Collecting Real-World Patient Drug Experience | Page 2
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to the chilling effect such warnings can have on healthcare providers. To say
that negative real-world outcomes destroy shareholder value for the
manufacturer would be obvious, but it can also be detrimental to legions of
patients as well.
Prospective drug scrutiny should not stop once a drug is approved, and more
than ever, it is critically important to consider the role of post-marketing
surveillance in the life-cycle management of a product, and such a
To say that negative realworld outcomes destroy
shareholder value for the
manufacturer would be
obvious, but it can also be
detrimental to legions of
patients as well.
plan should be in place well before its introduction into the market.
Where to Start? With an Observational Approach
While there are several methodologies for monitoring a marketed
drug, an observational model can provide a powerful platform for
collecting real-world patient experience with a drug or medical
device. Various forms of observational studies include
patient/disease/drug registries and epidemiological studies. It is
“observational” in that patient is treated as the physician would treat any
patient – and not on a strict visit schedule, and without regimented drug
treatment [it is up to the physician] so the patient is observed in a real-world
practice setting. In contrast to hypothesis-driven phase IV studies with a defined
protocol, observational studies are generally not protocol-driven and have
several other core differences.
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