Third Annual Patient-Reported Outcome Consortium Workshop

April 4, 2012

Sheraton Silver Spring Hotel
8777 Georgia Avenue – Silver Spring, MD 20910

SPONSORED BY:
Critical Path Institute
Food and Drug Administration (FDA)

The Patient-Reported Outcome (PRO) Consortium is a public-private partnership established by the Critical Path Institute (C-Path) in cooperation with the U.S. Food and Drug Administration (FDA) and the medical products industry in 2008. The PRO Consortium brings together scientists from C-Path, industry, academia, and regulatory agencies in a pre-competitive environment for the purpose of developing, evaluating, and qualifying PRO instruments for use as primary or secondary endpoint measures in clinical trials designed to evaluate treatment benefit.

On April 4, 2012 the THIRD ANNUAL PATIENT-REPORTED OUTCOME CONSORTIUM WORKSHOP was held in Silver Spring, Maryland. The overall Workshop objectives were to:

  • Discuss the methodological advantages of a mixed methods (qualitative and quantitative) approach to ensuring content validity during the PRO instrument development process
  • Discuss the crucial need for well-defined and reliable clinical outcome assessment tools for pediatric clinical trials
  • Discuss regulatory issues surrounding PRO assessment using electronic data collection technologies
  • Provide updates on the ongoing PRO instrument development activities within the Consortium’s working groups
  • Describe the status of the FDA’s drug development tools (e.g., PRO instruments) qualification program
  • Examine challenges and best practices in the implementation of electronic PRO data collection (ePRO) in clinical trials
  • Discuss the selection of the appropriate recall period for PRO endpoint measures
  • Explore the role of PRO endpoints in oncology trials

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.

 

Workshop Agenda – Day 1
April 4, 2012

7:30-8:30 am

Registration and Continental Breakfast

Morning Session

Moderator:
Nicholas Greco IV, MS, BCETS, CATSM — Clinical Research Manager — Psychometrics and Assessment, Abbott Laboratories

8:30-8:45 am

Welcome and PRO Consortium Update
Stephen Joel Coons, PhD — Executive Director, Patient-Reported Outcome Consortium, Critical Path Institute

8:45-10:05 am

Panel Discussion 1
Perspectives on Decision-making in the Early Stages of Instrument Development

Moderator:
Laurie Beth Burke, RPh, MPH — Director, Study Endpoints and Labeling Development (SEALD), Office of New Drugs, Immediate Office (ONDIO), Center for Drug Evaluation and Research (CDER), FDA

Panelists:
Richard S. Levy, MD — Executive Vice President, Chief Drug Development and Medical Officer, Incyte Corp

Debra Silberg MD, PhD — Senior Director Clinical Medicine, Shire

Vibeke Strand, MD, FACP, FACR — Clinical Professor, Adjunct, Division of Immunology and Rheumatology, Stanford University

Josephine Norquist, MS — Patient-Reported Outcome Specialist, Merck Sharp & Dohme, Corporation

FDA Response:
Marc K. Walton, MD, PhD — Associate Director for Translational Medicine, Office of Translational Sciences (OTS), CDER, FDA

Laurie Beth Burke, RPh, MPH

10:05-10:25 am

Break

10:25-11:25 am

Panel Discussion 2
Mixed Methods Approach to Assuring Content Validity

Moderator:
J. Jason Lundy, PhD — Assistant Director, PRO Consortium, C-Path

Panelists:
Jeremy Hobart, PhD, FRCP — Professor of Clinical Neurology and Health Measurement, Peninsula College of Medicine and Dentistry

Joseph C. Cappelleri, PhD, MPH — Senior Director, Biostatistics, Pfizer Inc.

Ron D. Hays, PhD — Professor, Department of Medicine, David Geffen School of Medicine, UCLA

FDA Response:
James P. Stansbury, PhD, MPH — Consumer Safety Officer, SEALD, ONDIO, CDER, FDA

11:30-11:50 am

Update on FDA’s Drug Development Tools (DDT) Qualification Program
ShaAvhrée Buckman, MD, PhD, FAAP — Director, OTS, CDER, FDA

11:50-Noon

Morning Session Wrap-up

Noon-1:00 pm

Lunch – Grant and Lincoln Rooms

Afternoon Session

Moderator:
Richard L. Barron, MS — Director, Global Health Economics, Amgen

1:00-2:00 pm

Panel Discussion 3
Electronic Capture of Patient-Reported Outcome (ePRO) Data in Clinical Trials: Regulatory Considerations

Moderator:
Jay D. Pearson, PhD — Senior Director, Epidemiology, Merck Research Laboratories

Panelists:
Barbara Marino, PhD, RN — Senior Scientist, Director of Outcomes and Study Design, PHT Corporation

David S. Reasner, PhD — Vice President, Data Science – North America — Sunovion Pharmaceuticals

J. Jason Lundy, PhD — C-Path

FDA Response:
Sean Y. Kassim, PhD — Pharmacologist, Office of Compliance, CDER, FDA

2:05-3:20 pm

Panel Discussion 4
Selection and Development of Clinical Outcome Assessments (COAs) for Use in Pediatric Clinical Trials

Moderator:
Melissa S. Tassinari, PhD, DABT — Senior Clinical Analyst, Pediatric and Maternal Health Staff, OND, CDER, FDA

Panelists:
Paul Wang, MD — Vice President, Clinical Development, Seaside Therapeutics, Inc.

Linda Abetz-Webb, MA — Senior Director (Vice President), PRO Practice Lead-Europe, Adelphi Values

Donald Patrick, PhD, MSPH — Professor, University of Washington

Diana Rofail, PhD, MBPSs — Principal Patient-Reported Outcomes, CNS, Roche Products Ltd.

FDA Response:
Jessica J. Lee, MD — Medical Officer, Division of Gastroenterology and Inborn Error Products, CDER, FDA

Elektra Papadopoulos, MD — Medical Officer, SEALD, CDER, FDA

3:20-3:40 pm

Break

3:40-3:50 pm

Brief Update on PRO Consortium Working Groups

Asthma
Cognition
Depression
Functional Dyspepsia
Irritable Bowel Syndrome (IBS)
Non-Small Cell Lung Cancer (NSCLC)
Rheumatoid Arthritis

3:50-4:55 pm

Panel Discussion 5
Lessons Learned: Challenges and Wins

Moderator:
Clarice (Risa) Hayes, PhD — Co-Director, Patient-Reported Outcome (PRO) Consortium, Research Advisor, Eli Lilly and Company

Panelists:
Asthma WG Linda Nelsen, MHS — Associate Director, Epidemiology, Merck Sharpe & Dohme, Corporation

Depression WG Steven I. Blum, MBA — Director of Health Economics, Forest Research Institute

Functional Dyspepsia WG Robyn T. Carson, MPH — Associate Director, Health Economics & Outcomes Research, Forest Research Institute

IBS WG Mollie J. Baird, MPH — Associate Director, Patient Reported Outcomes Research and Development, Ironwood Pharmaceuticals

NSCLC WG Rajiv Mallick, PhD — Director, Health Economics and Outcomes Research (HEOR), Daiichi Sankyo

FDA Response:
Laurie Beth Burke, RPh, MPH

Marc K. Walton, MD, PhD

4:55-5:00 pm

Closing Remarks & Adjourn