News from Monday, November 17, 2025
Articles
Value Viewpoint: November 14, 2025
(11/14, Kimberly Westrich, LinkedIn) comments “A new study published in Patient Preference and Adherence surveys 46 experts across clinical research, industry, regulatory affairs, and HTA, finding that patient preference information (PPI) is widely valued but is currently inconsistently used. Most respondents reported limited availability of PPI within their organizations, and nearly three-quarters use it only occasionally or not at all. Yet, enthusiasm for future integration exists: 90% expressed a willingness to prioritize PPI moving forward, citing its potential to improve trial design, endpoint selection, and the alignment of treatments with patient needs.” Full
Study: Single-Trial FDA Approvals Often Lack Confirmatory Evidence
(11/14, Jessica Karins, Inside Health Policy) reports “A recent study published in the journal Clinical Trials found FDA is increasingly approving drugs and biologics based on a single pivotal trial and many of those approvals lack reference to confirmatory evidence of the product’s safety and efficacy, especially when the product receives designations as an orphan drug or another category that expedites review. The study also found despite FDA’s emphasis on use of real-world evidence, none of the approvals between 2015 and 2023 referenced it as a source of confirmatory evidence.” Subscription Required
GLP-1RAs Lower MACE Risk in T2D Relative to Other Antidiabetic Medications
(11/17, Jessica Nye, PhD, Endocrinology Advisor) reports “...The study authors concluded, ‘In this comparative effectiveness study of adults with T2D, MACE risk varied significantly by medication class, with the most risk reduction achieved with sustained treatment with GLP-1RAs, followed by SGLT2is, sulfonylureas, and DPP4is, in that order. The magnitude of benefit of GLP-1RAs over SGLT2is depended on patient baseline age, ASCVD, [heart failure], and kidney impairment.’” Full
Single-Tablet Bictegravir/Lenacapavir Effective After Treatment Switch
(11/16, Julia Bonavitacola, The American Journal of Managed Care) reports “Patients with HIV may be able to switch from a multi-tablet regimen to a single-tablet regimen, as a single-tablet regimen of bictegravir 75 mg/lenacapavir 50 mg (BIC/LEN) was found to be equally effective when patients switched from multi-tablet regimens to treat their HIV diagnosis. These results come from the ARTISTRY-1 clinical trial, a phase 3 study.” Full
Three Ways CMMI Is Applying Evidence To Protect Patients, Providers And Taxpayers
(11/17, Gita Deo, Abe Sutton, Health Affairs Forefront) comments “...The CMS Innovation Center is tackling this challenge by testing new approaches to disincentivize low-value care that can lead to patient harm. Our WISeR (Wasteful and Inappropriate Service Reduction) Model combines enhanced technology with human clinical review to flag unnecessary and potentially harmful procedures...WISeR will run for six performance years from January 1, 2026, to December 31, 2031, in six states: New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington.” Full
GetReal Conference 2025: Advancing Data Quality and Feasibility to Deliver Decision-Grade RWE
(11/17, Katie McCool, The Evidence Base) reports “...Throughout the discussion, speakers agreed that transforming RWD into decision-grade evidence depends less on producing new frameworks than on applying existing ones with consistency and transparency. [EMA’s Catherine Cohet] underlined the value of an iterative feasibility process, advising researchers to: ‘Select your data sources, fine tune your study design based on your feasibility.’” Full
Press Releases
CSNK2A1 Foundation Awarded Funding to Advance Patient-Centered Research for Ultra-Rare Neurodevelopmental Disorders
(11/17, CSNK2A1 Foundation Press Release) “The CSNK2A1 Foundation has been awarded funding through the Eugene Washington PCORI Engagement Award Program, an initiative of the Patient-Centered Outcomes Research Institute (PCORI). The funds will support convening patients, caregivers, clinicians, and researchers in a first-of-its-kind effort to co-develop a stakeholder-driven, shared research agenda that centers comparative clinical effectiveness research (CER) priorities for Okur-Chung Neurodevelopmental Syndrome (OCNDS) and Poirier-Bienvenu Neurodevelopmental Syndrome (POBINDS).” Full
Journals
Confirmatory Evidence Supporting Single Pivotal Trial New Drug Approvals by the Food and Drug Administration, 2015 Through 2023
Carla Barile Godoy, et al.
October 15, 2025, Clinical Trials
Comparative Effectiveness of Metformin and Alogliptin Combination Therapy Versus Metformin Monotherapy in Patients with Type 2 Diabetes: An Emulated Target Trial
Jaehyeong Cho, et al.
November 14, 2025, BMC Endocrine Disorders
Beyond Cost-Effectiveness: A Reflective Commentary on Adapting Global Health Technology Assessment for Equity Considerations in South Africa and Other LMICs
Chantel Siriram, et al.
November 14, 2025, International Journal for Equity in Health
International Journal for Equity in Health
A Non-Inferiority Randomized Clinical Trial Comparing Three Delivery Formats of a Rehabilitation Intervention to Reduce Fatigue Among People with Multiple Sclerosis
Matthew Plow PhD, et al.
November 14, 2025, Archives of Physical Medicine and Rehabilitation