Review of pathology data for regulatory purposes

P N Dua1, B A Jackson

  • 1Division of Pathology, Food and Drug Administration, Washington, D.C. 20204.

Toxicologic Pathology
|January 1, 1988
PubMed

Insights

The Food and Drug Administration

Area of Science:

  • Toxicologic pathology
  • Regulatory science
  • Drug safety evaluation

Background:

  • Regulatory submissions require comprehensive pathology data for compound safety assessment.
  • Independent review by regulatory agencies ensures data integrity and accurate interpretation.
  • Standardized pathology data reporting is crucial for efficient regulatory review.

Purpose of the Study:

  • To describe the pathology data review process at the Food and Drug Administration's Division of Pathology.
  • To highlight common challenges and considerations in evaluating toxicologic pathology data.
  • To provide recommendations for improving pathology data reporting to facilitate regulatory review.

Main Methods:

  • Independent evaluation of submitted pathology data for agreement, terminology, and adequacy.
  • Microscopic slide examination for lesion characterization and incidence verification.
  • Analysis of common problems encountered during the regulatory pathology review process.

Main Results:

  • Systematic review identifies discrepancies in data summarization, lesion terminology, and information adequacy.
  • Microscopic slide review confirms or refutes findings and verifies lesion incidence.
  • Common issues include data inconsistencies and challenges in lesion characterization.

Conclusions:

  • The Division of Pathology's review process ensures independent and thorough evaluation of pathology data.
  • Addressing common review challenges can improve the quality and efficiency of regulatory submissions.
  • Clearer reporting guidelines for pathology data are recommended to facilitate regulatory review and compound safety assessment.

Related Concept Videos

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...
Pharmacovigilance01:19

Pharmacovigilance

Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
Preclinical Development: Overview01:28

Preclinical Development: Overview

Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
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).