From adaptive licensing to adaptive pathways: delivering a flexible life-span approach to bring new drugs to patients.

نویسندگان

  • H-G Eichler
  • L G Baird
  • R Barker
  • B Bloechl-Daum
  • F Børlum-Kristensen
  • J Brown
  • R Chua
  • S Del Signore
  • U Dugan
  • J Ferguson
  • S Garner
  • W Goettsch
  • J Haigh
  • P Honig
  • A Hoos
  • P Huckle
  • T Kondo
  • Y Le Cam
  • H Leufkens
  • R Lim
  • C Longson
  • M Lumpkin
  • J Maraganore
  • B O'Rourke
  • K Oye
  • E Pezalla
  • F Pignatti
  • J Raine
  • G Rasi
  • T Salmonson
  • D Samaha
  • S Schneeweiss
  • P D Siviero
  • M Skinner
  • J R Teagarden
  • T Tominaga
  • M R Trusheim
  • S Tunis
  • T F Unger
  • S Vamvakas
  • G Hirsch
چکیده

The concept of adaptive licensing (AL) has met with considerable interest. Yet some remain skeptical about its feasibility. Others argue that the focus and name of AL should be broadened. Against this background of ongoing debate, we examine the environmental changes that will likely make adaptive pathways the preferred approach in the future. The key drivers include: growing patient demand for timely access to promising therapies, emerging science leading to fragmentation of treatment populations, rising payer influence on product accessibility, and pressure on pharma/investors to ensure sustainability of drug development. We also discuss a number of environmental changes that will enable an adaptive paradigm. A life-span approach to bringing innovation to patients is expected to help address the perceived access vs. evidence trade-off, help de-risk drug development, and lead to better outcomes for patients.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Function Approximation Approach for Robust Adaptive Control of Flexible joint Robots

This paper is concerned with the problem of designing a robust adaptive controller for flexible joint robots (FJR). Under the assumption of weak joint elasticity, FJR is firstly modeled and converted into singular perturbation form. The control law consists of a FAT-based adaptive control strategy and a simple correction term. The first term of the controller is used to stability of the slow dy...

متن کامل

Adaptive Neural Fuzzy Inference System Models for Predicting the Shear Strength of Reinforced Concrete Deep Beams

A reinforced concrete member in which the total span or shear span is especially small in relation to its depth is called a deep beam. In this study, a new approach based on the Adaptive Neural Fuzzy Inference System (ANFIS) is used to predict the shear strength of reinforced concrete (RC) deep beams. A constitutive relationship was obtained correlating the ultimate load with seven mechanical a...

متن کامل

Adaptive Information Analysis in Higher Education Institutes

Information integration plays an important role in academic environments since it provides a comprehensive view of education data and enables mangers to analyze and evaluate the effectiveness of education processes. However, the problem in the traditional information integration is the lack of personalization due to weak information resource or unavailability of analysis functionality. In this ...

متن کامل

Adaptive Quaternion Attitude Control of Aerodynamic Flight Control Vehicles

Conventional quaternion based methods have been extensively employed for spacecraft attitude control where the aerodynamic forces can be neglected. In the presence of aerodynamic forces, the flight attitude control is more complicated due to aerodynamic moments and inertia uncertainties. In this paper, a robust nero-adaptive quat...

متن کامل

Direct adaptive fuzzy control of flexible-joint robots including actuator dynamics using particle swarm optimization

In this paper a novel direct adaptive fuzzy system is proposed to control flexible-joints robot including actuator dynamics. The design includes two interior loops: the inner loop controls the motor position using proposed approach while the outer loop controls the joint angle of the robot using a PID control law. One novelty of this paper is the use of a PSO algorithm for optimizing the contro...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Clinical pharmacology and therapeutics

دوره 97 3  شماره 

صفحات  -

تاریخ انتشار 2015