Pharmacovigilance: reporting requirements throughout a product’s lifecycle

Author:

Lucas Sylvia1ORCID,Ailani Jessica2,Smith Timothy R.3,Abdrabboh Ahmad4,Xue Fei5,Navetta Marco S.5

Affiliation:

1. University of Washington Medical Center, 1959 NE Pacific St, Seattle, WA 98195, USA

2. Department of Neurology, MedStar Georgetown University Hospital, Washington, DC, USA

3. StudyMetrix Research, St Peters, MO, USA

4. Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA

5. Amgen Inc., Thousand Oaks, CA, USA

Abstract

Comprehensive methods for evaluating safety are needed to objectively assess the full risk profile of a medication. The confidence of the prescribing provider in the safety and effectiveness of pharmaceuticals is extremely important. Pharmacovigilance is a key component of drug safety regulatory processes and is paramount for ensuring the safety profile of medications used to treat patients. All participants in the healthcare system, including healthcare providers and consumers, should understand and meaningfully engage in the pharmacovigilance process; healthcare providers should integrate pharmacovigilance into everyday practice, inviting feedback from patients. This narrative review aims to give an overview of the main topics underlying pharmacovigilance and drug safety in pharmaceutical research phase after the authorization of a drug in the United States. The US Food and Drug Administration guidance and post-approval regulatory actions are considered from an industry perspective. Plain language summary Regulatory processes that ensure the safety of drugs is monitored Government agencies regulate the safe use of medicinal products. By determining and enforcing pharmacovigilance, the monitoring of drugs for potential risks, they safeguard the welfare of consumers of medicines. Comprehensive, documented methods for evaluating the safety of a drug during its development and its subsequent use allow identification of any risks associated with the drug’s use throughout its lifetime. The comprehensive identification of safety issues associated with a drug is improved when all parties involved in the development and use of drugs participate in the pharmacovigilance process. For example, clinicians should regularly ask their patients if they are experiencing any issues with their treatment, and patients should be encouraged to report problems they encounter with a particular medication to their healthcare provider. This narrative review provides an overview of the main topics underlying pharmacovigilance and drug safety after approval of a drug in the United States. Guidelines and actions from the US Food and Drug Administration are considered from an industry perspective.

Funder

Amgen Inc.

Publisher

SAGE Publications

Subject

Pharmacology (medical)

Reference75 articles.

1. World Health Organization. Pharmacovigilance: ensuring the safe use of medicines, https://apps.who.int/iris/handle/10665/68782 (2004, accessed 13 January 2020).

2. US Food and Drug Administration. Good pharmacovigilance practices and pharmacoepidemiologic assessment. Rockville, MD: US Department of Health and Human Services, 2005.

3. US Food and Drug Administration. Guidance for clinical investigators, sponsors, and IRBs. Adverse event reporting to IRBs–improving human subject protection, https://www.fda.gov/media/72267/download (2009, accessed 14 January 2020).

4. Key Concepts of Clinical Trials: A Narrative Review

5. Evaluation and Registration of Adverse Events in Clinical Drug Trials in Migraine

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