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Newsletter June 2026 |
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Dear Subscriber,
Welcome to the twelfth edition of the Real4Reg’s newsletter!
In this issue, we highlight some of the Real4Reg’s dissemination
activities, namely publications and posters, and present the Data
Analysis and Real World Interrogation Network (DARWIN EU).
Furthermore, you’ll be able to find news about Real4Reg’s Final
Symposium which will be taking place in November in Portugal and two
new articles regarding the latest Patients Workshop and the XIV
Consortium Meeting. At the end, you will be able to stay up to date
on upcoming events. |
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Real4Reg’s Dissemination of Scientific Findings – Publications
and Posters
Dissemination of scientific findings is one of the most important
components to a research project’s success. On the one hand, it
promotes the exchange of knowledge, fostering scientific progress
and contributing to a deeper understanding of the topics under
study. On the other hand, it is also a key determinant to the
project’s visibility, ensuring that the results reach different
stakeholders and have an impact on people’s daily life.
Real4Reg has a well-defined dissemination strategy that, among
other activities, includes the publishing of scientific articles in
high impact peer-reviewed journals and the presentation of posters
and talks in major international scientific conferences, meetings,
and workshops regarding public health, applied regulatory science,
pharmacoepidemiology, statistics, and artificial intelligence (AI),
among others. The consortium truly believes in the importance of
making the results as accessible as possible. Therefore, all the
publications made so far and the ones that are yet to come, will
always be shared in an open access format. This ensures a timely and
effective dissemination among a wide range of stakeholders, such as
health care professionals, regulatory and health technology
assessment (HTA) experts, policy makers, health insurance
specialists, academia, industry representatives, and general public.
So far, Real4Reg has published three scientific articles. To find
out more and read the full article, please click here.
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Partner Presentation – Data Analysis and Real World
Interrogation Network (Darwin EU)
Introduction
DARWIN EU is a European network created by The European Medicines
Agency (EMA) and the European Medicines Regulatory Network (EMRN),
in 2022. Currently, the coordination centre is the Erasmus
University Medical Center Rotterdam and its role includes:
- Data Partners’ Management
- Studies Implementation
- Methodological Improvements
- Engagement with Other Related Initiatives1
Goals and Data Sources
The main goal is to provide real-world evidence (RWE) derived
from real-world data (RWD) available in multiple databases
mainly located in the European Union, to support
decision-making in medicines lifecycle, regarding its use, safety,
and effectiveness. The currently 52 used data sources are located in
19 different countries, for example Denmark, Finland, Germany, and
Portugal, and include RWD from 477 325 000 people, with the earliest
registry being in 1960. The data is extracted from different
settings that include biobanks, claims, disease registries,
hospitals, population registries, and general practitioners’
registries.1
Analysis
To ensure privacy/security and control of the data, DARWIN EU
adopted a federated analysis strategy which means that the data does
not leave each data partner. They receive and run the code and share
the results in an aggregated manner. This is only possible due to a
previous mapping of all RWD present in each database to a widely
used common data model - Observational Medical Outcomes Partnership
(OMOP) – allowing the standardisation of the information across
databases, the reproducibility of the studies in multiple
countries/time points, and the results’ achievement in a timely
manner.1
Studies
The studies performed by DARWIN EU present a variety of different
topics, with some of the most common ones being: disease
prevalence/natural history, serious adverse events, vaccines
effectiveness, prescription monitoring, medicines shortages, drug
utilisation, and treatment patterns.1 These allow a
deeper disease knowledge, improved pharmacovigilance support,
strengthened regulatory decisions, among others.2
They can be divided into four categories: off-the-shelf, complex,
very complex, and routine repeated analyses. In general, the studies
take up to 6 months, but can also require several years, depending
on factors such as complexity or number of involved countries.
So far, DARWIN EU has completed 78 studies, for example “DARWIN
EU ® - Eye disorders in women with breast cancer treated with
anastrozole, letrozole or tamoxifen” (EUPAS1000000599) or
“DARWIN EU ® - Drug utilisation study on Antibiotics in the
‘Reserve’ category of the WHO AWaRe classification of antibiotics
for evaluation and monitoring of use” (EUPAS1000000664) and has
ongoing another 36, such as “DARWIN EU ® - Enhanced preparedness of
the DARWIN EU Network for regulatory questions in oncology – DARWIN
OncoNet” (EUPAS1000000824) or “DARWIN EU ® - Background incidence
rates of selected vaccine adverse events of special interest (AESIs)
in Europe”(EUPAS1000000969).1
Relationship with Real4Reg
One of the themes of the EMA network strategy to 2028 concerns
RWD and AI, the core topics of Real4Reg. From EMA’s perspective,
they can strengthen decision-making and be very useful for
medicines’ authorisation and safety monitoring. However, a few
challenges still remain, such as interoperability, data
accessibility in timely manner, security/confidentiality,
harmonisation, potential biases, and underdeveloped
analytics.3
Similarly, to DARWIN EU, Real4Reg is trying to address some of
these problems in order to improve regulatory and HTA
decision-making which ultimately will benefit patients.
References
(1) https://www.darwin-eu.org/ (Accessed on
28/05/2026)
(2) https://www.ema.europa.eu/en/about-us/how-we-work/data-regulation-big-data-other-sources/real-world-evidence/data-analysis-real-world-interrogation-network-darwin-eu
(Accessed on 28/05/2026)
(3) https://www.ema.europa.eu/en/about-us/how-we-work/european-medicines-regulatory-network/european-medicines-agencies-network-strategy
(Accessed on 28/05/2026) |
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News |
Real4Reg Final Symposium - Save the Date
Real4Reg will host a Final Symposium on 3-4 November in Lisbon,
Portugal (INFARMED, I.P.). This event will show the main findings of
each research topic, the methodology used, and the lessons learnt
throughout the past four years. In addition, keynotes about
RWD-related initiatives and a patients dedicated session will also
take place. The final agenda will be available shortly and the
registration (free of charge) will open soon. |
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Real4Reg 2026 Patients Workshop “Real-World Data and Patients:
Breaking the Ice”
On 13 April the second Patients Workshop took place. The session
had two presentations “RWD: Patient Perspectives and Applications in
Healthcare” by Martin Russek (BfArM) and “PatientsLikeMe: A Platform
for RWD Sharing and Patients Engagement” by Erlyn Macarayan
(PatientsLikeMe). Afterwards, a roundtable discussion with Margarida
Oliveira (INFARMED, I.P.) and Dirk De Valck (EUpALS) allowed the
exchange of different perspectives on the importance of patient
involvement in decision-making and benefits of sharing patients
health-related data. Over 100 participants attended and even though
a large portion were patients and patients’ organisations, the
workshop was also relevant for pharmacists, professors or regulatory
affairs and pharmacovigilance specialists.
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Real4Reg Consortium Meeting XIV
On 19-20 May Real4Reg had the second 2026 Consortium Meeting in
Bonn (Germany) at BfArM (Real4Reg’s coordinator). During the
first day, each work package presented an overview of the recently
developed activities, the Advisory Board meeting took place, and a
talk regarding “Target Trial Emulation and RCT – Anchored Expansion
of Indications with RWE” was provided by Sebastian Schneeweiss. On
the second day, several deep dive sessions occurred, Iftekhar Khan
presented a demo version of ECLIPTICA ®, and the next steps for the
remaining months of the project were defined. Apart from the
insightful discussions and exchange of ideas, the meeting also
contributed to the strengthening of the relationships between all
members.
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Upcoming Events
📅 24-26 June 2026, Madrid, Spain
ENCALS Meeting 2026
Go to
event
📅 29-30 June 2026, Utrecht,
Netherlands
GetReal Institute Annual Conference 2026
Go
to event
📅 29 August – 2 September 2026, Milan, Italy
42nd Annual Meeting
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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