2014, Number 18
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INFODIR 2014; 10 (18)
Considerations about the clinical development strategy of a pharmaceutical product
Marrero MMA, López SP, García MAJ, Alonso CL, López PP, Tirado MM
Language: Spanish
References: 18
Page: 41-53
PDF size: 296.94 Kb.
ABSTRACT
Introduction: The development of a new drug is a long and complex process which
requires a lot of resources.
Objective: To carry out a strategy proposal for the
industrial clinical development for drugs trading purposes.
Method: It is a descriptive
two stages structured investigation. The first stage consisted on the revision of the
research methodology, clinical trials and pharmacoepidemiology, strategies,
regulations and drug trading. The PUBMED and Google were revised using different
descriptors. Websites of drug producing centers were also analyzed. After a careful reading of every search, documents selection according to the quality of authors and
publishing sites was performed. Interviews to three experts on the topic were made
which qualitatively allowed to arrive to the results shown. Those considered as experts
have more than ten years of work in the investigation and development of
pharmaceutical products.
Results: A strategy for the development of pharmaceutical
products that includes five steps was proposed: World Status of a disease or health
problem, Tendency of the disease in the future; Current state of the pharmaceutical
market for that disease; Feasibility to be carried out inside the producing center and
executive decision.
Conclusions: La propuesta realizada para el desarrollo clínico de
un medicamento, constituye una guía o patrón de referencia para la investigación en
este campo y estandariza el proceso metodológico para la ejecución de investigaciones
de este tipo. The proposal carried out for the clinical development of a drug is a guide
and a reference pattern for the research in this field and standardizes the
methodological process for the development of investigations of this type.
REFERENCES
Bloomberg on Health Care [Internet]. New York: BLP; c2013 [updated 2013 May 10; cited 2013 May 31]. Available from: http://www. bloomberg.com
European Commission. The 2008 EU Industrial R&D Investment Scoreboard [Internet]. 2009 [cited 2013 May 31]. Available from: http://iri.jrc. ec.europa.eu/research/docs/2008/pr_es.pdf
IMS Health [Internet]. Connecticut: IMS Health Incorporated; c2010 [updated 2010 May 10; cited 2010 Jun 2010]. Available from: http://www.imshealth.com/
Maynard A, Cookson R. Money or your life? The health-wealth trade-off in pharmaceutical regulation. J Health Serv Res Policy 2001; 6(3):186-9.
National Center for Pharmacoeconomics. Guidelines for inclusion of drug costs in pharmacoeconomic evaluations [Internet]. [cited 2013 May 31]. Available from: http://www.ncpe.ie/u_docs/doc_190.pdf
Kola I, Landis J. A Survey of Pharmaceutical Comparing Reasons for Attrition. Nature Reviews Drug Discovery. 2004; 3: 711-5.
DiMasi JA, Hansen RW, Grabowski HG. The Price of Innovation: New Estimates of Drug Development Costs. Journal of Health Economics. 2003; 22: 151-8.
Luiza VL, Osorio de Castro C, Marin N, editores. Vigilancia y evaluación de políticas farmacéuticas nacionales. Rio de Janeiro: Organização Pan-Americana da Saúde, Escola Nacional de Saúde Pública Sergio Arouca; 2006.
Kiernan TJ, Gersh BJ. Trombólisis en el infarto agudo de miocardio: estado actual. Med Clin N Am. 2007; 91: 617 – 37.
Sackett DL. Rules of evidence and clinical recommendations on the use of antithombotic agents. Chest. 2006; 89:125-8.
Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud. 1991. La Habana: DNE; 1992.
Sherry S, Marder VJ. Streptokinase and recombinant tissue plasminogen activator (rt-PA) are equally effective in treating acute myocardial infarction. Ann Intern Med 1991; 114:417-23.
Boland A, Dundar Y, Bagust A, Haycox A, Hill R, Mujica Mota R, et al. Early thrombolysis for the treatment of acute myocardial infarction: a systematic review and economic evaluation. Health Technol Assess 2003; 7(15).
International Joint Efficacy Comparison of Thrombolytics. Randomised, doubleblind comparison of reteplase duoble-bolus administration with streptokinase in acute myocardial infarction (INJECT): trial to investigate equivalence. Lancet 1995; 346:329-36.
Hernandez, L, Marrero, MA. Estreptoquinasa: a propósito de un agente trombolítico. Biotecnología Aplicada 2005;22:182-90.
The TERIMA Group Investigators. Multicenter, randomised, comparative study of recombinant vs. natural streptokinases in acute myocardial infarct. 1999; 82(6):1605-09.
The TERIMA Group Investigators. TERIMA-2: National extension of thrombolytic treatment with recombinant streptokinase in acute myocardial infarct in Cuba.. Thrombosis & Haemostasis 2000;83(6):949-54.
Vera Muyar CR, Morales Pérez C. Enfermedad cerebrovascular. Seguimiento y rehabilitación en la comunidad. Rev Cubana Med Gen Integr 2001;17(1):27-34.