The Use of Real World Evidence in the European Context

November 2016

The Use of Real World Evidence in the European Context

Randomised controlled trials (RCT), traditionally seen as the gold standard in drug approval requirement terms, are becoming more difficult due to, among other reasons, budget constraints, increasing complexities and the shrinking of patient populations. Real world evidence (RWE), data used for decision making that is not derived from traditional RCT, may in future play an increasing role in market access and reimbursement decisions.

This paper analyses key pricing and reimbursement stakeholders’ opinions of RWE across five European countries via a focus group-style discussion. Areas probed included regulatory implications and the role of RWE in the study countries, RWE processes and implementation on decision making, meaningful outcomes from RWE and priorities for future focus and industry support.

Results showed that RWE was used to some extent in all countries, generally in accelerated access and re-review situations, with accepted endpoints including overall survival, morbidity, avoidable mortality and quality of life among others, but that there were a number of areas where improvement was necessary if RWE use was to become more common place.

This report is the first in a series looking at the use of Real World Evidence (RWE) in Europe. Click below to read the second and third paper: 

Client: F. Hoffmann - La Roche

Authors: Jennifer Gill, Bernard Avouac, Robert Duncombe, John Hutton, Karina Jahnz-Różyk, Wolfgang Schramm, Federico Spandonaro, Michael Thomas & Panos Kanavos

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