怀孕期间生物使用的利益风险概念框架:一篇小小的评论
Laura M Bozzi1, Melanie H Jacobson2, Emily Yost2
1Janssen Research & Development, Raritan, New Jersey, USA.
Clinical pharmacology and therapeutics
|March 20, 2024
概括
在子宫内接触免疫抑制生物制剂后延迟婴儿接种疫苗存在风险. 提出了一个新的利益风险 (B-R) 框架,以帮助决定在怀孕期间继续为母亲和孩子提供生物药物.
科学领域:
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 在子宫内接触免疫抑制生物药物导致推延迟婴儿疫苗接种.
- 担忧包括疫苗有效性降低和婴儿疫苗相关疾病风险增加.
- 怀孕期间的替代生物停止可能会恶化母亲自身免疫性疾病的活性.
研究的目的:
- 开发一个概念框架来评估在怀孕期间继续进行生物治疗的益处和风险 (B-R).
- 考虑孕妇和暴露婴儿的观点.
- 在复杂的治疗权衡中指导临床决策.
主要方法:
- 对生物指示的文献审查和临床利益相关者咨询.
- 制定一个定义决策背景,利益和风险的框架.
- 包括孕妇和子宫内暴露的婴儿的属性.
主要成果:
- 开发了B-R评估的概念框架,包括母亲和婴儿的益处和风险.
- 该框架考虑了与孕期生物使用相关的各种领域和属性.
- 确定需要解决B-R定量评估的数据偏差和不确定性.
结论:
- 对于临床采用,需要一个强大的,经过验证的B-R框架.
- 建议组建一个财团来开发和验证这个框架.
- 该框架旨在平衡怀孕期间生物使用的母亲健康和婴儿安全.
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