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. 2020 Jul 12;109(1):65–72. doi: 10.1002/cpt.1923

Table 2.

Topics requiring FDA, industry, and academic action

  • FDA Topics

    • o

      Guidance(s)

      • Estimate phase III patient sample‐RWP gap

      • Pivotal clinical study population biomarker sampling (e.g., drug concentration, and PD)

      • Population PK/PD analysis and reporting requirement

      • Drug dose selection assessment supporting RWP dosing recommendations (extremes of size, organ function, age, pregnancy, and genotype)

      • CDS drug dosing software

    • o

      RWP post‐market efficacy‐safety analysis and reporting

      • Evaluate utility of RWP individual patient drug concentration estimate (population PK, PK/PD) model) to be used in conjunction with routine RWP efficacy‐safety assessment

    • o

      Provide R&D funding supporting RWP research, CDS tool development, and performance evaluation

  • Pharmaceutical industry

    • o

      Determine incentives if any needed to support precision dosing for all patients

    • o

      Plan PDUFA VII goals and finance supporting precision dosing

    • o

      Provide R&D funding supporting RWP research, CDS tool development, and performance evaluation

  • Academia, clinical professional organizations (e.g., AMA, AHA, IDSA, APA, ACCP, and ASCPT)

    • o

      Prepare priority lists for drug‐disease targets

    • o

      Provide CDS drug dosing performance specifications.