对风险最小化/减轻的监管指南和报告建议的比较 旨在制药风险最小化评估研究的检查清单
Sonia Guleria1, Emily Brouwer2, David A Brown2
1Epidemiology & Real-World Science, Parexel, Gothenburg, Sweden.
British journal of clinical pharmacology
|September 19, 2024
概括
评估风险最小化措施 (RMM) 有效性的监管指南在全球范围内各不相同. 大多数国家缺乏具体的RMM指导,现有的建议与RIMES检查清单质量标准的一致性有限.
科学领域:
- 药监和药物安全 药监和药物安全
- 监管科学 监管科学
- 药学流行病学 药学流行病学
背景情况:
- 评估风险最小化措施 (RMM) 的有效性对于药物安全至关重要.
- 评估RMM有效性的全球监管指南没有标准化.
- 药品风险最小化评估研究 (RIMES) 检查清单的报告建议提供了质量评估的框架.
研究的目的:
- 识别和比较RMM有效性评估的国家特定监管指南.
- 评估现有指南与RIMES检查清单标准的协调程度.
- 突出RMM评估指南中的全球不一致性和差距.
主要方法:
- 系统地确定针对非洲,亚洲,欧洲,北美和南美地区的RMM有效性的国家特定监管指导.
- 确定指南与RIMES检查清单的比较,涵盖研究假设,参与者,措施,统计分析和结果.
- 分析遵守国际标准,如ICH E2E和主要监管机构 (EMA,FDA) 的建议.
主要成果:
- 在五大洲的RMM有效性指南中发现了显著的差异.
- 欧洲医疗机构 (EMA) 和美国食品和药物管理局 (FDA) 的指南仅与RIMES部分一致,特别是在措施和结果方面.
- 几个国家缺乏具体的指导或建议遵循EMA/FDA;日本和南非参考ICH E2E,而巴西和中国没有具体的建议.
结论:
- 全球缺乏统一的,针对RMM的有效性评估监管指导.
- 现有的指南与RIMES检查清单等已建立的质量评估框架的协调程度有限.
- 需要进一步开发和协调RMM评估指南,以确保在全球范围内进行一致和强大的药物安全评估.
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