营销后要求研究和临床试验的描述性分析
Lauren Choi1, Beverly Etchey1, Monisha Billings1
1Office of New Drugs, Immediate Office, Safety Policy, Research, and Initiatives Team, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland, USA.
Pharmacoepidemiology and drug safety
|November 23, 2023
概括
根据"食品和药物管理局修正法案" (FDAAA) 的营销后要求 (PMR) 提高了药物安全. 超过一半的满足的FDAAAPMR导致了监管行动,包括标签变化,告知药物安全后批准.
科学领域:
- 药物监督 药物监督 药物监督
- 药品安全 药品安全
- 监管科学 监管科学
背景情况:
- 2007年"食品和药物管理局修正法案" (FDAAA) 授予FDA授权授权市场营销后研究或临床试验.
- 这些营销后要求 (PMR) 对于在批准后收集有关药品安全性的额外数据至关重要.
研究的目的:
- 进行FDAAAPMRs的描述性分析.
- 检查这些PMR产生的监管行动.
主要方法:
- 在2013年至2019年期间建立的FDAAA PMR的评估.
- 监管活动的医学词典 (MedDRA) 用于严重风险的绘制.
- 从FDA的DARRTS系统和公共来源评估数据.
主要成果:
- 在1079个新的FDAAAPMR中,82%与新药应用 (NDA) 有关.
- 大多数PMR (73%) 是在药物批准时建立的; 59% 仍然是开放的.
- 53%的实现PMR导致标签变化.
结论:
- FDAAA PMR有效地告知市场后的药物安全性.
- 大多数PMR是在初始药物审查期间建立的,以解决已识别的安全信号.
- 超过一半完成的PMR导致了重大监管行动.
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