Heterogeneity of Treatment Effects in Clinical Trials: Methods and Innovations

Goals: 

  1. Gain a common understanding on the desired goals of subgroup analyses
  2. Establish standards for assessing effects within subgroups and for defining meaningful differences in effect between subgroups
  3. Review the characteristics, assumptions, advantages and limitations of traditional and innovative models for subgroup analyses
  4. Review contribution of data visualization techniques to complement and enhance statistical modeling approaches and interpretation
  5. Develop and communicate recommendations

🎥   Watch the webinar recording: 

2020 BIO BOOKLET

Day 1: Monday, November 30, 2020

TIMEPROPOSED AGENDAPROPOSED SPEAKERS
8:30-8:45Welcome
Opening remarks (MRCT Center)
Richardae Araojo
Sylva Collins
Barbara Bierer
8:45-9:10 Keynote speaker: A clinical trialist’s perspective
“System Redesign needed to make sense of findings that suggest heterogeneity of treatment effect”
Robert Califf
9:10-10:15Challenges for the Regulator, Clinician, and Patient: Population safety and efficacy but individual treatment
Moderator: David Strauss
Christopher Granger
Ellis Unger
Janet Wittes
Donna Cryer
Danielle Campbell
Aloka Chakravarty
10:15-10:30Break  
10:30-11:00Goals of subgroup analyses, assessing standards for analysis of differences, and limits of interpretationSteven Snapinn
11:00-11:30Subgroup identification: Utility, impact, and methods Scott Evans
11:30-12:45Statistical Methods I
Moderator: Li Chen
Stuart Pocock
Stephen Ruberg
Lisa Lavange
Mark Rothmann
Kathleen Fritsch
Ravi Varadhan
12:45-12:50Closing remarksRichardae Araojo and Barbara Bierer

Day 2: Tuesday, December 1, 2020

TimeProposed AgendaProposed Speakers
 8:30-9:30Statistical Methods II
Moderator : Steve Snapinn
Donald Berry
Thomas Louis
Gene Pennello
Frank Bretz
9:30- 10:00Summary Discussion of Statistical Methods I and II 
10:00-10:15Break
10:15-11:15Data Visualization and the role of graphical representation
Moderator: Marcia Levenstein
Frank Harrell
Ilya Lipkovich
Michael Griswold
11:15-12:15Panel: Statistical methodologies, pros and cons
Moderator: Thomas Gwise
Frank Rockhold
Qi Jiang
Thomas Gwise
John Scott
12:15-12:45Open discussion and ConclusionsFDA and MRCT Center
12:45- 1:00Core team to discuss Day 1 & Day 2 wrap upPlanning committee

A Global Standard For Plain Language In Clinical Research: MRCT Center And CDISC Collaboration

Webinar

Date: April 5, 2023

A discussion about the MRCT Center’s collaboration with CDISC to promote the MRCT Center’s Clinical Research Glossary, a freely available plain language glossary of commonly used clinical research terms developed with and for patients and their caregivers, as a global research standard.

Learn about the MRCT Center’s robust process of developing the plain language glossary, the CDISC public review process, and how this collaboration will empower patients and participants with the necessary tools and information to make informed research decisions.

Related Resources:

Presentation Slides
Audience Q&A
Speaker Bios

Link to Public Review Website
Helpful Video Tutorial about how to submit a Public Comment
Link to a Public Review Outreach Template

Accessibility by Design (AbD) Toolkit Release

Webinar

Date: May 4th, 2023

Description: Learn about the Accessibility by Design (AbD) in Clinical Research Toolkit, developed by the MRCT Center in collaboration with people with disabilities, caregivers, allies, disability rights advocates, and stakeholders working in clinical research.

We present the background, structure, and key themes of the AbD Toolkit. Invited speakers then discuss their experiences as participants, caregivers, and leaders in clinical research and how the AbD Toolkit may be utilized to facilitate change.

Webinar

Related Resources:
Accessibility by Design (AbD) Toolkit

Webinar Slides

Excluding People with Disabilities from Clinical Research: Eligibility Criteria Lack Clarity and Justification (Publication)

Supported decision-making can advance clinical research participation for people with disabilities (Publication)

Integrating Supported Decision-Making into the Clinical Research Process (Publication)

MRCT Center Leaning In Webinar Series: Driving Inclusion in Clinical Research – June 9, 2021: Improving Inclusion of Persons with Disabilities in Clinical Research (WEBINAR)

MRCT Center Diversity, Inclusion, and Equity in Clinical Research Guidance Document and Toolkit

Equity by Design in Clinical Research: The EbD Metrics Framework (FRAMEWORK)

MRCT Center Leaning In webinar: Study Conduct (Recruitment, Retention)

Webinar

Webinar: December 9, 2020, 11:00 AM.-12 noon. ET.

Discussion Topic: MRCT Center’s Leaning In webinar: Study Conduct (Recruitment, Retention). Our moderators included ­­­RADM Richardae Araojo, Associate Commissioner for Minority Health and Director of the Office of Minority Health and Health Equity at the U.S. Food and Drug Administration (FDA) and MRCT Center Program Manager Laura Meloney, MSc, MPH. Guest speakers were Quita Beeler Highsmith, MBA, Vice President and Chief Diversity Officer at Genentech, and Anne Marie Inglis, PhD, Senior Director, Global Development Operations at Mallinckrodt.

Webinar

PDF

Related Resources

See related Webinars, maintained on our project specific Diversity, Inclusion, and Equity in Clinical Research website

October 14, 2020: Community Awareness, Access, Knowledge

October 28, 2020: Workforce Development 

November 18, 2020: Study Design, Eligibility, Site Selection, & Feasibility 

December 9, 2020: Study Conduct (Recruitment, Retention) 

January 13, 2021: Data Standards and Analysis 

January 27, 2021: Stakeholder Roles and Responsibilities 

April 14, 2021: How to Begin 

May 12, 2021: Inducement or Fair Compensation? Impact on Diverse Participation 

June 9, 2021: Improving Inclusion of Persons with Disabilities in Clinical Research 

July 14, 2021: Simplifying the Complexity of Translation in Clinical Research 

MRCT Center Leaning In webinar: Role of Data in Diversity: Genetics and Real World Data

Webinar

Date: February 10, 2021, 11:00 AM-12 noon. ET.

Discussion Topic: The MRCT Center Leaning In webinar: Role of Data in Diversity: Genetics and Real World Data held on February 10, 2021 from 11am – 12noon ET. Our moderators were MRCT Center Faculty Director, Barbara Bierer, MD and Luther Clark, MD, FACC, FACP, Deputy Chief Patient Officer at Merck.  Our guest speakers will be Nicole Richie, PhD, Global Head, Health Equity and Population Science at Genentech Roche and Latha Palaniappan, MD, MS, Professor of Medicine at Stanford University School of Medicine. cs

Webinar

PDF

Related Resources

See related Webinars, maintained on our project specific Diversity, Inclusion, and Equity in Clinical Research website

October 14, 2020: Community Awareness, Access, Knowledge

October 28, 2020: Workforce Development 

November 18, 2020: Study Design, Eligibility, Site Selection, & Feasibility 

December 9, 2020: Study Conduct (Recruitment, Retention) 

January 13, 2021: Data Standards and Analysis 

January 27, 2021: Stakeholder Roles and Responsibilities 

April 14, 2021: How to Begin 

May 12, 2021: Inducement or Fair Compensation? Impact on Diverse Participation 

June 9, 2021: Improving Inclusion of Persons with Disabilities in Clinical Research 

July 14, 2021: Simplifying the Complexity of Translation in Clinical Research 

MRCT Center Leaning In webinar: Data Standards and Analysis

Webinar

Presented on: January 13, 2021

Presented at: MRCT Center Leaning In Webinar Seriess

Webinar

PDF

Related Resources

See related Webinars, maintained on our project specific Diversity, Inclusion, and Equity in Clinical Research website

October 14, 2020: Community Awareness, Access, Knowledge

October 28, 2020: Workforce Development 

November 18, 2020: Study Design, Eligibility, Site Selection, & Feasibility 

December 9, 2020: Study Conduct (Recruitment, Retention) 

January 13, 2021: Data Standards and Analysis 

January 27, 2021: Stakeholder Roles and Responsibilities 

April 14, 2021: How to Begin 

May 12, 2021: Inducement or Fair Compensation? Impact on Diverse Participation 

June 9, 2021: Improving Inclusion of Persons with Disabilities in Clinical Research 

July 14, 2021: Simplifying the Complexity of Translation in Clinical Research 

Advancing International Pediatric Clinical Research Webinar Series

Webinar

Published on: October 6-7, 2021

The MRCT Center is delighted to announce a 5 part virtual conference series to advance the design, review, oversight, and conduct of global pediatric clinical trials. Ensuring all children have access to safe and effective medicines is contingent upon the conduct of trials that include them. For many pediatric conditions, disease incidence is low and the pool of potential participants small; conducting multisite and multinational pediatric studies is necessary to secure sufficient enrollment for completion. Given the dearth of relevant data and the challenges of working across jurisdictions, harmonized approaches for pediatric research are necessary.

To ensure wide global relevance and participation, each conference will be offered twice to better accommodate individuals across international time zones, each with the same general agenda but different speakers to hear a variety of opinions.

A special thank you to the dedicated members of the webinar series planning committee.

This conference series is supported by the Food and Drug Administration (FDA) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by FDA/HHS, or the U.S. Government.

PART ONE: INFORMING THE FUTURE FROM COVID-19 LESSONS LEARNED

The first conference in the series was a three-hour webinar that focused on applying lessons learned—those sustained and those abandoned– during the COVID-19 pandemic to future work with children in clinical trials. We were delighted to host the keynote speakers:

SESSION 1SESSION 2
October 6, 2021

Keynote Speaker:
Dr. Peter Marks
Director, Center for Biologics
Evaluation and Research (CBER),
U.S. Food and Drug Administration (FDA)
USA

📄 October 6, 2021 session Agenda
🎥  Watch Day 1 webinar recording
⬇️   Download Day 1 slides
October 7, 2021

Keynote Speaker:
Prof. Mojisola Christianah Adeyeye
Director General, National Agency for Food and Drug Administration and Control (NAFDAC)
Nigeria

📄 October 7, 2021 session Agenda
🎥  Watch Day 2 webinar recording
⬇️   Download Day 2 slides

We would appreciate feedback on these webinars. Please complete the survey to help us plan future webinars in this series that are both informative and convenient.

We invite you to browse the Day 1 & Day 2 speakers’ brief biographical details.

Each keynote speaker was followed by two moderated panel discussions to:

  1. Deliberate the appropriateness and timing of initiating trials in children, and the different age groups within the broad scope of “children,” using lessons learned from COVID-19 and applying that learning to future pediatric trials.
  2. Address infrastructure, both new and adaptations to existing structures, needed to conduct efficient and ethical pediatric clinical trials on a global scale.

This project is supported by the FDA (R13) Scientific Conference Grant Program.

PART TWO: Time to Listen: Hearing from Young People in Clinical Research

The second conference in the series, “Time to Listen: Hearing from Young People in Clinical Research,” focused on the perspectives of young people and the adults who care for them in clinical research and product development. The two hour webinar featured a moderated panel and was hosted twice, from 9-11 am EST and 8-10 pm EST, with similar content but different speakers and panelists, to allow for wide attendance and global participation.

SESSION 1SESSION 2
February 2, 2022 (9-11 AM EST)

Keynote speakers
A youth guest speaker: Sophie Ainsworth, RAiISE
Keynote speaker: Ms. Jennifer Preston, University of Liverpool, Institute in the Park at Alder Hey, Children’s Hospital in Liverpool, England

📄  SESSION 1 AGENDA
🎥  Watch SESSION 1 webinar recording
⬇️   Download SESSION 1 slides
February 2, 2022 (8-10 PM EST)

Keynote speakers
A youth guest speaker: Rohit
Keynote speaker: Dr. Sandhya Kanaka Yatirajula, Senior Research Fellow, The George Institute for Global Health, India 

📄 SESSION 2 AGENDA
🎥  Watch SESSION 2 webinar recording
⬇️   Download SESSION 2 slides

Time to Listen – Hearing from Young People in Clinical research

Prioritizing Young People’s Voices in Clinical Research: Part 1

We invite you to browse the Session 1 & Session 2 speakers’ brief biographical details.

Each keynote speaker was followed by:

  • The premiere of a short video featuring several youth who address their involvement in clinical research and what they want adults to know.
  • A 1 hour moderated panel where experts responded directly to the issues and concerns raised by young people.
  • Concluding comments and introduction of new MRCT Center resources for international pediatrics research.
This series is supported by an FDA Scientific Conference Grant.

Special thanks to Dr. Gianna “Gigi” McMillan and International Children’s Advisory Network (iCAN) for their collaborative efforts in creating impactful videos that will be featured at each webinar.

PART THREE: Assent and Consent in the Field: Culture, Context, and Respect

The third conference in the series, Assent and consent in the field: culture, context, and respect,”  focused on the cultural context of assent and the challenges and solutions encountered on the ground. The 2-hour agenda featured a moderated panel of experts who shared their experiences with assent around the world, including how to manage the tension between an (ideal) ethical framework and cultural context. The webinar was hosted twice on 28 June 2022 at 9-11 am EDT & 29 June 2022 at 8-10 pm EDT with similar content but different speakers and panelists, to allow for wide attendance and global participation.

SESSION 1SESSION 2
June 28, 2022 (9-11 AM EDT)

Keynote speakers
Dr. Dylan Graetz & Dr. Victor Santana, St. Jude’s Hospital, USA

📄  SESSION 1 AGENDA
🎥  Watch SESSION 1 webinar recording
⬇️   Download SESSION 1 slides
June 29, 2022 (8-10 PM EDT)

Keynote speakers
Professor Phaik Yeong Cheah, University of Oxford, MORU Tropical Health Network Thailand

📄 SESSION 2 AGENDA
🎥  Watch SESSION 2 webinar recording
⬇️   Download SESSION 2 slides

Prioritizing Young People’s Voices in Clinical Research: Part 2

We invite you to browse the Session 1 & Session 2 speakers’ brief biographical details.

Each keynote speaker was followed by:

  • The premiere of a short video featuring several youth who address their involvement in clinical research and what they want adults to know.
  • A 1 hour moderated panel where experts shared their experiences with assent and consent in the field.
This series is supported by an FDA Scientific Conference Grant.

Special thanks to Dr. Gianna “Gigi” McMillan and International Children’s Advisory Network (iCAN) for their collaborative efforts in creating impactful videos that will be featured at each webinar.

PART FOUR: Facilitating Pediatric Medicines Development: Models of Global Cooperation

The fourth conference in the series, “Facilitating Pediatric Medicines Development: Models of Global Cooperation,” focused on global regulatory cooperation with an eye to building on existing models to strengthen the global regulatory ecosystem for pediatric drug approval. This two-part webinar took place on 29 November 2022 at 9-11:30am ET and 30 November 2022 at 9-11am ET; participants were encouraged to attend both parts of this virtual meeting as Part 2 built on Part 1.

PART 1PART 2
November 29, 2022 (9-11:30 AM EDT) 

📄  PART 1 Agenda
🎥  Watch PART 1 webinar recording
⬇️   Download PART 1 slides
November 30, 2022 (9-11 AM EDT) 

📄 PART 2 Agenda
🎥  Watch PART 2 webinar recording
⬇️   Download PART 2 slides

Prioritizing Young People’s Voices in Clinical Research: Part 3

PART FIVE: Promoting Global Clinical Research in Children: Informing the Future

The fifth and final conference in the FDA-supported virtual conference series Promoting Global Clinical Research in Children: Informing the Future showcased select resources and materials from the larger body of work created, and the four webinars held, throughout the work of the MRCT Center pediatric working group initiative.

This series is supported by an FDA Scientific Conference Grant.

📄  Agenda and Bio Book
🎥  Watch webinar recording
⬇️  Download webinar slides