Publications by authors named "M Papaluca-Amati"

Regulatory science underpins the objective evaluation of medicinal products. It is therefore imperative that regulatory science and expertise remain at the cutting edge so that innovations of ever-increasing complexity are translated safely and swiftly into effective, high-quality therapies. We undertook a comprehensive examination of the evolution of science and technology impacting on medicinal product evaluation over the next 5-10 years and this horizon-scanning activity was complemented by extensive stakeholder interviews, resulting in a number of significant recommendations.

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Objectives: Society is confronted with the rapid emergence of innovation in science and technology. To manage this, horizon scanning is being adopted globally to identify, assess and prioritise innovations and trends at an early stage of their development. This enables decision-makers to be better informed and to prepare for change.

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Article Synopsis
  • The text discusses the use of adaptive designs in confirmatory clinical trials, highlighting their operational complexity but also their ability to allow changes in trial design as new data emerges, as guided by the European Medicines Agency (EMA) since 2007.
  • A study was conducted on 59 medicines that underwent adaptive trials submitted to the EMA, analyzing their progress, success rates, and the impact of these trials on obtaining marketing authorization.
  • Results showed that 53% of the trials started, with a significant proportion demonstrating favorable treatment effects and some being halted due to lack of effectiveness, along with an average trial start time of 5 months post-EU advice.
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Pharmacogenomics (PGx) has a growing impact on healthcare and constitutes one of the major pillars of personalised medicine. For the purpose of improved individualised drug treatment, there is an increasing effort to develop drugs suitable for specific subpopulations and to incorporate pharmacogenomic drug labels in existing and novel medicines. Here, we review the pharmacogenomic drug labels of all 517 medicinal products centrally approved in the European Union (EU) since the establishment of the European Medicines Agency in 1995.

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