              routinely collected from a variety of
                                                                                                         HUMAN SERVICES                                        sources) and RWE (clinical evidence
                                                   Streaming Webcast of the public                                                                             regarding the usage and potential
                                                workshop: This public workshop will                      Food and Drug Administration                          benefits or risks of a drug derived from
                                                also be Webcast. The Webcast link will                                                                         analysis of RWD) are increasingly being
                                                                                                         [Docket No. FDA–2017–N–0001]
                                                be available on the registration Web                                                                           used by multiple stakeholders within
                                                page after November 21, 2017.                            Developing a Framework for                            the health care system. Payers may rely
                                                Organizations are requested to register                  Regulatory Use of Real-World                          on RWD and RWE to refine formularies
                                                all participants, but to view using one                  Evidence; Public Workshop                             or assist in coverage decisions.
                                                connection per location.                                                                                       Physicians and professional societies
                                                                                                         AGENCY:    Food and Drug Administration,              can utilize RWE to further tailor clinical
                                                   If you have never attended a Connect                  HHS.                                                  practice guidelines and decision-
                                                Pro event before, test your connection at
                                                                                                         ACTION:   Notice of public workshop.                  support tools. Medical product
                                                https://collaboration.fda.gov/common/                                                                          developers can use RWE to further
                                                help/en/support/meeting_test.htm. To                     SUMMARY:   The Food and Drug                          develop a product’s benefit-risk profile,
                                                get a quick overview of the Connect Pro                  Administration (FDA, the Agency, or                   monitor postmarket safety and adverse
                                                program, visit http://www.adobe.com/                     we) is announcing the following public                events, or generate additional
                                                go/connectpro_overview. FDA has                          workshop entitled ‘‘Developing a                      hypotheses for continued clinical
                                                verified the Web site addresses in this                  Framework for Regulatory Use of Real-                 development.
                                                document, as of the date this document                   World Evidence.’’ Convened by the                        The 21st Century Cures Act, section
                                                publishes in the Federal Register, but                   Duke-Robert J. Margolis, MD, Center for               3022 (Pub. L. 114–255), enacted on
                                                Web sites are subject to change over                     Health Policy at Duke University and                  December 13, 2016, directed FDA to
                                                time.                                                    supported by a cooperative agreement                  establish a program to evaluate the
                                                   Transcripts: Please be advised that as                with FDA, the purpose of the public                   potential use of RWE. The framework of
                                                                                                         workshop is to bring the stakeholder                  the program was to include information
                                                soon as a transcript of the public
                                                                                                         community together to discuss a variety               describing the sources of RWE, the gaps
                                                workshop is available, it will be
                                                                                                         of topics related to the use of real-world            in data collection, standards and
                                                accessible at https://                                                                                         methods for collection and analysis, and
                                                                                                         data (RWD) and real-world evidence
                                                www.regulations.gov. It may be viewed                    (RWE) in drug development and                         the priority areas and challenges.
                                                at the Dockets Management Staff (see                     regulatory decision making. Topics will                  To date, RWD and RWE have been
                                                ADDRESSES). A link to the transcript will                include an update on FDA’s activities to              used in very specific regulatory
                                                also be available approximately 45 days                  address the use of RWE in regulatory                  contexts. Some treatments for rare
                                                after the public workshop on the                         decisions and the development of a                    diseases, for example, have utilized
                                                Internet at http://www.fda.gov/                          framework for tackling challenges                     RWE as part of the historical controls
                                                MedicalDevices/NewsEvents/                               related to RWE’s regulatory                           used for clinical study and, ultimately,
                                                WorkshopsConferences/default.htm.                        acceptability. In addition, panelists will            regulatory submission. Postmarket
                                                (Select this public workshop from the                    discuss opportunities to improve data                 safety surveillance has also relied
                                                posted events list).                                     development activities, study designs,                heavily on RWD-generating networks.
                                                                                                         and analytical methods used to create                 As part of exploring the opportunities
                                                IV. References                                                                                                 for enhanced use of these types of data
                                                                                                         robust RWE.
                                                  The following references are on                        DATES: The public workshop will be                    and evidence in additional regulatory
                                                display in the Dockets Management                        held on September 13, 2017, from 9 a.m.               decision-making contexts, FDA is
                                                Staff (see ADDRESSES) and are available                  to 4:30 p.m., Eastern Time.                           seeking input on the opportunities and
                                                                                                                                                               challenges in using RWE to support the
                                                for viewing by interested persons                        ADDRESSES: The public workshop will
                                                                                                                                                               approval of a new indication for an
                                                between 9 a.m. and 4 p.m., Monday                        be held at the Conference Center at 1777
                                                                                                                                                               already approved drug, and to help
                                                through Friday; they are also available                  F Street NW., Washington, DC 20006.
                                                                                                                                                               support or satisfy postapproval study
                                                electronically at https://                               For additional travel and hotel
                                                                                                                                                               requirements.
                                                www.regulations.gov.                                     information, please refer to the                         This public workshop is being held to
                                                                                                         following Web site: https://                          engage external stakeholders in
                                                1. ‘‘National Academy of Clinical
                                                                                                         healthpolicy.duke.edu/events/public-                  discussions around the current state of
                                                     Biochemistry Laboratory Medicine
                                                     Practice Guidelines: Clinical
                                                                                                         workshop-developing-framework-                        RWE development and potential
                                                     Characteristics and Utilization of
                                                                                                         regulatory-use-real-world-evidence.                   challenge areas for using RWE in
                                                                                                         There will also be a live webcast for
sradovich on DSKBCFCHB2PROD with NOTICES




                                                     Biochemical Markers in Acute Coronary                                                                     regulatory decisions beyond postmarket
                                                     Syndromes.’’ Circulation, 2007; 115,                those unable to attend the meeting in                 safety surveillance.
                                                     356–375.                                            person (see Streaming Webcast of Public
                                                                                                         Workshop).                                            II. Topics for Discussion at the Public
                                                2. ‘‘Universal Definition of Myocardial
                                                     Infarction.’’ Circulation, 2007: 116,               FOR FURTHER INFORMATION CONTACT:                      Workshop
                                                     2634–2653.                                          Kayla Garvin, Center for Drug                            During the course of the public
                                                                                                         Evaluation and Research, Food and                     workshop, speakers and participants
                                                                                                         Drug Administration, 10903 New                        will cover a range of issues related to


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                                                                                Federal Register / Vol. 82, No. 145 / Monday, July 31, 2017 / Notices                                                  35535

                                                the development of RWE and its                              Meeting Materials: All event materials             several health data policy topics and
                                                applicability within specific regulatory                 will be provided to registered attendees              begin to formulate its work plan for
                                                decision-making contexts. This will                      via email prior to the workshop and                   2018. To inform the work plan, the
                                                include, but not be limited to,                          publicly available at the Duke-Margolis               Committee will be briefed by the
                                                challenges related to RWD collection                     Web site (https://healthpolicy.duke.edu/              Commission on Evidence-based
                                                and quality, innovative methods for                      events/public-workshop-developing-                    Policymaking (CEP) regarding the
                                                developing RWE from RWD, and                             framework-regulatory-use-real-world-                  release of its report and
                                                promising areas for RWE pilot                            evidence).                                            recommendations as well as hear from
                                                demonstrations.                                             Transcripts: Please be advised that                HHS leadership regarding data needs
                                                III. Participating in the Public                         transcripts will not be available.                    and gaps. A panel will be held to
                                                Workshop                                                   Dated: July 25, 2017.                               discuss the new topic ‘‘Beyond HIPAA,’’
                                                   Registration: To register for the public              Leslie Kux,                                           an exploration of challenges that extend
                                                workshop, please visit the following                     Associate Commissioner for Policy.                    beyond HIPAA and the range of policy
                                                Web site before September 12, 2017:                      [FR Doc. 2017–16021 Filed 7–28–17; 8:45 am]           options that may be available to the
                                                https://healthpolicy.duke.edu/events/                    BILLING CODE 4164–01–P                                Department related to privacy, security
                                                public-workshop-developing-                                                                                    and access measures to protect
                                                framework-regulatory-use-real-world-                                                                           individually identifiable health
                                                evidence. There will be no onsite                        DEPARTMENT OF HEALTH AND                              information in an environment of
                                                registration. Please provide complete                    HUMAN SERVICES                                        electronic networking and multiple uses
                                                contact information for each attendee,                                                                         of data. Additional discussions are
                                                including name, title, affiliation,                      National Committee on Vital and Health
                                                                                                                                                               planned on the Predictability Roadmap
                                                address, email, and telephone.                           Statistics: Meeting
                                                                                                                                                               project in follow up to a Standards
                                                   Registration is free and based on                       Pursuant to the Federal Advisory                    Subcommittee workshop focused on
                                                space availability, with priority given to               Committee Act, the Department of                      possible approaches to improve the
                                                early registrants. Early registration is                 Health and Human Services (HHS)                       predictability and improvements in the
                                                recommended because seating is                           announces the following advisory                      adoption and processes related to
                                                limited; therefore, FDA may limit the                    committee meeting.
                                                number of participants from each                                                                               updating standards and operating rules
                                                                                                           Name: National Committee on Vital                   for electronic administrative
                                                organization. A 1-hour lunch break is                    and Health Statistics (NCVHS), Full
                                                scheduled, but food will not be                                                                                transactions (e.g. claims, eligibility,
                                                                                                         Committee and Population Health                       electronic funds transfer); and on
                                                provided. There are multiple restaurants                 Subcommittee Meetings.
                                                within walking distance of the                                                                                 terminology & vocabulary development,
                                                                                                           Dates and Times:                                    maintenance, and dissemination
                                                Conference Center.
                                                   If you need special accommodations                    Monday, September 11, 2017: 9:00 a.m.–                processes. The Committee also plans to
                                                due to a disability, please contact                        5:45 p.m.                                           finalize the update to its strategic plan
                                                Joanna Higgison at the Duke-Margolis                     Tuesday, September 12, 2017: 8:30                     and selection criteria for undertaking
                                                Center for Health Policy, 908–432–4872,                    a.m.–5:00 p.m.                                      new Committee projects. The times and
                                                joanna.higgison@duke.edu, no later                       Wednesday, September 13, 2017: 8:45                   topics are subject to change. Please refer
                                                than September 6, 2017.                                    a.m.–5:30 p.m.                                      to the posted agenda for any updates.
                                                   Streaming Webcast of the Public                       Thursday, September 14, 2017: 8:30
                                                                                                           a.m.–3:15 p.m.                                         Contact person for more information:
                                                Workshop: This public workshop will
                                                                                                           Place: U.S. Department of Health and                Substantive program information may
                                                also be webcast and archived video
                                                                                                         Human Services, Hubert H. Humphrey                    be obtained from Rebecca Hines, MHS,
                                                footage will be available at the Duke-
                                                Margolis Web site (https://                              Building, 200 Independence Avenue                     Executive Secretary, NCVHS, National
                                                healthpolicy.duke.edu/events/public-                     SW., Room 705A, Washington, DC                        Center for Health Statistics, Centers for
                                                workshop-developing-framework-                           20201.                                                Disease Control and Prevention, 3311
                                                regulatory-use-real-world-evidence)                        Status: Open.                                       Toledo Road, Hyattsville, Maryland
                                                following the workshop. Persons                            Purpose: At the September 11–12,                    20782, telephone (301) 458–4715.
                                                interested in viewing the live webcast                   2017 hearing, the Population Health                   Summaries of meetings and a roster of
                                                must register online by September 12,                    Subcommittee will focus on Next                       Committee members are available on the
                                                2017, at 5 p.m. Eastern Time (see                        Generation Vital Statistics. The purpose              home page of the NCVHS Web site:
                                                Registration). Early registration is                     of the hearing is to assess the current               http://www.ncvhs.hhs.gov/, where
                                                recommended because webcast                              state of the national vital statistics                further information including an agenda
                                                connections are limited. Organizations                   system (NVSS) to address concerns                     and instructions to access the audio
                                                are requested to register all participants,              regarding sustainability and viability of             broadcast of the meetings will also be
                                                but to view using one connection per                     the system infrastructure. The focus will             posted. Should you require reasonable
                                                location whenever possible. Webcast                      be on the system’s capacity to provide                accommodation, please contact the CDC
                                                participants will be sent technical                      timely, high quality, secure vital                    Office of Equal Employment
                                                system requirements in advance of the                    administrative and statistical data for               Opportunity on (770) 488–3210 as soon
                                                event. Prior to joining the streaming                    identity establishment and protection,                as possible.
sradovich on DSKBCFCHB2PROD with NOTICES




                                                webcast of the public workshop, it is                    identification of trends in disease and
                                                                                                                                                                 Dated: July 25, 2017.
                                                recommended that you review these                        epidemics, e.g., the recent surge in
                                                technical system requirements.                           opioid-related deaths, and a host of                  Laina Bush,
                                                   FDA has verified the Web site                         critical uses for research, finance,                  Deputy Assistant Secretary for Planning and
                                                addresses in this document, as of the                    planning, public records and services.                Evaluation, Office of the Assistant Secretary
                                                date this document publishes in the                        At the September 13–14, 2017 full                   for Planning and Evaluation.
                                                Federal Register, but Web sites are                      meeting, the Committee will hear                      [FR Doc. 2017–16036 Filed 7–28–17; 8:45 am]
                                                subject to change over time.                             presentations, hold discussions on                    BILLING CODE 4151–05–P




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Document Created: 2017-07-29 00:21:35
Document Modified: 2017-07-29 00:21:35
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of public workshop.
DatesThe public workshop will be held on September 13, 2017, from 9 a.m. to 4:30 p.m., Eastern Time.
ContactKayla Garvin, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6314, Silver Spring, MD 20993, (301) 796- 7578, [email protected]
FR Citation82 FR 35534 

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