Patient Safety, UCB, Brussels, Belgium.
R&D IT, MSD, Prague, Czech Republic.
Drug Saf. 2021 Mar;44(3):261-272. doi: 10.1007/s40264-020-01030-2. Epub 2021 Feb 1.
Pharmacovigilance is the science of monitoring the effects of medicinal products to identify and evaluate potential adverse reactions and provide necessary and timely risk mitigation measures. Intelligent automation technologies have a strong potential to automate routine work and to balance resource use across safety risk management and other pharmacovigilance activities. While emerging technologies such as artificial intelligence (AI) show great promise for improving pharmacovigilance with their capability to learn based on data inputs, existing validation guidelines should be augmented to verify intelligent automation systems. While the underlying validation requirements largely remain the same, additional activities tailored to intelligent automation are needed to document evidence that the system is fit for purpose. We propose three categories of intelligent automation systems, ranging from rule-based systems to dynamic AI-based systems, and each category needs a unique validation approach. We expand on the existing good automated manufacturing practices, which outline a risk-based approach to artificially intelligent static systems. Our framework provides pharmacovigilance professionals with the knowledge to lead technology implementations within their organizations with considerations given to the building, implementation, validation, and maintenance of assistive technology systems. Successful pharmacovigilance professionals will play an increasingly active role in bridging the gap between business operations and technical advancements to ensure inspection readiness and compliance with global regulatory authorities.
药物警戒学是一门监测药物效果的科学,旨在识别和评估潜在的不良反应,并提供必要的、及时的风险缓解措施。智能自动化技术具有很强的潜力,可以实现常规工作的自动化,并在安全性风险管理和其他药物警戒活动之间平衡资源利用。虽然人工智能等新兴技术具有基于数据输入进行学习的能力,为改善药物警戒学带来了巨大的希望,但仍需要对现有的验证指南进行扩充,以验证智能自动化系统。虽然基本的验证要求基本保持不变,但需要针对智能自动化进行额外的活动,以记录系统适合用途的证据。我们提出了三种智能自动化系统类别,从基于规则的系统到动态基于人工智能的系统,每个类别都需要独特的验证方法。我们扩展了现有的良好自动化制造实践,概述了一种针对人工智能静态系统的基于风险的方法。我们的框架为药物警戒专业人员提供了在组织内领导技术实施的知识,同时考虑到辅助技术系统的构建、实施、验证和维护。成功的药物警戒专业人员将在弥合业务运营和技术进步之间的差距方面发挥越来越积极的作用,以确保检查准备就绪并符合全球监管机构的要求。