Takemoto Shinya
Safety Information Strategy Group, Risk Communication Department, Drug Safety Division, Chugai Pharmaceutical Co., Ltd.
Yakugaku Zasshi. 2018;138(3):315-323. doi: 10.1248/yakushi.17-00185-3.
In recent years, as the market has seen the appearance of innovative medical products with novel mechanisms of action, adverse reactions that cannot be expected from the approved product label are being detected in the postmarketing phase. It is increasingly important to undertake timely product label updates and other drug safety measures through the monitoring, early detection, and reporting of adverse reactions. In 2013, the risk management plan (RMP) system was introduced in Japan. An RMP documents efforts to ensure the safety of a medical product, and sharing the RMP with stakeholders results in enhanced postmarketing safety measures. Healthcare providers have already started to utilize RMPs, but issues with perception and utilization remain. The industry, regulators, and academia are also working together to facilitate the use of RMPs. With the implementation of the RMP requirement, pharmaceutical companies are seeking to improve safety assurance by enhancing their drug safety functions, including the collection, assessment, and dissemination of drug safety information. Chugai Pharmaceutical is starting a completely new approach to patient-focused information provision, exemplified by the "PMS & SAFETY DB Tools," designed to give healthcare providers quick access to its extensive database of real-world drug safety information. This paper introduces Chugai Pharmaceutical's new efforts to manage adverse reactions and raises issues for future consideration.
近年来,随着市场上出现了具有新型作用机制的创新型医疗产品,在上市后阶段检测到了已批准产品标签中未预期到的不良反应。通过监测、早期发现和报告不良反应来及时更新产品标签及采取其他药物安全措施变得越来越重要。2013年,风险管理计划(RMP)系统在日本引入。一份RMP记录了确保医疗产品安全的努力,与利益相关者共享RMP可增强上市后安全措施。医疗保健提供者已经开始使用RMP,但在认知和使用方面仍存在问题。行业、监管机构和学术界也在共同努力促进RMP的使用。随着RMP要求的实施,制药公司正寻求通过加强其药物安全功能来提高安全保障,包括药物安全信息的收集、评估和传播。中外制药正在开启一种全新的以患者为中心的信息提供方式,以“PMS & SAFETY DB Tools”为例,旨在让医疗保健提供者能够快速访问其庞大的真实世界药物安全信息数据库。本文介绍了中外制药在管理不良反应方面的新举措,并提出了未来需要考虑的问题。