Patient-reported outcome measures in drugs for neurological conditions approved by European Medicines Agency 2017–2022.

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Title: Patient-reported outcome measures in drugs for neurological conditions approved by European Medicines Agency 2017–2022.
Authors: Ciani, Oriana (AUTHOR), Meregaglia, Michela (AUTHOR), Battaglia, Mario Alberto (AUTHOR), Brichetto, Gianpaolo (AUTHOR), Conte, Antonella (AUTHOR), Gasperini, Claudio (AUTHOR), Sansone, Valeria (AUTHOR)
Source: Neurological Sciences. Aug2023, Vol. 44 Issue 8, p2933-2937. 5p. 1 Diagram, 1 Graph.
Subjects: European Medicines Agency, Patient reported outcome measures, Neurological disorders, Drug approval, Patient experience, Government agencies
Abstract: Background: Regulatory agencies have been responsive to public demand for inclusion of the patient experience in evaluating and approving therapies. Over the years, patient-reported outcome measures (PROMs) have become increasingly prevalent in clinical trial protocols; however, their influence on regulators, payers, clinicians, and patients' decision-making is not always clear. We recently conducted a cross-sectional study aimed at investigating the use of PROMs in new regulatory approvals of drugs for neurological conditions between 2017 and 2022 in Europe. Methods: We reviewed European Public Assessment Reports (EPARs) and recorded on a predefined data extraction form whether they considered PROMs, their characteristics (e.g., primary/secondary endpoint, generic/specific instrument) and other relevant information (e.g., therapeutic area, generic/biosimilar, orphan status). Results were tabulated and summarized by means of descriptive statistics. Results: Of the 500 EPARs related to authorized medicines between January 2017 and December 2022, 42 (8%) concerned neurological indications. Among the EPARs of these products, 24 (57%) reported any use of PROMs, typically considered as secondary (38%) endpoints. In total, 100 PROMs were identified, of which the most common were the EQ-5D (9%), the SF-36 (6%), or its shorter adaptation SF-12, the PedsQL (4%). Conclusions: Compared to other disease areas, neurology is one where the use of patient-reported outcomes evidence is inherently part of the clinical evaluation and for which core outcome sets exist. Better harmonization of the instruments recommended for use would facilitate the consideration of PROMs at all stages in the drug development process. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Patient-reported outcome measures in drugs for neurological conditions approved by European Medicines Agency 2017–2022.
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  Data: <searchLink fieldCode="AR" term="%22Ciani%2C+Oriana%22">Ciani, Oriana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meregaglia%2C+Michela%22">Meregaglia, Michela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Battaglia%2C+Mario+Alberto%22">Battaglia, Mario Alberto</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brichetto%2C+Gianpaolo%22">Brichetto, Gianpaolo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Conte%2C+Antonella%22">Conte, Antonella</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gasperini%2C+Claudio%22">Gasperini, Claudio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sansone%2C+Valeria%22">Sansone, Valeria</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Aug2023, Vol. 44 Issue 8, p2933-2937. 5p. 1 Diagram, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22European+Medicines+Agency%22">European Medicines Agency</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+reported+outcome+measures%22">Patient reported outcome measures</searchLink><br /><searchLink fieldCode="DE" term="%22Neurological+disorders%22">Neurological disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+approval%22">Drug approval</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+experience%22">Patient experience</searchLink><br /><searchLink fieldCode="DE" term="%22Government+agencies%22">Government agencies</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Regulatory agencies have been responsive to public demand for inclusion of the patient experience in evaluating and approving therapies. Over the years, patient-reported outcome measures (PROMs) have become increasingly prevalent in clinical trial protocols; however, their influence on regulators, payers, clinicians, and patients' decision-making is not always clear. We recently conducted a cross-sectional study aimed at investigating the use of PROMs in new regulatory approvals of drugs for neurological conditions between 2017 and 2022 in Europe. Methods: We reviewed European Public Assessment Reports (EPARs) and recorded on a predefined data extraction form whether they considered PROMs, their characteristics (e.g., primary/secondary endpoint, generic/specific instrument) and other relevant information (e.g., therapeutic area, generic/biosimilar, orphan status). Results were tabulated and summarized by means of descriptive statistics. Results: Of the 500 EPARs related to authorized medicines between January 2017 and December 2022, 42 (8%) concerned neurological indications. Among the EPARs of these products, 24 (57%) reported any use of PROMs, typically considered as secondary (38%) endpoints. In total, 100 PROMs were identified, of which the most common were the EQ-5D (9%), the SF-36 (6%), or its shorter adaptation SF-12, the PedsQL (4%). Conclusions: Compared to other disease areas, neurology is one where the use of patient-reported outcomes evidence is inherently part of the clinical evaluation and for which core outcome sets exist. Better harmonization of the instruments recommended for use would facilitate the consideration of PROMs at all stages in the drug development process. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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