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Home/Legal & Regulatory and Reimbursement/MCRA: Training FDA About Real-World Device Experience
Legal & Regulatory and Reimbursement

MCRA: Training FDA About Real-World Device Experience

November 17, 2017 2 min read Premium comments

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MCRA: Training FDA About Real-World Device Experience
Courtesy of Musculoskeletal Clinical Regulatory Advisers, LLC (MCRA)
Secondary

Musculoskeletal Clinical Regulatory Advisers, LLC (MCRA) is trying to clear things up when it comes to industry, device costs, and innovation. The group announced that it has recently delivered the second of three training workshops for the U.S. Food and Drug Administration (FDA).

According to the folks at MCRA, “This workshop was focused on innovation, and the complexities involved due to the many stakeholders and the milestones required for value creation.”

“The Experiential Learning Program (ELP) is a learning opportunity designed to help all levels of FDA within the Center for Devices and Radiological Health (CDRH) to better understand real-world experience as it relates to the design, manufacture and commercialization of medical devices.”

“It aims to collaboratively explore device technology and obtain the necessary knowledge to enhance the review process and support communication between sponsors and the CDRH review staff. MCRA has been selected to deliver three ELP workshops on clinical development, medical device innovation and reimbursement in the medical device industry.”

“At the most recent ELP workshop on innovation, MCRA’s experts shared insights and case studies on key topics impacting the medical device industry today, specifically taking into account the substantial size of the device industry and the increasing concerns of rising healthcare costs, the Centers for Medicare and Medicaid Services (CMS), the U.S. FDA, and numerous other governmental and private stakeholders that all have a seat at the table in influencing whether industry has proved safety, efficacy, and cost effectiveness over existing treatments.”

“MCRA also discussed the rise of clinical evidence requirements on most technologies, both new and existing, and the increasing investment required for successful commercialization, which is putting additional strain on both companies and investors.”

MCRA General Manager David Lown told OTW, “MCRA was honored to educate the FDA on the viewpoints of industry and the consulting world on innovation. The FDA was very impressive in their desire to understand the dynamics outside of their day-to-day activities, and as well as in elucidating the FDA programs that have been enacted towards assisting the innovation process. I believe the market is moving towards all stakeholders needing to work together for the purposes of defining innovation and determining how to bring it to market. I think the FDA is one constituent that is ready to take on that challenge.”

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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