Strategy in Regulatory Decision-Making for Management of Progressive Multifocal Leukoencephalopathy

Clin Pharmacol Ther. 2015 Nov;98(5):502-5. doi: 10.1002/cpt.199. Epub 2015 Sep 11.

Abstract

Progressive multifocal leukoencephalopathy (PML) has been observed after the use of several medicines, including monoclonal antibodies. As these drugs play important roles in the therapeutic armamentarium, it is important to address the challenges that this severe adverse reaction poses to the safe use of medicines. Considering the need for consistent outcomes of regulatory decisions, the European Medicines Agency Pharmacovigilance Risk Assessment Committee (PRAC) used PML as an example to develop a systematic approach to labeling and risk minimization.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / adverse effects
  • Decision Making*
  • Disease Management*
  • Drug-Related Side Effects and Adverse Reactions / diagnosis
  • Drug-Related Side Effects and Adverse Reactions / therapy
  • Humans
  • Leukoencephalopathy, Progressive Multifocal / chemically induced*
  • Leukoencephalopathy, Progressive Multifocal / diagnosis
  • Leukoencephalopathy, Progressive Multifocal / therapy*
  • Risk Assessment / methods

Substances

  • Antibodies, Monoclonal, Humanized