Validating and presenting digital endpoints in indications without biomarkers: lessons from the ReMEdi study in ME/CFS
Digital endpoints have moved from concept to practice, but the work of validating them, integrating them with traditional clinical data, and presenting them to regulators remains underdeveloped territory. In indications without validated biomarkers, the question gets sharper: subjective PROs alone can leave programs vulnerable to noise, and digital measures introduce challenges most teams haven't built playbooks for. ReMEdi paired ePROs with Oura ring continuous monitoring and GripAble remote functional testing in a fully decentralized Phase 2. This panel discussion covers the framework for selecting and validating digital measures, when continuous monitoring earns its place alongside PROs, and how the composite-endpoint angle is taking shape with regulators.
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 validating digital endpoints (including continuous-monitoring wearables and remote functional measures), with the ReMEdi team's experience presenting to regulators and how they've responded
- The composite-endpoint approach as a model for biomarker-poor indications: layering subjective PROs with objective digital signals to support regulatory submissions
- Practical design principles for remote study designs that maintain regulatory-grade rigor when the operational model is digital-first
- Operational proof points on enrollment, retention, and data completeness with ReMEdi-specific benchmarks shared where available
Register here
Meet the panel
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