Power Point Presentation - Overview of the Drug Safety and Effectiveness Network

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[Slide 1]

November 19, 2010

Robert Peterson, MD, PhD, MPH
Executive Director,
Drug Safety and Effectiveness Network, CIHR

[Slide 2]

Background

  • Evolution of knowledge about medicines demands that governments and other decision-makers seek additional evidence about the balance of benefit and harm profile throughout the product life cycle
  • More information is needed on safety and effectiveness of pharmaceuticals when used by diverse patient populations outside the controlled experimental environment of clinical trials
  • DSEN included in the Government of Canada’s Food and Consumer Safety Action Plan (December 2007) to support product life-cycle approach to drug regulation by providing additional evidence for use in ongoing risk-benefit assessment and additional tool for surveillance

[Slide 3]

Is there an “Evidence Gap”?

  • Evidence beyond what has been required for market authorization is often lacking at the time of drug licensing
  • The type of evidence to support Health Technology Assessments (HTA), payment, and informed prescribing decisions often is not developed during drug development leading to a Marketing Authorization
  • Evidence that is needed to determine the value of a new product within the healthcare system constitutes the evidence gap
  • “Substantive evidence of an effect” is not the same as “Evidence of a substantive effect”

[Slide 4]

Establishment of the DSEN

  • New evidence generated via the DSEN will:
    • provide decision-makers with an important additional source of evidence about drug products’ safety risks relative to their therapeutic benefits
    • also support decision-making on public reimbursement, and safe and optimal prescribing and use of drugs within Canada
  • The DSEN has three key components:
    • DSEN Steering Committee (DSEN SC)
    • DSEN Coordinating Office (DSEN CO) (within CIHR)
    • DSEN Collaborating Centres (DSEN CCs)

[Slide 5]

DSEN Coordinating Office

[Slide 6]

Objectives of this Forum

  • Facilitate knowledge translation concerning the research methods applicable in the area of drug safety and comparative effectiveness
  • Promote interactions between researchers, policy makers, industry, and DSEN in a neutral environment
  • Three interactive, engaging tracks:
    • Identify and examine strengths and limitations in methodologies and make recommendations to DSEN
    • reports of the tracks will be given in the final plenary session

[Slide 7]

Acknowledgements

 Programme Planning Committee:

  • Tammy Clifford, PhD
    • CADTH
  • Gary Condran, BSc
    • CIHR
  • Graeme Fraser, BSc
    • BIOTECanada
  • Sarah Frise, PhD
    • AstraZeneca
  • Tom Koutsavlis, MD, MSc, MBA
    • Abbott  
  •  Nigel Rawson, PhD
    •  GlaxoSmithKline Canada 
  • Robert Peterson, MD, PhD, MPH
    •  CIHR
  •  Duc Vu, PhD 
    • Health Canada 
  • Siham Yasari, PhD
    •  CIHR