What is included with this book?
Foreword | p. xi |
Preface to the Sixth Edition | p. xiii |
List of Contributors | p. xv |
Acknowledgements | p. xvii |
Adverse Drug Reactions: History, Terminology, Classification, Causality, Frequency, Preventability | p. 1 |
Introduction | p. 1 |
Defining pharmacovigilance | p. 1 |
The modern history of pharmacovigilance | p. 3 |
Terminology and definitions in pharmacovigilance | p. 6 |
Medication errors | p. 25 |
Pharmacological classification of adverse drug reactions | p. 32 |
Drug interactions | p. 53 |
Reporting suspected adverse drug reactions | p. 59 |
Causality assessment | p. 64 |
Frequencies of adverse drug reactions | p. 69 |
Risk perception and adverse drug reactions | p. 77 |
Class effects of drugs | p. 78 |
Unlicensed indications, off-label uses, and orphan drugs | p. 80 |
Preventing adverse drug reactions | p. 84 |
Publishing accounts of adverse drug reactions | p. 95 |
References | p. 101 |
Pharmacogenetics of Adverse Drug Reactions | p. 121 |
Introduction | p. 121 |
Historical review | p. 121 |
Sources of genetic variability | p. 122 |
Role of pharmacogenetic factors in drug pharmacokinetics | p. 123 |
Role of pharmacogenetic factors in drug pharmacodynamics | p. 133 |
The role of pharmacogenetics in pharmaceutical companies | p. 139 |
The impact of pharmacogenetics on regulatory agencies | p. 141 |
The impact of pharmacogenetics on clinical practice | p. 143 |
Conclusions | p. 145 |
References | p. 145 |
Toxicology and Adverse Drug Reactions | p. 157 |
Introduction | p. 157 |
Toxicity testing | p. 157 |
Drug discovery and development | p. 168 |
Data interpretation and risk assessment | p. 174 |
Adverse drug reactions detected after marketing authorization | p. 186 |
Examples of toxicological investigation of ADRs | p. 199 |
Conclusions | p. 200 |
Acknowledgements | p. 201 |
References | p. 201 |
Clinical Trials-Collecting Safety Data and Establishing the Adverse Drug Reactions Profile | p. 215 |
Introduction | p. 215 |
Adverse events | p. 216 |
Clinical studies and safety | p. 236 |
The emerging safety profile | p. 267 |
Presentation of safety data | p. 271 |
Conclusions | p. 280 |
References | p. 281 |
Clinical Laboratory Safety Data | p. 291 |
Introduction | p. 291 |
Factors that influence the interpretation of clinical laboratory data | p. 294 |
Sample collection procedure | p. 300 |
Analytical variation | p. 301 |
Reference ranges | p. 304 |
Intra-individual biological variation | p. 307 |
Detecting adverse events during drug development | p. 309 |
Test selection | p. 333 |
Exclusion criteria and "panic levels" | p. 335 |
Harmonization of data from different laboratories | p. 337 |
Data analysis and presentation | p. 339 |
Conclusions | p. 344 |
Appendix | p. 345 |
References | p. 346 |
Statistics: Analysis and Presentation of Safety Data | p. 349 |
Introduction and background | p. 349 |
Problems with efficacy trials for detecting adverse drug reactions | p. 352 |
Analysis and presentation of data from trials | p. 355 |
Statistical measures of the occurrence of adverse events | p. 356 |
Combining data from several trials-meta-analysis | p. 364 |
Use of statistical methods for signal detection from spontaneous reports | p. 365 |
Analysis and presentation of data from observational studies | p. 373 |
Summary and conclusions | p. 384 |
Acknowledgements | p. 385 |
References | p. 386 |
Proactive Pharmacovigilance and Risk Management | p. 389 |
Introduction | p. 389 |
Risk management-definition and general principles | p. 390 |
Defining the knowledge base-the safety specification | p. 391 |
Extending the knowledge of safety and characterizing risk-the pharmacovigilance plan | p. 394 |
Minimizing risks | p. 395 |
Special challenges for risk management | p. 397 |
Experience with risk evaluation and mitigation strategies (REMS) in the USA | p. 398 |
A possible method for risk management when a new adverse reaction is discovered after marketing | p. 399 |
Future challenges for risk management | p. 405 |
Conclusions | p. 406 |
References | p. 407 |
Regulatory Aspects of Pharmacovigilance | p. 411 |
Introduction | p. 411 |
The standardization and harmonization of safety data collection and reporting: CIOMS and ICH | p. 412 |
The European Union | p. 447 |
The UK | p. 481 |
France | p. 483 |
Germany | p. 485 |
USA | p. 487 |
Japan | p. 500 |
Acknowledgements | p. 505 |
References | p. 506 |
Useful web sites | p. 509 |
Legal Aspects of Pharmacovigilance in the European Union | p. 511 |
Introduction | p. 511 |
Application of EU legislation in Member States | p. 511 |
Interpretation of EU law | p. 514 |
Relationship between law and guidelines | p. 515 |
Issues in interpreting EU pharmacovigilance legislation | p. 517 |
Legal responsibility for pharmacovigilance activities | p. 519 |
Failures to meet pharmacovigilance requirements | p. 522 |
Enforcement and sanctions | p. 524 |
European powers and procedures in the event of a product safety issue | p. 528 |
Civil liability | p. 534 |
Personal data privacy | p. 537 |
Safety in research products | p. 538 |
References | p. 541 |
Dictionaries and Coding in Pharmacovigilance | p. 545 |
Introduction | p. 545 |
Scope of this chapter | p. 546 |
What is a dictionary? | p. 546 |
Drug dictionaries | p. 547 |
Disease classifications | p. 554 |
Medical Dictionary for Regulatory Activities, MedDRA® | p. 557 |
Common Terminology Criteria for Adverse Events (CTCAE) | p. 567 |
Definition of adverse reaction terms | p. 567 |
Dictionaries used in electronic health records | p. 568 |
Use of dictionaries in standard product information | p. 570 |
Conclusions | p. 571 |
Acknowledgements | p. 571 |
References | p. 571 |
Adverse Drug Reactions: Societal Considerations | p. 573 |
Introduction | p. 573 |
Adverse drug reactions at the population level | p. 574 |
The social production of ADRs | p. 576 |
Trust | p. 579 |
Information about ADRs | p. 581 |
Conclusions | p. 583 |
References | p. 583 |
Safety of Biotherapeutics | p. 585 |
Introduction | p. 585 |
Properties of proteins | p. 586 |
Classification of biotherapeutics | p. 587 |
Monitoring for adverse events due to biotherapeutics | p. 589 |
Conclusions | p. 598 |
References | p. 598 |
Vaccine Safety Surveillance | p. 603 |
Introduction | p. 603 |
What is special about vaccine safety compared with other drugs? | p. 604 |
Pathogenesis of vaccine reactions | p. 605 |
Criteria for establishing causality after vaccine-related adverse events | p. 608 |
Pre-licensing evaluation of vaccine safety | p. 610 |
Objectives of an ideal post-licensing vaccine safety surveillance system | p. 611 |
Conclusions | p. 620 |
References | p. 620 |
Assessing the Safety of Drugs Used in Oncology | p. 625 |
Introduction | p. 625 |
Factors to consider when assessing the safety of drugs used in oncology | p. 627 |
Sources of adverse effect data | p. 632 |
Nature of the data | p. 634 |
Assessment of adverse effects data in oncology | p. 635 |
Conclusions | p. 641 |
References | p. 642 |
Adverse Drug Reactions and Pharmacovigilance of Herbal Medicines | p. 645 |
Introduction | p. 645 |
Herbal medicines: definitions and descriptions | p. 646 |
Characteristics of herbal medicines | p. 647 |
Regulation of herbal medicines and pharmacovigilance requirements | p. 648 |
Access to and use of herbal medicines | p. 655 |
Adverse reactions associated with herbal medicines | p. 656 |
Methods for pharmacovigilance of herbal medicines | p. 666 |
Responding to safety concerns associated with herbal medicines | p. 673 |
The future for pharmacovigilance of herbal medicines | p. 674 |
Conclusions | p. 675 |
References | p. 676 |
Web Sites Relevant to Pharmacovigilance-An Analysis of Contents | p. 685 |
Introduction | p. 685 |
Ten national pharmacovigilance web sites | p. 685 |
Twelve institutional web sites | p. 689 |
Acknowledgements | p. 697 |
References | p. 697 |
Guidelines and a Checklist for Reporting Suspected Adverse Drug Reactions Anecdotally in Journals | p. 699 |
Introduction | p. 699 |
Notes on the checklist | p. 700 |
Conclusions | p. 706 |
Note | p. 706 |
References | p. 706 |
Index | p. 709 |
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