Posts Tagged ‘medication’

Balancing Interests While Keeping Patient Safety Priority #1

Thursday, July 30th, 2009

One of the more challenging aspects of the new FDA world of REMS is the tension it can create among various functional groups such as Marketing, Risk Management, Safety and Medical within a Pharma or Biotech company. Rules are unclear. Territories are vaguely defined. New objectives seem similar to the old but may not be in reality. And it involves many players, across most internal disciplines. Maybe it’s time that we all think of this as a cross-disciplinary sport that no one really knows how to play well, yet.

The urgency of the new regulatory environment is simply demanding some quick innovative thinking and action.

Some of our clients and others are addressing this new “X-Disciplinary Sport” to good advantage. There are a number of principles that, if kept at the forefront of thinking, can help you re-organize and align your teams around this new REMS-driven world. (more…)

Pharmaceutical Safety Risk Management

Wednesday, April 8th, 2009

What a difference a year makes…

In early 2008, the topic of risk management was greeted with aversion by most pharmaceutical managers responsible for commercial activities.  “If I encounter a drug with genuine safety concerns, I’ll call you” was a frequent response.

Today, everyone is talking about risk management… and for good reason.  The FDA Amendment Act (FDAAA) of 2007 granted FDA sweeping new authority to require Risk Evaluation and Mitigation Strategies (REMS) of any product at any stage of lifecycle.  In response to FDAAA, industry had three immediate questions:

  • What determines if REMS will be necessary?
  • How actively will FDA implement the REMS provisions?
  • Who should be thinking about risk management?

(more…)

REMS Programs for Opioid Drugs?

Thursday, February 19th, 2009

REMS programs for opioid drugs? A worthy approach but many questions remain to be answered.

Developing an effective REMS program – one designed to preserve access for every person who would benefit from a medication while avoiding exposure in situations and individuals with excessive risk factors – is a challenge. The difficulty increases when the risks expand beyond inadvertent misuse to also include intentional abuse.

Recently the FDA signaled its intent to tackle risks involving opioids that have both significant benefits for certain segments of patients and also the potential for misuse and abuse. On March 3, the FDA will sit down with 15 manufacturers of 24 opioid medications to begin the process of outfitting them with REMS.
(more…)

REMS Planning – Not Just For Safety

Friday, February 6th, 2009

REMS planning is not only good for safety, it can also help increase product adoption.

If you’re interested in REMS because you’re in the Regulatory, Legal, Medical or R&D departments of a pharmaceutical, device or biotech manufacturing company, you might want to forward this post to your colleagues in Marketing, especially if they are working on product launches.  Many Marketing people intuitively suspect any attempt to guide appropriate use of their fledgling product – such as a REMS or other risk management program – is going to negatively affect sales and reputation. 

And that does make sense, doesn’t it?  But the facts don’t support the belief. 
(more…)

Thoughts Shared at FDLI Risk Management Conference

Wednesday, January 28th, 2009

FDA and the industry share thoughts at FDLI risk management conference

Earlier this month, while Washington was bustling with Inaugural preparations, there was an excellent meeting in the capital on pharmaceutical risk management, hosted by the Food and Drug Law Institute (FDLI) at the offices of Morgan, Lewis & Bockius LLP.  The impetus of the meeting was to provide a forum for some of the authors of the recently published text, Pharmaceutical Risk Management: Practical Applications (FDLI, 2008) as well as other experts within the industry and within the FDA.  Industry veteran Wayne Pines, who edited the book along with me and my colleague at ParagonRx, Gary Slatko, chaired the conference.

I would like to share with you some of the more-intriguing thoughts to come out of the conference, as well as a few news tidbits – but first let me say that if you would like to obtain a complete transcript of the conference or to buy a copy of PRM: Practical Applications, please contact the FDLI website at www.fdli.org.
(more…)