We initially help clients develop their unique Data Collection Roadmap. This is a multiyear plan to design and build interoperable registries and RWD studies for their target rare diseases across Europe. This will provide a unified data collection program to complement and expand on Clinical Trials.
Europe is a collection of large/small and rich/poor counties all with different health care policies. This presents unique challenges to developing an interoperable clinical data platform. A single European registry is not practical. Clinicians will always need to collect their own data to meet local and national research. Most registry owners will require the ability to extend the registry to support their own national data collection needs.
The Roadmap will communicate the long-term path to support the development of an interoperable European Federated Registry for the benefit of all stakeholders. It will define:
We outline above the suggested points within a classical drug development timeline for publishing the Data Collection Roadmap and the RWD platform:
Traditionally RWD does not commence until well after drug approval. We however suggest a more proactive approach:
The protocol for the Natural History Study will be less rigid than the Phase 3 Clinical Trial.
The Clinical Trial would for example specify a minimum number of encounters per year and have tightly specified inclusion and exclusion criteria for subjects. Because of this, the number of patients enrolled in a natural history study should be much larger than in the related clinical trial.
This RWD study will require the cooperation of researchers as outlined in the Data Collection Roadmap. RWD fills the gap between low-cost, low-quality registry data and high-cost high quality clinical trials data
By independently specifying the dataset and the data collection platform, pharma can limit the involvement of an expensive Contract Research Organization (CRO) to just remote monitoring. This can lead to very significant financial savings as the average cost of a Phase 3 orphan drug trial is $30M (source Orphanet Journal of Rare Diseases 2019).