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  5. Co-sponsored Public Workshop - Expediting Innovation of Bioelectronic Implants for Vision Restoration - 10/24/2022
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Workshop

Event Title
Co-sponsored Public Workshop - Expediting Innovation of Bioelectronic Implants for Vision Restoration
October 24 - 25, 2022

Date:
October 24 - 25, 2022
Time:
8:30 AM - 3:30 PM ET
Image
Illustration of an eye with blue lines surrounding it

SUMMARY

The Food and Drug Administration (FDA) is announcing a co-sponsored public workshop with the University of Pittsburgh entitled, "Expediting Innovation of Bioelectronic Implants for Vision Restoration." The purpose of this workshop is to provide a forum for all stakeholders, including patients, clinicians, manufacturers, regulators, and professional societies to share their perspectives on the safety and effectiveness of bioelectronic implants for vision restoration.

BACKGROUND

In 2017, more than 1 million people in the US met the definition of blindness (with 20/200 best-corrected visual acuity or less in the better-seeing eye)1,2 By 2050, this number is projected to increase to 4 million based on shifting demographics and an aging population.3 One approach to treating those with profound vision loss (e.g., patients suffering from late stage age-related macular degeneration, retinitis pigmentosa, trauma) is to use bioelectronic implants (e.g., retinal and cortical implants). These devices aim to achieve artificial perception, restore vision and aid in the achievement of tasks of daily living. However, there are unique considerations and technological challenges associated with the development and assessment of bioelectronic implants for vision restoration.

This public workshop aims to foster a conversation about these challenges and include discussions regarding the relevant regulatory pathways for these types of implants, nonclinical data requirements, possible novel safety and effectiveness clinical endpoints, aspects of technology translation, possible methods to conduct real-life daily activities assessments for low vision patients, and possible methods to collect patient reported outcome measures related to bioelectronic implants for vision restoration. The workshop will also include discussions related to patient perspectives and experiences with bioelectronic implants, and some of the elements that are important to patients when considering the benefits and risks of using these devices.

The FDA and University of Pittsburgh plan to release a summary of the proceedings following the workshop to share key takeaways from panel discussions, breakout sessions, and comments received.


DATE and TIME

This virtual workshop will be held on October 24-25, 2022 beginning at 8:30 a.m until 3:30 p.m ET

WEBCAST

The co-sponsored public workshop will be webcasted, and the link will be provided in your confirmation email if you registered to view the webcast. The link for the archived webcast will be posted to the webpage for viewing after the workshop.

PRELIMINARY AGENDA

The following public workshop agenda is preliminary and subject to change. 

Time (Eastern) Topic Name of Session Chair / Speakers
8:30 am - 8:45 am Day 1: Welcome and Introduction Malvina Eydelman, MD
Food and Drug Administration
8:45 am - 10:15 am SESSION 1: Bioelectronic Implants and Public Health Impact  
8:45 am - 9:05 am Why do we need Bioelectronic Implants? José-Alain Sahel, MD
University of Pittsburgh
9:05 am - 9:25 am Psychological Considerations Thiran Jayasundera, MD
University of Michigan
9:25 am - 9:45 am Socioeconomic Considerations Nabin Paudel, PhD
Retina International
9:45 am - 10:05 Ethical Considerations Joseph Fins, MD
Weill Cornell Medicine
10:05 am - 10:15 am Patient Experiences  
10:15 am - 10:25 am Break  
10:25 am - 12:15 pm  SESSION 2: Technology and Regulation  
10:25 am - 10:45 am Subretinal implants Daniel Palanker, PhD
Stanford University
10:45 am - 11:05 am Epiretinal implants Mark Humayun, MD, PhD
University of Southern California Institute for Biomedical Therapeutics
11:05 am - 11:25 am Cortical implants Nader Pouratian, MD, PhD
UT Southwestern Medical Center
11:25 am - 11:35 am Patient Experiences  
11:35 am - 12:15 pm Regulatory Background & Requirements

Michelle Sandrian, PhD
Food and Drug Administration

Lan Yue, PhD
Food and Drug Administration

12:15 pm - 1:15 pm  Break  
1:15 pm - 3:15 pm SESSION 3: Patient Perspectives  
1:15 pm - 2:15 pm Patient Panel Introductions  
2:15 pm - 3:15 pm Moderated Patient Panel Discussion Moderator: Tracy Gray, MBA, RN, MS
Food and Drug Administration 
3:15 pm - 3:25 pm Day 1: Wrap-Up Tieuvi Nguyen, PhD
Food and Drug Administration

 

Time (Eastern) Topic Name of Session Chair / Speakers
8:30 am - 8:35 am Day 2: Welcome & Recap Tieuvi Nguyen, PhD
Food and Drug Administration
8:35 am - 9:45 am SESSION 4: Evaluation of Bioelectronic Implants: Safety  
8:35 am - 9:05 am Bioelectronic Implants: Overview of Clinical Safety Endpoints and Evidence James Weiland, PhD
University of Michigan
9:05 am - 9:45 am Moderated Q&A: Safety of Bioelectronic Implants Moderator: Michael Repka, MD
MBA Johns Hopkins University
9:45 am - 10:00 am Break  
10:00 am - 11:30 am SESSION 5: Clinical Outcome Assessments and Patient Preference  
10:00 am - 10:20 am FDA Regulatory framework for Clinical Outcomes Assessments and Patient Preference

Fraser Bocell, PhD
Food and Drug Administration

David Gebben, PhD
Food and Drug Administration 

10:30 am - 10:40 am Clinical Outcomes Assessment for Bioelectronic Implants: NEI Perspective Emily Chew, MD
National Eye Institute
10:40 am - 11:10 am Clinical Outcomes Assessment for Bioelectronic Implants: University of Pittsburgh

Emily Grattan, PhD, OTR/L
University of Pittsburgh

Rakie Cham, PhD
University of Pittsburgh 

Jose Sahel, MD
University of Pittsburgh 

11:10 am - 11:30 am Moderated Q&A: Clinical Outcomes Assessment for Bioelectronic Implants Moderator: Michelle Tarver
Food and Drug Administration
11:30 am - 12:20 pm Break  
12:20 pm - 1:30  SESSION 6: Effectiveness  
12:20 pm - 12:50 pm Bioelectronic Implants: Overview of Clinical Effectiveness Endpoints and Evidence Gislin Dagnelie, PhD
Johns Hopkins University
12:50 pm - 1:30 pm  Moderated Q&A: Effectiveness of Bioelectronic Implants Moderator: Elvin Ng
Food and Drug Administration
1:30 pm - 2:30 pm SESSION 7: Post-market Considerations  
1:30 pm - 1:50 pm FDA: Post-Approval Studies, Postmarket Surveillance and Real World Evidence Nilsa Loyo-Berrios, PhD
Food and Drug Administration
1:50 pm - 2:00 pm Patient Experiences  
2:00 pm - 2:30 pm  Moderated Q&A: Post-Market Considerations Michael Repka, MD, MBA
Johns Hopkins University
2:30 pm - 3:30 pm  SESSION 8: Government Agency Opportunities for Device Innovation  
2:30 pm - 3:00 pm  Government Agency Programs for Bioelectronic Implants

Sohi Rastegar, PhD 
National Science Foundation

Paek Lee, PhD 
National Eye Institute

Lina Kubli, PhD
Department of Veterans Affairs

Tian Wang, PhD
Congressionally Directed Medical Research Programs

Joeanna Arthur, PhD
Defense Advanced Research Projects Agency

3:00 pm - 3:30 pm  Moderated Q&A: Government Agency Opportunities for Device Innovation

Co-moderators:
Mark Humayun, MD, PhD
University of Southern California Institute for Biomedical Therapeutics

Jose Sahel, MD
University of Pittsburgh

3:30 pm - 3:35 pm  Day 2: Workshop Concluding Remarks and Next Steps

Jose Sahel, MD
University of Pittsburgh

Malvina Eydelman, MD
Food and Drug Administration

STEERING COMMITTEE BIOSKETCHES

Expediting Innovation of Bioelectronic Implants for Vision Restoration Public Workshop Biosketches

REGISTRATION

If you wish to attend this workshop, you must register by 4:00 p.m. ET on October 20, 2022. There is no fee to register for the public workshop and registration will be on a first-come, first-served basis. When registering, you must provide the following information:

  1. First Name
  2. Last Name
  3. Affiliation, Company, or Organization
  4. Stakeholder category (Academia, Clinician, Consultant, Government, Industry, Press, Regulatory, and Other)
  5. Email address
  6. Telephone number

Registrants will receive confirmation when requests for participation have been accepted.

If you require special accommodations due to a disability, or need additional information regarding registration, please contact Susan Monahan, Office of Communication and Education, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Avenue, Bldg. 32, Silver Spring, MD 20993, 301-796-5661, Susan.Monahan@fda.hhs.gov.

COMMENTS

Please submit your comments regarding the workshop to https://www.regulations.gov/, Docket: FDA-2022-N-1542 by November 22, 2022.

Please refer to the Instructions for submitting comments (Regulations.gov) to the docket to ensure that your feedback is received.  

The Docket is no longer accepting comments on topics for discussion for this workshop.

The resulting discussions from the workshop and comments received in the docket will be taken into consideration.

CONTACT

For questions regarding workshop content, please contact:

Michelle Gabriele Sandrian
Center for Devices and Radiological Health
Food and Drug Administration
10903 New Hampshire Ave.
Silver Spring, MD 20993
301-796-6620
CDRH-VisionWorkshop@fda.hhs.gov

REFERENCES

1 Centers for Disease Control and Prevention Prevalence Estimates, available at: https://www.cdc.gov/visionhealth/vehss/estimates/index.html

2 Flaxman AD, Wittenborn JS, Robalik T, Gulia R, Gerzoff RB, Lundeen EA, Saaddine J, and Rein DB, Prevalence of Visual Acuity Loss or Blindness in the US. JAMA Ophthalmol. 2021; 139(7):717-723.

3 Blindness Data and Statistics from the National Eye Institute, available at: https://www.nei.nih.gov/learn-about-eye-health/outreach-campaigns-and-resources/eye-health-data-and-statistics/blindness-data-and-statistics


Event Materials

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