Including patients traditional studies exclude, without compromising rigor: lessons from the ReMEdi study in ME/CFS
In any indication where patients are structurally hard to reach (mobility limitations, episodic symptoms, geographic dispersion, homebound populations, working-age PTO constraints), the patients most affected, and most in need of new options, are routinely excluded from clinical research. That exclusion is not just an ethical concern; it narrows the evidence base on which medical and regulatory decisions rest. ReMEdi was designed for one such population, severe ME/CFS, on the principle that inclusion and rigor are not a tradeoff. Telehealth visits, ePROs, and continuous wearable monitoring replaced the in-clinic workflow. Dr. Beata Godlewska, Principal Investigator, joins to discuss what clinical rigor required in practice, and what the design implies for other indications where the same access problem applies.
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
- Practical design principles for remote studies that maintain regulatory-grade rigor while including patients traditional models exclude
- A framework for integrating digital endpoints and wearables alongside clinical assessment, including how to validate digital measures and present them to regulators
- Transferable learnings across indications with structurally hard-to-reach populations and remote-capturable endpoints
- A methodology for measuring operational performance in decentralized studies, with ReMEdi-specific benchmarks shared where available
Register here
Meet the panel
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