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Pre-marketing Drug Risk Assessment
October 7, 2002

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Table of Contents

Pre-marketing Drug Risk Assessment, CDER Executive Staff Briefing, RAPS 2002 Annual Conference

Outline

Where does pre-market drug risk assessment start?

Safety: Requirement for Approval [Food, Drug, and Cosmetic Act (Sec. 505)]

Safety assessment during drug development

Goals of the NDA safety review

Approach to the review of safety data in an NDA

Different approaches: safety v. efficacy data

Characterizing the extent of drug exposure in the safety database

Components of an NDA safety database review

Sources of NDA safety data

What is an adverse event?

Serious adverse event

Risk factors to explore

Causality Assessment

Assessing drug-relatedness of adverse events- using a populational approach

Evaluation of rare events

Evaluation of common events

What types of comparative data are available?

Other useful information in considering causality

Evaluation of supplementary data

Guidance to Industry on Drug Risk Assessment

Author:

Judy Racoosin, MD, MPH
Safety Team Leader
Division of Neuropharmacological Drug Products,
Office of New Drugs, CDER, FDA

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FDA/Center for Drug Evaluation and Research
Last Updated: October 7, 2002
Originator: OTCOM/DLIS
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