FDA Evaluation of Medication Essay

FDA’s Center for Drug Evaluation and Research (CDER) works to ensure that the drugs release in the market are safe to be used by general public. They evaluate prescription as well as non-prescription drugs for their safety effectiveness and quality. They review the drug before being marketed to improve overall health

The Federal Food, Drug Administration is responsible for establishing the Code of Federal Regulations which outlines the rules and regulations governing pharmaceuticals. The rules are divided into sections and include guidance based on drug categories. Due to each person having varying reactions to pharmaceutical products not all side-effects are detected during clinical testing. The Federal Food, Drug Administration is responsible for sharing the information with consumers. However, it seems a bit unethical because the large pharmaceutical companies do not have to share all of side-effect information that may assist consumers in making its choice on whether to try a product or to not try a product. Through various survey’s it was discovered that consumers are under the opinion that pharmaceutical companies need to have improved internal controls to ensure their compliance with regulations. Due to physicians and pharmaceutical companies working together and are dependent on one another there needs to be controls in place that would have an unbiased view of the regulations. The government will need to continue introducing new regulations that will aide in monitoring the relationships.

Americans must wait up to 19 years after a discovered treatment before they can participate in benefits of a new medication (Philipson & Sun, 2008). The regulatory process drug manufacturers need to endure before releasing potentially life-saving medication is an extremely expensive, time-consuming process. The Center for Drug Evaluation and Research (CDER) is the main department of the Food and Drug Administration (FDA) responsible for the safety of drugs (both prescription and over-the-counter) sold in the United States (Food and Drug Administration, 2011). This department scrutinizes the testing of new drugs and

The United Sates Food and Drug Administration has been protecting American consumers for around 70 years. The FDA assures the safety drugs, medical devices, chemicals, cosmetics, foods and additives by evaluating products for approval. Controversy has recently been surrounding the FDA's drug approval process, due to a general trend to get pharmaceuticals on the market more quickly. The FDA has been under pressure from congress and the public to speed approval, but pharmaceutical companies, who benefit more than anyone form accelerated drug approval, have also been applying pressure to the FDA through congress. The speeding of the approval process helps patients with incurable illnesses

To better understand the issues associated with the prescription drug industry, it would first be best to understand their development and approval process. For a new drug to enter the market, it must first undergo a lengthy and often expensive research and development. Once a company submits an application for a new drug, it is their responsibility to provide the evidence showing its safety and effectiveness. Until they have undergone these criteria of guidelines and standards set in place, they will not receive FDA approval.

(Adams M. , 2013). ?Before a drug is introduced, regulators demand controlled clinical trials (on carefully selected homogeneous samples); but, once a drug is widely in service, they fail to engage in systematic monitoring of what happens in everyday clinical practice, with ?real? patients.? (May, 2004).

One contributing factor is the cost of research and development required to bring a new drug to market. In order to be approved by the FDA, a drug must go through phase 0, I, II, and III processes. Phase 0 involves animal testing, phase I is small scale clinical studies to determine safety, phase II is clinical studies to determine effectiveness,

Before an investigational study on a new drug may take place, research subjects must submit informed consent and informed of all possible risks and benefits of the therapy. There are four types of phases associated with investigational studies that may occur. Beginning with the first phase, a Phase I study consist of few healthy participants who do not have the disease that the certain drug is said to treat. The purpose of this phase is to determine the optimal dosage range and the pharmacokinetics of the drug and if further testing of the drug is necessary. Vital signs, blood tests, urinary analysis, and other specific monitoring exams are performed. The next phase, Phase II, also involves a relatively small number of participants who this time have the disease that the drug is designed to treat. Participants are closely monitored to determine the effects and adverse

The first step in developing a drug is pre-clinical testing. The experimental drug is tested in a laboratory and in animal studies. The drug has to meet safety standards and show potential for being a new drug. If this criterion is met, the drug moves on to the next phase. Phase 1 is concentrated on making sure the drug is safe to use on humans. This is the first time the experimental drug is used on people. Different measures of dosages of the drug are given to a small number of the volunteers. This allows the researchers to be able to measure the body’s response to the drug. The things they measure include how the drug is absorbed, its duration in the bloodstream, and what dosage levels are safe and well accepted by the body. If the experimental drug is deemed safe, it passes on to Phase 2 (Phases of Development, par. 6-7).

The U.S. Food and Drug Administration (FDA) is an agency within the U.S. Department of Health and Human Services that is responsible for assuring the safety, efficiency, and quality of drugs and vaccines. In America a drug must first be evaluated by the Center for Drug Evaluation and Research (CDER), which is a division of the FDA, before it gets approved for sale. This means that the department must make sure that the medicine been evaluated works properly and that its health benefits are greater than its identified risks. A company or a sponsor that is introducing the new drug initially performs a laboratory and animal tests to determine the safety and the effectiveness of the drug in humans. Once this step is successfully completed, several tests are implemented in people to confirm that the drug is safe when used to treat a disease and whether it provides a real health benefit. Finally, results of the tests that prove the safety and the effectiveness of the treatment are sent to the CDER. After a group of experts at CDER reviews the submitted evidence and ensures that the medicine's health benefits surpass its known risks, the drug can then be sold around the US (Development & Approval Process (Drugs), 2014).

The Food and Drug Administration (FDA) is the agency that regulates the development of new drugs to the market. There are several steps that must be taken prior to a drug making it to the market. It can take up to 12 years for a drug to get through testing in order to make it to consumers and that is only if it makes it through this rigorous process. According to studies, only 5 in 5,000 drugs that go through preclinical testing make it to human testing.

Each and every member of the team will understand the science behind the clinical trial provides significant background for the tasks that will be allocated and related decisions will be considered. We will take help from medical monitor or other suitable expert to arrange an outline of the therapeutic part and sign, to talk about the specific mechanisms pertinent to the manufactured goods being evaluated, and to talk about earlier and rival trials that may offer context to our

After all research has been conducted including the testing of all animal and human studies associated, the New Drug application is completed by the drug developer. The results provided are used by the FDA to determine whether the drug is approved or the recommendation of further testing. Finally phase four is based on the monitoring of the drug’s risks and benefits monitored by various sponsors hired by the FDA.

During this phase the drug is considered and the talk of different dosage, patients and longevity of use is looked over. After phase three the drug is written up again in as a new drug application and is filed to the FDA in which they have 60 days to review and submit in order for this drug to get out. Following there are different steps of approval determining the severity of need for the drug and its underlying benefits. In most cases it will take some time and scrutinizing of the FDA’s review team before the drug can be released, but under certain circumstances drugs may be approved for release without the sponsors showing its safety and true effectiveness. This process is called “accelerated approval” in which if there are very few cures for a certain disease or none at all then a drug can be approved for use, it will be reviewed and possibly withdrawn but just the act of allowing such a thing to occur yet again should not sit well with most. The most recent example of this would be studies shown of Chronic Myeloid Leukemia in which they released a drug that barely passed phase two. They call it in these dire circumstances a “surrogate endpoint” almost as if the patient is already dying so the outcome, good or bad is ok as long as they see the effectiveness of this drug. In concluding the process of review it appears that there is a great system of checks and balances and a great deal of care put in to the

The main goal in Phase I is to find out if the investigational new drug is safe. In this first phase of human testing, testing determines the correct dosing and exposes the most common side effects. If the investigational new drug is found to be safe, Phase II of human testing can begin. The main goal of Phase II is to find out if the investigational new drug is effective. Unlike in Phase I, the patients tested in Phase II are not healthy. In this phase, testing determines whether the drug works on patients it was designed to help. Results are obtained by comparing the group of test patients to other groups taking a different drug or taking a placebo.