Real World Evidence in Clinical Trials

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Differentiating value in the real world

Parexel Real World Research designs, develops and delivers evidence that supports pre- and post-approval objectives 

 

 


 

Generating evidence by real world research

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 

Read the transcript

Even when we look at some of our smaller biotech clients, it's helping them see what the future looks like through developing an integrated evidence plan so that they can almost have a blueprint for where they're going and how to think about their product development.

My name is Matthew Gordon. My role at Parexel is the vice president of real world evidence strategy.

When you look at how medicines and treatments are approved throughout the world, we look at how it's actually being used. So clinical trials test medicines to see if it's safe and effective. We look to see is it really useful, is it really safe? Is there value to what you're using, how you're treating patients?

Depending on how you're actually leveraging or using real world evidence, it will have a direct impact to the operational strategy, how you would use it, how it might be accepted by regulatory agencies or different stakeholders, whether that's payers, healthcare providers, you name it. Those that are stakeholders within the field leveraging real world evidence, you have to make sure that it's very fit for purpose.

Evidence generation is not like you're really generating data. You're taking data that's already in the marketplace. So, you're looking at how patients have already been treated. You're using that to understand how physicians have been treating these patients. So early on in the development as you're thinking about a new product and you're thinking about a protocol and who's the potential patient population that's going to be, you know, most at benefit for this. Real world evidence helps you target that more effectively.

Real world evidence really is front and foremost for the patient and what we're what we're saying, we're reporting on, is really based on how that patient has lived and how that patient has been treated.

Real world evidence allows us to see what is the impact of those decisions, what are some of the socio-economic impacts on patients in a in a real setting so that we can actually try and treat patients more effectively.

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

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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
     

Real World Research Experience

+
Real World Research projects in the past 5 years
+
years in delivering evidence and communicating value
+
Real World Research experts

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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.