Making development viable where traditional models stall: lessons from the ReMEdi study in ME/CFS
Underserved-indication programs often get planned around a traditional study model: site-based execution, conventional CRO scope, standard timelines. When the indication's structure doesn't fit that model, the program either reshapes early or runs into trouble later. The Phase 2 ReMEdi RCT in ME/CFS tested a different operational model, in a population the site-based model isn't built to reach, with endpoints that could be captured remotely. This panel discussion walks through the structural conditions that made fully remote execution work, and how the same approach applies to other underserved indications.
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 assessing whether your indication is a candidate for full or hybrid decentralization, based on population reach and endpoint structure
- Insight into how innovative study design applies across program types, including drug repurposing where cost discipline is especially critical
- Practical design principles for remote and hybrid studies that maintain regulatory-grade rigor across hard-to-recruit indications
- A methodology for measuring operational performance (enrollment timelines, retention, data completeness), with ReMEdi-specific benchmarks shared where available
Register here
Meet the panel
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