Hall Skra PHA Europe EMA London March 20th, 2018 Initiatives - - PowerPoint PPT Presentation

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Hall Skra PHA Europe EMA London March 20th, 2018 Initiatives - - PowerPoint PPT Presentation

Hall Skra PHA Europe EMA London March 20th, 2018 Initiatives Ongoing initiative following the EMA, FDA and health Canada workshop June 2017 Endpoints: Non-invasive endpoints are being developed (e.g. 6MWT, actigraphy, NT-pro-BNP,


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SLIDE 1

EMA London March 20th, 2018

Hall Skåra

PHA Europe

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SLIDE 2

Initiatives

Ongoing initiative following the EMA, FDA and health Canada workshop June 2017

  • Endpoints:
  • Non-invasive endpoints are being developed (e.g. 6MWT,

actigraphy, NT-pro-BNP, MRI and echocardiography)

  • Patient Reported Outcomes: New pediatric PROs

should be implemented

  • Clinical aspects: Patients and carers

should be involved early in pediatric study designs

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SLIDE 3

Initiatives

Ongoing initiative following the EMA, FDA and health Canada workshop June 2017

  • Registries:
  • Challenges identified
  • Limitation of existing registries and difficulties in existing data
  • Redesign important in order to use registries in research
  • Operational aspects of conducting pediatric PAH studies:
  • Lack of existing pediatric cardiology network - being addressed by

developing a global multi-stakeholders pediatric PAH network

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SLIDE 4

Criteria & Methodology

  • Criteria:
  • disease seriousness (progression, morbidity, QOL)
  • adult medication availability
  • Methodology
  • Best results are achieved if all key stakeholders

work together to help identify diseases & subgroups

  • Key stakeholders: Regulators, pharma, clinicians,

researchers, patients and carers

  • Improved registries could be very useful
  • Pediatric networks could help develop criteria &

methodology