The European Medicines Agency has announced progress with its plans to increase access to clinical trial data and transparency,
and is making this topic an urgent priority during 2013.
During a special workshop held in London on November 22, 2012, the EMA identified five key areas of concern: protecting patient
confidentiality, clinical trial data formats, rules of engagement, good analysis practice, and legal aspects. It is forming
advisory groups that will start work on these topics in early 2013.
Nominations for membership of these groups were due to close on December 21, 2012. On December 18, an EMA spokeswoman told
Applied Clinical Trials she was not able to confirm the exact number of applications, but she noted that there were over 60 responses in the first
two days. "We are very pleased with the outcome and the deadline will not be extended," she added.
The agency has promised to inform interested parties about the final membership of the groups in early January 2013. The agency
will only accept one member from the same organization in each advisory group.
Both Executive Director, Guido Rasi, PhD, and Senior Medical Officer, Hans-Georg Eichler, MD, have taken a personal interest
and been closely involved in the process. They support the concept of proactively publishing clinical trial data and enabling
access to full datasets by interested parties.
According to an EMA statement, "Each group will meet one to three times between January and April 2013, with meetings taking
place both face-to-face and via teleconference. Participants will also need to provide input via e-mail during the drafting
of documents. The policy on proactive publication of clinical trial data is expected to come into force on January 1, 2014."
The groups will address the following questions over the coming weeks:
- How can EMA ensure that patients cannot be retroactively identified when clinical trial data are released, and that applicable
legislation, standards, and rules regarding personal data protection will be respected?
- How can EMA ensure through its policy that clinical trial data can be shared, in the interests of public health, in a clear
and understandable format that enables appropriate analyses and a swift implementation without undue burden to stakeholders?
- Are there rules or conditions that should be in place before an external stakeholder can download clinical trial data (e.g.,
formal acceptance of the need to respect personal data rules, uploading of analysis plans. etc.)?
- Are there good analysis practice guidelines that the EMA could ask external requestors of data to consider or be aware of,
and that the agency can apply when confronted with additional analyses from external parties?
- Are there exceptional circumstances under which data can be claimed to be commercially confidential?
A number of practical and policy issues need to be addressed before complex datasets can be made available, according to EMA.
The main goal of the London workshop was to elicit the views, interests, and concerns from a broad range of institutions,
groups, and individuals to help the agency define the modalities of proactive access to clinical trial data.
"We must ensure that all information from all trials, past and present, are available to all doctors, patients, and academics.
This is the only way to make informed decisions," said Ben Goldacre, MD, a UK-based commentator and author who covers clinical
Another workshop participant, journal editor Virginia Barbour, said that any move toward better transparency must be a global
initiative. She admitted there are many practical issues to sort out, but they are not insurmountable if everybody works together.
"The days of secrecy must end," Peter G°tzsche, a Danish medical researcher who is Director of the Nordic Cochrane Center
at Rigshospitalet in Copenhagen, told attendees at the meeting.
The European Federation of Pharmaceutical Industries and Associations (EFPIA) is committed to working with EMA and other stakeholders
to develop an approach to foster transparency that is appropriate and balanced, according to Susan Forda, PhD, Chair of EFPIA's
Scientific, Technical, Regulatory Policy Committee.
According to Franšois Hou ez, representative of EURORDIS (Rare Diseases Europe, a non-governmental patient-driven alliance
of rare disease patient organizations), gaining access to clinical trial data would benefit many people. "It would be useful
to those people looking for new products in different indications, especially if we had access to the data for products that
did not make it to market," he told delegates at the London meeting.