Market Pathways Top 5: March 2022

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The top five Market Pathways articles posted in March to, chosen by readers and editors, include a look at racial equity in device clinical trials, reimbursement for prescription digital therapeutics, terms of the MDUFA V deal, Switzerland and the UK operating outside the MDR, and Pathways' Document Depot, our database of global policy documents.

The top five Market Pathways March articles.

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#1: Prescription Digital Therapeutics: Reimbursement Picture Comes into Focus

Makers of FDA-grade software platforms emerging to treat mental health conditions in recent years have been pulling at whatever reimbursement threads they can to support commercial rollouts. But several recent policy developments may help the sector streamline their paths to payment and crack into the Medicare market.

#2: Pathways Document Depot: Cataloging Medtech Policy

A specification document on the quality management of clinical trials in China, a technology assessment from UK NICE for a COPD management app, and technical revisions to the EU’s guide on "summary of safety and clinical performance" (SSCP) requirements are among items captured recently in Pathways’ Document Depot.

#3: MDUFA V Deal Features Add-On Payments, Hiring Targets, and FDA’s TAP

After more than a year of intense negotiations, FDA and industry have reached a deal on device user fee reauthorization. It will include fee increases for industry, potential “add-on” payments to FDA, strict hiring targets, a focus on pre-submissions, and a pilot launch of the agency’s hard-sought TPLC Advisory Program.

#4: Switzerland and the UK: Regulating Outside of MDR

Even with the new MDR, there are two glaring gaps in what was supposed to be a uniform European medtech regulatory system: Switzerland and the UK, which, for different reasons, play by their own rules, and it isn’t clear if or when this will change.

#5: Racial Equity Increasing in Device Trials, But Reporting Remains Low

A look at the reported racial composition of device clinical trials is a good news/bad news situation: the inclusion of minority patients appears to be on the upswing, but the overall level of companies reporting such data remains low. We dig into the issue with Epstein Becker Green's Brad Thompson, who provided and helped mine this data.

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Articles from Nancy Dvorin:

Perspective & Commentary

Digital Edition: MedTech Strategist May 2022, Vol. 9, No. 5

Movano's strategy from the outset was to position itself as a medical device company and to seek FDA clearance for its wearable products. Read our interview with CEO John Mastrototaro inside. Neuroelectrics CEO Ana Maiques talks about developing her company's precision brain stimulation therapy and the need for greater diversity in the medtech C-suite. Plus a look at Sonder Capital, a VC firm with deep roots in the device industry, and profiles of CurvaFix, EvoEndo, and Onera Health.

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