Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Comment
  • Published:

Appropriate evidence for adaptive marketing authorization

Subjects

Adaptive marketing authorization approaches may, in some instances, replace traditional binary regulatory decisions on drug approval with progressive reduction of uncertainty about the benefit–risk profile of a drug through iterative evidence gathering and evaluation. How should the nature of such evidence be determined?

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Eichler, H. G. et al. Adaptive licensing: taking the next step in the evolution of drug approval. Clin. Pharmacol. Ther. 91, 426–437 (2012).

    Article  Google Scholar 

  2. Bouvy, J. C. et al. The cost-effectiveness of drug regulation: the example of thorough QT/QTc studies. Clin. Pharmacol. Ther. 91, 281–288 (2012).

    Article  CAS  Google Scholar 

  3. van Valkenhoef, G. et al. Multicriteria benefit–risk assessment using network meta-analysis. J. Clin. Epidemiol. 65, 394–403 (2012).

    Article  Google Scholar 

  4. Putzeist, M. et al. Regulatory scientific advice in drug development: does company size make difference? Eur. J. Clin. Pharmacol. 67, 157–164 (2011).

    Article  Google Scholar 

Download references

Acknowledgements

This work was funded by the Dutch Top Institute Pharma. This paper is based on a workshop organized by The Escher Project (a public–private partnership on the development and regulation of medicines) in Amsterdam, The Netherlands, in December 2012. It was supported by a background paper, which is provided as supplementary information S1.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jean Philippe de Jong.

Ethics declarations

Competing interests

Susan Forda is an employee of Eli Lilly and company.

Supplementary information

Supplementary information S1 (box)

Towards appropriate levels of evidence (PDF 1153 kb)

Related links

Related links

FURTHER INFORMATION

The Escher Project

EUnetHTA

Rights and permissions

Reprints and permissions

About this article

Cite this article

de Jong, J., Grobbee, D., Flamion, B. et al. Appropriate evidence for adaptive marketing authorization. Nat Rev Drug Discov 12, 647–648 (2013). https://doi.org/10.1038/nrd4114

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrd4114

This article is cited by

Search

Quick links

Nature Briefing: Translational Research

Sign up for the Nature Briefing: Translational Research newsletter — top stories in biotechnology, drug discovery and pharma.

Get what matters in translational research, free to your inbox weekly. Sign up for Nature Briefing: Translational Research