Eighth Annual Patient-Reported Outcome Consortium Workshop

April 26 – 27, 2017

Hyatt Regency Bethesda,
1 Bethesda Metro Center,
Bethesda, MD 20814

On April 26-27, 2017 the EIGHTH ANNUAL PATIENT-REPORTED OUTCOME CONSORTIUM WORKSHOP was held in Bethesda, Maryland. The overall Workshop objectives were to:

• Provide an update on FDA’s Clinical Outcome Assessment (COA) Qualification Program;
• Describe progress within the PRO Consortium, with focused attention on the development of the Non-Small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ) by the NCSLC Working Group;
• Discuss perceived barriers to the adoption of electronic collection of COA-based endpoint data in clinical trials along with potential solutions;
• Describe existing measurement gaps and challenges associated with the collection of COA-based endpoint data in pediatric treatment trials and explore an innovative assessment approach for childhood asthma;
• Compare and contrast approaches to generating scores from PRO measures and discuss the Asthma Working Group’s Asthma Daily Symptom Diary (ADSD) as an example of one approach; and
• Having started with the end in mind, describe the process of getting from clinical outcome assessment to clinical trial endpoint to medical product labeling to direct to consumer advertising.

The following Workshop Agenda provides an overview of the day-and-a-half-long meeting as well as links to the slide sets and posters presented.

Agenda – Day 1

7:30 – 8:30 am

Registration and Continental Breakfast – Outside Regency I and II in Foyer
Day 1 Morning Moderator: Michelle Campbell, PhD – Reviewer and Scientific Coordinator, Clinical Outcome Assessments (COA) Qualification Program, COA Staff, Office of New Drugs (OND), Center for Drug Evaluation and Research (CDER), U.S. Food and Drug Administration (FDA)

8:30 – 8:50 am

Welcome and Patient-Reported Outcome Consortium Update

Stephen Joel Coons, PhD – Executive Director, Patient-Reported Outcome (PRO) Consortium, Critical Path Institute (C-Path)

8:50 – 10:20 am

Session 1: Update from FDA Regarding the Clinical Outcome Assessment Qualification Program

Moderator: Michelle Campbell, PhD – Reviewer and Scientific Coordinator, COA Qualification Program, COA Staff, OND, CDER, FDA

Presenters
: Paul G. Kluetz, MD – Acting Associate Director of Patient Outcomes, Oncology Center of Excellence (OCE), FDA
Theresa M. Mullin, PhD – Director of Office of Strategic Programs, CDER, FDA
Elektra Papadopoulos, MD, MPH – Associate Director, COA Staff, OND, CDER, FDA

Q & A

10:20 – 10:45 am

Break – 25 min

10:45 – 12:15 pm

Session 2: Case Study: The Non-Small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ)Moderator:

Kendra DeBusk, PhD – Principal Outcomes Research Scientist, Genentech, Inc.

Presenters:

Astra Liepa, BS, PharmD – Principal Research Scientist, Global Patient Outcomes and Real World Evidence, Eli Lilly and Company
Kelly McCarrier, PhD, MPH – Senior Research Scientist, Health Research Associates, Inc.
Thomas Atkinson, PhD – Assistant Attending Behavioral Scientist, Memorial Sloan Kettering Cancer Center
Donald Bushnell, MA – Associate Director, Health Research Associates, Inc.

Panelists:

Paul G. Kluetz, MD – Acting Associate Director of Patient Outcomes, OCE, FDA
Stephen Joel Coons, PhD – Executive Director, PRO Consortium, C-Path

Q & A

12:15 – 1:15 pm

Lunch – Old Georgetown, Congressional, Cabinet, and Judiciary Rooms
Day 1 Afternoon Moderator: Sonya Eremenco, MA – Associate Director, PRO Consortium, C-Path

1:15 – 2:45 pm

Session 3: Barriers to Adoption of Electronic Collection of COA-based Endpoint Data in Clinical Trials

Moderator:

David S. Reasner, PhD – Vice-President, Data Science and Head, Study Endpoints, Ironwood Pharmaceuticals

Presenters:

Bill Byrom, PhD – Senior Director, Product Innovation, ICON Clinical Research
Alexandra I. Barsdorf, PhD – Director, Rare Disease, Patient & Health Impact, Pfizer, Inc.
Kelly McQuarrie, BSN – Director, PRO Team, Janssen Pharmaceuticals
Sue Vallow, RPh, MBA, MA – Vice President, Patient eSolutions, MedAvante, Inc.
Marieke Manders, MSc – GCDO Trial Leader, Immunology, Janssen Research & Development
Panelists
:

Serge Bodart, MS – eCOA Subject Matter Expert, Biomedical Systems

Q & A

2:45 – 3:10 pm

Break – 25 min

3:10 – 4:40 pm

Session 4: Clinical Outcome Assessments in Pediatric Trials: Measurement Gaps, Challenges, and Potential Solutions

Moderator:

Sonya Eremenco, MA – Associate Director, PRO Consortium, C-Path

Presenters:

Mira Patel, MS – Graduate Research Associate, PRO Consortium, C-Path
Sonya Eremenco, MA – Associate Director, PRO Consortium, C-Path
Linda Nelsen, MHS – Senior Director and Head, Patient Centered Outcomes, GlaxoSmithKline

Panelist:

Linda Abetz-Webb – Paediatric PRO Expert, CEO/Senior Research Director Patient-Centred Outcome Assessments, Ltd (P-COA)
Tonya Winders – President and CEO, Allergy & Asthma Network
Susan McCune, MD – Director, Office of Pediatric Therapeutics, Office of the Commissioner, FDA

Q & A

4:40 – 4:55 pm

COMPASS Update

Stacie Hudgens, MA – CEO and Strategic Lead, Quantitative Science, Clinical Outcomes Solutions

4:55 – 5:00 pm

Day 1 Closing Remarks
Adjourn

5:30 – 7:00 pm

Reception and Poster Session – Terrace
Asthma Working Group
Cognition Working Group
Depression Working Group
Electronic Patient-Reported Outcome (ePRO) Consortium
Functional Dyspepsia Working Group
Irritable Bowel Syndrome (IBS) Working Group
Multiple Sclerosis Working Group
Myelofibrosis Working Group
Non-Small Cell Lung Cancer (NSCLC) Working Group
Pediatric Asthma Working Group
Rheumatoid Arthritis Working Group

Agenda – Day 2

7:30 – 8:30 am

Registration and Continental Breakfast – Outside Regency I and II in Foyer
Day 2 Moderator: Elizabeth (Nicki) Bush, MHS – Director, Patient Focused Outcomes Center of Expertise, Eli Lilly and Company and Industry Co-Director, PRO Consortium

8:30 – 10:00 am

Session 5: What’s the Score? Moving from Items to Scores – Methods, Considerations, and Case Examples

Moderator: Steve Blum, MBA, MA – Director, Patient-Reported Outcomes, GlaxoSmithKline
Presenters
:Kathleen (Kathy) W. Wyrwich, PhD – Senior Research Advisor, Eli Lilly and Company
Bryce B. Reeve, PhD – Professor, University of North Carolina
Cheryl D. Coon, PhD – Principal, Outcometrix

Panelists:

Laura Lee Johnson, PhD – Deputy Director, Division of Biometrics III, Office of Biostatistics, Office of Translational Sciences, CDER, FDA

Q & A

10:00 – 10:25 am

Break – 25 min

10:25 – 11:55 am

Session 6: From Clinical Outcome Assessment to Clinical Trial Endpoint to Medical Product Labeling

Moderator: Michelle Campbell, PhD – Reviewer and Scientific Coordinator, COA Qualification Program, COA Staff, OND, CDER, FDA
Presenters
:Ashley F. Slagle, MS, PhD – Principal, Regulatory and Scientific Consulting, Aspen Consulting, LLC
David S. Reasner, PhD – Vice President, Data Science and Head, Study Endpoints, Ironwood Pharmaceuticals
Emily Edson Heredia, MPH – Research Scientist, Global Patient Outcomes and Real World Evidence, Eli Lilly and Company
Ari Gnanasakthy, MSc, MBA – Principal Scientist, Patient-Centered Outcomes Assessments, RTI Health Solutions

Panelists:

Wen-Hung Chen, PhD – Reviewer COA Staff, OND, CDER, FDA
Ann Marie Trentacosti, MD – Medical Lead, Labeling Development Team, CDER, FDA

Q & A

11:55 – 12:15 pm

Closing Remarks
Adjourn
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