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#Patients2018
ANewInnova+veApproachtoIntegratePa+entPreferencesintotheSta+s+calDesignforClinicalTrials:ACollabora+ve
CaseStudy
ACollabora)onoftheMedicalDeviceInnova)onConsor)um,FDA,MIT,RTIHealthSolu)onsandtheMichael
J.FoxFounda)onforParkinson’sResearch
#Patients2018
Our Speakers • Heather Benz, FDA Center for Devices and Radiological Health • Margaret Sheehan, The Michael J. Fox Foundation for
Parkinson’s Research • Lauren McLaughlin, The Michael J. Fox Foundation for
Parkinson’s Research • Stephanie Christopher, Medical Device Innovation Consortium • Annie Saha, FDA Center for Devices and Radiological Health
#Patients2018
Heather Benz, FDA Center for Devices and Radiological Health
4
Pa)entsareattheHeartofWhatWeDo
CDRH Vision: Patients in the U.S. have access to high-quality, safe, and effective medical devices of public health importance first in the world
5
Whatifpa)ents’urgencyfornewtherapeu+cop+onsandtoleranceofuncertaintyweretakenintoaccount
whendesigningandsizingclinicaltrials?
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SpecificAims
www.fda.gov
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Iden+fyingOutcomes
www.fda.gov
Iden)fy
SponsorsPa)entsPhysiciansSponsors
Refine Define
Pa)entsPhysicians
Priori)ze
Pa)entsPhysiciansSponsors
Ac+vity
Par+cipants
Iden)fyanddeveloppreliminarylistofpoten)alaMributesthroughliterature
review1
8
Iden+fyingOutcomes
www.fda.gov
Iden)fy
SponsorsPa)entsPhysiciansSponsors
RefineAc+vity
Par+cipants
RefineandclarifyaMributesthroughdiscussionandfocusgroups2
9
Iden+fyingOutcomes
www.fda.gov
Iden)fy
SponsorsPa)entsPhysiciansSponsors
Refine
Pa)entsPhysicians
Priori)zeAc+vity
Par+cipants
Priori)zeaMributesbyusingrankingsurveysanddiscussiongroups3
10
Iden+fyingOutcomes
www.fda.gov
Iden)fy
SponsorsPa)entsPhysiciansSponsors
Refine Define
Pa)entsPhysicians
Priori)ze
Pa)entsPhysiciansSponsors
Ac+vity
Par+cipants
Developunbiased,pa)ent-centereddescrip)onsindiscussiongroups4
#Patients2018
Margaret Sheehan, The Michael J. Fox Foundation for Parkinson’s Research
#Patients2018
Lauren McLaughlin, The Michael J. Fox Foundation for Parkinson’s Research
THE MICHAEL J. FOX FOUNDATION FOR PARKINSON’S RESEARCH
14
Our Mission The Michael J. Fox Foundation is dedicated to finding a cure for Parkinson’s disease through an aggressively funded research agenda and to ensuring the development of improved therapies for those living with Parkinson’s today.
Vital Stats » Founded in 2000 by actor Michael J. Fox » Public charity » More than 85,000 donors in 2016
(individuals, corporations, nonprofits) » No chapters: team of 125 based in NYC » 4,200 grassroots fundraisers reaching
175,000 supporters worldwide in 2016 » Over 30,000 emails were sent to members of
Congress on critical Parkinson’s issues in 2016
» Nearly $750 million in research programs funded to date
» $90 million in research programs funded in 2016 » More than 2,600 projects funded to date » More than 600 active grants in current portfolio » 34% of funded projects are led by researchers
outside the United States » Fund academics, biotechs and pharma
MJFF IS THE WORLD’S LARGEST NONPROFIT FUNDER OF PD RESEARCH
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MJFF was founded by a person with Parkinson’s disease. Assessing all potential projects through a patient-focused lens, everything we do is driven by the many unmet medical needs of Parkinson’s patients today.
PATIENTS’ NEEDS DRIVE OUR EFFORTS
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We drive promising therapeutic targets while also investing to make PD drug development faster, cheaper, and more attractive. Our work is not done. Therefore, we seek collaboration to accelerate ongoing activities and launch initiatives in parallel.
WE TAKE A HOLISTIC APPROACH TO OUR WORK
#Patients2018
Stephanie Christopher, Medical Device Innovation Consortium
A novel method (and a novel team) for incorporation of patient preferences in clinical trial design
Why MDIC?
MDIC is a 501(c)(3) non-profit organization and is the first-ever public-private partnership created with the sole objective of advancing regulatory science of medical devices for patient benefit
What is Regulatory Science? The science of developing new tools, standards, and approaches to assess the safety, efficacy, quality, and performance of FDA-regulated products
• Benefits patients by speeding the rate of important technologies reaching market
• Reduces time and resources needed for device development, assessment, and review. For example: Ø Can lead to quicker, more efficient device
approvals Ø Can decrease the size and duration of pre-
market clinical trials
Faster, Safer, More Cost-effective FDA Strategic Plan, August 2011 Advancing Regulatory Science at FDA
www.MDIC.org
Why this matters to MDIC members
http://www.milkenreview.org/articles/p-values-vs-patient-values
• Meeting patient needs
• CDRH commitment to advancing use of patient preference
• Potential for smaller clinical trials
#Patients2018
Annie Saha, FDA Center for Devices and Radiological Health
23
LookingForward
• CDRHiscommiMedtointegra)ngthepa)entvoiceintoourregulatorydecision-making
• CDRHencouragespa)entgroups,industry,andotherstointeractwithusearlytodiscusshowpa)entinputcanbeusedforregulatorypurposes
• Partnershipsarekeytoadvancingthescienceofpa)entinput• Otherwaystoincorporatepa)entinput
– Improvecommunica)onofbenefit-riskinforma)ontopa)ents– Incorporatepa)entinputtoinformclinicaltrialdesign– EncouragePROdevelopmentanduse
24
Pa)entsareattheHeartofWhatWeDo
CDRH Vision: Patients in the U.S. have access to high-quality, safe, and effective medical devices of public health importance first in the world
#Patients2018
ToolBoxNotes
Forourtoolboxcontribu)on,wewouldliketoshareahandoutwecreatedonthefirststepsforsponsorstoconsiderwhenthinkingaboutlaunchingapa)entpreferencestudy.Youcandownloadthetoolat:hMp://mdic.org/wp-content/uploads/2016/04/Pa)ent-Preference-Study-Design-20171102.pdf
#Patients2018
Our Speakers • Heather Benz, FDA Center for Devices and Radiological Health • Margaret Sheehan, The Michael J. Fox Foundation for
Parkinson’s Research • Lauren McLaughlin, The Michael J. Fox Foundation for
Parkinson’s Research • Stephanie Christopher, Medical Device Innovation Consortium • Annie Saha, FDA Center for Devices and Radiological Health
#Patients2018
JoinusMay18tohearthefinalresultsoftheproject
hMp://mdic.org/spi/pcor/workshop