Developing a framework to incorporate real-world evidence in cancer drug funding decisions: The Canadian Real-world Evidence for Value of Cancer Drugs (CanREValue) collaboration

Kelvin Chan, Seungree Nam, Bill Evans, Claire Deoliveira, Alexandra Chambers, Scott Gavura, Jeffrey Hoch, Rebecca E. Mercer, Wei Fang Dai, Jaclyn Beca, Mina Tadrous, Wanrudee Isaranuwatchai

Research output: Contribution to journalArticle

Abstract

Background Oncology therapy is becoming increasingly more expensive and challenging the affordability and sustainability of drug programmes around the world. When new drugs are evaluated, health technology assessment organisations rely on clinical trials to inform funding decisions. However, clinical trials are not able to assess overall survival and generalises evidence in a real-world setting. As a result, policy makers have little information on whether drug funding decisions based on clinical trials ultimately yield the outcomes and value for money that might be expected. Objective The Canadian Real-world Evidence for Value of Cancer Drugs (CanREValue) collaboration, consisting of researchers, recommendation-makers, decision makers, payers, patients and caregivers, are developing and testing a framework for Canadian provinces to generate and use real-world evidence (RWE) for cancer drug funding in a consistent and integrated manner. Strategy The CanREValue collaboration has established five formal working groups (WGs) to focus on specific processes in the generation and use of RWE for cancer drug funding decisions in Canada. The different RWE WGs are: (1) Planning and Drug Selection; (2) Methods; (3) Data; (4) Reassessment and Uptake; (5) Engagement. These WGs are acting collaboratively to develop a framework for RWE evaluation, validate the framework through the multiprovince RWE projects and help to integrate the final RWE framework into the Canadian healthcare system. Outcomes The framework will enable the reassessment of cancer drugs, refinement of funding recommendations and use of novel funding mechanisms by decision-makers/payers across Canada to ensure the healthcare system is providing clinical benefits and value for money.

Original languageEnglish (US)
Article numbere032884
JournalBMJ open
Volume10
Issue number1
DOIs
StatePublished - Jan 7 2020

Keywords

  • drug approval
  • health technology assessment
  • oncology
  • real-world data
  • real-world evidence
  • regulatory approval

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Chan, K., Nam, S., Evans, B., Deoliveira, C., Chambers, A., Gavura, S., Hoch, J., Mercer, R. E., Dai, W. F., Beca, J., Tadrous, M., & Isaranuwatchai, W. (2020). Developing a framework to incorporate real-world evidence in cancer drug funding decisions: The Canadian Real-world Evidence for Value of Cancer Drugs (CanREValue) collaboration. BMJ open, 10(1), [e032884]. https://doi.org/10.1136/bmjopen-2019-032884