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Communicating the Value of Pharmacodynamic Modelling in Drug ...

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FDA Perspective<br />

There is a clear emerg<strong>in</strong>g message from <strong>the</strong> FDA regard<strong>in</strong>g <strong>the</strong>ir view <strong>of</strong> <strong>the</strong><br />

importance <strong>of</strong> <strong>Modell<strong>in</strong>g</strong> and Simulation (M&S) to reduce <strong>the</strong> cost, time, and<br />

uncerta<strong>in</strong>ty <strong>in</strong> gett<strong>in</strong>g new medical products to patients.<br />

Critical Path White Paper (March, 2004) and Report (March, 2006)*<br />

● Proposes utilization <strong>of</strong> model-based approaches to improve knowledge<br />

management and decision-mak<strong>in</strong>g<br />

Guidances<br />

● In 1999, FDA issued “Guidance for Industry | Population Pharmacok<strong>in</strong>etics”<br />

● In 2003, FDA issued “Guidance for Industry | Exposure-response<br />

relationships: Study Design, Data Analysis, and Regulatory Applications”<br />

New focus on End-<strong>of</strong>-Phase IIa meet<strong>in</strong>gs<br />

*http://www.fda.gov/oc/<strong>in</strong>itiatives/criticalpath/<br />

● Goal: Reduce unnecessary late stage (IIb, III) failures by<br />

• Review <strong>of</strong> dose vs. response models , exposure vs. response<br />

models, drug – disease models, simulations <strong>of</strong> phase IIb and<br />

preparation for phase III trial design<br />

• Review dose adjustment strategies for special populations<br />

• Review cl<strong>in</strong> pharm and biopharmaceutical issues, as well as<br />

newer areas <strong>of</strong> uncerta<strong>in</strong>ty: QT trial design, pharmacogenomic<br />

and paediatric considerations<br />

slide 3<br />

30 May 2008, ARCS<br />

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