Maintaining clinical rigor in a fully remote repurposing study: lessons from the ReMEdi study in ME/CFS
Repurposing programs face a particular tension. The existing safety profile may be well characterized, but the new indication often comes with its own clinical uncertainties, and the patients most affected are frequently those most excluded from traditional studies. In ME/CFS, that exclusion is structural; the patients most in need of new options often cannot travel to a site, narrowing the evidence base on which medical and regulatory decisions ultimately rest. ReMEdi was designed to include those patients without compromising data integrity, with telehealth visits, ePROs, and continuous wearable monitoring replacing the in-clinic workflow. Dr. Beata Godlewska, Principal Investigator, joins to discuss what clinical rigor required in practice.
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 and extend regulatory-grade rigor while including patients that traditional models exclude
- A framework for integrating digital endpoints and wearables alongside clinical assessment in repurposing programs, including how to validate digital measures
- A methodology for measuring operational performance in decentralized studies (enrollment timelines, retention, data completeness), with ReMEdi-specific benchmarks shared where available
- How these approaches translate to other repurposing contexts in underserved or biomarker-poor indications
Register here
Meet the panel
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