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The Future of Drug Safety: Promoting and Protecting the Health of the Public
safety signal strengthening and testing, 110 –115
shortening, 107 –119
speed of, 16
APPROVe trials, 55
Association of American Medical Colleges (AAMC), 142 , 211
Automated healthcare databases, 7 , 114 –115
Azidothymidine (AZT), 37
B
Bain report, 32
Bayesian analysis, 109 –110
Best Pharmaceuticals for Children Act, 57 , 152 , 165
“Best practices,” disseminating, 87 –88
Bias, intellectual, 141
Biologics license application (BLA) submissions, 42
numbers of new approvals, 42
Biotechnology Industry Organization (BIO), 88
Bioterrorism and Preparedness and Response Act, 23
BLA. See Biologics license application submissions
Black box warnings, 50 , 58 –59
Black triangle, 170 –171
Booz Allen Hamilton, 211
Boston Consulting Group, 123
British National Formulary, 170
Bromfenac, 38
Bureau of Labor Statistics, 92
Bush, President George W., 88 , 207
C
C-Path Institute, 213
Calcium-channel blockers, 115
Cardiovascular risks, 112 , 116
CBER. See Center for Biologics Evaluation and Research
CDC. See Centers for Disease Control and Prevention
CDER. See Center for Drug Evaluation and Research
CDRH. See Center for Devices and Radiological Health
Celecoxib, 17
Center for Biologics Evaluation and Research (CBER), 49 , 129 , 188
Center for Devices and Radiological Health (CDRH), 188
Center for Drug Evaluation and Research (CDER), ix–x , 15 , 21 , 31 , 46 –47 , 49 , 65 , 105 , 179 , 193 –202 , 205 .
See also Organizational dysfunction in the CDER culture;
Solutions proposed for CDER’s organizational dysfunction
credibility of, 85
history of funding, 194
IT needs within, 202
organizational culture in, 4 , 66
press coverage of internal problems in, 2
recommendations concerning review teams, 10 , 146 –147
relevant changes at, 210
shepherding products through trials, 154
staffing, 195 , 199 –200
Center for Outcomes and Evidence, 212
Centers for Disease Control and Prevention (CDC), 81 , 112 , 128
Centers for Education and Research on Therapeutics (CERTs), 109
Centers for Medicare and Medicaid Services (CMS), 21 , 25 , 115 , 180 –181 , 201
Central Hudson Gas & Electric Corp. v. Public Service Commission, 159 –160
Cerivastatin, 17 , 109
CERTs. See Centers for Education and Research on Therapeutics
CFR. See Code of Federal Regulations
Changes at the FDA
during course of study, 205 –215
Critical Path Initiative and partnerships, 212 –213
Drug Safety Initiatives, 205
Drug Safety Oversight Board, 205 –206
Drug Watch Web page, 206
labeling, 210
leadership changes in the FDA, 207 –208
other relevant changes at the FDA and CDER, 210
program reviews or evaluations, 211 –212