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ReviewPharmacoepidemiology and drug safety2019

The ENCePP Code of Conduct: A best practise for scientific independence and transparency in noninterventional postauthorisation studies.

Rosa Gini, Xavier Fournie, Helen Dolk, Xavier Kurz, Patrice Verpillat, François Simondon, Valerie Strassmann, Kathi Apostolidis, Thomas Goedecke

Abstract readReview
In one paragraph

Review in Pharmacoepidemiology and drug safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
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  9. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rosa GiniOsservatorio di Epidemiologia, Agenzia regionale di sanità della Toscana, Florence, Italy.ORCID 0000-0002-6250-877X
Xavier FournieGlobal Medical Affairs, ICON Commercialisation & Outcomes, Lyon, France.
Helen DolkFaculty of Life and Health Sciences, University of Ulster at Jordanstown, Jordanstown, UK.ORCID 0000-0001-6639-5904
Xavier KurzPharmacovigilance and Epidemiology Department, Inspections, Human Medicines Pharmacovigilance and Committees Division, European Medicines Agency, Amsterdam, The Netherlands.ORCID 0000-0002-9838-7754
Patrice VerpillatGlobal Epidemiology, Merck Group, Darmstadt, Germany.
François SimondonMother and Child Health Research Unit IRD, Universite Paris Descartes, Paris, France.
Valerie StrassmannPharmacovigilanz, Bundesinstitut für Arzneimittel und Medizinprodukte (BfArM), Bonn, Germany.
Kathi ApostolidisVice President, European Cancer Patient Coalition (ECPC), Brussels, Belgium.ORCID 0000-0003-0931-2652
Thomas GoedeckePharmacovigilance and Epidemiology Department, Inspections, Human Medicines Pharmacovigilance and Committees Division, European Medicines Agency, Amsterdam, The Netherlands.ORCID 0000-0002-0141-4518

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe ENCePP Code of Conduct provides a framework for scientifically independent and transparent pharmacoepidemiological research. Despite becoming a landmark reference, practical implementation of key provisions was still limited. The fourth revision defines scientific independence and clarifies uncertainties on the applicability to postauthorisation safety studies requested by regulators. To separate the influence of the funder from the investigator's scientific responsibility, the Code now requires that the lead investigator is not employed by the funding institution.

methodTo assess how the revised Code fits the ecosystem of noninterventional pharmacoepidemiology research in Europe, we first mapped key recommendations of the revised Code against ISPE Good Pharmacoepidemiology Practices and the ADVANCE Code of Conduct. We surveyed stakeholders to understand perceptions on its value and practical applicability. Representatives from the different stakeholders' groups described their experience and expectations.

resultsUnmet needs in pharmacoepidemiological research are fulfilled by providing unique guidance on roles and responsibilities to support scientific independence. The principles of scientific independence and transparency are well understood and reinforce trust in study results; however, around 70% of survey respondents still found some provisions difficult to apply. Representatives from stakeholders' groups found the new version promising, although limitations still exist.

conclusionBy clarifying definitions and roles, the latest revision of the Code sets a new standard in the relationship between investigators and funders to support scientific independence of pharmacoepidemiological research. Disseminating and training on the provisions of the Code would help stakeholders to better understand its advantages and promote its adoption in noninterventional research.

Indexed as

Epidemiologic Research DesignPharmacovigilancePractice Guidelines as TopicConflict of InterestEuropeHumansPharmacoepidemiologyResearch Personnelconflict of interestethicsobservational studies as topicpharmacoepidemiologypharmacovigilancepractise guidelineresearch

Identifiers

PMID30838708
PMCPMC6594014

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.