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Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
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A

Public Meeting Agendas

Meeting 1 Agenda
Thursday, January 26, 2023

10:30–11:30 a.m. CLOSED SESSION—COMMITTEE MEMBERS ONLY
11:30–11:50 Break

OPEN SESSION

11:50–11:55 Welcome and Introductions
Mimi Foster Riley, Committee Chair
Professor of Law
University of Virginia
11:55–12:10 p.m. Sponsor Perspective and Charge to the Committee
Camille Fabiyi
Program Officer, NICHD
National Institutes of Health
Aaron Pawlyk
Chief, Obstetric and Pediatric Pharmacology and Therapeutics Branch, NICHD
National Institutes of Health
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
Nahida Chakhtoura
Branch Chief, Pregnancy and
Perinatology Branch, NICHD
National Institutes of Health
12:10–12:45 Discussion with Committee
12:45 ADJOURN OPEN SESSION
12:45–1:45 Break
1:45–4:30 CLOSED SESSION—COMMITTEE MEMBERS ONLY
4:30 END OF MEETING

Meeting 2 Agenda
Thursday, March 23, 2023
CLOSED SESSION—COMMITTEE MEMBERS ONLY

9:30–10:00 a.m. Closed Session Deliberations

OPEN SESSION—PUBLIC WORKSHOP
Welcome and Introduction

10:00–10:10 Opening Remarks
Mimi Foster Riley, Committee Chair
Professor of Law
University of Virginia

SESSION I – Product Liability
Considerations

Session Objectives

  • Discuss the role of product liability considerations in creating incentives and/or disincentives for medical product companies to generate evidence for the safety and efficacy of their products in pregnant and lactating populations; and
  • Consider what incentives and accountability measures may be effective in generating evidence for pregnant and lactating populations.
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
10:10–10:25 Fireside Chat
Bruce Kuhlik, Moderator
Former General Counsel
Merck & Co.
Defense Attorney Perspective
John Beisner
Partner
Skadden, Arps, Slate, Meagher & Flom LLP and Affiliates
10:25–10:45 Discussion with Committee

SESSION II—THE ROLE OF RISK MANAGEMENT AND TRIAL INSURANCE

Session Objectives

  • Understand what factors or considerations influence decisions to include or exclude pregnant and lactating populations from clinical research;
  • Discuss how risk and benefit are assessed for populations that are being considered for inclusion in a clinical research study, as well as for the institutions conducting, funding, or insuring the study; and
  • Examine opportunities to apply risk mitigation strategies to clinical research that includes pregnant and lactating populations.
10:45–11:10 Panel Discussion
Patricia Danzon, Moderator
Celia Moh Professor of Healthcare Management
University of Pennsylvania
Trial Insurance Perspective
Sara Dyson
Vice President of Underwriting Operations and Risk Management
Medmarc
Academic Medical Center Perspective
Hillary Noll Kalay
Principal Counsel
University of California
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
Institutional Review Board Perspective
Elisa Hurley
Executive Director
Public Responsibility in Medicine and Research
11:10–11:45 Discussion with Committee
11:45–12:45 LUNCH BREAK

SESSION III—EQUITY CONSIDERATIONS FOR INJURY COMPENSATION

Session Objectives

  • Understand how research participants view and make decisions regarding participation in clinical research while pregnant or lactating;
  • Consider various perspectives on what constitutes fair and just compensation for participants harmed in the course of clinical research;
  • Examine the benefits and drawbacks to different injury compensation schemes in the context of promoting fairness and justice; and
  • Discuss opportunities to improve upon existing compensation schemes to make them more equitable.
12:45–1:00 Presentation
Jason Malone
Director of the Human Subjects Division
University of Washington
1:00–1:45 Panel Discussion
Anne C.C. Lee, Moderator
Director of Global Newborn Health
Brigham and Women’s Hospital
Harvard Medical School
Research Participant Perspective
Marcela Smid
Research Participant
Jillian Brown
Research Participant
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
No Fault Compensation Perspective
Efthimios Parasidis
Chief Justice Thomas J. Moyer Professorship for the Administration of Justice and Rule of Law
Ohio State University
Renée Gentry
Principal Partner
The Law Office of Renée J. Gentry
Tort Perspective
Michelle Mello
Professor of Law and Health Policy
Stanford University
1:45–2:30 Discussion with Committee
2:30–3:00 BREAK

SESSION IV—CASE STUDIES IN RISK MITIGATION

Session Objectives

  • Consider approaches that various institutions have adopted to mitigate risk and liability in clinical research that includes pregnant or lactating persons;
  • Discuss challenges and successes of adopting and implementing risk and liability mitigation strategies for research involving pregnant or lactating persons; and
  • Discuss opportunities to scale risk and liability mitigation strategies to other clinical research studies that could include pregnant or lactating persons.
3:00–3:20 Panel Discussion
Anna C. Mastroianni, Moderator
Research Professor in Bioethics and Law
John Hopkins Berman Institute of Bioethics
Charles I Stone Professor of Law Emeritus
University of Washington
Nonprofit Perspective
Metin Gülmezoglu
Executive Director
Concept Foundation
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
Niranjan Bhat
Senior Medical Officer
PATH
Industry Perspective
Lorien Urban
Senior Medical Director, Clinical Development
Ferring Pharmaceuticals
3:20–4:00 Discussion with Committee

WORKSHOP ADJOURNS
CLOSED SESSION—COMMITTEE MEMBERS ONLY

4:15–4:30 Closed Session Deliberations
4:30 ADJOURN DAY 1

Friday, March 24, 2023
CLOSED SESSION—COMMITTEE MEMBERS ONLY

9:30–4:00 Closed Session Deliberations

Meeting 3 Agenda
Thursday, June 15, 2023
CLOSED SESSION—COMMITTEE MEMBERS ONLY

OPEN SESSION

10:15–11:15 Real-World Data and Real-World Evidence: Challenges and Opportunities Panel Discussion
Ahizechukwu Eke, Moderator
Director of Research, Division of
Maternal-Fetal Medicine
Johns Hopkins University
Industry Registry Perspective
Kristin Veley
Executive Director, Research Science
Epidemiology and Scientific Affairs, PPAS & RW PPD
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
Human Milk Biorepositories Perspective
Tina Chambers
Professor of Pediatrics
University of California San Diego
FDA Perspective
Tamara Johnson
Lead Medical Officer
Division of Pediatric and Maternal Health
FDA
Clinical Researcher Perspective
Jonathan Watanabe
Associate Dean of Pharmacy Assessment and Quality
University of California Irvine
11:15–11:30 Coffee Break
11:30–12:15 Discussion: Liability for Pregnant and Lactating Persons Exclusion
Leslie Meltzer-Henry, Moderator
Professor of Law
University of Maryland
Alan C. Milstein
Shareholder & Chairman, Department of Litigation
Sherman, Silverstein, Kohl, Rose & Podolsky, P.A.
12:15–1:15 LUNCH BREAK
1:15–2:15 Presentation on FDA Commissioned Paper
Julie Tibbets
Partner
Goodwin Procter LLP
Sarah Wicks
Associate
Goodwin Procter LLP
2:15–2:30 BREAK
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×

CLOSED SESSION—COMMITTEE MEMBERS ONLY

2:30–4:30 Closed Session Deliberations
4:30 ADJOURN DAY 1

Friday, June 16, 2023
CLOSED SESSION—COMMITTEE MEMBERS ONLY

OPEN SESSION

11:30–12:00 Product Liability Discussion
Bruce Kuhlik, Moderator
Former General Counsel
Merck & Co.
Kirke Weaver
General Counsel
Organon

CLOSED SESSION—COMMITTEE MEMBERS ONLY

12:45–4:00 Closed Session Deliberations
4:00 ADJOURN DAY 1

Meeting 4 Agenda
Thursday, July 13, 2023

10:30–3:00 CLOSED SESSION—COMMITTEE MEMBERS ONLY
12:15–1:00 Lunch Break

Friday, July 14, 2023

10:00–3:00 CLOSED SESSION—COMMITTEE MEMBERS ONLY
12:00–1:00 Lunch Break
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×

Meeting 5 Agenda
Wednesday, September 27, 2023

10:30–1:00 CLOSED SESSION—COMMITTEE MEMBERS ONLY

OPEN SESSION

1:00–2:00 Drug Development Incentive Programs: Experience with BPCA & PREA
FDA Perspective
Prabha Viswanathan
Deputy Director
Office of Pediatric Therapeutics,
Officer of the Commissioner, FDA
NIH Perspective
Perdita Taylor-Zapata
Program Lead, BPCA Clinical Program
NICHD
Public Policy Perspective
Florence Bourgeois
Codirector, Harvard–MIT Center for
Regulatory Science
Associate Professor of Pediatrics and
Emergency Medicine
Harvard Medical School
2:00–2:15 Coffee Break
2:15–5:00 CLOSED SESSION—COMMITTEE MEMBERS ONLY

Thursday, September 28, 2023

10:00–3:00 CLOSED SESSION—COMMITTEE MEMBERS ONLY

Meeting 6 Agenda
Friday, October 20, 2023

10:00–5:00 CLOSED SESSION—COMMITTEE MEMBERS ONLY
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×

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Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
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Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
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Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
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Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
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Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
Page 211
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
Page 212
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
Page 213
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
Page 214
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
Page 215
Suggested Citation:"Appendix A: Public Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2024. Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks. Washington, DC: The National Academies Press. doi: 10.17226/27595.
×
Page 216
Next: Appendix B: Scope of Liability Related to Pharmaceuticals Dispensed to Pregnant and Lactating Women »
Advancing Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks Get This Book
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Congress called on the National Academies to convene a committee to examine the real and perceived risks of liability arising from research conducted with pregnant and lactating women. The resulting report, Clinical Research with Pregnant and Lactating Populations: Overcoming Real and Perceived Liability Risks, explores and finds limited evidence of legal liability for inclusion of pregnant and lactating women in clinical research, contradicting perceptions of heightened liability. The committee also makes recommendations that could lead to a more robust evidence base about the safety and efficacy of medications for pregnant and lactating women that would facilitate more informed decision making regarding care while mitigating liability.

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