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Risk assessment of drugs, biologics and therapeutic devices: present and future issues
Purpose:
The current US system for detecting adverse effects of therapeutics (drugs, devices and biological products) is suboptimal. This report presents the results of an expert workshop on assessing therapeutic risks. This is the second of five workshops coordinated by the Centers for Education and Research on Therapeutics (CERTs) to address the management of therapeutic risks relative to potential benefits.
Methods:
The workshop included academic, industry, government and constituency-based leaders. The focus was on the post-approval phase and procedures in the US, but relevant international issues and attendees were included.
Results:
Substantial deficiencies in the current US system for risk assessment were delineated. Improving the system will involve research into methods to improve risk assessment, enhancement and consolidation of data-handling systems, education of healthcare workers, allocation of financial resources and building of constituencies.
Conclusions:
We need leadership on multiple levels for global coordination of risk assessment. We can then begin to fill gaps and produce benefits for industry, health authorities, government agencies, healthcare providers, and most important, the public.
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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