Knowledge

Serious adverse event

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Investigators in human clinical trials are obligated to report these events in clinical study reports. Research suggests that these events are often inadequately reported in publicly available reports. Because of the lack of these data and uncertainty about methods for synthesising them, individuals
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form (or in some countries an equivalent form). "Unexpected" means that for an authorised (approved) medicinal product that the event is not described in the product's labeling, or in the case of an investigational (unapproved) product that the event is not listed in the
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The term "life-threatening" in the definition of "serious" refers to an event in which the patient was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe.
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Serious adverse reactions are serious adverse events judged to be related to drug therapy. A SUSAR (suspected unexpected serious adverse reaction) should be reported to a drug regulatory authority under an investigational license by using the
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are further defined as “Any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.”
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and meta-analyses of therapeutic interventions often unknowingly overemphasise health benefit. To balance the overemphasis on benefit, scholars have called for more complete reporting of harm from clinical trials.
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Expert Working Group (Efficacy) of the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). (August 25, 2007).
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Expert working group (efficacy) of the international conference on harmonization of technical requirements for registration of pharmaceuticals for human use (August 25, 2007).
92: 255:, O'Neill RT, Altman DG, Schulz K, Moher D, CONSORT Group (2004). "Better reporting of harms in randomized trials: an extension of the CONSORT statement". 181:
Ioannidis JP, Lau J (2001). "Completeness of safety reporting in randomized trials: an evaluation of 7 medical areas".
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Chou R, Helfand M (2005). "Challenges in systematic reviews that assess treatment harms".
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is an adverse event which is believed to be caused by a health intervention.
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Requires intervention to prevent permanent impairment or damage
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Results in persistent or significant disability/incapacity
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Negative medical occurrence during a human drug trial
49:or causes prolongation of existing hospitalization 55:May have caused a congenital anomaly/birth defect 391: 230:10.7326/0003-4819-142-12_part_2-200506211-00009 170:. FDA Center for Drug Evaluation and Research. 152:. FDA Center for Drug Evaluation and Research. 180: 215: 352:, a drug that had SAEs in a clinical trial 269:10.7326/0003-4819-141-10-200411160-00009 392: 140: 138: 135: 13: 125:"What is a Serious Adverse Event?" 14: 421: 363: 370:What Is A Serious Adverse Event? 85: 244: 209: 174: 156: 117: 1: 380:National Library of Medicine 110: 7: 295: 71: 10: 426: 320:Data Monitoring Committees 251:Ioannidis JP, Evans SJ, 98:Investigator’s Brochure 314:Good clinical practice 305:, including mild/minor 195:10.1001/jama.285.4.437 25:serious adverse event 340:Directive 2001/20/EC 224:(12 Pt 2): 1090–0. 131:. 9 September 2020. 45:Requires inpatient 42:Is life-threatening 376:ClinicalTrials.gov 79:systematic reviews 400:Clinical research 325:Pharmacovigilance 35:that at any dose 417: 289: 288: 248: 242: 241: 213: 207: 206: 178: 172: 171: 169: 160: 154: 153: 151: 142: 133: 132: 121: 39:Results in death 21:drug development 425: 424: 420: 419: 418: 416: 415: 414: 405:Clinical trials 390: 389: 366: 361: 298: 293: 292: 249: 245: 214: 210: 179: 175: 167: 161: 157: 149: 143: 136: 123: 122: 118: 113: 88: 74: 47:hospitalization 17: 12: 11: 5: 423: 413: 412: 407: 402: 388: 387: 382: 373: 365: 364:External links 362: 360: 359: 353: 347: 344:European Union 337: 334:European Union 330:EudraVigilance 327: 322: 317: 311: 309:Clinical trial 306: 299: 297: 294: 291: 290: 257:Ann Intern Med 243: 218:Ann Intern Med 208: 173: 155: 134: 115: 114: 112: 109: 105:adverse effect 87: 84: 73: 70: 65:Adverse events 60: 59: 56: 53: 50: 43: 40: 15: 9: 6: 4: 3: 2: 422: 411: 408: 406: 403: 401: 398: 397: 395: 386: 383: 381: 377: 374: 371: 368: 367: 357: 354: 351: 348: 345: 341: 338: 335: 331: 328: 326: 323: 321: 318: 315: 312: 310: 307: 304: 303:Adverse event 301: 300: 286: 282: 278: 274: 270: 266: 263:(10): 781–8. 262: 258: 254: 247: 239: 235: 231: 227: 223: 219: 212: 204: 200: 196: 192: 189:(4): 437–43. 188: 184: 177: 166: 159: 148: 141: 139: 130: 126: 120: 116: 108: 106: 101: 99: 94: 86:Related terms 83: 80: 69: 66: 57: 54: 51: 48: 44: 41: 38: 37: 36: 34: 30: 26: 22: 260: 256: 246: 221: 217: 211: 186: 182: 176: 158: 128: 119: 102: 89: 75: 61: 28: 24: 18: 410:Drug safety 385:ICH Website 356:BIA 10-2474 253:Gøtzsche PC 77:conducting 394:Categories 372:(MedWatch) 33:drug trial 111:Footnotes 378:from US 296:See also 285:17032571 277:15545678 238:15968034 203:11242428 72:Research 350:TGN1412 283:  275:  236:  201:  316:(GCP) 281:S2CID 168:(PDF) 150:(PDF) 93:CIOMS 273:PMID 234:PMID 199:PMID 183:JAMA 265:doi 261:141 226:doi 222:142 191:doi 187:285 129:FDA 103:An 29:SAE 23:, 19:In 396:: 279:. 271:. 259:. 232:. 220:. 197:. 185:. 137:^ 127:. 100:. 346:) 342:( 336:) 332:( 287:. 267:: 240:. 228:: 205:. 193:: 27:(

Index

drug development
drug trial
hospitalization
Adverse events
systematic reviews
CIOMS
Investigator’s Brochure
adverse effect
"What is a Serious Adverse Event?"


"Guideline for Industry - Clinical safety data management: definitions and standards for expedited reporting"
"Guideline for Industry Structure and Content of Clinical Study Reports"
doi
10.1001/jama.285.4.437
PMID
11242428
doi
10.7326/0003-4819-142-12_part_2-200506211-00009
PMID
15968034
Gøtzsche PC
doi
10.7326/0003-4819-141-10-200411160-00009
PMID
15545678
S2CID
17032571
Adverse event
Clinical trial

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