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Newsletter December 2025 |
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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.
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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
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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.
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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. |
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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.
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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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Follow Real4Reg on Social Media


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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Imprint
Federal Institute for Drugs and Medical Devices
(BfArM) Represented by the President Prof. Dr Karl Broich
Headquarters Bonn: Kurt-Georg-Kiesinger-Allee
3 53175 Bonn Germany
Headquarters Cologne: Waisenhausgasse
36-38a 50676 Köln
Phone: +49 (0)228 99 307-0 Fax: +49 (0)228 99
307-5207 E-mail: poststelle@bfarm.de
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