From: Rare disease registries: potential applications towards impact on development of new drug treatments
Type of information, proposed by experts (see references for more information) | Area(s) | Once (only re-entered when changed) or repeated? | Why needed | Applicability in drug approval process | Examples |
---|---|---|---|---|---|
Basic characterization [12] | Patient characteristics | Once, baseline | For (coded) identification of individual patients | Specific id per person is needed for all analyses | Patient id, date of birth |
Demographic characteristics | Once, baseline | To classify patient, information for patient retrieval, for trial feasibility assessment and/or to be aware of other factors possibly associated with outcome and to be able to adjust for it | For general ascertainment, historical controls, and post-marketing phase | Gender, age, ethnicity, country | |
Disease aspects [12] | Diagnosis | Once, baseline | To classify genotype and/or phenotype, for trial feasibility assessment and/or to be aware of other factors possibly associated with outcome and to be able to adjust for it | For general ascertainment, historical controls, and post-marketing phase | Date of first symptoms/diagnosis, genetic test results, type/staging of disease |
Co-morbidities | Once, baseline or when it is diagnosed, and if severity is worsening | For trial feasibility assessment and/or to be aware of other diagnoses possibly associated with disease and/or treatment effect, | For general ascertainment | Concurrent diagnoses, e.g. renal, cardiovascular or psychiatric problems | |
Treatment | Repeated | For trial feasibility assessment and/or to be aware of other factors possibly associated with outcome and to be able to adjust for it | For general ascertainment, historical controls, post-marketing phase | Off-label treatment, surgery, dosage | |
Mortality | Once, when it occurs | To assess change in disease course over time (relevance depends on disease)/ To collect information on (un)expected, possible side-effects of treatment | For (Bayesian) sample size calculation, historical controls, and post-marketing phase | Survival time, age of death | |
Life impact | repeated | To assess change in disease course over time at the personal level/ To collect information on (un)expected, possible side-effects of treatment | For (Bayesian) sample size calculation, historical controls, and post-marketing phase | Symptom status, functional status, general health perceptions, quality of life, cognitive functioning, hospitalization | |
Pathophysiological manifestations | repeated | To assess change in disease course over time and phenotype /To collect information on (un)expected, possible side-effects of treatment | For (Bayesian) sample size calculation, historical controls, and post-marketing phase | Organ function, biomarkers, allergic reaction |