Weaver Joyce, Grenade Lois La, Kwon Hyon, Avigan Mark
Division of Risk Management, Office of Surveillance and Epidemiology CDER, FDA, Silver Spring, Maryland 20933, USA.
Dermatol Ther. 2009 May-Jun;22(3):204-15. doi: 10.1111/j.1529-8019.2009.01233.x.
Marketed pharmaceuticals are evaluated for safety by the US Food and Drug Administration (FDA) throughout the life cycle of the products. The FDA uses data from controlled clinical trials, from postmarketing case reports reported to the FDA's Adverse Event Reporting System, from epidemiological studies, and from registries to evaluate the safety of approved products. For some products, including some products used in dermatologic medicine, risks become apparent during the postmarketing period that require additional measures beyond product labeling and routine pharmacovigilance. The FDA continues to seek additional tools to assess risk, including pharmacogenomic biomarkers for adverse drug reactions and the use of large medical record and epidemiological databases for the systematic detection and characterization of drug-associated safety outcomes.
美国食品药品监督管理局(FDA)在药品的整个生命周期内对上市药品进行安全性评估。FDA利用来自对照临床试验的数据、向FDA不良事件报告系统报告的上市后病例报告数据、流行病学研究数据以及登记处数据,来评估已批准产品的安全性。对于某些产品,包括一些皮肤科用药,在上市后阶段会出现一些风险,这些风险需要采取超出产品标签和常规药物警戒之外的额外措施。FDA继续寻求更多工具来评估风险,包括用于药物不良反应的药物基因组学生物标志物,以及利用大型医疗记录和流行病学数据库来系统地检测和描述与药物相关的安全结果。