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Boston University School of Law

2018

Clinical trials

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Practice-Based Research Networks And The Mandate For Real-World Evidence, Christopher Robertson Jan 2018

Practice-Based Research Networks And The Mandate For Real-World Evidence, Christopher Robertson

Faculty Scholarship

The 21st Century Cures Act encourages the Food and Drug Administration to consider “real-world evidence” in its regulation of the safety and efficacy of drugs and devices. Many have interpreted this mandate to focus on non-randomized observational research. However, we suggest that regulatory science must also move from rarefied academic hospitals to community-based settings, where the vast majority of patients in fact receive care in the fragmented U.S. healthcare system. This move is especially important if innovations are to reach, and be validated in, more diverse populations. A solution can be found in the 183 Practiced-Based Research Networks (“PBRN”), …