Professional Documents
Culture Documents
ICH E2E
Risk Management Plan
When a new drug is launched, what do you need to do to find out about, and minimise, risks Also for new, major risks
General overview
Define risk, or potential for a risk for a product What type of decision is needed Best data and information for the job Patient safety and preventability
Expansion of pharmacovigilance
Milestones
Decision theory
Context
Anticipation
Definition
Simplification Investigation Data & information Summation
Anticipating risks
Pro-activity Continuity Science based evaluation in addition to spontaneous reports Multidisciplinary Consider costs & resources
Feasability & opportunity MAH image Win-win.
Anticipating risks
Risk management plan started in early clinical development
Pre-clinical data Class effects Natural history of indication & co-morbidity
Anticipating risks
Conditional approval based on risk management plan Management of studies? Funding
Joint MAH & RA ? Academia and professional bodies Public? Joint? Should not lead to poorer pre-marketing standards
Anticipating risks
Need for definitions of terms and criteria relating to risk management and planning etc. Legal issues of compliance
Co-responsibility Who decides protocols?
Use diversity
Interactions/additive/negative effects Seriousness and severity issues Quality of information Clarity of clinical/epidemiological situation
Media Bulletins
Timing important
Start early? Limitation on communicating between industry and HPs and public Structure and responsibility (personal!)
Communications v. advertising
Dialogue in Pharmacovigilance
Wisdom
YOU