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Workshop 7: Evaluation of Individual Patient Applications (IPAs) for unfunded Medications

Tracks
Track 1
Tuesday, December 9, 2025
1:30 PM - 3:30 PM

Details

Clinical Pharmacologists have key roles in medicines governance at national, state/district and local levels. Over the last few years, there is an increasing number of applications to local Drug and Therapeutics Committees for use of therapies for individual patient use (IPU) which appear to be highly exceptional rather than based on large bodies of clinical data. This puts increasing strain on the Committees with regards to reviewing evidence. The purpose of the workshop is to: • Learn about current trends with individual personal applications • Identify challenges with evaluation of these applications • Understand core skills required for evaluation of applications • Gain a shared understanding of the key issues This workshop is designed for anyone with an interest in medicines governance, but is also a key part in clinical pharmacology trainee training and compliments the Clinical Weekend.


Speaker

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Prof Sarah Hilmer
Head of Department Clinical Pharmacology and Senior Staff Specialist Aged Care, Conjoint Professor of Geriatric Pharmacology
University of Sydney, Royal North Shore Hospital

An introduction to D/MTCs, IPUs and some of the challenges faced

Biography

Sarah Hilmer (MBBS(Hons) PhD FRACP) is head of department Clinical Pharmacology, Royal North Shore Hospital and Conjoint Professor Geriatric Pharmacology, Sydney University. She leads a program of translational, interdisciplinary research in geriatric pharmacology at the Kolling. She is a fellow of the Australian Academy of Health and Medical Scientists (FAHMS) and was awarded a Member of the Order of Australia (AM) for her service to clinical and geriatric pharmacology in 2022. Sarah has been a member of NSW public hospital/local health district Drug and Therapeutics Committees for over 20 years and a DTC chair for the past decade. She currently chairs NSW Therapeutic Advisory Group.
Prof Madlen Gazarian
Consultant in Clinical Pharmacology & Therapeutics, Pharmacoepidemiology & Pharmacvigilance; Specialist Paediatrician
University of New South Wales (Hon Prof)

Core skill sets for evaluation of medicines

Biography

Dr Imogen Walpole
Medical Oncologist, Clinical Pharmacology trainee
Austin Health

IPAs in Oncology

Biography

Joel Iedema
Clinical Pharmacologist
Metro South Hospital and Health Service

Influence of Pharma on IPU applications

Biography


Chair

Nicholas Farinola
Consultant
Central Adelaide Local Health Network

Tilenka Thynne
Clinical Pharmacologist
Flinders Medical Centre


Facilitator

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Matt Doogue
Clinical Pharmacologist
University of Otago & Health New Zealand

Sally Fotheringham
Clinical Pharmacology Advanced Trainee
Royal Prince Alfred Hospital

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David Liew
Clinical Pharmacologist
Austin Health

Angela Molga
Head of Unit, Clinical Pharmacology
Central Adelaide Local Health Network

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