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Promoting automatic substitution of, for example, biosimilars on formularies and registers could accelerate conversion to use of biosimilars, releasing significant financial savings. But in some areas of prescribing national leadership is needed to accelerate and support local systems’ medicines optimisation efforts.
IQWiG sees far less promise in other RWE sources such as electronic medicalrecords and billing records of insurers. Meanwhile, just like many countries, the Germans have seen the potential for savings from the use of biosimilars. In 2021 we might see the ripples from such policies come into the market.
With the Indian Pharmaceutical sector trying to reach the USD 130 Billion target by 2030, there is a renewed spirit of research in the areas of cell and gene therapy, new molecular entities, biologics and biosimilars.
Admittedly, BiMo inspections (into items like adequacy of bioequivalence data, consistency of clinical trial data with medicalrecords, and compliance with clinical trial protocols) lend themselves better to an RIE than assessing manufacturing compliance with regulatory requirements.
There is ample data collected on them during this 24/7 monitoring period such as case notes, contemporaneous patient medicalrecords, and patient tapes. Every use of ESD is recorded, as is every behavior that falls within the intended use. Patients that use ESD undergo continuous 24/7 monitoring.
However generic companies are now foraying into ‘biosimilars which is a niche and expensive space. New, niche and underserved markets may be spotted by analysing information from social media, demographics, electronic medicalrecords and other sources of data.
objective clinical outcomes in the context of detailed medicalrecord collection). While FDA is clear that many EAPs are not be designed to gather data of the quality and quantity to support their use as confirmatory evidence, FDA nonetheless acknowledges that an EAP could gather data that is sufficiently reliable and persuasive (e.g.,
The Draft Guidance emphasizes that study team should not answer the questions based on observation or even on existing medicalrecords. Instead, the information should be self-reported or, if that is not possible, provided by a first-degree relative or knowledgeable representative.
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