000277334 001__ 277334 000277334 005__ 20250323000928.0 000277334 0247_ $$2doi$$a10.1186/s12961-025-01287-y 000277334 0247_ $$2pmid$$apmid:40016823 000277334 0247_ $$2pmc$$apmc:PMC11869640 000277334 0247_ $$2altmetric$$aaltmetric:174835203 000277334 037__ $$aDZNE-2025-00395 000277334 041__ $$aEnglish 000277334 082__ $$a610 000277334 1001_ $$0P:(DE-2719)9002192$$aPeltner, Jonas$$b0$$eFirst author$$udzne 000277334 245__ $$aThe EU project Real4Reg: unlocking real-world data with AI. 000277334 260__ $$aLondon$$bBioMed Central$$c2025 000277334 3367_ $$2DRIVER$$aarticle 000277334 3367_ $$2DataCite$$aOutput Types/Journal article 000277334 3367_ $$0PUB:(DE-HGF)16$$2PUB:(DE-HGF)$$aJournal Article$$bjournal$$mjournal$$s1741167850_8232 000277334 3367_ $$2BibTeX$$aARTICLE 000277334 3367_ $$2ORCID$$aJOURNAL_ARTICLE 000277334 3367_ $$00$$2EndNote$$aJournal Article 000277334 520__ $$aThe use of real-world data is established in post-authorization regulatory processes such as pharmacovigilance of drugs and medical devices, but is still frequently challenged in the pre-authorization phase of medicinal products. In addition, the use of real-world data, even in post-authorization steps, is constrained by the availability and heterogeneity of real-world data and by challenges in analysing data from different settings and sources. Moreover, there are emerging opportunities in the use of artificial intelligence in healthcare research, but also a lack of knowledge on its appropriate application to heterogeneous real-world data sources to increase evidentiary value in the regulatory decision-making and health technology assessment context.The Real4Reg project aims to enable the use of real-world data by developing user-friendly solutions for the data analytical needs of health regulatory and health technology assessment bodies across the European Union. These include artificial intelligence algorithms for the effective analysis of real-world data in regulatory decision-making and health technology assessment. The project aims to investigate the value of real-world data from different sources to generate high-quality, accessible, population-based information relevant along the product life cycle. A total of four use cases are used to provide good practice examples for analyses of real-world data for the evaluation and pre-authorization stage, the improvement of methods for external validity in observational data, for post-authorization safety studies and comparative effectiveness using real-world data. This position paper introduces the objectives and structure of the Real4Reg project and discusses its important role in the context of existing European projects focussing on real-world data.Real4Reg focusses on the identification and description of benefits and risks of new and optimized methods in real-world data analysis including aspects of safety, effectiveness, interoperability, appropriateness, accessibility, comparative value creation and sustainability. The project's results will support better decision-making about medicines and benefit patients' health. Trial registration Real4Reg is registered in the HMA-EMA Catalogues of real-world data sources and studies (EU PAS number EUPAS105544). 000277334 536__ $$0G:(DE-HGF)POF4-354$$a354 - Disease Prevention and Healthy Aging (POF4-354)$$cPOF4-354$$fPOF IV$$x0 000277334 588__ $$aDataset connected to CrossRef, PubMed, , Journals: pub.dzne.de 000277334 650_2 $$2MeSH$$aArtificial Intelligence 000277334 650_2 $$2MeSH$$aEuropean Union 000277334 650_2 $$2MeSH$$aHumans 000277334 650_2 $$2MeSH$$aTechnology Assessment, Biomedical 000277334 650_2 $$2MeSH$$aPharmacovigilance 000277334 650_2 $$2MeSH$$aDecision Making 000277334 650_2 $$2MeSH$$aAlgorithms 000277334 7001_ $$0P:(DE-2719)9000482$$aBecker, Cornelia$$b1 000277334 7001_ $$0P:(DE-2719)9000812$$aWicherski, Julia$$b2 000277334 7001_ $$aWortberg, Silja$$b3 000277334 7001_ $$aAborageh, Mohamed$$b4 000277334 7001_ $$aCosta, Inês$$b5 000277334 7001_ $$aEhrenstein, Vera$$b6 000277334 7001_ $$aFernandes, Joana$$b7 000277334 7001_ $$aHeß, Steffen$$b8 000277334 7001_ $$aHorváth-Puhó, Erzsébet$$b9 000277334 7001_ $$aKorcinska Handest, Monika Roberta$$b10 000277334 7001_ $$aLentzen, Manuel$$b11 000277334 7001_ $$aMaguire, Peggy$$b12 000277334 7001_ $$aMeedom, Niels Henrik$$b13 000277334 7001_ $$aMoore, Rebecca$$b14 000277334 7001_ $$aMoore, Vanessa$$b15 000277334 7001_ $$aNagy, Dávid$$b16 000277334 7001_ $$aMcNamara, Hillary$$b17 000277334 7001_ $$aPaakinaho, Anne$$b18 000277334 7001_ $$aPfeifer, Kerstin$$b19 000277334 7001_ $$aPylkkänen, Liisa$$b20 000277334 7001_ $$aRajamaki, Blair$$b21 000277334 7001_ $$aReviers, Evy$$b22 000277334 7001_ $$0P:(DE-2719)2812311$$aRöthlein, Christoph$$b23 000277334 7001_ $$0P:(DE-2719)9002837$$aRussek, Martin$$b24$$udzne 000277334 7001_ $$aSilva, Célia$$b25 000277334 7001_ $$aDe Valck, Dirk$$b26 000277334 7001_ $$aVo, Thuan$$b27 000277334 7001_ $$aBräuner, Elvira$$b28 000277334 7001_ $$aFröhlich, Holger$$b29 000277334 7001_ $$aFurtado, Cláudia$$b30 000277334 7001_ $$aHartikainen, Sirpa$$b31 000277334 7001_ $$aKallio, Aleksi$$b32 000277334 7001_ $$aTolppanen, Anna-Maija$$b33 000277334 7001_ $$0P:(DE-2719)2810511$$aHaenisch, Britta$$b34$$eLast author$$udzne 000277334 773__ $$0PERI:(DE-600)2101196-5$$a10.1186/s12961-025-01287-y$$gVol. 23, no. 1, p. 27$$n1$$p27$$tHealth research policy and systems$$v23$$x1478-4505$$y2025 000277334 8564_ $$uhttps://pub.dzne.de/record/277334/files/DZNE-2025-00395.pdf$$yOpenAccess 000277334 8564_ $$uhttps://pub.dzne.de/record/277334/files/DZNE-2025-00395.pdf?subformat=pdfa$$xpdfa$$yOpenAccess 000277334 909CO $$ooai:pub.dzne.de:277334$$pdnbdelivery$$pdriver$$pVDB$$popen_access$$popenaire 000277334 9101_ $$0I:(DE-588)1065079516$$6P:(DE-2719)9002192$$aDeutsches Zentrum für Neurodegenerative Erkrankungen$$b0$$kDZNE 000277334 9101_ $$0I:(DE-HGF)0$$6P:(DE-2719)9002837$$aExternal Institute$$b24$$kExtern 000277334 9101_ $$0I:(DE-588)1065079516$$6P:(DE-2719)2810511$$aDeutsches Zentrum für Neurodegenerative Erkrankungen$$b34$$kDZNE 000277334 9131_ $$0G:(DE-HGF)POF4-354$$1G:(DE-HGF)POF4-350$$2G:(DE-HGF)POF4-300$$3G:(DE-HGF)POF4$$4G:(DE-HGF)POF$$aDE-HGF$$bGesundheit$$lNeurodegenerative Diseases$$vDisease Prevention and Healthy Aging$$x0 000277334 9141_ $$y2025 000277334 915__ $$0StatID:(DE-HGF)0200$$2StatID$$aDBCoverage$$bSCOPUS$$d2024-12-11 000277334 915__ $$0StatID:(DE-HGF)0160$$2StatID$$aDBCoverage$$bEssential Science Indicators$$d2024-12-11 000277334 915__ $$0StatID:(DE-HGF)0130$$2StatID$$aDBCoverage$$bSocial Sciences Citation Index$$d2024-12-11 000277334 915__ $$0LIC:(DE-HGF)CCBY4$$2HGFVOC$$aCreative Commons Attribution CC BY 4.0 000277334 915__ $$0StatID:(DE-HGF)0600$$2StatID$$aDBCoverage$$bEbsco Academic Search$$d2024-12-11 000277334 915__ $$0StatID:(DE-HGF)0100$$2StatID$$aJCR$$bHEALTH RES POLICY SY : 2022$$d2024-12-11 000277334 915__ $$0StatID:(DE-HGF)1180$$2StatID$$aDBCoverage$$bCurrent Contents - Social and Behavioral Sciences$$d2024-12-11 000277334 915__ $$0StatID:(DE-HGF)0501$$2StatID$$aDBCoverage$$bDOAJ Seal$$d2024-04-10T15:39:48Z 000277334 915__ $$0StatID:(DE-HGF)0500$$2StatID$$aDBCoverage$$bDOAJ$$d2024-04-10T15:39:48Z 000277334 915__ $$0StatID:(DE-HGF)0700$$2StatID$$aFees$$d2024-12-11 000277334 915__ $$0StatID:(DE-HGF)9900$$2StatID$$aIF < 5$$d2024-12-11 000277334 915__ $$0StatID:(DE-HGF)0510$$2StatID$$aOpenAccess 000277334 915__ $$0StatID:(DE-HGF)0030$$2StatID$$aPeer Review$$bASC$$d2024-12-11 000277334 915__ $$0StatID:(DE-HGF)0561$$2StatID$$aArticle Processing Charges$$d2024-12-11 000277334 915__ $$0StatID:(DE-HGF)0300$$2StatID$$aDBCoverage$$bMedline$$d2024-12-11 000277334 915__ $$0StatID:(DE-HGF)0199$$2StatID$$aDBCoverage$$bClarivate Analytics Master Journal List$$d2024-12-11 000277334 9201_ $$0I:(DE-2719)1013010$$kAG Hänisch$$lPharmacoepidemiology$$x0 000277334 980__ $$ajournal 000277334 980__ $$aVDB 000277334 980__ $$aUNRESTRICTED 000277334 980__ $$aI:(DE-2719)1013010 000277334 9801_ $$aFullTexts