Toni Esmaeel, Ayatollahi Haleh
Student Research Committee, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Inquiry. 2025 Jan-Dec;62:469580251335805. doi: 10.1177/00469580251335805. Epub 2025 Jun 13.
Drug safety is a critical aspect of public health, yet traditional detection methods may miss rare or long-term side effects. Recently, machine learning (ML) techniques have shown promise in predicting drug-related side effects earlier in the development pipeline. The objective of this policy brief was to propose evidence-based policy options for using ML techniques to predict drug-related side effects. This policy brief was developed upon a previously published scoping review of relevant studies. A secondary analysis synthesized key barriers and opportunities relevant to policy development. Key findings revealed some challenges in data standardization, interpretability, and regulatory alignment. Moreover, the results highlighted the potential of explainable ML and cross-sector collaboration to improve prediction accuracy and fairness. Five policy recommendations were proposed: (1) establishing standardized data collection and secure protocol sharing; (2) funding ML model development and rigorous validation; (3) integrating ML into drug development pipelines; (4) increasing public awareness through targeted education; and (5) implementing fairness regulations to address bias. These recommendations require joint efforts from governments, regulatory bodies, pharmaceutical firms, and academia to be implemented in practice. While ML offers transformative potential for drug safety, its real-world implementation faces ethical, regulatory, and technical hurdles. Policies must ensure model transparency, promote equity, and support infrastructure for ML adoption. Through interdisciplinary coordination and evidence-based policymaking, stakeholders can responsibly advance ML use in drug development to enhance patient outcomes.
药物安全是公共卫生的关键方面,但传统检测方法可能会遗漏罕见或长期的副作用。最近,机器学习(ML)技术在药物研发流程的早期预测药物相关副作用方面显示出了前景。本政策简报的目的是提出基于证据的政策选项,以利用ML技术预测药物相关副作用。本政策简报是在之前发表的相关研究范围综述的基础上编写的。二次分析综合了与政策制定相关的关键障碍和机遇。主要发现揭示了数据标准化、可解释性和监管一致性方面的一些挑战。此外,结果突出了可解释的ML和跨部门合作在提高预测准确性和公平性方面的潜力。提出了五项政策建议:(1)建立标准化数据收集和安全协议共享;(2)资助ML模型开发和严格验证;(3)将ML整合到药物研发流程中;(4)通过有针对性的教育提高公众意识;(5)实施公平法规以解决偏差问题。这些建议需要政府、监管机构、制药公司和学术界共同努力才能在实践中实施。虽然ML为药物安全带来了变革潜力,但其在现实世界中的实施面临伦理、监管和技术障碍。政策必须确保模型透明度、促进公平,并支持ML采用的基础设施。通过跨学科协调和基于证据的政策制定,利益相关者可以负责任地推进ML在药物研发中的应用,以改善患者预后。