Case Study

HEALTH SYSTEM

Case Study

HEALTH SYSTEM

Unlocking patient access when traditional evidence pathways fail

Justifying, generating and

evaluation non-RCT evidence

Objective

Unlock patient access to transformative therapies by addressing one of the principal evidence barriers to reimbursement: establishing when departure from the randomized controlled trial (RCT) standard is scientifically justified and how treatments should be evaluated when only non-randomized evidence is available

Our Approach

Led the international Meeting of the Minds initiative, convening senior leaders from regulatory agencies, HTA and reimbursement bodies, industry, academia, and patient organizations to develop a shared framework for evidence generation and evaluation beyond the traditional RCT paradigm.

Outcome

Published internationally developed criteria for when deviation from the RCT standard should be considered scientifically acceptable, together with a methodological framework for generating and evaluating credible comparative evidence. The initiative has since expanded to address post-launch confirmation of long-term effectiveness, durability, and value.

Final Report

Consensus publication on when
deviation from RCT is justified