Analyzing FDA's approaches to using electronic health record and medical claims data to support regulatory decision making

Author:

Radaeva Ksenia S.1ORCID,Pchelintsev M. V.1ORCID

Affiliation:

1. First St. Petersburg State Medical University named after I. P. Pavlov

Abstract

In 2021, the U.S. Food and Drug Administration (FDA) issued draft guidance on the use of electronic health records and medical claims data for regulatory decisions. The draft guidance provides recommendations for sponsors regarding the use of real-world data in conducting studies. It also addresses the challenges and limitations associated with the use of these data and provides recommendations to overcome them. The purpose of this article is to provide a brief overview of key aspects of the FDA's guidance on the use of electronic health record data in regulatory decision making.

Publisher

Publishing House OKI

Reference9 articles.

1. U.S. Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (CDER) and Center for Biologics Evaluation and Research (CBER) and Oncology Center for Excellence (OCE). Real-World Data: Assessing electronic health records and medical claims to support regulatory decisionmaking for drug and biological products: Guidance for Industry, Draft Guidance. Sept 2021. (https://www.fda.gov/media/152503/download)

2. Wang SV, Pinheiro S, Hua W, Arlett P, Uyama Y, Berlin JA, Bartels DB, Kahler KH, Bessette LG, Schneeweiss S. STaRT-RWE: structured template for planning and reporting on the implementation of real world evidence studies. BMJ. 2021 Jan 12;372:m4856. doi: 10.1136/bmj.m4856. PMID: 33436424; PMCID: PMC8489282.

3. Ritchey ME, Girman CJ. Evaluating the Feasibility of Electronic Health Records and Claims Data Sources for Specific Research Purposes. Ther Innov Regul Sci. 2020 Nov;54(6):1296-1302. doi: 10.1007/s43441-020-00139-x. Epub 2020 May 7. PMID: 33258098.

4. Dreyer NA. Advancing a Framework for Regulatory Use of Real-World Evidence: When Real Is Reliable. Ther Innov Regul Sci. 2018 May;52(3):362-368. doi: 10.1177/2168479018763591. Epub 2018 Mar 19. PMID: 29714575; PMCID: PMC5944086.

5. Girman CJ, Ritchey ME, Lo Re V 3rd. Real-world data: Assessing electronic health records and medical claims data to support regulatory decision-making for drug and biological products. Pharmacoepidemiol Drug Saf. 2022 Jul;31(7):717-720. doi: 10.1002/pds.5444. Epub 2022 May 3. PMID: 35471704; PMCID: PMC9320939.

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