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A concise overview of key concepts in event reporting within the context of patient safety and pharmacovigilance. It covers essential definitions such as adverse event (ae), adverse drug reaction (adr), severity, and seriousness, offering clear distinctions and practical applications. The material also outlines the steps and timelines for expedited reporting of serious adverse events (saes), including the roles of investigators and sponsors. It serves as a quick reference guide for understanding the regulatory requirements and processes involved in monitoring and reporting adverse events related to pharmaceutical products, emphasizing the importance of timely and accurate reporting to ensure patient safety and regulatory compliance. Useful for medical and pharmaceutical students, as well as professionals in the healthcare industry, who need a quick reference guide on adverse event reporting.
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What does the ICH E2A guideline describe? - Answer Safety information that arisesduring clinical development. Covers all phases of development.
Adverse Event ICH GCP Definition - Answer Any untoward medical occurrence in apatient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. Untoward medical occurrence - Answer ny unfavorable and unintended sign, symptom,or disease that occurs in one or more subjects
per protocol analysis - Answer only the information for those subjects who have takenthe product will be included in the analysis
'intention to treat' analysis - Answer includes information on anyone who was intended tohave the product administered, whether it actually happened or not
Pre-approval definition of ADRs - Answer any adverse event that is reasonably related touse of a medicinal product. If an adverse event is possibly, probably, or definitely related to use of a medicinal product, it's an ADR. Severity - Answer describes its intensity. Severity is typically reported as being mild,moderate, or severe.
seriousness - Answer based on the patient or event outcome, usually posing a threat to apatient's life or ability to function. (The seriousness serves as a guide for determining expedited reporting requirements. In short, if it's serious, it needs reporting as soon aspossible)
When does a serious AE need to be reported? - Answer As soon as possible using SAEform.
Who determines the severity of an AE? - Answer Investigator Death is - Answer an outcome, not an event life-threatening - Answer Patient is in immediate danger of death at time of event Requires inpatient hospitalization or prolongation of existing hospitalization - Answerhospitalization is prolonged due to the occurence of a new event and the worsening of the initial event results in persistent or significant disability or incapacity - Answer Incapacity refers tothe inability to perform normal day activities due to a medical condition
congenital anomaly or birth defect - Answer a congenital anomaly being a geneticdisposition, and a birth defect being the result of the process of giving birth
What are the steps of expedited reporting? - Answer Site reports SAE to sponsor Sponsor reports to regulatory authorities Sponsor updates safety info and IB as needed and provides to all sites investigator at site performs risk-benefit analysis and determines whether to tell patients investigator looks for new SAEs