- Journal
- Journal of Market Access & Health Policy
- Year
- 2026
- Authors
- Grammati Sarri, Bengt Liljas, Keith R Abrams, Stephen J Duffield, Murtuza Bharmal
Short summary
This publication maps how real-world evidence can support JSC, JCA and national HTA submissions. It is particularly relevant for Delta-Dossiers because RWE generated for the JCA context may need to be localized, supplemented, updated or re-analyzed for national HTA requirements.
Key takeaways
- RWE can support PICO simulations, disease characterization, prognostic factors, effect modifiers and external control arms.
- EU HTAR guidance on the use of RWE remains limited.
- National HTA bodies apply different requirements and acceptance levels for RWE.
- After or in parallel with JCA, HTDs need to assess whether RWE is usable for national Delta-Dossiers.
- For Germany, local standard-of-care comparators, subgroups and clinical practice patterns may become decisive.
Relevance for JCA, AMNOG and Delta-Dossiers
RWE can help address evidence gaps between the European JCA and national assessment. In Germany, the critical question is whether real-world data fit the appropriate comparator therapy, local clinical practice, subgroup logic and patient-relevant endpoints.