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Using real-world evidence to pressure-test oncology target product profiles


Executive summary

Target product profiles guide some of the most important decisions in oncology development long before trial data becomes available. Teams must define the patient population, clarify unmet need, assess standards of care, and determine what level of benefit would meaningfully differentiate a future therapy.

However, these decisions often rely on assumptions about diagnosis, biomarker testing, treatment sequencing, and future evidence requirements. If teams test those assumptions too late, they may need to revisit their strategy after setting timelines, budgets, and stakeholder expectations.

Real-world evidence can help teams pressure-test oncology target product profiles before they finalize major development decisions. However, the evidence must address the specific TPP question. The strongest approach combines relevant data sources, clinically meaningful cohorts, appropriate methods, secure access, and analytics. As a result, teams can determine whether an opportunity is differentiated and ready for the next investment decision.

What is needed to define an oncology target product profile?

Organizations need to know whether a target product profile (TPP) reflects real-world clinical practice before committing significant time, resources, and investment to an oncology program. To do that, they must pressure-test patient selection, unmet need, standard-of-care assumptions, differentiation potential, and future evidence requirements before the strategy becomes difficult to change.

Key questions for oncology target product profile development include: 

  • Which patient populations remain underserved? 
  • What are the limitations of current standards of care? 
  • Which outcomes matter most to patients, providers, and payers? 
  • How do treatment pathways vary across patient populations? 
  • What level of clinical benefit would represent meaningful differentiation? 
  • Which evidence will likely be required to support regulatory, HTA, and reimbursement decisions? 

To answer those questions, teams need evidence that supports: 

Defining the right patient populations 

Population evidence helps define who the therapy is intended to serve, which subgroups remain underserved, and where biomarker-defined cohorts may create a stronger clinical rationale.

  • Characterize real-world patient populations
  • Assess biomarker-defined cohorts
  • Identify areas of unmet need
Evaluating standards of care

Treatment pathway evidence shows how care is delivered today, how therapies are sequenced, and where practice varies across settings or geographies.

  • Map treatment pathways
  • Analyze treatment sequencing and utilization
  • Assess variation across healthcare settings and geographies
Assessing real-world outcomes

Outcomes evidence shows how current approaches perform beyond the trial setting, including effectiveness, progression, survival, and variation across patient groups.

  • Evaluate treatment effectiveness
  • Compare outcomes across patient groups
  • Analyze progression and survival patterns
Identifying opportunities for differentiation

Gap analysis identifies where existing therapies fall short and what level of benefit may create a credible clinical or market advantage.

  • Compare current treatment approaches
  • Identify clinical and treatment gaps
  • Assess opportunities for differentiation
Assessing biomarker and disease-stage impact

Biomarker and disease-stage evidence shows how molecular profile, disease severity, and patient subgroup characteristics influence treatment decisions and outcomes.

  • Evaluate biomarker-defined populations
  • Assess outcomes across disease stages
  • Analyze variation among patient subgroups
Planning future evidence generation

Evidence planning aligns development strategy with the regulatory, HTA, reimbursement, and clinical expectations that may determine future adoption.

  • Anticipate future evidence expectations
  • Support market access planning
  • Prioritize evidence-generation activities

Together, these evidence inputs help convert the target product profile from a planning assumption into a testable strategy grounded in real-world clinical practice and future stakeholder expectations. 

Why this matters for early oncology development 

Early oncology development decisions can shape the entire trajectory of a program. Target population, differentiation strategy, evidence requirements, and investment priorities are often defined before trial data is available, which makes it critical to test whether the opportunity is clinically meaningful and commercially viable in the real world. 

Without a robust view of real-world clinical practice, organizations risk: 

  • Prioritizing patient populations with limited unmet need 
  • Pursuing differentiation strategies that may offer insufficient value to clinicians, payers, or regulators 
  • Selecting endpoints that do not align with future stakeholder expectations 
  • Overlooking variability in treatment pathways, biomarker use, and patient outcomes 
  • Underestimating future regulatory, HTA, and reimbursement evidence requirements 
  • Allocating resources toward lower-priority opportunities while higher-value opportunities remain unexplored 

As a result, organizations may commit significant investment to strategies that are less likely to demonstrate value, achieve differentiation, or support future market access. That risk makes early evidence alignment essential before programs advance and strategic flexibility narrows. 

Why oncology target product profiles are difficult to validate 

Even when teams know which questions to ask, validating an oncology target product profile can be difficult. The evidence needed to test those assumptions is often fragmented, inconsistent, or slow to assemble across patient populations, care settings, and markets. 

Incomplete patient population data 

Patient populations are often defined by complex combinations of disease stage, biomarker status, treatment history, comorbidities, and demographic characteristics. These variables are not consistently available across data sources, making it difficult to accurately characterize patients and identify areas of unmet need.

Fragmented treatment pathway data 

Mapping how patients move through diagnosis, testing, treatment, disease progression, and subsequent lines of therapy requires longitudinal data that is often fragmented across healthcare systems. Without that longitudinal view, teams may struggle to assess how current standards of care perform in routine clinical practice. 

Limited real-world outcomes evidence 

Clinical trial results do not always reflect what happens in routine care. Organizations often need broader evidence on treatment effectiveness, progression patterns, survival, treatment burden, and quality of life across diverse patient populations. 

Rapidly evolving standards of care 

Treatment landscapes change rapidly in oncology. New therapies, biomarkers, combinations, and treatment strategies can alter the competitive environment before development programs reach approval, making it important to track both current pathways and shifts in care over time. 

Misaligned clinical and commercial priorities 

Early development decisions must serve development, regulatory, market access, and commercial priorities. Alignment becomes harder when teams lack a shared evidence base for real-world clinical practice.

How real-world evidence supports target product profile development 

That is where real-world evidence can play a more strategic role. When the data and methods are matched to the TPP question, RWE can help teams test whether the proposed profile is realistic, differentiated, and aligned with future evidence expectations. 

Defining patient populations 

Population-level evidence clarifies which patients remain underserved and how disease stage, biomarkers, treatment history, and other characteristics influence care decisions and outcomes. 

Pinpointing unmet need 

Gap analysis shows where existing therapies fall short and what level of clinical benefit would be needed to create a credible advantage. 

Mapping treatment pathways 

Longitudinal pathway analysis reveals how therapies are sequenced, where practice varies, and how standards of care are evolving across settings or markets. 

Assessing real-world outcomes 

Outcomes analysis shows how current approaches perform beyond the trial setting, including effectiveness, progression, survival, and variation across patient groups. 

Planning future evidence generation 

Evidence planning helps teams anticipate what regulators, HTA bodies, payers, clinicians, and other stakeholders will need to support future decisions. 

Together, these analyses help teams pressure-test the target product profile, reduce uncertainty, and focus development resources on opportunities with stronger clinical and market rationale. 

For RWE to support TPP decisions, more data is not enough. The evidence must be clinically relevant, harmonized across sources, integrated into a research-ready structure, supported by clear provenance and governance, and available through secure, compliant environments. Without those foundations, teams may have data access without the decision-ready evidence they need. 

Why choose BC Platforms for oncology real-world evidence

BC Platforms helps life sciences organizations pressure-test oncology target product profiles using clinically rich real-world data, harmonized datasets, analytics, secure research environments, and scientific and technical expertise. Depending on the development question, organizations may use curated data, custom datasets, or built-for-purpose evidence networks. These resources can be designed around specific patient cohorts, geographies, and governance requirements.

Accessing clinically rich real-world data

Through our global data partner network, teams can access longitudinal datasets spanning more than 150 partners across 35+ countries and more than 187 million patient lives. This scale provides the depth and geographic reach needed to explore oncology questions across diverse healthcare systems.

Capturing oncology-relevant data types

Available datasets may include clinical records, laboratory results, biomarker information, genomics, treatment histories, and outcomes data. 

Harmonizing data for analysis

BC Unify transforms data from multiple healthcare systems into a consistent, research-ready structure that supports cohort definition, cohort comparability, and cross-country analysis.

Analyzing cohorts, pathways, and outcomes

BC Catalyst enables teams to explore cohorts, map treatment pathways, assess outcomes, and identify where a future therapy may demonstrate stronger value.

Enabling secure collaborative research

BC Mosaic provides secure, compliant access to diverse datasets in a trusted research environment, enabling efficient cross-country and cross-organization analysis through federated architecture and AI-powered tools. 

Supporting study design, evidence strategy, and technology services

Where required, our consulting and technology services teams support study design, cohort definition, endpoint evaluation, data strategy, platform implementation, workflow configuration, and evidence-generation planning. 

These capabilities help teams move from assumption-based planning to evidence-informed oncology development strategy. They provide the data foundation, analytics, governance, infrastructure, and expert support needed to answer complex TPP questions.

Conclusion

Teams make some of the most consequential oncology development trade-offs before a patient enters a clinical trial. The risk is not simply choosing the wrong patient population or missing an unmet need. Teams may discover too late that the TPP relies on assumptions about testing, treatment sequencing, outcomes, or evidence expectations that do not hold up in routine care.

As a result, delayed timelines, additional analyses, protocol or evidence-plan rework, higher development costs, and weaker alignment across clinical, regulatory, market access, medical, and commercial teams can follow. However, decision-ready RWE can surface these issues while the strategy remains flexible.

Ultimately, the strongest evidence strategies start with the TPP question. They then bring together the data sources, cohorts, methods, secure access, and analytics needed to assess the opportunity. This helps determine whether it is meaningful, differentiated, and ready for the next investment decision.

Is your oncology TPP built on the right evidence for the decision you need to make? 

BC Platforms helps organizations use fit-for-purpose real-world data, analytics, and expert support to pressure-test oncology TPP assumptions before key development decisions are finalized. 

FAQs

What is a target product profile in oncology? 

A target product profile (TPP) is a strategic framework that outlines the desired characteristics of a future therapy, including target patient populations, clinical outcomes, safety expectations, differentiation strategy, and evidence requirements. It helps align development, regulatory, medical, and commercial planning.

How can real-world evidence support target product profile development? 

Real-world evidence supports target product profile development by showing whether assumptions about patient identification, biomarker testing, treatment sequencing, outcomes, and evidence requirements reflect routine clinical practice. It is most useful when the data sources, cohorts, methods, secure access, and analytics are matched to the specific TPP question. 

Why is real-world evidence important in early oncology development? 

Real-world evidence is important in early oncology development because many high-impact decisions are made before clinical trial results are available. RWE can help teams test assumptions while the strategy is still flexible, reducing the risk of late-stage evidence gaps, rework, timeline delays, and avoidable costs.

How can real-world data help identify differentiation opportunities? 

Real-world data can reveal where current therapies fall short by connecting treatment patterns, outcomes, patient subgroups, and unmet need. Those insights help teams determine whether a future therapy has a credible path to meaningful clinical or market differentiation. 

How does BC Platforms support oncology development strategy? 

BC Platforms supports oncology development strategy by providing access to clinically rich real-world data, including curated data, custom datasets, and built-for-purpose evidence networks, along with data harmonization, analytics, trusted research environments, and consulting and technology services. These capabilities help teams pressure-test core TPP assumptions when defining or refining an oncology target product profile.