Ciociola Arthur A, Karlstadt Robyn G, Pambianco Daniel J, Woods Karen L, Ehrenpreis Eli D
Global Regulatory Affairs, Alcon Laboratories, Fort Worth, Texas, USA.
LLC, Cherry Hill, New Jersey, USA.
Am J Gastroenterol. 2014 Oct;109(10):1508-12. doi: 10.1038/ajg.2014.85. Epub 2014 Jul 8.
Food and Drug Administration (FDA) advisory panels and committees play a critical role in advising the FDA on the safety and efficacy of medical devices and drugs marketed in the US. Advisory panel recommendations are used by the FDA to make decisions regarding medical products. Currently, the FDA utilizes over 50 advisory panels that serve the three major FDA centers, including the Centers for Biologics, Drugs and Device Products. Members of an advisory panel typically include academicians, clinicians, consumers, patients, and industry representatives. The FDA establishes the schedules for advisory panel meetings on an annual basis and a panel usually meets several times a year for two consecutive days in Washington, DC. Typically, the advisory panel discusses issues highlighted by the FDA and is then asked to vote a response to the questions posed in advance by the FDA. Advisory panel recommendations have a strong influence on FDA's decision to approve a product, as evidenced by the 214 Advisory Panels FDA convened between January 2008 to November 2012, during which advisory panel members voted to approve the product (or use of the product) ∼74% of the time, with FDA ultimately approving the medical product (or use of the product) ∼79% of the time. The ACG membership are encouraged to consider serving the public's interest by participating in an FDA advisory panel utilizing their expertise for the evaluation of a new drug or medical device, and providing advice about whether the product should be sold in the US.
美国食品药品监督管理局(FDA)的咨询小组和委员会在就美国市场上销售的医疗器械和药品的安全性和有效性向FDA提供建议方面发挥着关键作用。FDA利用咨询小组的建议来做出有关医疗产品的决策。目前,FDA利用50多个咨询小组为FDA的三个主要中心服务,包括生物制品中心、药品中心和医疗器械产品中心。咨询小组的成员通常包括院士、临床医生、消费者、患者和行业代表。FDA每年制定咨询小组会议的时间表,一个小组通常每年在华盛顿特区连续两天开会几次。通常,咨询小组会讨论FDA突出强调的问题,然后被要求就FDA预先提出的问题投票给出回应。咨询小组的建议对FDA批准产品的决定有很大影响,2008年1月至2012年11月期间FDA召集的214个咨询小组就证明了这一点,在此期间,咨询小组成员约74%的时间投票批准产品(或产品的使用),而FDA最终约79%的时间批准了该医疗产品(或产品的使用)。鼓励美国临床肿瘤学会(ACG)成员通过参与FDA咨询小组来考虑服务公众利益,利用他们的专业知识评估新药或医疗器械,并就是否应在美国销售该产品提供建议。