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CRT meeting with EMA on Unmet Medical Needs Focusing on Patient-Benefit Risk and Patient-Reported Outcomes

19/02/2025 13:00 20/02/2025 12:45 Europe/Paris CRT meeting with EMA on Unmet Medical Needs Focusing on Patient-Benefit Risk and Patient-Reported Outcomes

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Objectives of the CRT meeting

1. Advantages and disadvantages of utilizing Patient Experience Data (PED) and Patient Reported Outcomes (PROs) as endpoints and perhaps as primary endpoints? What can be improved and how?

2. How can we involve patients in the horizon scanning of new technologies and how PED contribute to that?

3. What should be the role of patients in inspiring pharmaceutical development and in the benefit-risk assessment system? Additionally, how should we balance PED/PROs against traditional efficacy and safety measures in regulatory decision making and clinical guidelines?

Session Recordings

Final Programme

Academic Chairpersons

  • Prof. Lis Neubeck  
  • Prof. Piotr Szymanski
  • Prof. Cecilia Linde (ESC President-Elect and ESC Chair of the CRT)

Industry Chairpersons

  • Dr. Maria Ripa/Novo Nordisk
  • Dr. Prodromos Anthopoulos/Cytokinetics
  • Prof. Alexandra Goncalves /(BMS) (Industry Chair of the CRT)

 

Day 1:  19 February 2025  13:00–18:30 CEST 
Time and Session Speakers
12:00-13:00 Arrival and Buffet Lunch  
13:00-13:05 Welcome from the CRT Chairpersons Alexandra Goncalves (BMS)
Cecilia Linde
13:05-15:00 SESSION 1.1 – CURRENT STATE OF THE ART REGARDING PED (PATIENT EXPERIENCE DATA) / PROS (PATIENT REPORTED OUTCOMES)  IN THE CARDIOVASCULAR  FIELD Moderated by: Piotr Szymanski and Maria Ripa (Novo Nordisk)
13:05-13:25 Definition of PED/PROs and what are the advantages? Elena Arbelo
13:25-13:45 Current perspectives of using PED/PROs as primary end points for regulatory approval of drugs Patrick Vrijilandt (EMA)
13:45-14:05 Patient perspectives of using PED/PROs as primary versus supportive endpoints in the approval of new  drugs and devices Mattias Van Heetvelde (ESC Patient Forum)
14:05-14:30 PANEL DISCUSSION
14:30-15:00 Coffee Break
15:00-18:30 SESSION 1.2 – PATIENTS’ ROLE IN DESIGNING CLINICAL TRIALS FROM THE PERSPECTIVE OF PED/PROsModerated by: Lis Neubeck and Prodromos Anthopoulos (Cytokinetics) 
15:00-15:20 Patients’ role and using PED/PROs in clinical trialstrialist perspective Roxana Mehran (Via zoom)
15:20-15:40 Patients’ role and using PED/PROs in drug development - industry perspective    Cecilie Merklin (Novo Nordisk)
Anne Domdey (Novo Nordisk)
15:40-16:00 Patient’s role in clinical trial design from perspective of PEDS/PROs – patient’s perspective   Mariette Verbakel (ESC Patient Forum) 
16:00-16:20 PED/PROs as primary endpoints in clinical trials – What is a clinical meaningful change statistician’s view John Ioannidis (via zoom)
16:20-17:10 BREAKOUT SESSIONS: PED/PROs in the design of clinical trials
Group 1: Are PED/PROs ready to use as primary end points in clinical trials?  Lead: Thomas F. Lüscher
Rapporteur: Alar Irs (EMA) 
Group 2: How to overcome the obstacles and limitations in using PED/PROs as measures in CVD Clinical Trials.  Lead: Clemens Mittmann (EMA)
Rapporteur: Paulus Kirchhof
Group 3: The role of new technologies in the collection and assessment of PED/PROs Lead: Elena Arbelo
Rapporteur: Alphons Vincent (Medtronic)
17:10-17:30 Coffee Break
17:30-17:40 Report from breakout session 1 Rapporteur: Alar Irs (EMA) 
17:40-17:50 Report from breakout session 2 Rapporteur: Paulus Kirchhof
17:50-18:00 Report from breakout session 3 Rapporteur: Alphons Vincent (Medtronic)
18:00-18:25 PANEL DISCUSSION
18:25-18:30 Wrap-up and Summary Day 1 – Outlook to Day 2 Lis NeubeckProdromos
Anthopoulos (Cytokinetics)
END OF DAY 1
19:30 APERITIF + DINNER  
Day 2:  20 February 2025  08:30–12:30 CEST
Time and Session Speakers
08:30-08:40 Summary of day 1 Piotr Szymansky
Prodromos Anthopoulos (Cytokinetics)
08:40-09:50 SESSION 2.1: Patient Centered Trial and PED/PROs Risk and Benefit Assessment Moderated by: Prodromos Anthopoulos (Cytokinetics) and Piotr Szymanski 
08:40-09:00 The role of patients and PED/PROs in the early feasibility studies of medical devices Maria Luisa Buzelli
09:00-09:20 Patients’ role in the appraisal of clinical trial results  Wendy Davis (ESC Patient Forum)
09:20-09:40 Regulatory viewpoint on future of generating, collecting and analyzing patients experience data in the EU  Rosa Gonzalez-Quevedo (EMA) (via zoom)
09:40-10:20 BREAKOUT SESSIONS: Risk and Benefit Assessment 
Group 4: Should patients take the leading role in the benefit- risk assessment of new technologies before their approval? Lead: Piotr Szymanski 
Rapporteur: Julie Sanders 
Group 5: Who and how should educate patients (which patients) willing to be in steering committees in trial design and evaluation of clinical trials? Lead: Andre Krueger (Novartis) 
Rapporteur: Tiny Jaarsma
Group 6: How should patients be involved in the regulatory process?  Lead: Kaisa Immonen (EMA) 
Rapporteur: Bettina Kraus (Boehringer Ingelheim)
10:20-10:40 Coffee Break
10:40-10:50 Report from breakout session 4 Rapporteur: Julie Sanders 
10:50-11:00 Report from breakout session 5 Rapporteur: Tiny Jaarsma
11:00-11:10 Report from breakout session 6 Rapporteur: Bettina Kraus (Boehringer Ingelheim)
11:10-12:40 SESSION 2.2: Future directions and shared vision for addressing the unmet needs. Moderated by: Lis Neubeck and Maria Ripa (Novo Nordisk) 
11:10-11:30 Should discussion around unmet medical needs in the future taking into account PED/PROs Paulus Kirchhof
11:30-11:50 Needs Examination, Evaluation and Dissemination: Identifying disease-specific health-related unmet needs of patients and society Irina  Cleemput
11:50-12:10 Future of evidence generation - patient-centered, patient-initiated  Esther Kim 
12:10-12:35 PANEL DISCUSSION and NEXT STEPS
12:35-12:40 Wrap-up, conclusions
Cecilia Linde
Piotr Szymanski
END OF DAY 2
12:40 Buffet Lunch and Departures

Biographies