导航东亚非干预性授权后研究:监管挑战,机遇和未来方向
Jami Peters1, Ayad K Ali2, Maria Moitinho de Almeida3
1Gilead Sciences Inc., Foster City, CA, USA. jami.peters5@gilead.com.
Drug safety
|October 17, 2025
概括
在东亚的授权后研究 (PAS) 面临着局限性. 观察到向二次数据分析的转变,需要协调的法规和更好的数据访问,以进行可靠的安全评估.
科学领域:
- 药学流行病学 药学流行病学
- 监管科学 监管科学
- 药物监督 药物监督 药物监督
背景情况:
- 授权后研究 (PAS) 是药品营销许可的监管要求.
- 在中国,日本和韩国,监管要求和运营限制存在显著差异.
- 主动监控研究,一种初级数据收集形式,在东亚普遍使用.
研究的目的:
- 探索中国,日本和韩国PAS的法规和趋势.
- 确定当前PAS实践的科学和操作限制.
- 提出一个决策工具来规划这些地区的PAS.
主要方法:
- 审查药物监督指南和关于区域监管趋势的出版物.
- 分析传统主动监控研究的局限性 (例如,没有对比器,偏见,资源密集性).
- 确定使用二次数据进行假设测试研究的趋势.
主要成果:
- 传统的积极监测研究在描述药物安全性概况方面存在局限性.
- 人们越来越倾向于对二次数据的研究 (例如,电子数据库),而不是对初级数据的收集.
- 监管方法的协调和改善数据访问对于证据生成至关重要.
结论:
- 目前在东亚的PAS实践存在重大局限性.
- 转向二次数据分析是一个关键趋势.
- 建议使用决策工具来帮助PAS规划,强调协调的法规和数据访问.
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