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12/13/20162
Problem
Known risk factors all together can explain 5-
20% of inter-individual variability in most
painful disorders
(e.g., chronic postoperative pain, TMD,
CRPS)
What do we miss?
VP =VE + VG
Biology is the study of how we are the same.
Genetics is the study of how we are different.
12/13/20163
Genes Implicated in Human
Musculoskeletal Pain Conditions
Diatchenko, L. et al., 2013, Nat. Rev. Rheumatol.
12/13/20164
Molecular Diagnostics as Predictive Tool
12/13/20165
• Improve patient safety
• Improve clinical outcomes
• Reduce time in drug development
Goal of Genetic Testing in
Analgesic Drug Development
12/13/20166
6
Identify right
responders /
non-responders
Minimizing
toxicity
Adjusting drug
dosage
Optimize
Efficacy
Optimize
Therapies
Personalized Medicine
12/13/20167
7
Pre-clinical studies
Clinical studies
Adverse Drug Reaction case reports
Epidemiological studies
Pharmacovigilance Surveillance System
Genomic Material Sampling
Collaborations
Pharmacoepidemiological Databases
Source of Pharmacogenomic Data Collection
12/13/20168
8
 Consider potential risks
 Explore risk minimization measures
 Increase safety and efficacy
 Think of reverse effects
 Think of synergy effects
 Risk-Minimization Process
 Pre-Marketing Phase
 dRMP section Part V – RMM
Biomarkers and Risk Minimization
Copyright © 2016 Honeycomb Worldwide Inc.
Click here to watch the
complete webinar:
or
Click here for more information on this presentation:
http://xtalks.com/Pharmacogenetics-in-Pain-Management.ashx
POWERED BY HONEYCOMB
Copyright © 2016 Honeycomb Worldwide Inc.

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Pharmacogenetics in Pain Management and the Use of Pharmacogenomics Methodologies in the Pharmacovigilance Evaluation of Medicinal Products