Global real-world evidence (RWE) pilot study in antimicrobial resistance (AMR)

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The Challenge

The sponsor had a long track record in global AMR surveillance, traditionally reliant on central labs to process and report microbiological data.

But this time, they wanted something more flexible. A faster, decentralised approach that could collect anonymised real-world data — both microbiological and clinical outcomes — directly from hospital sites.

Micron was tasked with enabling this shift: Build a solution that would accept structured data from local LIMS (Laboratory Information Management Systems) where possible, and manually where necessary — all while maintaining data integrity.

Micron's Contribution

Our Approach & Impact

We activated 21 study sites across five countries:

🇮🇳 India, 🇲🇽 Mexico, 🇸🇦 Saudi Arabia, 🇪🇸 Spain, and 🇬🇧 the UK.

Depending on technical capability, each site submitted anonymised data:

  • Electronically via their LIMS
  • Or manually, supported by Micron’s onboarding and data teams

In total:

  • 8,060 hospitalised patient records were submitted
  • 7,444 (92%) were complete enough to include in the final analysis
  • All data was coded and processed by Micron’s internal data management team

To empower real-time use of the results, we built a secure, web-based portal where both study sites and the sponsor could view and analyse the AMR dataset via a custom database interface.

Conclusion

This pilot study successfully demonstrated the feasibility of using real-world data — including anonymised EHR and microbiological results — to track AMR and patient outcomes across international hospital sites.

Key takeaways:

  • The approach is scalable. This methodology can be applied to other therapy areas beyond AMR.
  • Flexibility is critical. Sites varied significantly in their data quality and technical infrastructure. A rigid, one-size-fits-all model wouldn’t have worked.
  • Data completeness matters. Compared to clinical trials, real-world EHRs may be relatively incomplete. But with the right tools and a site-aware strategy, valuable insights are still achievable.

Let's build a partnership!

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