Mining Real-World Data for Drug Safety: Leveraging EHRs, Claims, and Patient Registries

How prospective real-world evidence complements passive spontaneous reporting systems to detect delayed or chronic adverse drug effects.

The Fundamental Limitation of Spontaneous Reporting

Passive reporting systems suffer from notorious under-reporting: less than 10% of adverse drug reactions are ever reported to regulatory authorities, skewing epidemiological calculations of drug incidence.

Active Surveillance via Longitudinal EHR Data Lakes

By querying anonymized longitudinal EHR databases (such as the FDA Sentinel System), PharmacoPlatform analyzes millions of patient charts, tracking lab biomarker changes following drug initiation to identify chronic organ toxicities in real-world populations.

Automating Periodic Safety Update Reports (PSUR/PBRER)

Aggregating real-world evidence and spontaneous reports into standardized Periodic Benefit-Risk Evaluation Reports (PBRER) drastically reduces the human effort required for annual regulatory filings.

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