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动物数据在药品标签中的效用和重要性。

Utility and importance of animal data in drug product labels.

作者信息

Baldrick Paul

机构信息

Regulatory Strategy, Covance Laboratories Ltd., Otley Road, Harrogate HG3 1PY, North Yorkshire, United Kingdom.

出版信息

Regul Toxicol Pharmacol. 2014 Aug;69(3):546-57. doi: 10.1016/j.yrtph.2014.06.003. Epub 2014 Jun 10.

Abstract

Information on the use and safety of medicines to assist prescription by healthcare professionals occurs in drug labels (Summary of Product Characteristics in Europe and Package Insert in the USA). Animal data (notably genotoxicity, reproduction toxicity and carcinogenicity and/or repeat dose toxicity testing) comprise an important component of the information (having a vital role in giving assurance that an extensive safety assessment for the medicinal product has occurred) and regulatory guidance is available to help inform on its input into drug labels. However, an evaluation of animal data for the 27 new drugs approved in the USA in 2013 (and the same drugs if available in Europe) shows great variability in detail and level of information presented within and across regions and/or the possibility of confusion on interpretation of some of the presented animal study findings. It is concluded that it may be time to revisit what animal data are presented in drug product labels (although bearing in mind current regional regulatory guidance requirements), not only to allow within and across region consistency on information given but to present it in a way that fully assists healthcare professions when prescribing a medicine.

摘要

药品使用及安全性信息有助于医疗保健专业人员开出处方,这些信息出现在药品标签中(在欧洲为《产品特性摘要》,在美国为《包装说明书》)。动物数据(尤其是遗传毒性、生殖毒性、致癌性和/或重复剂量毒性试验)是这些信息的重要组成部分(在确保对药品进行全面安全性评估方面发挥着关键作用),并且有监管指南可用于指导如何将其纳入药品标签。然而,对2013年在美国获批的27种新药(以及在欧洲如有上市的同品种药物)的动物数据进行评估后发现,各地区内部及不同地区之间所呈现的详细信息和信息水平差异很大,而且对某些所呈现的动物研究结果的解读可能存在混淆。结论是,或许是时候重新审视药品标签中所呈现的动物数据了(尽管要牢记当前各地区的监管指南要求),这不仅是为了使各地区内部及不同地区之间所提供的信息保持一致,而且是以一种在医疗保健专业人员开药时能充分提供帮助的方式来呈现这些信息。

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