PMID- 29619246 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220316 IS - 2056-7529 (Electronic) IS - 2056-7529 (Linking) VI - 4 DP - 2018 TI - Enhancing the incorporation of the patient's voice in drug development and evaluation. PG - 10 LID - 10.1186/s40900-018-0093-3 [doi] LID - 10 AB - PLAIN ENGLISH SUMMARY: People living with a condition are uniquely positioned to inform the understanding of the therapeutic context for drug development and evaluation. In 2012, the U.S. Food and Drug Administration (FDA) established the Patient-Focused Drug Development (PFDD) initiative to more systematically obtain the patient perspective on specific diseases and their currently available treatments. PFDD meetings are unique among FDA public meetings, with a format designed to engage patients and elicit their perspectives on two topic areas: (1) the most significant symptoms of their condition and the impact of the condition on daily life; and, (2) their current approaches to treatment. FDA has conducted 24 disease-specific PFDD meetings to date. The lessons learned from PFDD meetings range from experiences common across rare diseases to more disease specific experiences that matter most to patients. FDA recognizes that FDA-led PFDD meetings alone cannot address the gaps in information on the patient perspective. Patient-focused drug development is an ongoing effort and FDA looks forward to the next steps in advancing the science and the utilization of patient input throughout drug development and evaluation. ABSTRACT: The U.S. Food and Drug Administration (FDA) has multiple mechanisms for its regulators and staff to interact with patients -- but none quite like its novel Patient-Focused Drug Development (PFDD) initiative. FDA established the PFDD initiative to more systematically obtain the patient perspective on specific diseases and their currently available treatments. Since the initiative's inception in 2012, FDA has held 24 PFDD meetings, covering a range of disease areas and hearing directly from thousands of patients and caregivers. FDA's PFDD meetings have also provided key stakeholders, including patient advocates, researchers, drug developers, healthcare providers, and other government officials, an opportunity to hear the patient's voice. The lessons learned include but are not limited to specific experiences that matter most to patients, patient perspectives on meaningful treatment benefits and how patients want to be engaged in the drug development process. FDA recognizes that FDA-led PFDD meetings alone cannot address the gaps in information on the patient perspective. Further enhancing the incorporation of the patient's voice in drug development and evaluation continues to be a priority for FDA. FAU - Chalasani, Meghana AU - Chalasani M AD - U.S. Food and Drug Administration, WO51, Room 1146, 10903 New Hampshire Avenue, Silver Spring, MD 20993-0002 USA. ISNI: 0000 0001 2243 3366. GRID: grid.417587.8 FAU - Vaidya, Pujita AU - Vaidya P AD - U.S. Food and Drug Administration, WO51, Room 1146, 10903 New Hampshire Avenue, Silver Spring, MD 20993-0002 USA. ISNI: 0000 0001 2243 3366. GRID: grid.417587.8 FAU - Mullin, Theresa AU - Mullin T AD - U.S. Food and Drug Administration, WO51, Room 1146, 10903 New Hampshire Avenue, Silver Spring, MD 20993-0002 USA. ISNI: 0000 0001 2243 3366. GRID: grid.417587.8 LA - eng PT - Journal Article DEP - 20180402 PL - England TA - Res Involv Engagem JT - Research involvement and engagement JID - 101708164 PMC - PMC5879806 OTO - NOTNLM OT - Benefit-risk OT - FDA OT - Patient engagement OT - Patient perspectives OT - Patient-focused drug development COIS- Not applicableNot applicableThe authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2018/04/06 06:00 MHDA- 2018/04/06 06:01 PMCR- 2018/04/02 CRDT- 2018/04/06 06:00 PHST- 2017/08/04 00:00 [received] PHST- 2018/01/30 00:00 [accepted] PHST- 2018/04/06 06:00 [entrez] PHST- 2018/04/06 06:00 [pubmed] PHST- 2018/04/06 06:01 [medline] PHST- 2018/04/02 00:00 [pmc-release] AID - 93 [pii] AID - 10.1186/s40900-018-0093-3 [doi] PST - epublish SO - Res Involv Engagem. 2018 Apr 2;4:10. doi: 10.1186/s40900-018-0093-3. eCollection 2018.