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

19/02/2025 14:30 20/02/2025 13:30 Europe/Paris CRT meeting with EMA on Unmet Medical Needs Focusing on Patient-Benefit Risk/ Patient-Reported Outcomes

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Summary

Programme will be coming soon. 

Objective of the CRT meeting on:

1. Are PROMS/PREMS ready for use as primary outcome measures in regulatory CVD Clinical Trials (for approving drugs and/or devices) and what are the ethical premises for doing so?

2. How should we set up a system to systematically identify UMN in CVDs from PROMS/PREMS - patients' perspective and how should we involve patients in horizon scanning of new technologies based on this concept? 

3. What should be the role of patients in the risk - benefit assessment system in regulatory trials to stimulate innovation/ensure safety and how should we balance between PREMS/PROMS, traditional efficacy and safety measures?

Draft 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  13:30–18:30 CEST 

Time

Session

Speaker

12:00-13:30

Arrival and Buffet Lunch

13:30-13:35

Welcome from the CRT Chairpersons

Alexandra Goncalves (BMS)

Cecilia Linde 

13:35-15:30

SESSION 1.1 – METHODOLOGICAL SECTION:  PROMS/PREMS- identifying unmet medical needs

Moderated by: Piotr Szymanski and Maria Ripa (Novo Nordisk)

13:35-13:55

Definition of PROMS/PREMS (methodology to dev, geographical specificities, medical devices particularities, links between PROMS/PREMs and UMN …)

 

13:55-14:15

Current perspectives of using PROMS/PREMS as primary end points for regulatory approval of drugs

 

14:15-14:35

Patient perspectives of using PROMS/PREMS as primary versus supportive end-points in the approval of new drugs and devices

 

14:35-15:00

PANEL DISCUSSION

15:00-15:30

Coffee Break

15:30-18:30

SESSION 1.2 – TRIAL SECTION: designing clinical trials 

Moderated by: Lis Neubeck and Mr. Prodromos Panthopoulos (Cytokinetics) 

15:30-15:50

Patients’ role in the design and monitoring of clinical trials – perspective from a trialist

 

15:50-16:10

Patients’ role in drug development - perspective from the industry  

 

16:10-16:30

Patients’ role in the appraisal of clinical trial results and development of Guidelines documents – perspective from the patient

 

16:30-17:20

BREAKOUT SESSIONS: Designing clinical trials

 

 

Group 1: Are PROMS/PREMS ready to use as primary end points in clinical trials?

Lead: TBD

Rapporteur: TBD

 

Group 2: How to overcome current limitations of PROMS/PREMS? 

Lead: TBD

Rapporteur: TBD

 

Group 3: The role of new technologies in the assessment of PROMS/PREMS

Lead: TBD

Rapporteur: TBD

17:20-17:30

Coffee Break

 

 17:30-17:40

Report from breakout session 1

Rapporteur: TBD

17:40-17:50

Report from breakout session 2

Rapporteur: TBD

17:50-18:00

Report from breakout session 3

Rapporteur: TBD

18:00-18:25

PANEL DISCUSSION

 

18:25-18:30

Wrap-up and Summary Day 1 – Outlook to Day 2

Alexandra Goncalves (BMS)

Cecilia Linde

END OF DAY 1

19:30

APERITIF + DINNER

Day 2:  20 February 2025  08:30–12:30 CEST

Time

Session

Speaker

08:30-08:40

Summary of day 1

 

08:40-09:50

SESSION 2.1: Risk Benefit Assessment 

Moderated by: 

08:40-09:00

Statistical and practical reliability/validity of clinical trial results

 

09:00-09:20

Who and how should assess risks and benefits of innovative technologies before their approval?

 

09:20-09:40

The role of patients in the early feasibility studies

 

09:40-10:20

BREAKOUT SESSIONS: Risk Benefit Assessment 
 

Group 4: Should patients take the leading role in the risk-benefit assessment of new technologies before their approval? 

Lead: TBD

Rapporteur: 

 

Group 5: Who and how should educate patients (which patients) to enable them taking their roles in the design and appraisal of clinical trials? 

Lead: 

Rapporteur:  

 

Group 6: How should patients be involved in the regulatory process? 

Lead: 

Rapporteur: TBD

10:20-10:40

Coffee Break

 

10:40-10:50

Report from breakout session 4

Rapporteur:  

10:50-11:00

Report from breakout session 5 

Rapporteur:  

11:00-11:10

Report from breakout session 6

Rapporteur: TBD

11:10-12:40

SESSION 2.2: Future directions and shared vision for addressing the unmet needs. 

Moderated by:

11:10-11:30

The use of PROMS/PREMS in health technology assessment / in cost effectiveness assessment.

 

11:30-11:50

Reflection in product information (drugs)

 

11:50-12:10

Future definitions of Unmet medical needs

 

12:10-12:35

PANEL DISCUSSION and NEXT STEPS

 12:35-12:40

Wrap-up, conclusions

Alexandra Goncalves (BMS)

Cecilia Linde

END OF DAY 2

12:40

Buffet Lunch and Departures

Biographies

Coming soon