CDDF Multi-Stakeholder Workshop Challenges in the Landscape of a Global Development Strategy, including patient access 30 March – 31 March 2026, Hybrid Workshop Presentations Key note Lecture : ICH E22 guideline on patient preferences Key note Lecture : ICH E22 guideline on patient preferences – Francesco Pignatti EMA, NL) SESSION 1: Navigating the Regulatory Maze: Towards Global Harmonization Balancing country enrolment requirements – Rosanno Cesari (Pfizer, IT) Mathematical design challenges – Scott Evans (George Washington University DC, US) Acceptance of non local data for local approval – Eva Skovlund (Norwegian Medical Products Agency, CHMP, CDDF, NO) How to ensure patient diversity and inclusion in global clinical trials – Nadia Malliou (Pain Alliance Europe, GR) SESSION 2: Use of pragmatic elements in clinical trials Regulatory Considerations for Use of Patient-Reported Outcomes in Oncology – Vishal Bhatnagar (FDA, US) FDA Project Frontrunner – Accelerating Drug Approval for Patients – Jin Chen (IQVIA, US) The importance of including Patient Reported Outcomes from patient perspective – Alex Filicevas (World Bladder Cancer Patient Coalition, BE) Patient Reported Outcomes for reimbursement and patient access – Beate Wieseler (IQWIG, DE) SESSION 3: Driving research using health data How the landscape of trials has changed in the last 20 years, from a chain of subsequent studies, to 1 or 2 studies that include everything – Elisabeth De Vries (UMC Groningen, NL) Global Regulatory Flexibility in Oncology FIH Trials: Navigating Cohort/Trial Modifications in Early Oncology Trials Cohort Adaptations – Lynn Howie (Pfizer, US) Key Considerations for HA when Reviewing Cohort/Trial Modifications versus preferring completely New Protocols in Early Oncology Trials – Dr Kingyin Lee (MHRA, UK) SESSION 4: Wrap-up and panel discussion