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International Society for Pharmacoepidemiology (ISPE). International scientific forum for epidemiologists and safety experts working in regulatory, academia, and industry www.pharmacoepi.org. Clarification of Definitions. Quantitative Definition of Risk Numerator & denominator Time element
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International Society for Pharmacoepidemiology (ISPE) International scientific forum for epidemiologists and safety experts working in regulatory, academia, and industry www.pharmacoepi.org
Clarification of Definitions • Quantitative Definition of Risk • Numerator & denominator • Time element • Expand types of appropriate studies • Registries vs Pharmacoepidemiologic Studies • Pharmacoepidemiologic SAFETY Studies • Include prospective data collection & LSS
Safety Signals • Line 319 #8 • Refer to background risk of AEs from underlying disease? • Line 352 #2 • RR or OR to evaluate causality • Important to consider Risk Difference as well • Many strategies may not be appropriate for spontaneous reports
Reporting of Safety Signals • Clarify temporal sequence of • Hypothesis generation • Hypothesis testing • Perspective of risk and benefit • Risk management
Surveys • Design • Cross sectional or longitudinal • Require epidemiologic expertise & other academic disciplines
Analytic Methods for Risk Management • Methods development needed • Signal detection & evaluation • Risk assessment • Risk management evaluation
International Society for Pharmacoepidemiology (ISPE) 19th International Conference on Pharmacoepidemiology & 1st International Conference on Therapeutic Risk Management 21-24 August 2003, Philadelphia