Real World Evidence in Clinical Trials

Let's start a conversation

Real world data and evidence

At Parexel, we develop strategies and implement approaches to deliver the right evidence across all stages of the product development and post-approval lifecycle. We align with our customers’ clinical and commercial goals to generate evidence by real-world research that:

  • Supports approval and post-marketing regulatory requirements 
  • Drives the differentiation of value against standard of care, comparable products on the market and new entrants 
  • Enables patients to continue access to medicines in a real-world setting 

Our solutions

  • Clinical interventional: Phase IIIb, Pragmatic trials, Post authorization clinical trial commitment, External control arm
  • Extension studies: Rollover and long-term follow up
  • Post-trial access:  Rollover, Early access program, Managed access program, Compassionate use
  • Licence/label expansion 
  • Non-drug interventional

  • Prospective studies: Post-marketing commitments, PASS/PAES, Natural history, survey, COA, surveillance
  • Retrospective studies: Chart review, Natural history, External control, PASS, Burden of disease, HEOR
  • Registries: Product, Disease, Pregnancy
     

  • Protocol design & development/ Medical writing/publication
  • Epidemiology lifecycle strategy
  • Analysis & reporting
  • Integrated evidence planning
  • Regulatory engagement
  • COA sciences: Design, Development, Implementation
     

  • Data insights: Feasibility, Design Optimization, Diversity
  • Secondary data studies: Database landscaping & feasibility, Data use agreements, Data partnerships, Analytics
  • Data engineering: Common data model, RWD/RWE evidence engine
  • Sensors: TA-aligned solutions, E2E delivery models, Digital endpoints
     

CASE STUDY

Assessing long-term safety through a PASS and registry build

1/3

Requirements:

A pharma company bringing a novel new drug in rare disease to market obtained a post authorisation safety study  (PASS) mandate for surveillance of specified safety signals to ensure ongoing safety of vulnerable patients. Due to the disparate nature of clinical care pathways for these patients being treated at multiple locations and across an array of specialists in a standard-of-care setting, it was critical to deploy an innovative strategy that would allow holistic safety monitoring across multiple representative healthcare interactions.

Solution:

Parexel worked with the customer to map out potential healthcare interactions for these patients and define healthcare settings where medical data would be available to assess safety signals. This included access programs, registries and other healthcare encounters (available across claims, EHR and lab data), utilizing more than 15 data sources. A novel data ingestion and analysis engine was built to ingest disparate data feeds including transformation of all data sources into a common data model for segmentation and analysis.

Results:

Through a creative approach to patient healthcare encounter mapping, acquisition of representative data sources, transformation of data and application of advanced analytical methodologies, Parexel helped our customer to effectivley assess product safety in line with regulatory mandates and allow ongoing access of this novel medicine to a rare and vulnerable patient population. This required a combination of high scientific and technology capabilities along with sophisticated methodological and advanced analytical approaches which is a capability that not all CROs possess.

Trust Parexel’s Real World Research team to deliver 
  • Integrated evidence planning: Parexel’s Real World Research teams are committed to helping you meet the expectations of regulators, payers, physicians and patients and give you the competitive edge – through an integrated evidence strategy.
  • The right data sources: We develop strategies, identify and apply the right data sources that generate Real World Evidence throughout the product lifecycle to help differentiate your products, beginning at the earliest stages of development.
  • Multi-disciplinary experts to align functions: Experts working at each step of the development process look ahead to align functions, anticipate needs, and address challenges proactively across the product lifecycle, including end-to-end evidence generation and communication solutions for Medical Affairs
     

related insights

Webinar

Leveraging post-marketing regulatory requirements to drive commercial value

Oct 16, 2024

Blog

Transforming evidence generation: How predictive AI can optimize clinical development

Sep 3, 2024

Whitepaper

Combining data tokenization and real-world patient insights to bridge the gap for a more diverse and complete dataset

Apr 2, 2024

Blog

Deriving meaningful insights from real-world data for diverse Alzheimer’s research studies

Mar 19, 2024

Blog

Removing barriers through pragmatic clinical trials

Oct 12, 2023

Blog

Studying rare cancer patient populations using integrated genomic and real-world data

Aug 30, 2023

Blog

A hybrid model supports globally diverse site participation for a retrospective cancer study

Jul 24, 2023

Webinar

Assessing appropriate use of ECAs in clinical trials

May 28, 2023

Webinar

Adaptive strategies for more efficient, data-rich and patient-friendly trials

May 28, 2023

Video

The science and practice of ethnobridging

May 17, 2023

Playbook

Are you using real-world evidence?

Feb 1, 2023

Blog

Maintaining Data Integrity for Quality and Compliance – Essential Despite Pandemic Disruptions

May 16, 2022

Article

New FDA Guidance Addresses the Need for Data-Generation Strategies Across the Drug Development Lifecycle

May 10, 2022

Article

Lessons from China and the United States on the use of RWE in regulatory submissions

Jul 19, 2021

Article

Guide for Real-World Evidence

May 21, 2021

Article

PharmaVOICE - The RWE Evolution

Apr 13, 2021

Article

How RWE can help Biotechs optimize the value of their asset

Apr 5, 2021

Whitepaper

Getting real-world data into clinical research

Aug 26, 2020

Podcast

The opportunity for biotechs in precision medicine

Mar 5, 2020

related insights

Webinar

Leveraging post-marketing regulatory requirements to drive commercial value

Oct 16, 2024

Blog

Transforming evidence generation: How predictive AI can optimize clinical development

Sep 3, 2024

Whitepaper

Combining data tokenization and real-world patient insights to bridge the gap for a more diverse and complete dataset

Apr 2, 2024

Blog

Deriving meaningful insights from real-world data for diverse Alzheimer’s research studies

Mar 19, 2024

Blog

Removing barriers through pragmatic clinical trials

Oct 12, 2023

Blog

Studying rare cancer patient populations using integrated genomic and real-world data

Aug 30, 2023

Blog

A hybrid model supports globally diverse site participation for a retrospective cancer study

Jul 24, 2023

Webinar

Assessing appropriate use of ECAs in clinical trials

May 28, 2023

Webinar

Adaptive strategies for more efficient, data-rich and patient-friendly trials

May 28, 2023

Video

The science and practice of ethnobridging

May 17, 2023

Playbook

Are you using real-world evidence?

Feb 1, 2023

Blog

Maintaining Data Integrity for Quality and Compliance – Essential Despite Pandemic Disruptions

May 16, 2022

Article

New FDA Guidance Addresses the Need for Data-Generation Strategies Across the Drug Development Lifecycle

May 10, 2022

Article

Lessons from China and the United States on the use of RWE in regulatory submissions

Jul 19, 2021

Article

Guide for Real-World Evidence

May 21, 2021

Article

PharmaVOICE - The RWE Evolution

Apr 13, 2021

Article

How RWE can help Biotechs optimize the value of their asset

Apr 5, 2021

Whitepaper

Getting real-world data into clinical research

Aug 26, 2020

Podcast

The opportunity for biotechs in precision medicine

Mar 5, 2020

Show more



Frost & Sullivan's 2023 North American Customer Value Leadership Award

Parexel Recognized with Frost & Sullivan's 2023 North American Customer Value Leadership Award for impactful real-world evidence solutions addressing customer needs.

Learn more

FREQUENTLY ASKED QUESTIONS

RWE describes clinical evidence about the usage and potential benefits or risks of a medical product or practice. RWE is derived from the transformation, analysis, and interpretation of real-world data (RWD) for use in clinical, policy, payer, or other decisions.

RWE drives the differentiation of value against standard of care, comparable products on the market and new entrants. 

Early in the clinical trial planning process, RWE helps identify the appropriate patient populations, and utilizes RWD sources to support inclusion/exclusion criteria.

RWE empowers innovative trials. By combining site-based data with electronic health records and registry data, phase II/III hybrid trials can be conducted. RWE also enhances data from single-arm trials by utilizing external/historic controls. Furthermore, it allows for the creation of external control arms to validate more rigorous comparison to patients in active treatment arms. 

RWE is useful for drug approval because it allows for informed decision making at the right time and assists companies in meeting the expectations of regulators. By utilizing RWD, it enhances the pathway to regulatory approval, from integrated product development planning, through health authority engagement to regulatory submission. And it demonstrates value through evidence-based health economic evaluation and outcomes research.