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The United States Federal Drug Administration (FDA) and Clinical Research

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Essentials of Clinical Research

Abstract

The USFDA is an agency of the US Department of Health and Human Services and is the nation’s oldest consumer protection agency whose function it is to review drugs before marketing, monitor marketed drugs, monitor drug manufacturing and advertising, protect drug quality, and to conduct applied research. It is charged with overseeing of not only human drugs and biologics, but also veterinary drugs, foods, medical devices, and radiopharmaceuticals, and as such serves as a watch dog over industry. This chapter discusses the historical development of the FDA, and what the FDA is today. The phases of research development leading to the marketing of a new drug, the role of the FDA in surgical interventions, and the FDA’s role in advertising and adverse event reporting are discussed.

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References

  1. Lewis S, Baird P, Evans RG, et al. Dancing with the porcupine: rules for governing the university-industry relationship. CMAJ. Sept 18, 2001; 165(6):783–785.

    PubMed  CAS  Google Scholar 

  2. The Historical Guide to American Government. New York: Oxford Press; 1998.

    Google Scholar 

  3. http://store.aetv.com/html/product/index.jhtml?id = 73174.

  4. Swann R. History of the FDA. www.fda.gov/oc/history. Accessed May 9, 2007.

  5. Guidance for Industry. www.fda.gov/cber/guidelines.

  6. Thelithromycin. Wikipedia.

    Google Scholar 

  7. FDA Amendment Act of 2007; 2007.

    Google Scholar 

  8. The Mission Statement of the ICH. http://www.ich.org/

  9. Coronary Drug Project. www.fda.gov

  10. Suntharalingam G, Perry MR, Ward S, et al. Cytokine storm in a phase 1 trial of the anti-CD28 monoclonal antibody TGN1412. N Engl J Med. Sept 7, 2006; 355(10):1018–1028.

    Article  PubMed  CAS  Google Scholar 

  11. European Medicines Agency (EMEA). http.www.emea.europa.

  12. O’Donnell P. Not yet the last word on first-in-man. Appl Clin Trials. 2007; 16:34–38.

    Google Scholar 

  13. Palesch YY, Tilley BC, Sackett DL, Johnston KC, Woolson R. Applying a phase II futility study design to therapeutic stroke trials. Stroke. Nov 2005; 36(11):2410–2414.

    Article  PubMed  Google Scholar 

  14. Henderson L. The long arm of the FDA. Appl Clin Trials. 2007.

    Google Scholar 

  15. Ramsey SD, Sullivan SD. Evidence, economics, and emphysema: medicare’s long journey with lung volume reduction surgery. Health Aff (Millwood). Jan–Feb 2005; 24(1):55–66.

    Article  Google Scholar 

  16. Brantigan OC, Mueller E. Surgical treatment of pulmonary emphysema. Am Surg. Sept 1957; 23(9):789–804.

    PubMed  CAS  Google Scholar 

  17. Cooper JD, Trulock EP, Triantafillou AN, et al. Bilateral pneumectomy (volume reduction) for chronic obstructive pulmonary disease. J Thorac Cardiovasc Surg. Jan 1995; 109(1): 106–116; discussion 116–109.

    Article  PubMed  CAS  Google Scholar 

  18. Tunis SR, Pearson SD. Coverage options for promising technologies: medicare’s ‘coverage with evidence development’. Health Aff (Millwood). Sept–Oct 2006; 25(5):1218–1230.

    Article  Google Scholar 

  19. Fishman A, Martinez F, Naunheim K, et al. A randomized trial comparing lung-volume-reduction surgery with medical therapy for severe emphysema. N Engl J Med. May 22, 2003; 348(21):2059–2073.

    Article  PubMed  Google Scholar 

  20. Kolata G. Medicare says it will pay, but patients say ‘no thanks’. New York Times. March 3, 2006, 2006; C:1.

    Google Scholar 

  21. Al-Naaman YD, Carton CA, Cooley DA. Surgical treatment of arteriosclerotic occlusion of common carotid artery. J Neurosurg. Sept 1956; 13(5):500–506.

    Article  PubMed  CAS  Google Scholar 

  22. Winslow CM, Solomon DH, Chassin MR, Kosecoff J, Merrick NJ, Brook RH. The appropriateness of carotid endarterectomy. N Engl J Med. Mar 24, 1988; 318(12):721–727.

    Article  PubMed  CAS  Google Scholar 

  23. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. Aug 15, 1991; 325(7):445–453.

    Google Scholar 

  24. Endarterectomy for asymptomatic carotid artery stenosis. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. JAMA. May 10, 1995; 273(18):1421–1428.

    Article  Google Scholar 

  25. Barnett HJ, Taylor DW, Eliasziw M, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. Nov 12, 1998; 339(20):1415–1425.

    Article  PubMed  CAS  Google Scholar 

  26. Halm EA, Tuhrim S, Wang JJ, Rojas M, Hannan EL, Chassin MR. Has evidence changed practice?: appropriateness of carotid endarterectomy after the clinical trials. Neurology. Jan 16, 2007; 68(3):187–194.

    Article  PubMed  CAS  Google Scholar 

  27. Moseley JB, O’Malley K, Petersen NJ, et al. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. July 11, 2002; 347(2):81–88.

    Article  PubMed  Google Scholar 

  28. Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial. JAMA. Nov 22, 2006; 296(20):2441–2450.

    Article  PubMed  CAS  Google Scholar 

  29. Horng S, Miller FG. Ethical framework for the use of sham procedures in clinical trials. Crit Care Med. Mar 2003; 31(3 Suppl):S126–130.

    Article  Google Scholar 

  30. Macklin R. The ethical problems with sham surgery in clinical research. N Engl J Med. Sept 23, 1999; 341(13):992–996.

    Article  PubMed  CAS  Google Scholar 

  31. Freed CR, Greene PE, Breeze RE, et al. Transplantation of embryonic dopamine neurons for severe Parkinson’s disease. N Engl J Med. Mar 8, 2001; 344(10):710–719.

    Article  PubMed  CAS  Google Scholar 

  32. Brody BA. The Ethics of Biomedical Research: An International Perspective. New York: Oxford University Press; 1998.

    Google Scholar 

  33. Wennberg JE. An apple a day? N Engl J Med. Sept 22, 1994, 1994; 331(12):815–816.

    Article  PubMed  CAS  Google Scholar 

  34. FDA Website. 6/10/07; http://www.fda.gov/opacom/morechoices/mission.html

  35. Division of Drug Marketing, Advertising, and Communications, Food and Drug Administration. 5/31/07; http://www.fda.gov/cder/ddmac

  36. 21 CFR Part 310 section 502(a) of the Food and Drug Administration Modernization Act of 1997. In: Department of Health and Human Services FaDA, ed. Vol 21 U.S.C. 352(a).

    Google Scholar 

  37. Baylor-Henry M, Drezin N. Regulation of prescription drug promotion: direct-to consumer advertising. Clin Ther. 1998; 20(C):C86–C95.

    Article  Google Scholar 

  38. Section 502(n) of the Food Drug and Cosmetics Act, and Title 21 Code of Federal Regulations. Vol 202.1(1)(1).

    Google Scholar 

  39. Kessler DA, Pines WL. The federal regulation of prescription drug advertising and promotion. JAMA. Nov 14, 1990; 264(18):2409–2415.

    Article  PubMed  CAS  Google Scholar 

  40. 21 CFR Part 310 section 502(a) of the Food and Drug Administration Modernization Act of 1997 (Modernization Act).. In: Department of Health and Human Services FaDA, ed. Vol 21 U.S.C. 352 (n).

    Google Scholar 

  41. Section 502(n) of the Food Drug and Cosmetics Act, and Title 21 Code of Federal Regulations. Vol 202.1(j)(1).

    Google Scholar 

  42. Section 502 (n) of the Food Drug and Cosmetics Act, and Title 21 Code of Federal Regulations. Vol 202.1.

    Google Scholar 

  43. 21 CFR Part 310 section 502(a) of the Food and Drug Administration Modernization Act of 1997 (Modernization Act). Vol 21 314.81(b)(3).

    Google Scholar 

  44. Woodcock J. Statement by Janet Woodcock, MSD Director, Center of Drug Evaluation and Research. US Drug Administration. Rockville, MD: Department of Health and Human Services; 2003.

    Google Scholar 

  45. Gahart MT, Duhamel LM, Dievler A, Price R. Examining the FDA’s oversight of direct to consumer advertising. Health Affairs. 2003; W3:120–123.

    Google Scholar 

  46. Waxman HA. Ensuring that consumers receive appropriate information from drug ads: what is the FDA’s role? Health Affairs. 2004; W4:256–258.

    Google Scholar 

  47. Waxman RHA. Letter from Rep. Henry A. Waxman to the Honorable Tommy G. Thompson. http://oversight.house.gov/story.asp?ID=441. Accessed June 1, 2007.

  48. Food and Drug Administration. http://www.fda.gov/opacom/backgrounders/miles.html. Accessed October 6, 2007.

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Glasser, S.P., Ashton, C.M., Wray, N.P. (2008). The United States Federal Drug Administration (FDA) and Clinical Research. In: Glasser, S.P. (eds) Essentials of Clinical Research. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-8486-7_6

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  • DOI: https://doi.org/10.1007/978-1-4020-8486-7_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-1-4020-8485-0

  • Online ISBN: 978-1-4020-8486-7

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