将扩展访问 ("同情使用") 患者的真实数据应用于药物开发
June S Wasser1, David J Greenblatt1
1From the Clinical and Translational Science Institute, Tufts Medical Center and Tufts University School of Medicine, Boston, MA, USA.
Journal of clinical and translational science
|September 14, 2023
概括
来自扩展访问计划的现实世界证据可以支持对罕见疾病的药物批准. 这种方法提供了有价值的患者结果数据,可能加速治疗选择.
科学领域:
- 药物开发 药物开发
- 监管科学 监管科学
- 罕见疾病 罕见疾病
背景情况:
- 药物开发在满足罕见疾病治疗需求方面面临挑战.
- 传统的随机临床试验耗费大量资源和时间.
- "21世纪疗法法"鼓励使用替代药物批准方法.
研究的目的:
- 探索现实世界的数据和证据在药物批准中的实用性.
- 评估扩展访问程序作为现实世界的证据来源.
- 在药物开发中支持以患者为中心和个性化的医学.
主要方法:
- 从扩展访问 ("富有同情心的使用") 计划中利用现实世界的证据.
- 分析未经批准的药物治疗的患者结局数据.
- 整合现实世界的证据与其他数据来源,如临床试验.
主要成果:
- 扩展访问数据可以提供对药物安全性和有效性的关键见解.
- 现实世界的证据可以补充或,在某些情况下,构成监管审查的主要基础.
- 这种方法可以为罕见疾病治疗产生有价值的数据.
结论:
- 扩展访问计划为生成监管级真实世界的证据提供了一条可行的途径.
- 利用现实世界的证据可以增强药物批准过程,特别是对于罕见疾病.
- 这一策略与以患者为中心的护理和个性化医疗原则保持一致.
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