Genomics, Personalized Medicine and Electronic Medical RecordsLyle Berkowitz, MD
Similar to Pharmacogenetics in Pain Management and the Use of Pharmacogenomics Methodologies in the Pharmacovigilance Evaluation of Medicinal Products (20)
Pharmacogenetics in Pain Management and the Use of Pharmacogenomics Methodologies in the Pharmacovigilance Evaluation of Medicinal Products
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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.
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• Improve patient safety
• Improve clinical outcomes
• Reduce time in drug development
Goal of Genetic Testing in
Analgesic Drug Development
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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
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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