将物质置于实质证据中:一种基于证据的方法来灵活监管药物
Emanuel Krebs1, Tania Bubela2, Melanie McPhail2
1BC Cancer, Vancouver, BC, Canada.
Frontiers in medicine
|April 4, 2025
概括
监管机构需要一种灵活的,以价值为基础的方法来审批药物的"实质性证据". 这确保了安全性和益处,因为在市场授权之前评估了进一步研究的价值.
科学领域:
- 卫生政策 卫生政策
- 监管科学是一种监管科学.
- 决策分析 决策分析
背景情况:
- 大多数卫生监管机构没有明确定义药物批准的实质证据.
- 监管机构越来越多地接受市场授权的不成熟证据.
- 目前的证据标准缺乏明确的定义,导致监管自由裁量权.
研究的目的:
- 提出一个基于原则和上下文的方法来定义实质证据.
- 通过使用价值信息框架,在加速药物授权中平衡好处和危害.
- 为评估药物监管中的证据值提供一个明确的框架.
主要方法:
- 开发了一个信息价值 (VoI) 框架,以定义实质证据.
- 使用两个案例实例实现了VoI框架的运行.
- 纳入决策因素,如不确定性,风险偏好和时间.
主要成果:
- 实质证据被定义为当进一步研究的预期净健康价值为零或更低时.
- 案例示例展示了证据评估中的实时决策因素.
- 拟议的方法符合灵活的证据标准.
结论:
- 需要以 VoI 为指导的基于原则和上下文的方法来定义实质证据.
- 代和明确定义的风险评估方法对于监管灵活性至关重要.
- 在证据评估中提高清晰度,促进了利益相关者和监管机构的透明度和问责制.
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