Revicki Dennis A, Gnanasakthy Ari, Weinfurt Kevin
Center for Health Outcomes Research, United Biosource Corporation, 7101 Wisconsin Ave., Suite 600, Bethesda, MD 20814, USA.
Qual Life Res. 2007 May;16(4):717-23. doi: 10.1007/s11136-006-9153-5. Epub 2007 Feb 1.
The Food and Drug Administration (FDA) and European Medicines Agency (EMEA) are willing to consider including information on patient reported outcomes (PROs) in product labeling and advertising. Pharmaceutical industry researchers must provide sufficient evidence supporting PRO benefit before an approval may be granted. This report describes the purpose and content of a PRO Evidence Dossier, which consists of important information supporting PRO claims. The dossier should be completed by pharmaceutical industry or other researchers to document the planning of the PRO assessment strategy, psychometric evidence, desired target labeling statements, and the clinical trial evidence of PRO benefits. The systematic reporting and documentation of information on the rationale for including PROs, rationale for the selection of specific PRO instruments, evidence on the psychometric qualities of the PRO measures, and guidelines for interpreting PRO findings will facilitate achieving a PRO labeling or promotional claim. Combining all the relevant information into a single document will facilitate the review and evaluation process for clinical and regulatory reviewers. The PRO Evidence Dossier may also be helpful to industry and academic researchers in identifying further information that will need to be developed to support the clinical development program and the PRO endpoints.
美国食品药品监督管理局(FDA)和欧洲药品管理局(EMEA)愿意考虑在产品标签和广告中纳入患者报告结局(PRO)信息。制药行业研究人员必须提供充分证据支持PRO的益处,方可获批。本报告描述了PRO证据档案的目的和内容,该档案包含支持PRO声明的重要信息。该档案应由制药行业或其他研究人员完成,以记录PRO评估策略的规划、心理测量学证据、期望的目标标签声明以及PRO益处的临床试验证据。关于纳入PRO的理由、特定PRO工具选择的理由、PRO测量心理测量学质量的证据以及解释PRO结果的指南等信息的系统报告和记录,将有助于实现PRO标签或促销声明。将所有相关信息整合到一份文件中,将便于临床和监管审查人员进行审查和评估。PRO证据档案也可能有助于行业和学术研究人员识别为支持临床开发计划和PRO终点而需要进一步开发的信息。
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