Risk assessment of drugs, biologics and therapeutic devices: present and future issues

    Abstract

    Insights

    The US system for detecting adverse effects of therapeutics is suboptimal. Improving therapeutic risk assessment requires enhanced research, data systems, education, funding, and stakeholder engagement for better public health outcomes.

    Area of Science:

    • Pharmacovigilance and Drug Safety
    • Regulatory Science
    • Public Health Policy

    Background:

    • The current United States system for detecting adverse effects of therapeutics, including drugs, devices, and biological products, is identified as suboptimal.
    • This report is part of a series of workshops coordinated by the Centers for Education and Research on Therapeutics (CERTs) focused on managing therapeutic risks versus benefits.

    Purpose of the Study:

    • To present the findings of an expert workshop dedicated to assessing therapeutic risks.
    • To identify deficiencies in the current US system for post-approval therapeutic risk assessment.

    Main Methods:

    • Convened a workshop with leaders from academia, industry, government, and constituency groups.
    • Focused on post-approval procedures within the US, while incorporating relevant international perspectives and participants.

    Main Results:

    • Delineated substantial deficiencies within the existing US system for therapeutic risk assessment.
    • Identified key areas for improvement: research in risk assessment methodologies, enhancement of data-handling systems, healthcare worker education, resource allocation, and constituency building.

    Conclusions:

    • Global coordination of risk assessment requires leadership across multiple levels.
    • Addressing identified gaps will yield benefits for industry, health authorities, government agencies, healthcare providers, and the public.

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