A primary goal of the Observational Medical Outcomes Partnership will assess the feasibility and utility of using observational data to identify and evaluate associations between drugs and health-related conditions.
The specific aims supporting this goal are:
- Define the pool of potential analytical methods to be used to identify drug-condition associations in observational data
- Assess the feasibility and utility of observational data for identifying associations between drugs and non-specified conditions
- Assess the feasibility and utility of observational data for monitoring Health Outcomes of Interest and evaluating the associations between drugs and Health Outcomes of Interest
- Assess the utility of natural history information generated from observational data in contributing to interpretation of observational analyses
- Assess how decision-makers can use observational analyses to support active monitoring of the effects of medicines post-approval
OVERVIEW OF PHASES OF RESEARCH PROGRAM
To address these aims, we will answer the following research questions, which are separated into phases to denote key project milestones:
Phase 1: Feasibility of data infrastructure
Research questions:
- Can we establish a consistent framework to use across disparate observational data sources?
- Does normalizing conditions in observational data improve identification of non-specified conditions?
Deliverables
- Common data model, and data transformation applications
- Common drug and condition vocabularies, and mapping tools
- Report: Comparison of condition vocabularies for observational screening
- Health Outcomes of Interest library
- Simulated dataset
- Report: Systems integration design and lessons learned
Phase 2: Feasibility of analyses
Research questions:
- Which identification methods are feasible within the current systems infrastructure?
- Can we establish standard data quality and characterization procedures to assess the viability of data sources for observational analyses?
Deliverables
- Report: Research Core Data quality summary
- Data quality assessment procedure
- Report: Feasibility of Identification methods
- Open-source library of method implementations
- Reference set of drug labeled events for screening studies
- Report: Health Outcomes of Interest natural history
Phase 3: Performance of Analyses
Research questions:
- What are the performance characteristics of each identification method in simulated data?
- What is the performance and consistency of each identification method for non-specified conditions across observational data sources and over time?
- What is the performance of each observational data source in identifying associations between drugs and non-specified conditions?
- What is the performance and consistency of each method in monitoring Health Outcomes of Interest?
- What is the performance of each observational data source in monitoring Health Outcomes of Interest?
- What is the performance of each observational data source in evaluating associations between drugs and Health Outcomes of Interest?
Deliverables:
- Open-source library of applications to conduct methodological research against common data model
- Report: Point-performance of identification methods in a simulated dataset
- Report: Point-performance of identification methods on non-specified conditions
- Report: Performance over time of identification methods on non-specified conditions
- Report: Consistency of identification methods on non-specified conditions
- Report: Concordance of identification methods and observational evaluation of Health Outcomes of Interest
Phase 4: Utility of Analyses and Process
Research questions:
- How does the performance of identifying associations in observational data differ from other surveillance approaches?
- How does natural history information from observational data contribute to a decision regarding the results of observational analysis?
- How do decision-makers interpret observational database analyses?
Deliverables
- Report: Utility of Natural History information
- Report: Efficiency of Identification: Comparison of observational data and other surveillance systems
- Report: Utility of observational screening and observational evaluation of Health Outcomes of Interest over time
- Report: Systems integration design and lessons learned
- Report: Partnership governance design and lessons learned
Additional detail is available about the following topics: