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The effect of comparative effectiveness research on drug development innovation: a 360° value appraisal

DOI: http://dx.doi.org/10.2147/CER.S15478

Keywords: comparative effectiveness research, comparative effectiveness balance sheet, health technology assessment, large simple trial, moderator, observational studies, patient randomized clinical trial, registry, ‘real-world’ value

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t of comparative effectiveness research on drug development innovation: a 360° value appraisal Perspectives (5215) Total Article Views Authors: Doyle JJ Published Date March 2011 Volume 2011:1 Pages 27 - 34 DOI: http://dx.doi.org/10.2147/CER.S15478 John J Doyle Quintiles, NY, USA Abstract: The drug development process is in dire need of transformation. Even after achieving regulatory approval, pharmaceutical companies are increasingly seeing their products subjected to health technology assessments (HTAs) by public and private payers. The cornerstone of HTA value appraisal, and thus reimbursability, is comparative effectiveness research (CER), a ‘real-world’ comparison of a new product with the existing standard of care. Burgeoning demand for CER will fundamentally transform drug development by forcing biopharmaceutical manufacturers to view drug innovation from a holistic, 360° perspective. Specifically, drug and device developers must alter their existing approach to R&D by: adapting experimental research design methods to address multiple stakeholder demands; demonstrating real-world value through a suite of post-market observational research methods; and creating a transparent CER evaluation protocol based on standard principles. In the long-term, CER is forecast to propel innovation by focusing R&D on products that deliver real-world value to multiple customers and market stakeholders.

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