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Newsletter December 2025

Dear Subscriber,

Welcome to the tenth edition of the Real4Reg’s newsletter!
In this issue, we present an article entitled “Bridging the Gender Gap in Healthcare: The Transformative Potential of RWE and AI for Women's Safety and Access to Medicines” and highlight our partner European Institute of Women’s Health (EIWH).

Furthermore, you’ll be able to find news about our next Experts Workshop, information regarding Real4Reg’s last Consortium Meeting of 2025 and participation in scientific events in November. Lastly, you will also be able to stay informed about upcoming events.

Bridging the Gender Gap in Healthcare: The Transformative Potential of RWE and AI for Women's Safety and Access to Medicines

Historically, women have been underrepresented in clinical trials due to concerns over potential impacts on reproductive health or due to perceived hormonal variability complicating study results. This has resulted in a critical lack of data on how conditions manifest differently in women or how pharmaceuticals behave in female physiology. Consequently, medicinal products and drug dosages are typically optimised for male subjects, leading to poorer health outcomes and a higher incidence of adverse drug reactions (ADRs) in women.

The historical exclusion of women from clinical trials has created a pervasive gender gap in medical knowledge, leading to a healthcare system built around the "male as default" model. However, the advent of real-world data (RWD), real-world evidence (RWE), and advanced artificial intelligence (AI) provides an unprecedented opportunity to address these systemic issues, dramatically improving patient safety, increasing access to appropriate medicines, and closing the long-standing equity gap for women.

Sections in this issue:

  • How History Created Medicine’s Gender Gap
  • Why RWE and AI Are Changing the Game
  • Filling the Pregnancy Evidence Gap
  • Safeguarding the Use of Patients’ Data to Benefit All
Read more about this topic
EIWH

Partner presentation: European Institute of Women’s Health (EIWH)

The European Institute of Women’s Health (EIWH) is a pan-European non-governmental organisation dedicated to advancing gender equity in health through research, policy engagement, and advocacy. For more than twenty-five years, EIWH has worked to ensure that sex and gender considerations are systematically integrated into health research, clinical practice, and health policy across Europe. Guided by scientific evidence and public health principles, the EIWH collaborates with European Union (EU) institutions, national governments, researchers, and civil society to improve health outcomes for women and girls throughout the life course.

Aims

The central mission of the EIWH is to close persistent health gender gaps by ensuring that women’s specific needs are recognised, researched, and addressed. EIWH promotes the collection and use of sex- and gender-disaggregated data, advocates for inclusive and representative clinical trials, and raises awareness of gendered health determinants. The organisation also works to strengthen evidence on medicine safety during pregnancy and to highlight priority areas such as cardiovascular disease, mental health, menopause, ageing, and the impact of unpaid care work.

Through its policy work and partnerships at EU and international levels, EIWH supports the development of more equitable health systems and contributes to shaping regulations, funding programmes, and research agendas that affect women’s health across Europe. EIWH actively participates in expert groups such as the Patients’ and Consumers’ Working Party (PCWP) at the European Medicines Agency (EMA) and the Advisory Forum at the European Centre for Disease Prevention and Control (ECDC) and collaborates with stakeholders to promote gender-sensitive health innovation, including in digital health and AI intelligence, where the risk of replicating existing biases remains significant.

Expertise and Activities

The EIWH brings deep multidisciplinary expertise in gender, health policy, biomedicine, public health, and health equity. Its work includes:

  • Providing evidence-based recommendations to EU institutions and Member States,
  • Contributing to women’s health research agendas and policy initiatives,
  • Supporting capacity-building for gender-sensitive research methodologies,
  • Collaborating with medical education organisations to integrate sex and gender into training curricula, and
  • Driving awareness campaigns on women’s health challenges and priorities across Europe.

The organisation also disseminates data and research findings, engages in multi-stakeholder dialogue, and develops strategic roadmaps for improving women’s health outcomes across the life span. Its 2024 Women’s Health Manifesto and contributions as coo-secretariat for the Members of the European Parliament (MEPs) for Women’s Health Interest Group reflect its leadership role in setting a clear vision for gender-equitable health policy in Europe.

Role in Real4Reg

Within the Real4Reg project, the EIWH contributes with its long-standing expertise on sex and gender in health research to support the development of more inclusive, representative, and equitable evidence-generation practices. The organisation raises awareness of structural gaps—such as the historical underrepresentation of women in clinical trials and the importance of sex- and gender-disaggregated data—that have direct implications for RWE and regulatory decision-making.
EIWH supports project partners in understanding how gender-specific factors influence health outcomes, data interpretation, and the generalisability of evidence across populations. It also contributes to communication, stakeholder engagement, and the dissemination of project results, ensuring that findings consider the needs and experiences of women across Europe. By embedding a gender lens into Real4Reg’s structure and outputs, the EIWH helps strengthen the project’s relevance, impact, and long-term contributions to EU health policy and patient safety.

 

European Institute of Women’s Health (EIWH) in media

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News

Experts Workshop – Save the Date

Real4Reg will host an Online Experts Workshop on 27 January 2026 entitled “Real4Reg Use Case 1 – Lessons Learned on Exploring Real-World Data”. This event will focus on data science aspects of Use Case 1, showcasing results from breast cancer and amyotrophic lateral sclerosis analysis, the implementation of the common data model Observational Medical Outcomes Partnership (OMOP), among other topics. A roundtable discussion with different stakeholders, such as HTA, regulatory, academia, industry and patient organisations, will foster engaging exchanges. The registrations are already open and we look forward to receiving you. 

Go to registration

Last 2025 Consortium Meeting

On 17 November, Real4Reg had the last Consortium Meeting of the year, where the recent updates and results from the project were shared between the members. Furthermore, we had the pleasure of having present our esteemed Advisory Board as well as Prof. Dr. Olaf Klungel (Utrecht University), who provided a keynote speech on “Use of Real-World Data in Regulatory Decision-Making on Medicines”. Their presence greatly contributed to insightful discussions and enriched the exchange of ideas among all participants.

Participation in Scientific Events in November

Last month, Real4Reg’s goals and achieved results were shared with multiple stakeholders in various conferences across Europe:

  • On 7-8 November, UEF participated in Farmasian päivät 2025 (Pharmacy Days 2025) in Helsinki, Finland with a poster presentation related to the Finnish oral antibiotic consumption during the time period 2010-2021.
  • On 13-14 November, BfArM delivered a presentation regarding “(AI-supported) Use of Observational Data in Regulatory Research” at the 32nd GAA Annual Conference.
  • On 19-21 November, UEF attended the 17th Annual NorPEN Meeting in Uppsala, Sweden, where it was presented a poster regarding the characteristics of Finnish patients that consume sodium-glucose cotransporter-2 (SGLT2) inhibitors.
  • On 20 November, RWE4Decisions organised their Annual Symposium entitled “Mobilising Real-World Data to Enhance HTA/Payer” and INFARMED, I.P. participated in a panel discussion that addressed the ways of incorporating RWE as much as possible in decision-making, in an HTA/payer perspective.
  • On 26-28 November, INFARMED, I.P. joined the 22nd Portuguese Oncology Congress that took place in Braga, Portugal. In this event, it was presented an overview of Real4Reg and the Portuguese Use Case 1 results, regarding breast cancer.

Upcoming Events

27 January, Online
Experts Workshop: Real4Reg Use Case 1 - Lessons Learned on Exploring Real-World Data
Go to registration

27-28 January, Helsinki, Finland
6th Nordic RWE and AI Conference
Go to event

11-13 February, Hoofddorp, Netherlands
TRICALS Masterclass 2026
Go to event

For more information on additional events in the realms of RWE, AI, and health, please consult our Events page.

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RealReg is a project funded by the European Union under the Horizon Europe programme –Project No. 101095353. The consortium of ten European institutions aims to promote the use of real-world data to support regulatory decisions about medicines. For media inquiries, please contact: real4reg@infarmed.pt

Views and opinions expressed are however those of the author(s) only and do not necessarily reflect those of the European Union or the European Commission. Neither the European Union nor the granting authority can be held responsible for them.

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