FDA Guidelines for Leveraging Real-World Data from EHRs and Medical Claims - Guidance Regarding Study Design Elements
In the recently released FDA guidance on real-world evidence (RWE) from real-world datasets (RWD) like electronic health records (EHRs) and medical claims data, which further can be extrapolated for other types of data sources (like Real-world imaging data (RWiD), genetic data, etc.). The evaluation of RWD is crucial in regulatory decision-making for drug and biological products. This involves rigorous validation of study design elements to ensure the reliability and relevance of the data used. The design and methodology of these studies are vital to generating credible evidence to support regulatory submissions. Here, we delve into the fundamental aspects of study design elements outlined in the document. FDA guidance specifies that the study questions of interest need to be established before the finalization of the data sources. And it should not be reversed since the limitations of the chosen RWD may restrict the options for study design and inferences that can be drawn...