Designing endpoints for indications where remote capture is feasible: lessons from the ReMEdi study in ME/CFS
When clinical and safety endpoints can plausibly be captured remotely (through ePRO, telehealth, wearables, home sampling, or patient-submitted data), the design question shifts from 'how do we get patients to a site' to 'how do we ensure the data we capture is regulatory-grade and clinically meaningful.' In indications without validated biomarkers, that question gets sharper: subjective PROs alone can leave programs vulnerable to noise, and digital measures introduce validation, integration, and presentation challenges most teams haven't built playbooks for. ReMEdi paired ePROs with continuous wearable monitoring and remote functional testing in a fully decentralized Phase 2 in ME/CFS.
In this panel, Meri Beckwith, Co-CEO of Lindus, Dr. Simon Bock, Clinical and Market Access, Portfolio & Innovation Manager at Tiefenbacher Group and Dr. Beata Godlewska, Principal Investigator for the ReMEdi trial, sit down to discuss how modern trial design is expanding what's feasible. Drawing on their experience running the ReMEdi study in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), they'll discuss how innovative trial design strategies enabled them to capture regulatory-grade data in a population historically excluded from research, how digital endpoints and wearables are providing more granular, remote, and patient-centric data, and how these methodological choices help sponsors work through the operational hurdles that commonly cause programs to stall.
The conversation will also cover the regulatory challenges and economic considerations that shape drug repurposing strategies, including how feasibility and commercial attractiveness factor into development decisions.
What you'll learn
- A framework for selecting and integrating digital endpoints and wearables when in-person procedures aren't required for the primary scientific question
- The composite-endpoint approach for biomarker-poor indications: layering subjective PROs with objective digital signals to support regulatory submissions
- Practical design principles for remote and hybrid designs that maintain regulatory-grade rigor across underserved indications with remote-capturable endpoints
- Operational proof points on enrollment, retention, and data completeness in a fully decentralized model, with ReMEdi-specific benchmarks shared where available
Register here
Meet the panel
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