The added value of in silico models (including quantitative systems pharmacology models) for drug development is now unanimously recognized. It is, therefore, important that the standards used are commonly acknowledged by all the parties involved. On April 25 and 26, 2019, a multistakeholder workshop on the validation challenges for in silico models in drug development was organized in Belgium. As an outcome, a White Paper is foreseen in 2020 on standards for in silico model verification and validation.
CURRENT STATUS, GAPS, AND CHALLENGES IN ASSESSMENT OF MODELS FOR REGULATORY SUBMISSIONSDrug research, design, and development has a long-standing tradition in the use of in silico methodologies. In the context of clinical drug development Quantitative Structure-Property Relationship models in general and Quantitative Structure-Activity Relationship (QSAR) methods in particular, as well as pharmacometric approaches like population pharmacokinetics, pharmacokinetics (PKs)/pharmacodynamics, exposure-response, and physiology-based pharmacokinetics (PBPK) models are well-known. However, the in silico toolbox is rapidly expanding beyond these traditional/historical modeling technologies and new ones have emerged the last decades, including multiphysics simulations, the so-called systems medicine/pharmacology models (QSP) and clinical trial simulation tools (in silico clinical trials). In the remainder of this document, the term in silico models will be used to describe the collection of all the aforementioned modeling technologies.The added value of in silico models for drug development is now unanimously recognized by the scientific community. 1,2 Irrespective of the model used and the concerned part of the drug development pipeline, the evidence generated from these models, also called digital evidence, might eventually be included in regulatory submissions. In that case, the incorporation of digital evidence needs to follow standards of data/evidence generation, analysis, and reporting to enable the regulatory bodies to efficiently perform an adequate assessment of the submitted material.It is, therefore, of utmost importance that the standards to be considered are commonly acknowledged by all the involved parties (regulators, health technology assessment (HTA) agencies, academia, industry, regulators, and patients) and are relevant for all the types of models that can be included in regulatory submissions. The endorsement of these standards by regulators is particularly valuable because regulators generally provide guidance for data generation and reporting back to sponsors (industry or academia) thereby accelerating the uptake of the standards in the entire community and in the healthcare systems.Guidance documents have been published for QSAR models, 3 population PK models, 4 PK/pharmacodynamic or exposure-response models, 5,6 and more recently PBPK models, both by the European Medicines Agency (EMA) and the US Food and Drug Administration (FDA). 7,8 However, these guidelines are not fully applicable to all emergi...