Remote Digital Monitoring and Patient-Centric Medical Product Development

Overview

The use of remote digital monitoring technologies (smartphone apps, wearables, ingestibles, implantable, and mobile device-based tools) has sparked the interest of consumers, providers, and Researchers as a new way to improve therapeutic Research and development. The FNIH looks for ways to address the challenges and possibilities associated with using remote sensing technology to increase the likelihood that drug development and therapeutic clinical trials will be successful. With the help of these technologies, clinical trials might be more effective and less taxing for participants while offering a deeper and more thorough understanding of patients’ ailments and responses.

Goals
  • To identify challenges and opportunities presented by Digital Measures in clinical trials and drug development.

  • To discuss strategies for evaluating and selecting Digital Measures that are fit-for-purpose.

  • To explore the current landscape of validated and FDA-approved applications of Digital Measures.

  • To encourage sharing best practices and harmonizing recommendations for Digital Measure validation and use.

2024 Workshop Presentation

June 24th and 25th the FNIH conducted a joint FDA/FNIH workshop for Digital Measures that brought together industry leaders, regulatory bodies, researchers, and patient groups to explore, discuss, and strategize the effective integration of Digital Measures into clinical trials and medical product development, focusing on developing a shared understanding and approach to digitally derived endpoints.

Meeting Notes 

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Case Study

Connecting Digital Mobility Assessment to Clinical Outcomes

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Case Study #2

Partnership Building and Overcoming Challenges of Implementation

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Case Study #3

Extrapolating Lessons Learned for Prospective Opportunities in Neurological Disorders

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Blue Sky Session: Hammers Meet Nails - Unmet Needs and Next Steps to Address Them

Moderator: Steven Bourke, Personal Pulse
Panelists: Sakshi Sardar, C-Path; Dina Katabi, MIT; Anindita Saha, CDRH; Sarah Valentine, DiME

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Roundtable Discussion

Development of a Digitally Derived Endpoint – What is “Good” to Whom?

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Previous Workshops

On February 18 and 19, 2020, the Foundation for the National Institutes of Health (FNIH) Biomarkers Consortium held a public meeting titled Remote Digital Monitoring for Medical Product Development Workshop. The purpose of this workshop was to provide a forum for discussing opportunities and issues related to remote sensing technologies to increase the likelihood that drug development and therapeutic clinical trials will be successful.

The workshop focused on critical issues in assessing the maturity of digitally measured biomarkers and identifying future paths to enable more extensive usage of digital tools in human Research. These case studies, presentations, and open panel discussions are available via the links below.

Workshop participants prioritized a list of high-impact endpoints or measures that can be recorded by mobile sensing and created a framework to direct the development of remote monitoring measures. To enable a framework for the analytical and clinical validation required for drug developers and to build and improve operational/regulatory guidelines, the workshop planning team combined the meeting’s insights into several manuscripts and significant recommendations.

The FNIH Biomarkers Consortium co-hosted a second workshop, titled “Reverse Engineering of Digital Measures,” in 2022 with ETH, a public Research university in Zurich, Switzerland. This workshop expanded on the first meeting’s success by presenting insights from four extended case studies and assessing advancements, possibilities, and difficulties. The interactive case studies highlighted how patient-centricity impacts the production and validation of new evidence across settings, including regulatory interactions, reimbursement, and product development. Participants included regulators, industry, patients, and innovators. An important outcome of the session was a greater understanding of the importance of patient-centricity in creating new digital measures.

The group looked at how human-centered, comprehensive, evidence-based science is applied in the field. As a result, they also examined how this application affects interactions with payers and regulators, patient and human engagement, product development, and incorporating digital measures into decision-making throughout healthcare delivery.

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