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PROSPECTIVE PLANNING OF EVIDENCE GENERATION FOR ORPHAN MEDICINAL PRODUCTS OPPORTUNITIES FOR MULTI-STAKEHOLDER DIALOGUE & MOCA Simone Boselli Public Affairs Director Amsterdam, 18 June 2019 EMA-PAYER COMMUNITY MEETING ZORGINSTITUUT


  1. PROSPECTIVE PLANNING OF EVIDENCE GENERATION FOR ORPHAN MEDICINAL PRODUCTS – OPPORTUNITIES FOR MULTI-STAKEHOLDER DIALOGUE & MOCA Simone Boselli Public Affairs Director Amsterdam, 18 June 2019 EMA-PAYER COMMUNITY MEETING ZORGINSTITUUT NEDERLAND (ZIN), DIEMEN, NETHERLANDS

  2. A reminde der of of what we are re fa facing 2

  3. The core of the matter Rare Barometer Voices survey on access to treatment (February 2017 – 1350 respondents) ( Preliminary data 2019 – over 7,000 respondents = NO CHANGE ) 3

  4. Patien ents’ perspec ective i e in eviden ence e gener eration on 4

  5. The benefits of patients participation in MoCA for evidence generation planning • Unique opportunity for patients to present what really brings Regulators value and improve health outcomes to payers and manufacturers • Provide true insights into the real life impact of conditions that are (vastly) unknown • Ability to point out the necessity of continuity of data gathering Patients Payers Clinicians from clinical trials to post marketing authorisation commitment • Contribute to the definition and validation of PCOMs / PROs / ¨PROMs • Capability of connecting different parts of the system to foster HTA better data gathering 5

  6. The role of MoCA could be pivotal in determination of value in a multi- stakeholder context Appraisal Post authorisation Pre-submission Evaluation Authorisation Post Marketing Scientific advice Marketing Authorisation Orphan / ATMP / Protocol Assistance Authorisation activities PRIME designation Submission and Paediatric (including data Evaluation generation) Investigation Plan Assessment Data generation Parallel scientific linked to budget advice / Early cycles Dialogues (based on experience so far) Negotiation Early and continuous Dialogue (based on MoCA experience) 6

  7. THANK YO YOU Simon one B Bos osell lli

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