2019-2023年患者体验数据 (PED) 美国FDA NME药物批准:分析和建议
Jewell D Martin1, Darcy Frear2, Samantha A Roberts3,4
1BioMarin (United States), San Rafael, CA, USA. jewell.martin@bmrn.com.
Therapeutic innovation & regulatory science
|May 9, 2025
概括
患者体验数据 (PED) 越来越多地用于美国食品和药物管理局 (FDA) 的药物评价. 虽然在批准文件中包含的内容正在增加,但FDA在监管决策中如何考虑患者的观点需要更大的透明度.
科学领域:
- 监管科学 监管科学
- 以患者为中心的药物开发
- 卫生政策 卫生政策
背景情况:
- 自2012年以来,美国国会要求FDA在药物评估中考虑患者的观点.
- 患者体验数据 (PED) 对监管决策至关重要.
- 这项研究评估了PED在FDA批准过程中的整合和影响.
研究的目的:
- 评估以患者为中心的立法对FDA药物审查的实施和影响.
- 分析将患者体验数据 (PED) 纳入2019-2023年FDA批准文件中的情况.
- 通过全面评估赞助商和FDA对PED的使用,以此前的分析为基础.
主要方法:
- 从FDA的CDER和CBER中审查了277份药物和生物批准文件.
- 评估了PED在批准文件和产品标签上的提交和报告.
- 在PED表中分析PED,每种指示的益处风险框架和产品标签.
主要成果:
- 在277份 (91%) 批准文件中,有252份包含PED表;179份 (65%) 是完整的.
- 在85个 (30%) 申请中,PED被纳入了利益风险框架.
- 75个申请 (27%) 的产品标签中包含了PED.
结论:
- 十多年来,PED的系统收集和利用一直在发展.
- 美国食品和药物管理局和赞助商都越来越多地将患者的观点纳入药物开发和决策中.
- 需要提高透明度,以澄清FDA如何审查和利用PED进行监管决策.
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