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Related Concept Videos

Cardiovascular Drugs: Classification based on Therapeutic Indications01:18

Cardiovascular Drugs: Classification based on Therapeutic Indications

Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However, frequent irregular...
FDA Approved Drugs: Changes to Approved Drugs01:26

FDA Approved Drugs: Changes to Approved Drugs

Post-approval, manufacturers may modify an approved new or generic drug product. Such modifications can encompass alterations in the Active Pharmaceutical Ingredient (API), manufacturing process, formulation, batch size, manufacturing site, and container closure system (FDA Guidance for Industry, April 2004). Often, a drug product may undergo multiple changes.These modifications require careful evaluation to determine their potential impact on the drug product's identity, strength, quality,...
Drug Regulation01:25

Drug Regulation

Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
Impact of Pharmacokinetic–Pharmacodynamic Models: Regulatory Decisions01:15

Impact of Pharmacokinetic–Pharmacodynamic Models: Regulatory Decisions

PK–PD modeling has significantly influenced FDA regulatory decisions, particularly drug approval, dosage optimization, and labeling. These models integrate pharmacokinetics (PK) and pharmacodynamics (PD) to predict drug behavior and effects, aiding in optimizing dosing regimens and enhancing the probability of clinical trial success.One notable example is Nesiritide (Natrecor®), a recombinant human brain natriuretic peptide for treating acute decompensated congestive heart failure (CHF).
Biopharmaceutical Factors Influencing Drug Product Design: Overview01:22

Biopharmaceutical Factors Influencing Drug Product Design: Overview

Rational drug product design integrates knowledge of the drug’s physicochemical properties, formulation components, manufacturing techniques, and intended route of administration. Each factor influences the drug’s performance, including how it is released, absorbed, and eliminated in the body.The physicochemical properties of a drug—such as solubility, stability, and particle size—affect its compatibility with excipients and the choice of dosage form. Excipients, though pharmacologically...
Heart Failure Drugs: β-Blockers01:22

Heart Failure Drugs: β-Blockers

β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation, vasodilation, and...

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In Vitro Thrombosis Test for Ventricular Assist Devices
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FDA's perspectives on cardiovascular devices.

Eric A Chen1, Sonna M Patel-Raman, Kathryn O'Callaghan

  • 1Center for Devices and Radiological Health, U.S. Food and Drug Administration, 9200 Corporate Boulevard, HFZ-450 Room 220V, Rockville, MD 20850, USA. eric.chen@fda.hhs.gov

Journal of Cardiovascular Translational Research
|June 19, 2010
PubMed
Summary
This summary is machine-generated.

The FDA ensures medical device safety and effectiveness through rigorous preclinical and clinical data review. This article details the regulatory pathways for cardiovascular devices in U.S. clinical trials.

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Area of Science:

  • Medical Devices
  • Cardiovascular Technology
  • Regulatory Science

Background:

  • The U.S. Food and Drug Administration (FDA) Center for Devices and Radiological Health (CDRH) ensures medical device safety and effectiveness.
  • High-risk cardiovascular devices require extensive preclinical testing and human clinical trials for FDA approval.

Purpose of the Study:

  • To review the regulatory framework for cardiovascular device marketing applications.
  • To describe the process for obtaining approval for U.S. clinical trials of cardiovascular devices.

Main Methods:

  • Review of FDA regulations and guidelines for medical device approval.
  • Description of the clinical trial process for cardiovascular devices.

Main Results:

  • The FDA's approval process involves evaluating preclinical data and clinical trial outcomes.
  • Successful clinical trials demonstrate a device's predicted performance and favorable risk-benefit profile.

Conclusions:

  • Understanding the regulatory landscape is crucial for cardiovascular device development.
  • Navigating the U.S. clinical trial approval process is essential for market access.