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药物研发与精准医学中的临床药理学监管科学:现状与新兴趋势。

Clinical Pharmacology Regulatory Sciences in Drug Development and Precision Medicine: Current Status and Emerging Trends.

机构信息

Office of Clinical Pharmacology, Office of Translational Sciences, Center for Drug Evaluation and Research (CDER), U.S. Food and Drug Administration (FDA), White Oak Building 51, Room # 3188, 10903 New Hampshire Ave, Silver Spring, Maryland, 20993, USA.

Office of Translational Sciences, Center for Drug Evaluation and Research (CDER), U.S. Food and Drug Administration (FDA), Silver Spring, Maryland, USA.

出版信息

AAPS J. 2021 Apr 12;23(3):54. doi: 10.1208/s12248-021-00563-3.

Abstract

In the regulatory setting, clinical pharmacology focuses on the impact of intrinsic and extrinsic factors on inter-patient and intra-subject variability in drug exposure and response. This translational science contributes to the understanding of the benefit-risk profile in individual patients and the development of relevant therapeutic monitoring and management strategies. Clinical pharmacology also plays a major role in the development and qualification of drug development tools. This article presented some recent examples to illustrate the important roles of clinical pharmacology in drug development and evaluation. In addition, emerging trends in clinical pharmacology regulatory sciences were also discussed, including the Model-Informed Drug Development (MIDD) pilot program, the use of real-world data to generate real-world evidence, and leveraging advances in basic, biomedical, and clinical science into useful tools for drug development and evaluation. Continued advances in clinical pharmacology can be the basis of more rational and efficient drug development and improved access to new drug treatments that are tailored to the patient to achieve better efficacy and safety.

摘要

在监管环境中,临床药理学侧重于内在和外在因素对药物暴露和反应的个体间和个体内变异性的影响。这一转化科学有助于了解个体患者的获益-风险特征,并制定相关的治疗监测和管理策略。临床药理学在药物开发工具的开发和鉴定中也发挥着重要作用。本文介绍了一些最近的例子来说明临床药理学在药物开发和评估中的重要作用。此外,还讨论了临床药理学监管科学的新兴趋势,包括模型指导药物开发 (MIDD) 试点计划、利用真实世界数据生成真实世界证据,以及利用基础、生物医学和临床科学的进展,为药物开发和评估提供有用的工具。临床药理学的持续进步可以为更合理、更有效的药物开发以及更好地为患者提供新的药物治疗提供基础,从而实现更好的疗效和安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5581/8041391/7a4e3d9fd105/12248_2021_563_Fig1_HTML.jpg

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