PHEDRA: using real-world data to analyze treatment patterns and ibrutinib effectiveness in hematological malignancies

J Comp Eff Res. 2018 Jan;7(1):29-38. doi: 10.2217/cer-2017-0046. Epub 2017 Aug 2.

Abstract

Aim: PHEDRA (Platform for Haematology in EMEA: Data for Real World Analysis) is a unique, noninterventional project based on secondary data collection from real-world (RW) patient-level (health record) databases to understand treatment patterns in hematological malignancies. It compares ibrutinib's effectiveness with alternative treatments using RW data (RWD) and randomized clinical trials data.

Materials & methods: RWD are cleaned, validated, harmonized into a Common Data Model, and analyzed statistically alongside randomized clinical trial data. Treatment outcomes include overall and progression-free survival.

Results: To date, RWD (four databases) are available for 2840 patients in three indications, collected between 1990 and 2017.

Conclusion: PHEDRA is an innovative approach to generate evidence to inform optimal treatment decisions in RW settings.

Keywords: comparative effectiveness research; hematology; methodology.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenine / analogs & derivatives
  • Comparative Effectiveness Research / methods*
  • Data Collection
  • Databases, Factual
  • Hematologic Neoplasms / drug therapy*
  • Humans
  • Longitudinal Studies
  • Piperidines
  • Pyrazoles / therapeutic use*
  • Pyrimidines / therapeutic use*
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Piperidines
  • Pyrazoles
  • Pyrimidines
  • ibrutinib
  • Adenine