Position Purpose:

The Medical Director, Pharmacovigilance will be responsible for the medical review of adverse event data, the development of company causality assessment frameworks in post-marketing surveillance, and leading signal detection and management activities. This individual will work in close partnership with PV operations to build rigorous, scalable, medical safety practices suited to a clinical development and complex postmarketing environment. This position will report into the Head of Pharmacovigilance.

This is a role for a physician who is energized by developing business practice frameworks and review processes that a growing medical safety function requires and leading the medical safety domain within the organization. Rare disease carries meaningful responsibility to patient and families with limited therapeutic options, and the ideal candidate is a safety physician for whom that responsibility is a genuine source of motivation.

Key Responsibilities:

Medical Case Review

• Lead medical review of individual case safety reports (ICSR), including serious adverse events (SAE) and adverse events of clinical interest (AECI) across clinical and postmarketing settings; oversee medical review of ICSR performed by vendors/contractors

• Develop and implement a company causality framework for clinical trial and postmarketing AE data
• Build and oversee business practices and review workflows that support consistent and inspection-ready medical assessment of ICSR
• Oversee appropriate MedDRA coding of postmarketing ICSRs and lead the development of product-specific coding guidelines

Signal Detection - Safety Governance

• Lead signal detection and management activities including development/maintenance of product-specific signal detection plans
• Develop and refine signal detection methodologies appropriate to the postmarketing environment including consideration of data sources, disproportionality analysis
• Prepare and present signal assessments to the Head of PV and applicable safety governance bodies, with clear benefit-risk contextualization
• Maintain signal tracking and disposition process ensuring signals are documented, evaluated and closed or escalated in accordance with company procedures and regulatory expectations
• Serve as the chair of the cross-functional, internal safety review committee (ISRC) responsible for analysis of validated safety signals and for development of recommendations on risk classification and risk mitigation actions to the Stoke Executive Safety Committee (ESC)

Regulatory and Aggregate Safety

• Contribute medical safety content to aggregate safety reports (DSUR, PSUR, PBRER) and NDA/MAA safety summaries with particular responsibility for medical narrative sections and clinical interpretation of safety findings
• Provide medical input into Company Core Safety Information and safety content of country-specific product labeling
• Support regulatory agency interactions on medical safety matters
• Contribute to protocol safety sections, informed consent documents, and investigator brochure safety content
• Contribute to development and maintenance of reference safety information

Organizational Development

• Collaborate with the Head of Pharmacovigilance and PV Operational leadership on PV departmental capability building, PV System building, developing medical strategies, contributing medical expertise to PV procedures, vendor oversight and safety database governance as it relates to medical review processes
• Support the development of medical safety staffing requirements and contribute to hiring and onboarding medical safety personnel as the function grows
• Represent medical safety with clarity and credibility to internal stakeholders across clinical development, medical affairs, regulatory affairs and commercial functions

Required Skills & Experience:

• MD or equivalent medical degree; clinical training in neurology, pediatric neurology, pediatrics is preferred but not required
• Minimum of 5 years of industry pharmacovigilance experience
• Experience in post marketing drug safety with exposure to operational and medical complexity of commercial stage AE management and signal detection
• Experience in signal detection and management including application of clinical judgement to signal interpretation
• Contribution to aggregate safety reports including NDA or MAA safety content preferred
• Demonstrated ability to work collaboratively within a structure in which leadership in both medical safety and PV operations contribute complementary expertise in building the PV organization

Location(s):

Stoke is located in Bedford, MA, and will be moving to a new location in Waltham, MA by the end of 2026. This position is a hybrid position, currently based in Bedford and will later be based in Waltham.

Travel:

This position will require approximately 10% travel.

Compensation & Benefits:

At Stoke Therapeutics, we are committed to offering a comprehensive, competitive and thoughtfully designed total rewards program.

The anticipated salary range for this role is $279,000 - $332,000. The final offer will be determined based on a variety of factors, including role scope, experience and qualifications, education, market benchmarks, internal equity, and geographic location. In addition to base salary, Stoke offers an annual bonus and equity participation.

Our benefits package includes medical, dental and vision insurance; life, long- and short-term disability insurance; paid parental leave; a 401K plan with company match, unlimited vacation time, tuition assistance and participation in our Employee Stock Purchase Program (ESPP).