Nabin Paudel, PhD’s Post

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Head of Research and Programs, Vision Scientist, Optometrist

A must read editorial for someone who is interested in clinical trial design, outcomes and regulation of innovative therapies for Inherited Retinal Dystrophies (IRDs). In this piece that is co-authored by clinical scientists, patient experts and IRD specialists, the authors discuss the current challenges and propose potential solutions to foster innovation in the IRDs therapeutic space. 👉 Current challenge include: - several clinical trials not meeting primary endpoints or being withdrawn by investors - issues with clinical trial designs due to small patient populations, appropriate controls and long trial duration - stringent and expensive vector manufacturing regulations - irrelevant endpoint (Best Corrected Visual Acuity) requirements by regulatory agencies 🌟 Proposed solutions: - optimization of trial designs for small populations possibly using adaptive designs - Identification and stratification of appropriate control groups - development of relevant outcome measures specific to the IRD patient population that captures patient experience, daily living activities and ability to adapt to and navigate environments - conduction of natural history studies to identify suitable endpoints for specific IRD types - harmonization of regulatory procedures globally for faster approval process - consideration of conditional approval with close monitoring of post approval data #clinical #research #genetherapy #celltherapy #inherited #retinal #dystrophies #degenerations #retina #innovation #retinainternational #regulation #therapies #drug #discovery #development #erneye #euretina Full text of the article is behind a paywall but can be accessed here: https://lnkd.in/exQn_-km

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