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220-Dictionary of Pharmaceutical Medicine, 2nd Edition-Gerhard Nahler Annette Mollet-3211898352-S

220-Dictionary of Pharmaceutical Medicine, 2nd Edition-Gerhard Nahler Annette Mollet-3211898352-S

220-Dictionary of Pharmaceutical Medicine, 2nd Edition-Gerhard Nahler Annette Mollet-3211898352-S

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179the date <strong>of</strong> their first marketing authorisation; (e.g. for additional5 years in US, Japan) usually up to a total length <strong>of</strong> 14 years; in ECcountries products can get a 5 year certificate, and a 15 years protectionperiod; transition periods are variable and start between 1January 1982 and 1 January 1988; there is no unitary European spc,but national ones only.supportive data Information on efficacy and safety not accepted aspivotal and therefore not central to new drug application.suppressor gene A gene that can reverse the effect <strong>of</strong> a mutation inother genes.suprabioavailability The new product displays a bioavailability appreciablylarger than the approved product; reformulation to alower dosage strength assuring therapeutic equivalence will benecessary; → see also pharmacokinetic, bioavailability.surface → see body surface.surrogate FDA: non-clinical measure that can reliably predict clinicalchanges within a reasonable amount <strong>of</strong> time; → see also biomarker,outcomes research, surrogate endpoint, surrogatemarker.surrogate endpoint = substitute/prognostic parameter for a clinicalendpoint; instead <strong>of</strong> the (clinical) event itself an event directlyrelated to it is recorded that indicates presence or worsening <strong>of</strong> aclinical condition in a clinical trial, e.g. cataract surgery instead<strong>of</strong> the diagnose cataract, dispensing <strong>of</strong> an antidepressant for depressiveillness, specific markers or abnormal lab values reflectingprogress, a.s.o.; s.e. are measured to get faster results in clinicaltrials, whereby the presence in a high percentage <strong>of</strong> the patientsis a prerequisite; surrogate endpoints are frequently used in earlyphase <strong>of</strong> clinical development, e.g., phase IIa; → see also acceleratedapproval program, surrogate marker, surrogate.surrogate marker Measurement <strong>of</strong> a biological variable instead <strong>of</strong>the clinical condition, e.g. Magnetic Resonance Imaging instead <strong>of</strong>patient’s disability in multiple sclerosis, tumor markers instead <strong>of</strong>lesions, forced expiratory volume in 1 second/FEV 1in lung diseases,CRP or ESR in inflammatory diseases; → see also surrogateendpoint.surveillance → see prescription-event monitoring, spontaneousreporting.survival analysis syn. life-table analysis; statistical technique forcalculating the probability <strong>of</strong> developing a given outcome (death,relapse, medical intervention, a.s.o.), taking into account the duration<strong>of</strong> follow-up; s.a. can be used to examine the distribution <strong>of</strong>time to occurrence <strong>of</strong> any dichotomous outcome and applies toboth observational and experimental clinical trials; most commonsur

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