Navigating the Prescription Drug Information System

IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY
Clinical Pharmacology & Therapeutics Pub Date : 2026-09-11 Epub Date: 2026-07-25 DOI:10.1002/cpt.70401
Irina V. Wang, Courtney Davis, Robin Forrest, Avi Cherla, Maximilian Siebert, Janice Cowden, Sophia Walker, Tamar Krishnamurti, Florence T. Bourgeois, Steven Woloshin, Anita K. Wagner, Huseyin Naci
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引用次数: 0

Abstract

Information on new prescription drugs is increasingly complex and fragmented, posing challenges for healthcare professionals, patients, and payers. Clinicians require concise, actionable guidance to support prescribing decisions, while patients seek to balance benefits and harms when making decisions aligned with their treatment goals. Payers need comparative effectiveness data to inform coverage decisions that shape access and resource allocation. However, inadequacies in drug information communication often lead to overestimation of benefits and underestimation of harms. In this White Paper, we explore how information about newly approved drugs is generated, disseminated, and interpreted. We examine the information needs of healthcare professionals, patients, and payers and the influence of regulatory standards on available evidence. Focusing on regulated communication channels, such as prescription drug labeling, medication guides, and clinical trial snapshots, we highlight the foundational role of regulatory agencies in setting evidence standards and legitimizing drug information. We also consider alternative information sources, including pharmaceutical advertising, which coexist with regulated content. Against a backdrop of increasing uncertainty of drug approval evidence, we identify documented principles that regulators can adopt to meet drug information needs. Recommendations for improvements aim to better serve patients, support clinical decision making, and promote ethical healthcare resource allocation. While centered on the US context, the paper draws parallels with the European information landscape.

处方药信息系统导航。
关于新处方药的信息越来越复杂和分散,给医疗保健专业人员、患者和支付方带来了挑战。临床医生需要简明的、可操作的指导来支持处方决定,而患者在做出符合其治疗目标的决定时,则寻求平衡利弊。支付方需要比较有效性数据,以便为影响获取和资源分配的覆盖决策提供信息。然而,由于药物信息传播的不足,往往会导致对益处的高估和对危害的低估。在本白皮书中,我们探讨了新批准药物的信息是如何产生、传播和解释的。我们研究了医疗保健专业人员、患者和支付方的信息需求,以及监管标准对现有证据的影响。重点关注处方药标签、用药指南和临床试验快照等监管沟通渠道,强调监管机构在制定证据标准和使药物信息合法化方面的基础作用。我们还考虑其他信息来源,包括药品广告,它们与受监管的内容共存。在药物批准证据不确定性增加的背景下,我们确定了监管机构可以采用的文件原则,以满足药物信息需求。改进建议旨在更好地为患者服务,支持临床决策,并促进道德医疗资源分配。虽然以美国为中心,但这篇论文与欧洲的信息格局有相似之处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
12.70
自引率
7.50%
发文量
290
审稿时长
2 months
期刊介绍: Clinical Pharmacology & Therapeutics (CPT) is the authoritative cross-disciplinary journal in experimental and clinical medicine devoted to publishing advances in the nature, action, efficacy, and evaluation of therapeutics. CPT welcomes original Articles in the emerging areas of translational, predictive and personalized medicine; new therapeutic modalities including gene and cell therapies; pharmacogenomics, proteomics and metabolomics; bioinformation and applied systems biology complementing areas of pharmacokinetics and pharmacodynamics, human investigation and clinical trials, pharmacovigilence, pharmacoepidemiology, pharmacometrics, and population pharmacology.
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