Real world evidence and real world data for evaluating drug safety and effectiveness

JAMA

13 August 2018 - For hundreds of years, the development of new medical treatments relied on “real-world” experience. 

Discoveries such as citrus fruit curing scurvy described in the 1700s or insulin as a treatment for diabetes in the 1920s long preceded the advent of the modern randomised clinical trial. What these diseases had in common was a reliable method of diagnosis, a predictable clinical course, and a large and obvious effect of the treatment.

Under the 21st Century Cures Act, the FDA is tasked with developing a program to evaluate the use of real world evidence to support approval of new indications for approved drugs or to satisfy post-approval study requirements.

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Michael Wonder

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Michael Wonder