J Clin Pharmacol
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DRUG DEVELOPMENT

Pharmacogenetics and Pharmacogenomics in Drug Development and Regulatory Decision Making: Report of the First FDA-PWG-PhRMA-DruSafe Workshop

Lawrence J. Lesko, PhD, Ronald A. Salerno, PhD, Brian B. Spear, PhD, Donald C. Anderson, MD, Timothy Anderson, PhD, Celia Brazell, PhD, Jerry Collins, PhD, Andrew Dorner, PhD, David Essayan, MD, Baltazar Gomez-Mancilla, MD, PhD, Joseph Hackett, PhD, Shiew-Mei Huang, PhD, Susan Ide, PhD, Joanne Killinger, PhD, John Leighton, PhD, Elizabeth Mansfield, PhD, Robert Meyer, MD, Stephen G. Ryan, MD, Virginia Schmith, PhD, Peter Shaw, PhD, Frank Sistare, PhD, Mark Watson, MD, PhD and Alexandra Worobec, MD

From Food and Drug Administration, Center for Drug Evaluation and Research, Rockville, Maryland, Office of Clinical Pharmacology and Biopharmaceutics (Dr. Lesko, Dr. Huang), Office of Testing and Research (Dr. Collins, Dr. Sistare), Office of New Drugs (Dr. Leighton, Dr. Meyer); WorldWide Regulatory Affairs, Wyeth Research, St. Davids, Pennsylvania (Dr. Salerno); Pharmacogenetics, Abbott Laboratories, Abbott Park, Illinois (Dr. Spear); Pharmacia Corporation, Kalamazoo, Michigan (Dr. D. Anderson, Dr. Gomez-Mancilla); Pfizer, Inc., Groton, Connecticut (Dr. T. Anderson); Genetics Research, GlaxoSmithKline, Greenford, Middlesex, England (Dr. Brazell); Wyeth Research, Andover, Massachusetts (Dr. Dorner); Wyeth Research, Chazy, New York (Dr. Killinger); Food and Drug Administration, Center for Biologics Evaluation and Research, Office of Therapeutics, Division of Clinical Trial Design and Analysis, Rockville, Maryland (Dr. Essayan, Dr. Worobec); Food and Drug Administration, Center for Devices and Radiological Health, Office of In Vitro Diagnostic Device Evaluation and Safety, Rockville, Maryland (Dr. Hackett, Dr. Mansfield); National Institute of Health, NHGRI, and Novartis, Gaithersburg, Maryland (Dr. Ide); AstraZeneca Pharmaceuticals, Wilmington, Delaware (Dr. Ryan); GlaxoSmithKline, Research Triangle Park, North Carolina (Dr. Schmith); Pharmacogenomics and Human Genetics, Bristol-Meyers Squibb, Princeton, New Jersey (Dr. Shaw); and Clinical Genomics, Merck and Co., Inc., West Point, Pennsylvania (Dr. Watson).

The use of pharmacogenetics and pharmacogenomics in the drug development process, and in the assessment of such data submitted to regulatory agencies by industry, has generated significant enthusiasm as well as important reservations within the scientific and medical communities. This situation has arisen because of the increasing number of exploratory and confirmatory investigations into variations in RNA expression patterns and DNA sequences being conducted in the preclinical and clinical phases of drug development, and the uncertainty surrounding the acceptance of these data by regulatory agencies. This report summarizes the outcome of a workshop cosponsored by the Food and Drug Administration (FDA), the Pharmacogenetics Working Group (PWG), the Pharmaceutical Research and Manufacturers of America (PhRMA), and the PhRMA Preclinical Safety Committee (DruSafe). The specific aim of the workshop was to identify key issues associated with the application of pharmacogenetics and pharmacogenomics, including the feasibility of a regulatory "safe harbor" for exploratory genome-based data, and to provide a forum for industry-regulatory agency dialogue on these important issues.


Key Words: Pharmacogeneticspharmacogenomicsdrug development processregulatory agenciessafe harbor


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