Cited by 119

The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.

Nonrandomized real-world evidence to support regulatory decision making: process for a randomized trial replication project

Franklin, Jessica M., Pawar, Ajinkya, Martin, David, Glynn, Robert J., Levenson, Mark, Temple, Robert, Schneeweiss, Sebastian·2020·Clinical Pharmacology & Therapeutics

Abstract

Recent legislation mandates that the US Food and Drug Administration issue guidance regarding when real‐world evidence (RWE) could be used to support regulatory decision making. Although RWE could come from randomized or nonrandomized designs, there are significant concerns about the validity of RWE assessing medication effectiveness based on nonrandomized designs. We propose an initiative using healthcare claims data to assess the ability of nonrandomized RWE to provide results that are comparable with those from randomized controlled trials (RCT s). We selected 40 RCT s, and we estimate that approximately 30 attempted replications will be completed after feasibility analyses. We designed an implementation process to ensure that each attempted replication is consistent, transparent, and reproducible. This initiative is the first to systematically evaluate the ability of nonrandomized RWE to replicate multiple RCT s using a structured process. Results from this study should provide insight on the strengths and limitations of using nonrandomized RWE from claims for regulatory decision making.

Overview

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Registry

Crossref · 10.1002/cpt.1633

Cites

8 of 8 references verified0 citation errors · 0 not checkable

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    “The database studies, which were on average 19-fold larger than the trials, showed strong concordance in prespecified agreement metrices.33”

Citations

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Metadata

Authors
Franklin, J. M., Pawar, A., Martin, D., Glynn, R. J., Levenson, M., Temple, R., & Schneeweiss, S.
Affiliations
  • Division of Pharmacoepidemiology and Pharmacoeconomics Brigham and Women's Hospital Harvard Medical School Boston Massachusetts USA
  • Office of Medical Policy Center for Drug Evaluation and Research US Food and Drug Administration Silver Spring Maryland USA
  • Division of Biometrics VII Office of Biostatistics Center for Drug Evaluation and Research US Food and Drug Administration Silver Spring Maryland USA
  • Office of Drug Evaluation I Office of New Drugs Center for Drug Evaluation and Research US Food and Drug Administration Silver Spring Maryland USA
Venue
Clinical Pharmacology & Therapeutics
Publisher
Wiley
Published
2019-10-25
Volume
107
Issue
4
Pages
817-826
ISSN
  • 0009-9236
  • 1532-6535
Cited by
119
References
8
Language
en

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