利用患者经验数据指导药物开发,监管,获取决策和欧盟的临床护理
Diogo Almeida1,2, Denise Umuhire3, Rosa Gonzalez-Quevedo4
1Laboratory of Systems Integration Pharmacology, Clinical and Regulatory Science, Research Institute for Medicines (iMed.ULisboa), Lisbon, Portugal.
Frontiers in medicine
|June 7, 2024
概括
患者体验数据 (PED) 为患者健康和治疗影响提供了宝贵的见解. 监管机构鼓励其使用,但为了在药物开发和批准中得到更广泛的采用,需要标准化的指导.
科学领域:
- 药物监督 药物监督 药物监督
- 医疗保健服务研究 医疗服务研究
- 监管科学 监管科学
背景情况:
- 患者体验数据 (PED) 直接捕捉患者对健康状况,治疗和医疗影响的观点.
- 这些数据需要强大且经过验证的收集方法来可靠地使用.
- 监管机构越来越多地促进PED的生成和提交.
研究的目的:
- 审查PED的定义和类型,重点关注患者报告的结果 (PRO) 和患者偏好 (PP).
- 展示PED在整个药物的生命周期中的潜在应用.
- 确定PED整合的挑战,机遇和现有的监管指导.
主要方法:
- 对现有的PED定义和类型的文献综述.
- 分析PED在药物开发和监管的各个阶段的潜在用途.
- 讨论方法方面,数字化和监管障碍.
主要成果:
- 包括PRO和PP在内的PED具有重大潜力,可以为监管决策提供信息.
- 缺乏全面的指导是系统地将PED纳入提交的关键障碍.
- 数字工具为实时PED收集提供了新的途径,以及相关的挑战.
结论:
- 在监管提交中系统地纳入PED需要解决当前指导缺口.
- 在药物的整个生命周期中利用PED在欧洲和全球层面提供了机会.
- 合作举措强调了对PED价值的信心,需要努力克服实施挑战.
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