Fersiynau electronig


Dangosydd eitem ddigidol (DOI)

Regulatory decisions may be enhanced by incorporating patient preferences for drug benefit and harms. This study demonstrates a method of weighting clinical evidence by patients' benefit-risk preferences. Preference weights, derived from discrete choice experiments, were applied to clinical trial data to estimate the expected utility of alternative drugs. In a case study, the rank ordering of antiepileptic drugs (AEDs), as indicated from clinical studies, was compared with ordering based on weighting clinical evidence by patients' preferences. A statistically significant change in rank ordering of AEDs was observed for women of childbearing potential who were prescribed monotherapy for generalized or unclassified epilepsy. Rank ordering inferred from trial data, valproate > topiramate > lamotrigine, was reversed. Modeling the expected utility of drugs might address the need to use more systematic, methodologically sound approaches to collect patient input that can further inform regulatory decision making.


Iaith wreiddiolSaesneg
Tudalennau (o-i)672-683
Nifer y tudalennau12
CyfnodolynClinical Pharmacology and Therapeutics
Rhif y cyfnodolyn3
Dyddiad ar-lein cynnar11 Medi 2018
Dynodwyr Gwrthrych Digidol (DOIs)
StatwsCyhoeddwyd - Maw 2019

Cyfanswm lawlrlwytho

Nid oes data ar gael
Gweld graff cysylltiadau