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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">farmaec</journal-id><journal-title-group><journal-title xml:lang="en">FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology</journal-title><trans-title-group xml:lang="ru"><trans-title>ФАРМАКОЭКОНОМИКА. Современная фармакоэкономика и фармакоэпидемиология</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2070-4909</issn><issn pub-type="epub">2070-4933</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2070-4909/farmakoekonomika.2022.120</article-id><article-id custom-type="elpub" pub-id-type="custom">farmaec-715</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРНЫЕ ПУБЛИКАЦИИ</subject></subj-group></article-categories><title-group><article-title>The role of real world data and real world evidence in health technology assessment</article-title><trans-title-group xml:lang="ru"><trans-title>Значение исследований реальной клинической практики в оценке технологий здравоохранения</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7657-5973</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новодережкина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Novoderezhkina</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новодережкина Евгения Алексеевна – соискатель ученой степени кандидата наук, кафедра общей и клинической фармакологии.</p><p>Ул. Миклухо-Маклая, д. 10, корп. 3, Москва 117198</p></bio><bio xml:lang="en"><p>Evgeniya А. Novoderezhkina – PhD Applicant, Chair of General and Clinical Pharmacology.</p><p>10 corp. 3 Miklukho-Maklay Str., Moscow 117198</p></bio><email xlink:type="simple">evgeniyanovoderezhkina@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6348-6867</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зырянов</surname><given-names>С. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Zyryanov</surname><given-names>S. К.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зырянов Сергей Кенсаринович – доктор медицинских наук, профессор, заведующий кафедрой общей и клинической фармакологии; WoS ResearcherID: D-8826-2012; Scopus Author ID: 35796816700; РИНЦ SPIN-код: 2725-9981.</p><p>Ул. Миклухо-Маклая, д. 10, корп. 3, Москва 117198</p></bio><bio xml:lang="en"><p>Sergey К. Zyryanov – Dr. Med. Sc., Professor, Chief of Chair of General and Clinical Pharmacology; WoS ResearcherID: D-8826-2012; Scopus Author ID: 35796816700; RSCI SPIN-code: 2725-9981.</p><p>10 corp. 3 Miklukho-Maklay Str., Moscow 117198</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральное государственное автономное образовательное учреждение высшего образования «Российский университет дружбы народов»<country>Россия</country></aff><aff xml:lang="en">Peoples’ Friendship University of Russia<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>09</day><month>10</month><year>2022</year></pub-date><volume>15</volume><issue>3</issue><fpage>380</fpage><lpage>389</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Novoderezhkina E.A., Zyryanov S.К., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Новодережкина Е.А., Зырянов С.К.</copyright-holder><copyright-holder xml:lang="en">Novoderezhkina E.A., Zyryanov S.К.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.pharmacoeconomics.ru/jour/article/view/715">https://www.pharmacoeconomics.ru/jour/article/view/715</self-uri><abstract><p>Real world data (RWD) and real world evidence (RWE) is one of the most rapidly developing areas in the modern health care systems, which is caused by the development of technologies for both collecting and analyzing data, the emergence of new data sources and the formation of needs both by regulatory bodies, health technology assessment (HTA) agencies, and by the clinical and scientific communities. However, at the moment, there is no universal approach to RWD/E generation and application in the context of HTA. Over the past few years, the rate of including RWD/E in the HTA dossier has noticeably increased, but the nature of the existing guidelines and recommendations is rather fragmentary, which might create obstacles in the way of RWD/E study development and submission. The publication is aimed to describe and summarize the main and most rapidly developing spheres of RWD/E applications and analyze the possibilities of using RWD/E in various HTA areas in the world and in the Russian Federation considering the main trends in the further HTA development.</p></abstract><trans-abstract xml:lang="ru"><p>В современном мире область данных, собираемых в условиях реальной клинической практики (РКП; англ. real world data, RWD), а также доказательств, получаемых путем анализа данных РКП (англ. real world evidence, RWE), является одной из наиболее быстро развивающихся направлений в системе здравоохранения, что вызвано развитием технологий сбора и анализа информации, появлением новых источников данных, а также формированием потребности со стороны как регуляторных органов, агентств по оценке технологий здравоохранения (ОТЗ), так и клинического и научного сообществ. Однако в настоящий момент не существует универсального подхода к генерации и применению данных и доказательств РКП в контексте ОТЗ. Несмотря на наблюдающееся в последние несколько лет увеличение частоты включения данных РКП в досье для ОТЗ, природа существующих руководств и рекомендаций достаточно фрагментарна, что осложняет процесс разработки исследований РКП. Целью данного обзора является описание и суммирование основных и наиболее быстро развивающихся сфер использования данных и доказательств РКП, а также анализ возможностей применения данных РКП в различных областях ОТЗ в мире и Российской Федерации с учетом основных тенденций развития ОТЗ.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>оценка технологий здравоохранения</kwd><kwd>ОТЗ</kwd><kwd>реальная клиническая практика</kwd><kwd>РКП</kwd><kwd>доказательства в условиях реальной клинической практики</kwd><kwd>фармакоэкономический анализ</kwd><kwd>исследование экономики и результатов здравоохранения</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Health technology assessment</kwd><kwd>HTA</kwd><kwd>real world data</kwd><kwd>RWD</kwd><kwd>real world evidence</kwd><kwd>RWE</kwd><kwd>pharmacoeconomic analysis</kwd><kwd>health economics and outcomes research</kwd><kwd>HEOR</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Greenhalgh T. Effectiveness and efficiency: random reflections on health services. BMJ. 2004; 328 (7438): 529. https://doi.org/10.1136/bmj.328.7438.529.</mixed-citation><mixed-citation xml:lang="en">Greenhalgh T. Effectiveness and efficiency: random reflections on health services. BMJ. 2004; 328 (7438): 529. https://doi.org/10.1136/bmj.328.7438.529.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Rotwell P.M. External validity of randomised controlled trials: “to whom do the results of this trial apply?” Lancet. 2005; 365 (9453): 82–93. https://doi.org/10.1016/S0140-6736(04)17670-8.</mixed-citation><mixed-citation xml:lang="en">Rotwell P.M. External validity of randomised controlled trials: “to whom do the results of this trial apply?” Lancet. 2005; 365 (9453): 82–93. https://doi.org/10.1016/S0140-6736(04)17670-8.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Makady A., de Boer A., Hillege H., et al. what is real-world data? A review of definitions based on literature and stakeholder interviews. Value Health. 2017; 20 (7): 858–65. https://doi.org/10.1016/j.jval.2017.03.008.</mixed-citation><mixed-citation xml:lang="en">Makady A., de Boer A., Hillege H., et al. what is real-world data? A review of definitions based on literature and stakeholder interviews. Value Health. 2017; 20 (7): 858–65. https://doi.org/10.1016/j.jval.2017.03.008.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">U.S. Food and Drug Administration. Submitting documents using real-world data and real-world evidence to FDA for drugs and biologics. Guidance for industry. May 2019. URL: https://www.fda.gov/regulatoryinformation/search-fda-guidance-documents/submitting-documentsusing-real-world-data-and-real-world-evidence-fda-drugs-andbiologics-guidance (дата обращения 29.03.2022).</mixed-citation><mixed-citation xml:lang="en">U.S. Food and Drug Administration. Submitting documents using real-world data and real-world evidence to FDA for drugs and biologics guidance for industry. May 2019. Available at: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/submitting-documents-using-real-world-data-and-real-world-evidence-fdadrugs-and-biologics-guidance (accessed 29.03.2022).</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Cave A., Kurz X., Arlett P. Real-world data for regulatory decision making: challenges and possible solutions for Europe. Clin Pharmacol Ther. 2019; 106 (1): 36–9. https://doi.org/10.1002/cpt.1426.</mixed-citation><mixed-citation xml:lang="en">Cave A., Kurz X., Arlett P. Real-world data for regulatory decision making: challenges and possible solutions for Europe. Clin Pharmacol Ther. 2019; 106 (1): 36–9. https://doi.org/10.1002/cpt.1426.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Orsini L.S., Berger M., Crown W., et al. Improving transparency to build trust in real-world secondary data studies for hypothesis testingwhy, what, and how: recommendations and a road map from the RealWorld Evidence Transparency Initiative. Value Health. 2020; 23 (9): 1128–36. https://doi.org/10.1016/j.jval.2020.04.002.</mixed-citation><mixed-citation xml:lang="en">Orsini L.S., Berger M., Crown W., et al. Improving transparency to build trust in real-world secondary data studies for hypothesis testing-why, what, and how: recommendations and a road map from the Real-World Evidence Transparency Initiative. Value Health. 2020; 23 (9): 1128–36. https://doi.org/10.1016/j.jval.2020.04.002.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">ElZarrad M.K., Corrigan-Curay J. The US Food and Drug Administration's Real-World Evidence Framework: A Commitment for Engagement and Transparency on Real-World Evidence. Clin Pharmacol Ther. 2019; 106 (1): 33–5. https://doi.org/10.1002/cpt.1389.</mixed-citation><mixed-citation xml:lang="en">ElZarrad M.K., Corrigan-Curay J. The US Food and Drug Administration's Real-World Evidence Framework: A Commitment for Engagement and Transparency on Real-World Evidence. Clin Pharmacol Ther. 2019; 106 (1): 33–5. https://doi.org/10.1002/cpt.1389.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">ISPOR. 2020 Top 10 HEOR trends. URL: https://ispo.informz.net/ISPO/data/images/2020-Top-10-HEOR-Trends_V-Online_00120191219.pdf (дата обращения 29.03.2022).</mixed-citation><mixed-citation xml:lang="en">ISPOR. 2020 Top 10 HEOR trends. Available at: https://ispo.informz.net/ISPO/data/images/2020-Top-10-HEOR-Trends_V-Online_00120191219.pdf (accessed 29.03.2022).</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Burcu M., Dreyer N.A., Franklin J.M., et al. Real-world evidence to support regulatory decision-making for medicines: considerations for external control arms. Pharmacoepidemiol Drug Saf. 2020; 29 (10): 1228–35. https://doi.org/10.1002/pds.4975.</mixed-citation><mixed-citation xml:lang="en">Burcu M., Dreyer N.A., Franklin J.M., et al. Real-world evidence to support regulatory decision-making for medicines: considerations for external control arms. Pharmacoepidemiol Drug Saf. 2020; 29 (10): 1228–35. https://doi.org/10.1002/pds.4975.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Duke-Margolis Center for Health Policy. Adding real-world evidence to a totality of evidence approach for evaluating marketed product effectiveness. December 19, 2019. URL: https://healthpolicy.duke.edu/sites/default/files/2020-08/TotalityofEvidenceApproach.pdf (дата обращения 29.03.2022).</mixed-citation><mixed-citation xml:lang="en">Duke-Margolis Center for Health Policy. Adding real-world evidence to a totality of evidence approach for evaluating marketed product effectiveness. December 19, 2019. Available at: https://healthpolicy.duke.edu/sites/default/files/2020-08/TotalityofEvidenceApproach.pdf (accessed 29.03.2022).</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">European Medicines Agency. Guidance for companies considering the adaptive pathways approach. EMA/527726/2016. URL: http://www.ema.europa.eu/docs/en_GB/document_library/Regulatory_and_procedural_guideline/2015/11/WC500196726.pdf (дата обращения 29.03.2022).</mixed-citation><mixed-citation xml:lang="en">European Medicines Agency. Guidance for companies considering the adaptive pathways approach. EMA/527726/2016. Available at: http://www.ema.europa.eu/docs/en_GB/document_library/Regulatory_and_procedural_guideline/2015/11/WC500196726.pdf (accessed 29.03.2022).</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Sockolow P.S., Bowles K.H., Rogers M. Health Information Technology Evaluation Framework (HITREF) comprehensiveness as assessed in electronic point-of-care documentation systems evaluations. Stud Health Technol Inform. 2015; 216: 406–9.</mixed-citation><mixed-citation xml:lang="en">Sockolow P.S., Bowles K.H., Rogers M. Health Information Technology Evaluation Framework (HITREF) comprehensiveness as assessed in electronic point-of-care documentation systems evaluations. Stud Health Technol Inform. 2015; 216: 406–9.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Karanatsios B., Prang K.H., Verbunt E., et al. Defining key design elements of registry-based randomised controlled trials: a scoping review. Trials. 2020; 21 (1): 552. https://doi.org/10.1186/s13063-02004459-z.</mixed-citation><mixed-citation xml:lang="en">Karanatsios B., Prang K.H., Verbunt E., et al. Defining key design elements of registry-based randomised controlled trials: a scoping review. Trials. 2020; 21 (1): 552. https://doi.org/10.1186/s13063-020-04459-z.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Liu J.B., D’Angelica M.I., Ko C.Y. The randomized registry trial: two birds, one stone. Ann Surg. 2017; 265 (6): 1064–5. https://doi.org/10.1097/SLA.0000000000002166.</mixed-citation><mixed-citation xml:lang="en">Liu J.B., D’Angelica M.I., Ko C.Y. The randomized registry trial: two birds, one stone. Ann Surg. 2017; 265 (6): 1064–5. https://doi.org/10.1097/SLA.0000000000002166.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Mack C., Christian J., Brinkley E., et al. When context is hard to come by: external comparators and how to use them. Ther Innov Regul Sci. 2020; 54 (4): 932–8. https://doi.org/10.1007/s43441-019-00108-z.</mixed-citation><mixed-citation xml:lang="en">Mack C., Christian J., Brinkley E., et al. When context is hard to come by: external comparators and how to use them. Ther Innov Regul Sci. 2020; 54 (4): 932–8. https://doi.org/10.1007/s43441-019-00108-z.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Panayidou K., Gsteiger S., Egger M., et al. GetReal in mathematical modelling: a review of studies predicting drug effectiveness in the real world. Res Synth Methods. 2016; 7 (3): 264–77. https://doi.org/10.1002/jrsm.1202.</mixed-citation><mixed-citation xml:lang="en">Panayidou K., Gsteiger S., Egger M., et al. GetReal in mathematical modelling: a review of studies predicting drug effectiveness in the real world. Res Synth Methods. 2016; 7 (3): 264–77. https://doi.org/10.1002/jrsm.1202.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Thoele K., Ferren M., Moffat L., et al. Development and use of a toolkit to facilitate implementation of an evidencebased intervention: a descriptive case study. Implement Sci Commun. 2020; 1: 86. https://doi.org/10.1186/s43058-020-00081-x.</mixed-citation><mixed-citation xml:lang="en">Thoele K., Ferren M., Moffat L., et al. Development and use of a toolkit to facilitate implementation of an evidencebased intervention: a descriptive case study. Implement Sci Commun. 2020; 1: 86. https://doi.org/10.1186/s43058-020-00081-x.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Lane-Fall M.B., Curran G.M., Beidas R.S. Scoping implementation science for the beginner: locating yourself on the “subway line” of translational research. BMC Med Res Methodol. 2019; 19 (1): 133. https://doi.org/10.1186/s12874-019-0783-z.</mixed-citation><mixed-citation xml:lang="en">Lane-Fall M.B., Curran G.M., Beidas R.S. Scoping implementation science for the beginner: locating yourself on the “subway line” of translational research. BMC Med Res Methodol. 2019; 19 (1): 133. https://doi.org/10.1186/s12874-019-0783-z.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Theobald S., Brandes N., Gyapong M., et al. Implementation research: new imperatives and opportunities in global health. Lancet. 2018; 392 (10160): 2214–28. https://doi.org/10.1016/S0140-6736(18)32205-0.</mixed-citation><mixed-citation xml:lang="en">Theobald S., Brandes N., Gyapong M., et al. Implementation research: new imperatives and opportunities in global health. Lancet. 2018; 392 (10160): 2214–28. https://doi.org/10.1016/S01406736(18)32205-0.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Peters D.H., Tran N.T., Adam T. Implementation Research in Health: a practical guide. URL: https://apps.who.int/iris/bitstream/handle/10665/91758/9789241506212_eng.pdf?sequence=1&amp;isAllowed=y (дата обращения 29.03.2022).</mixed-citation><mixed-citation xml:lang="en">Peters D.H., Tran N.T., Adam T. Implementation Research in Health: a practical guide. Available at: https://apps.who.int/iris/bitstream/handle/10665/91758/9789241506212_eng.pdf?sequence=1&amp;isAllowed=y (accessed 29.03.2022).</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Bauer M.S., Kirchner J. Implementation science: what is it and why should I care? Psychiatry Res. 2020; 283: 112376. https://doi.org/10.1016/j.psychres.2019.04.025.</mixed-citation><mixed-citation xml:lang="en">Bauer M.S., Kirchner J. Implementation science: what is it and why should I care? Psychiatry Res. 2020; 283: 112376. https://doi.org/10.1016/j.psychres.2019.04.025.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Bolislis W.R., Fay M., Kühler T.C. Use of real-world data for new drug applications and line extensions. Clin Ther. 2020; 42 (5): 926–38. https://doi.org/10.1016/j.clinthera.2020.03.006.</mixed-citation><mixed-citation xml:lang="en">Bolislis W.R., Fay M., Kühler T.C. Use of real-world data for new drug applications and line extensions. Clin Ther. 2020; 42 (5): 926–38. https://doi.org/10.1016/j.clinthera.2020.03.006.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Dreyer N.A. Advancing a framework for regulatory use of real-world evidence: when real is reliable. Ther Innov Regul Sci. 2018; 52 (3): 362–8. https://doi.org/10.1177/2168479018763591.</mixed-citation><mixed-citation xml:lang="en">Dreyer N.A. Advancing a framework for regulatory use of real-world evidence: when real is reliable. Ther Innov Regul Sci. 2018; 52 (3): 362–8. https://doi.org/10.1177/2168479018763591.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Dreyer N.A., Hall M., Christian J.B. Modernizing regulatory evidence with trials and real-world studies. Ther Innov Regul Sci. 2020; 54 (5): 1112–5. https://doi.org/10.1007/s43441-020-00131-5.</mixed-citation><mixed-citation xml:lang="en">Dreyer N.A., Hall M., Christian J.B. Modernizing regulatory evidence with trials and real-world studies. Ther Innov Regul Sci. 2020; 54 (5): 1112–5. https://doi.org/10.1007/s43441-020-00131-5.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Baumfeld Andre E., Reynolds R., Caubel P., et al. Trial designs using real-world data: the changing landscape of the regulatory approval process. Pharmacoepidemiol Drug Saf. 2020; 29 (10): 1201–12. https://doi.org/10.1002/pds.4932.</mixed-citation><mixed-citation xml:lang="en">Baumfeld Andre E., Reynolds R., Caubel P., et al. Trial designs using real-world data: the changing landscape of the regulatory approval process. Pharmacoepidemiol Drug Saf. 2020; 29 (10): 1201–12. https://doi.org/10.1002/pds.4932.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Beaulieu-Jones B.K., Finlayson S.G., Yuan W., et al. Examining the use of real-world evidence in the regulatory process. Clin Pharmacol Ther. 2020; 107 (4): 843–52. https://doi.org/10.1002/cpt.1658.</mixed-citation><mixed-citation xml:lang="en">Beaulieu-Jones B.K., Finlayson S.G., Yuan W., et al. Examining the use of real-world evidence in the regulatory process. Clin Pharmacol Ther. 2020; 107 (4): 843–52. https://doi.org/10.1002/cpt.1658.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Горячев Д.В., Уварова Н.Е., Шукшина Г.В. Регистрация на основе неполных клинических данных: международный опыт и перспективы. Ведомости Научного центра экспертизы средств медицинского применения. 2020; 10 (3): 152–63. https://doi.org/10.30895/1991-2919-2020-10-3-152-163.</mixed-citation><mixed-citation xml:lang="en">Goryachev D.V., Uvarova N.E., Shukshina G.V. Marketing authorisation based on incomplete clinical data: international experience and prospects. The Bulletin of the Scientific Centre for Expert Evaluation of Medicinal Products. 2020; 10 (3): 152–63 (in Russ.). https://doi.org/10.30895/1991-2919-2020-10-3-152-163.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">U.S. Food and Drug Administration. FDA announces 4 grant awards for projects exploring the use of real-world data to generate real-world evidence in regulatory decision-making. URL: https://www.fda.gov/drugs/science-and-research-drugs/fda-announces-4-grant-awardsprojects-exploring-use-real-world-data-generate-real-world-evidence (дата обращения 29.03.2022).</mixed-citation><mixed-citation xml:lang="en">U.S. Food and Drug Administration. FDA announces 4 grant awards for projects exploring the use of real-world data to generate real-world evidence in regulatory decision-making. Available at: https://www.fda.gov/drugs/science-and-research-drugs/fda-announces-4-grant-awardsprojects-exploring-use-real-world-data-generate-real-world-evidence (accessed 29.03.2022).</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">U.S. Food and Drug Administration. Real-world data: assessing electronic health records and medical claims data to support regulatory decision-making for drug and biological products. Draft guidance for industry. September 2021. URL: https://www.fda.gov/regulatoryinformation/search-fda-guidance-documents/real-world-dataassessing-electronic-health-records-and-medical-claims-data-supportregulatory (дата обращения 29.03.2022).</mixed-citation><mixed-citation xml:lang="en">U.S. Food and Drug Administration. Real-world data: assessing electronic health records and medical claims data to support regulatory decision-making for drug and biological products. Draft guidance for industry. September 2021. Available at: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/real-world-data-assessing-electronic-health-records-and-medical-claims-data-support-regulatory (accessed 29.03.2022).</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">MHRA draft guidance on randomised controlled trials generating real-world evidence to support regulatory decisions. URL: https://www.gov.uk/government/consultations/mhra-draft-guidance-on-randomisedcontrolled-trials-generating-real-world-evidence-to-support-regulatorydecisions (дата обращения 29.03.2022).</mixed-citation><mixed-citation xml:lang="en">MHRA draft guidance on randomised controlled trials generating real-world evidence to support regulatory decisions. Available at: https://www.gov.uk/government/consultations/mhra-draft-guidance-on-randomised-controlled-trials-generating-real-world-evidence-to-support-regulatory-decisions (accessed 29.03.2022).</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Boswell J.F., Kraus D.R., Miller S.D., et al. Implementing routine outcome monitoring in clinical practice: benefits, challenges, and solutions. Psychother Res. 2015; 25 (1): 6–19. https://doi.org/10.1080/10503307.2013.817696.</mixed-citation><mixed-citation xml:lang="en">Boswell J.F., Kraus D.R., Miller S.D., et al. Implementing routine outcome monitoring in clinical practice: benefits, challenges, and solutions. Psychother Res. 2015; 25 (1): 6–19. https://doi.org/10.1080/10503307.2013.817696.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Schernthaner G., Karasik A., Abraitienė A., et al. Evidence from routine clinical practice: EMPRISE provides a new perspective on CVOTs. Cardiovasc Diabetol. 2019; 18 (1): 115. https://doi.org/10.1186/s12933-019-0920-3.</mixed-citation><mixed-citation xml:lang="en">Schernthaner G., Karasik A., Abraitienė A., et al. Evidence from routine clinical practice: EMPRISE provides a new perspective on CVOTs. Cardiovasc Diabetol. 2019; 18 (1): 115. https://doi.org/10.1186/s12933019-0920-3.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Thorlund K., Dron L., Park J.J.H., Mills E.J. Synthetic and external controls in clinical trials – a primer for researchers. Clin Epidemiol. 2020; 12: 457–67. https://doi.org/10.2147/CLEP.S242097.</mixed-citation><mixed-citation xml:lang="en">Thorlund K., Dron L., Park J.J.H., Mills E.J. Synthetic and external controls in clinical trials – a primer for researchers. Clin Epidemiol. 2020; 12: 457–67. https://doi.org/10.2147/CLEP.S242097.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Barton A. Handbook for good clinical research practice (GCP): guidance for implementation. J Epidemiol Community Health. 2007; 61 (6): 559. https://doi.org/10.1136/jech.2006.048819.</mixed-citation><mixed-citation xml:lang="en">Barton A. Handbook for good clinical research practice (GCP): guidance for implementation. J Epidemiol Community Health. 2007; 61 (6): 559. https://doi.org/10.1136/jech.2006.048819.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Cocoros N.M., Arlett P., Dreyer N.A., et al. The certainty framework for assessing real-world data in studies of medical product safety and effectiveness. Clin Pharmacol Ther. 2021; 109 (5): 1189–96. https://doi.org/10.1002/cpt.2045.</mixed-citation><mixed-citation xml:lang="en">Cocoros N.M., Arlett P., Dreyer N.A., et al. The certainty framework for assessing real-world data in studies of medical product safety and effectiveness. Clin Pharmacol Ther. 2021; 109 (5): 1189–96. https://doi.org/10.1002/cpt.2045.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Simon G.E., Platt R., Watanabe J.H., et al. When can we rely on realworld evidence to evaluate new medical treatments? Clin Pharmacol Ther. 2022; 111 (1): 30–4. https://doi.org/10.1002/cpt.2253.</mixed-citation><mixed-citation xml:lang="en">Simon G.E., Platt R., Watanabe J.H., et al. When can we rely on real-world evidence to evaluate new medical treatments? Clin Pharmacol Ther. 2022; 111 (1): 30–4. https://doi.org/10.1002/cpt.2253.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Makady A., van Veelen A., Jonsson P., et al. Using real-world data in health technology assessment (HTA) practice: a comparative study of five HTA agencies. Pharmacoeconomics. 2018; 36 (3): 359–68. https://doi.org/10.1007/s40273-017-0596-z.</mixed-citation><mixed-citation xml:lang="en">Makady A., van Veelen A., Jonsson P., et al. Using real-world data in health technology assessment (HTA) practice: a comparative study of five HTA agencies. Pharmacoeconomics. 2018; 36 (3): 359–68. https://doi.org/10.1007/s40273-017-0596-z.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">National Institute for Health and Care Excellence. Guide to the Methods of Technology Appraisal 2013. URL: https://www.nice.org.uk/process/pmg9/resources/guide-to-the-methods-of-technologyappraisal-2013-pdf-2007975843781 (дата обращения 29.03.2022).</mixed-citation><mixed-citation xml:lang="en">National Institute for Health and Care Excellence. Guide to the Methods of Technology Appraisal 2013. Available at: https://www.nice.org.uk/process/pmg9/resources/guide-to-the-methods-of-technology-appraisal-2013-pdf-2007975843781 (accessed 29.03.2022).</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Cowie M.R. National Institute for Health and Care Excellence. Eur Heart J. 2015; 36 (4): 195.</mixed-citation><mixed-citation xml:lang="en">Cowie M.R. National Institute for Health and Care Excellence. Eur Heart J. 2015; 36 (4): 195.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Kvitkina T., Haaf A.T., Reken S., et al. Patient-relevant outcomes and surrogates in the early benefit assessment of drugs: first experiences. Z Evid Fortbild Qual Gesundhwes. 2014; 108 (8-9): 528–38 (на нем. яз.). https://doi.org/10.1016/j.zefq.2014.06.015.</mixed-citation><mixed-citation xml:lang="en">Kvitkina T., Haaf A.T., Reken S., et al. Patient-relevant outcomes and surrogates in the early benefit assessment of drugs: first experiences. Z Evid Fortbild Qual Gesundhwes. 2014; 108 (8-9): 528–38 (in German). https://doi.org/10.1016/j.zefq.2014.06.015.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Bell H., Wailoo A.J., Hernandez M., et al. The use of real world data for the estimation of treatment effects in NICE decision making. Report by the decision support unit. 17th June 2016 (updated 12th December). URL: https://www.sheffield.ac.uk/sites/default/files/2022-02/RWDDSU-REPORT-Updated-DECEMBER-2016.pdf (дата обращения 29.03.2022).</mixed-citation><mixed-citation xml:lang="en">Bell H., Wailoo A.J., Hernandez M., et al. The use of real world data for the estimation of treatment effects in NICE decision making. Report by the decision support unit. 17th June 2016 (updated 12th December). Available at: https://www.sheffield.ac.uk/sites/default/files/2022-02/ RWD-DSU-REPORT-Updated-DECEMBER-2016.pdf (accessed 29.03.2022).</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Makady A., Ham R.T., de Boer A., et al. Policies for use of real-world data in health technology assessment (HTA): a comparative study of six HTA agencies. Value Health. 2017; 20 (4): 520–32. https://doi.org/10.1016/j.jval.2016.12.003.</mixed-citation><mixed-citation xml:lang="en">Makady A., Ham R.T., de Boer A., et al. Policies for use of real-world data in health technology assessment (HTA): a comparative study of six HTA agencies. Value Health. 2017; 20 (4): 520–32. https://doi.org/10.1016/j.jval.2016.12.003.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Smits M., van der Hijden E., Limbeek J. Gangbare zorg is lang niet altijd verzekerde zorg: De ‘stand van wetenschap en praktijk’ verdient meer aandacht. Medisch Contact. 2021; 2021 (14): 14–7 (на нидерл. яз.).</mixed-citation><mixed-citation xml:lang="en">Smits M., van der Hijden E., Limbeek J. Gangbare zorg is lang niet altijd verzekerde zorg: De ‘stand van wetenschap en praktijk’ verdient meer aandacht. Medisch Contact. 2021; 2021 (14): 14–7 (in Dutch).</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Lundin D., Carlsson P., Levin L.Å., et al. Guidelines of the Pharmaceutical Benefits Board for health economics evaluations. Costefficiency analysis from a national perspective. Läkartidningen. 2006; 103: 3716–8 (на швед. яз).</mixed-citation><mixed-citation xml:lang="en">Lundin D., Carlsson P., Levin L.Å., et al. Guidelines of the Pharmaceutical Benefits Board for health economics evaluations. Cost-efficiency analysis from a national perspective. Läkartidningen. 2006; 103: 3716–8 (in Sweden).</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Li M., Chen S., Lai Y., et al. Integrating real-world evidence in the regulatory decision-making process: a systematic analysis of experiences in the US, EU, and China using a logic model. Front Med (Lausanne). 2021; 8: 669509. https://doi.org/10.3389/fmed.2021.669509.</mixed-citation><mixed-citation xml:lang="en">Li M., Chen S., Lai Y., et al. Integrating real-world evidence in the regulatory decision-making process: a systematic analysis of experiences in the US, EU, and China using a logic model. Front Med (Lausanne). 2021; 8: 669509. https://doi.org/10.3389/fmed.2021.669509.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Lee W., Dayer V., Jiao B., et al. Use of real-world evidence in economic assessments of pharmaceuticals in the United States. J Manag Care Spec Pharm. 2021; 27 (1): 5–14. https://doi.org/10.18553/jmcp.2021.27.1.005.</mixed-citation><mixed-citation xml:lang="en">Lee W., Dayer V., Jiao B., et al. Use of real-world evidence in economic assessments of pharmaceuticals in the United States. J Manag Care Spec Pharm. 2021; 27 (1): 5–14. https://doi.org/10.18553/jmcp.2021.27.1.005.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Bullement A., Podkonjak T., Robinson M.J., et al. Real-world evidence use in assessments of cancer drugs by NICE. Int J Technol Assess Health Care. 2020; 36 (4): 388–94. https://doi.org/10.1017/S0266462320000434.</mixed-citation><mixed-citation xml:lang="en">Bullement A., Podkonjak T., Robinson M.J., et al. Real-world evidence use in assessments of cancer drugs by NICE. Int J Technol Assess Health Care. 2020; 36 (4): 388–94. https://doi.org/10.1017/S0266462320000434.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Stamenkovic S., Solesse A., Zanetti L., et al. French Health Authority (HAS) Guidance: the post-registration studies on health technologies (drugs, medical devices and instruments): principles and methods. Therapie. 2012; 67 (5): 409–21 (на фр. яз.). https://doi.org/10.2515/therapie/2012065.</mixed-citation><mixed-citation xml:lang="en">Stamenkovic S., Solesse A., Zanetti L., et al. French Health Authority (HAS) Guidance: the post-registration studies on health technologies (drugs, medical devices and instruments): principles and methods. Therapie. 2012; 67 (5): 409–21 (in French). https://doi.org/10.2515/therapie/2012065</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Xoxi E., Tomino C., de Nigro L., Pani L. The Italian post-marketing registries. Pharmaceut Program. 2012; 5 (1-2): 57–60. https://doi.org/10.1179/1757092112Z.0000000009.</mixed-citation><mixed-citation xml:lang="en">Xoxi E., Tomino C., de Nigro L., Pani L. The Italian post-marketing registries. Pharmaceut Program. 2012; 5 (1-2): 57–60. https://doi.org/10.1179/1757092112Z.0000000009.</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Feasibility and challenges of independent research on drugs: the Italian medicines agency (AIFA) experience. Eur J Clin Invest. 2010; 40 (1): 69–86. https://doi.org/10.1111/j.1365-2362.2009.02226.x.</mixed-citation><mixed-citation xml:lang="en">Feasibility and challenges of independent research on drugs: the Italian medicines agency (AIFA) experience. Eur J Clin Invest. 2010; 40 (1): 69–86. https://doi.org/10.1111/j.1365-2362.2009.02226.x.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
