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RARE EVENTS AND NEW DRUGSTopic 1: Recognition and reporting of adverse drug events by physicians including incentives and disincentives (e.g., rhabdomyolysis with statins; Churg-Strauss syndrome with anti-leukotrienes; liver failure with anti-diabetic drugs; opportunistic infections with immune modulators).
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OCR for page 53
Adverse Drug Event Reporting: The Roles of Consumers and Health-Care Professionals - Workshop Summary
A
Workshop Agenda
Forum on Drug Discovery, Development, and Translation The Role of Consumers and Health-Care Professionals in Adverse Drug Event Reporting—Key Challenges and Opportunities
November 3–4, 2005
Phoenix Park Hotel
520 North Capitol Street, NW
Washington, DC 20001
Thursday, November 3, 2005
8:30 am
Opening Remarks
Jeffrey M. Drazen, MD
New England Journal of Medicine
RARE EVENTS AND NEW DRUGS
Topic 1: Recognition and reporting of adverse drug events by physicians including incentives and disincentives (e.g., rhabdomyolysis with statins; Churg-Strauss syndrome with anti-leukotrienes; liver failure with anti-diabetic drugs; opportunistic infections with immune modulators).
8:40 am
Daniel E. Troy, JD
Sidley Austin Brown & Wood LLP
Anne E. Trontell, MD, MPH
U.S. Food and Drug Administration
Richard Platt, MD, MS
Harvard Medical School
OCR for page 54
Adverse Drug Event Reporting: The Roles of Consumers and Health-Care Professionals - Workshop Summary
Saira A. Jan, PharmD, MS
Horizon Blue Cross Blue Shield of New Jersey
Rutgers Ernest Mario School of Pharmacy
9:30 am
Discussion
10:45 am
Break
Topic 2: Once rare event reports have been received, how to identify possible signal and distinguish it from noise.
11:00 am
Anne E. Trontell, MD, MPH
U.S. Food and Drug Administration
David Hunt, MD, FACS
CMS Quality Improvement Group
11:20 am
Discussion
12:15 pm
Lunch
COMMON EVENTS AND THE MODULATION OF THEIR FREQUENCY BY DRUGS
Topic 1: It is possible that drugs can modify the frequency of occurrence of a relatively common event. How can these events be detected?
1:00 pm
K. Arnold Chan, MD, ScD
Harvard School of Public Health
Francesca Cunningham, PharmD
U.S. Department of Veterans Affairs
Hershel Jick, MD
Boston University Medical Center
Micky Tripathi, PhD, MPP
Massachusetts eHealth Collaborative
1:50 pm
Discussion
OCR for page 55
Adverse Drug Event Reporting: The Roles of Consumers and Health-Care Professionals - Workshop Summary
Topic 2: Once a possible association is detected, how are cause and effect confirmed? Are randomized controlled trials needed or is epidemiology adequate? What is the role of regulators? How does one tease out single drug effects from drug-drug interactions?
2:20 pm
Ronald Krall, MD
GlaxoSmithKline
Nancy C. Santanello, MD, MS
Merck Research Laboratories
Robert Powell, PharmD
U.S. Food and Drug Administration
Raymond L. Woosley, MD, PhD
The Critical Path Institute
Alastair J. J. Wood, MD
Vanderbilt Medical School
3:10 pm
Discussion
3:40 pm
Break
THE ROLE OF PATIENTS AND CONSUMERS IN THE ADVERSE EVENT REPORTING SYSTEM
Topic 1: How should consumers be involved in reporting adverse events? What training and organizational support are needed? How should patient advocacy groups be engaged?
3:55 pm
Marvin M. Lipman, MD, FACP
Consumers Union
Michael Katz, MBA
International Myeloma Foundation
Karen R. Cox, RN, PhD
University of Missouri Health Care
Alison Rein, MS
National Consumers League
OCR for page 56
Adverse Drug Event Reporting: The Roles of Consumers and Health-Care Professionals - Workshop Summary
4:40 pm
Discussion
5:00 pm
Next Steps for the IOM Drug Forum
5:30 pm
Adjourn
Friday, November 4, 2005
8:30 am
Opening Remarks
Jeffrey M. Drazen, MD
New England Journal of Medicine
DRUGS AND ADVERSE HEALTH EVENTS
Topic 1: Is there a comprehensive database of known drug-drug interactions? How is its quality assured? How are the data used? How do we capture events when there are likely multiple sources of drugs?
8:40 am
Jacob Abarca, PharmD, MS
University of Arizona, College of Pharmacy
J. Russell Teagarden, RPh, MA
Medco Health Solutions, Inc.
Scott Weingarten, MD, MPH
Zynx Health
Sidney Kahn, MD, PhD
Pharmacovigilance and Risk Management, Inc.
9:30 am
Discussion
Topic 2: Assuming that a database of adverse drug reactions exists (either rare events or common events that occur alone or as a result of drug-drug interactions), should this information be on a uniform drug label that separates adverse drug events and interactions by severity? How do we encourage physicians to use the information?
10:00 am
A. Leander Fontaine, MD
Pharmiceutics LLC
OCR for page 57
Adverse Drug Event Reporting: The Roles of Consumers and Health-Care Professionals - Workshop Summary
Rachel E. Behrman, MD, MPH
U.S. Food and Drug Administration
Ed Staffa, RPh
National Association of Chain Drug Stores
Cary Sennett, MD, PhD
American Board of Internal Medicine
10:40 am
Discussion
11:00 am
Break
Topic 3: Are there electronic systems that can be used to prompt health care providers to look for adverse drug related events and warn against potential drug-drug interactions? How are these systems deployed?
11:15 am
Peter Kilbridge, MD
Duke University Health System
Stuart Levine, PharmD
Institute for Safe Medication Practices
11:40 am
Discussion
12:00 pm
Next Steps for the IOM Drug Forum
12:30 pm
Adjourn
Representative terms from entire chapter:
drug event