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BreakOut Session Addendum to the October 2008 Antimicrobial ...

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<strong>Antimicrobial</strong> workshop ­ Breakout session discussion<br />

Page 8<br />

When considering study designs for hemoparasite diseases, <strong>the</strong> difficulties in identifying<br />

<strong>the</strong> appropriate clinical endpoints of success were discussed. Once veterinary experts<br />

determine <strong>the</strong> appropriate outcomes of clinical success, <strong>the</strong>n multiple centers might be<br />

able <strong>to</strong> prospectively enroll cases. Additionally, <strong>the</strong> use of concurrent medications in<br />

hemoparasite cases should be considered. All current studies allow for an escape clause<br />

so non­responsive cases can be removed from <strong>the</strong> study for individual health reasons.<br />

Such escape clauses would be necessary if <strong>the</strong>re was a concurrent infection necessitating<br />

additional <strong>the</strong>rapies outside of <strong>the</strong> proscribed treatment pro<strong>to</strong>col.<br />

Conclusion<br />

In summary of <strong>the</strong> round­table discussions, which were presented at <strong>the</strong> end of <strong>the</strong><br />

workshop <strong>to</strong> all <strong>the</strong> participants, multiple ideas were discussed that could possibly<br />

facilitate <strong>the</strong> approval path for additional claims for antimicrobial drugs in companion<br />

animals. However, no specific conclusions and agreements were reached during this<br />

meeting; it just opened a door for fur<strong>the</strong>r discussions between <strong>the</strong> CVM and drug<br />

sponsors. Both parties welcome continued discussion.

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