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GLOBAL FORUM2020
3 R D S A V I N G L I V E S SU S T A I N A B L Y:
SUSTAINABLE PRODUCTION IN THE HEALTH SECTOR
GLOBAL FORUM | 2020 RIYADH
Real-world Evidence: a Saudi
Regulatory Perspective
Turki A Althunian, Bpharm, MClinPharm, MScEpi, PhD
Director of the SFDA Research Informatics Department
Research and Laboratory Sector
Vice-chair ISPE GRIG
INTRODUCTION
Phasellus viverra nulla ut metus varius laoreet. Quisque rutrum. Aenean imperdiet. Etiam
ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus.
Maecenas tempus,
Matthews et al. Proteomes 2016
Drug development is subjected to strict and controlled experimentation
prior approval!
INTRODUCTION
Phasellus viverra nulla ut metus varius laoreet. Quisque rutrum. Aenean imperdiet. Etiam
ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus.
Maecenas tempus,
Forte G 2017
Assessing drug journeys in the market is a function of BIG DATA!
Big data in the regulatory context are best shaped by the routine
clinical care
Real-world data
(RWD)
Real-world
evidence (RWE)
“data relating to patient health
status and/or the delivery of
health care routinely collected
from a variety of sources” .. FDA
“clinical evidence regarding the
usage and potential benefits or
risks of a medical product
derived from analysis of RWD ”
.. FDA
“Never before in the history of medicines regulation, regulators have
initiated platforms for ‘own data’ or extensive access data. Usually
sponsors are required to deliver quality, pre-clinical, PK or clinical
data ” .. Leufkens B 2020
RWE is not only for post-marketing safety assessment!
RWE
Effectiveness
Safety
Health
policies
Regulatory
actions
Shortage
Repurposing
Point-of-dispense framework for SFDA/health policy assessment
Outcome-based models!
Mahmoudpour et al. BJCP 2018
Complicated
infrastructure!
Generating RWE requires a
multidimensional
infrastructure from an
establishment, maintenance
& usage perspective
GLOBAL FORUM 2020
Challenges in the Saudi context
Alnofal et al. PDS 2019
• Adopting electronic health recording systems is relatively new
• Separate recording systems within one hospital
• Different hospitals use different coding systems and
algorithms
• Lack of validation studies
• Data completeness?
2018 ‘where it all
started’
GLOBAL FORUM 2020
Establishing the National
Saudi Pharmacoepidemiology
Database
One structure/shape for all records!
Alnofal et al. PDS 2019
OHDSI OMOP Common Data Model
OHDSI
SFDA scientists can formulate any research question!
OHDSI
1st successful conversion
Hierarchical validity exercise
Validate the extraction
Validate the conversion
Validation study
Assessing the readiness for RWE 2020
Validation
study I
Step I
Step II
Step III
Stakeholder I
TEXT TEXT
Stakeholder II Stakeholder III
Effectiveness
study
Feasibility for
advanced
analysis I
Feasibility for
advanced analysis
II
Validation
study II
Regulatory
science I
Regulatory
science II
Study III Study III
RWE methodological testing experience started internationally
GLOBAL FORUM2020
THANK YOU
Pharmacoepi team:
 Thamir Alshammari, PhD
 Fatemah Alnofal, MSc
 Meshael Alrasheed, PharmD
 Meshari Alsaleem, BSc
 Ghada Alsagari, BSc

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Real-world Evidence A Saudi Regulatory Perspective

  • 1. GLOBAL FORUM2020 3 R D S A V I N G L I V E S SU S T A I N A B L Y: SUSTAINABLE PRODUCTION IN THE HEALTH SECTOR GLOBAL FORUM | 2020 RIYADH Real-world Evidence: a Saudi Regulatory Perspective Turki A Althunian, Bpharm, MClinPharm, MScEpi, PhD Director of the SFDA Research Informatics Department Research and Laboratory Sector Vice-chair ISPE GRIG
  • 2. INTRODUCTION Phasellus viverra nulla ut metus varius laoreet. Quisque rutrum. Aenean imperdiet. Etiam ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus. Maecenas tempus, Matthews et al. Proteomes 2016 Drug development is subjected to strict and controlled experimentation prior approval!
  • 3. INTRODUCTION Phasellus viverra nulla ut metus varius laoreet. Quisque rutrum. Aenean imperdiet. Etiam ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus. Maecenas tempus, Forte G 2017 Assessing drug journeys in the market is a function of BIG DATA!
  • 4. Big data in the regulatory context are best shaped by the routine clinical care Real-world data (RWD) Real-world evidence (RWE) “data relating to patient health status and/or the delivery of health care routinely collected from a variety of sources” .. FDA “clinical evidence regarding the usage and potential benefits or risks of a medical product derived from analysis of RWD ” .. FDA
  • 5. “Never before in the history of medicines regulation, regulators have initiated platforms for ‘own data’ or extensive access data. Usually sponsors are required to deliver quality, pre-clinical, PK or clinical data ” .. Leufkens B 2020
  • 6. RWE is not only for post-marketing safety assessment! RWE Effectiveness Safety Health policies Regulatory actions Shortage Repurposing
  • 7. Point-of-dispense framework for SFDA/health policy assessment
  • 9. Complicated infrastructure! Generating RWE requires a multidimensional infrastructure from an establishment, maintenance & usage perspective GLOBAL FORUM 2020
  • 10. Challenges in the Saudi context Alnofal et al. PDS 2019 • Adopting electronic health recording systems is relatively new • Separate recording systems within one hospital • Different hospitals use different coding systems and algorithms • Lack of validation studies • Data completeness?
  • 11. 2018 ‘where it all started’ GLOBAL FORUM 2020 Establishing the National Saudi Pharmacoepidemiology Database
  • 12. One structure/shape for all records! Alnofal et al. PDS 2019
  • 13. OHDSI OMOP Common Data Model OHDSI
  • 14. SFDA scientists can formulate any research question! OHDSI
  • 16. Hierarchical validity exercise Validate the extraction Validate the conversion Validation study
  • 17. Assessing the readiness for RWE 2020 Validation study I Step I Step II Step III Stakeholder I TEXT TEXT Stakeholder II Stakeholder III Effectiveness study Feasibility for advanced analysis I Feasibility for advanced analysis II Validation study II Regulatory science I Regulatory science II Study III Study III
  • 18. RWE methodological testing experience started internationally
  • 19. GLOBAL FORUM2020 THANK YOU Pharmacoepi team:  Thamir Alshammari, PhD  Fatemah Alnofal, MSc  Meshael Alrasheed, PharmD  Meshari Alsaleem, BSc  Ghada Alsagari, BSc