학술논문

Designing Drug Trials: Considerations for Pregnant Women
Document Type
article
Source
Clinical Infectious Diseases. 59(suppl_7)
Subject
Reproductive Medicine
Biomedical and Clinical Sciences
Pediatric
Rare Diseases
Clinical Research
Clinical Trials and Supportive Activities
Orphan Drug
5.1 Pharmaceuticals
Development of treatments and therapeutic interventions
Reproductive health and childbirth
Good Health and Well Being
Adult
Clinical Protocols
Clinical Trials as Topic
Female
Humans
Infant
Maternal-Fetal Exchange
Pharmacokinetics
Placenta
Pregnancy
Pregnancy Outcome
Pregnant Women
Research Design
United States
United States Food and Drug Administration
pregnancy
drug trials
pharmacokinetics
Biological Sciences
Medical and Health Sciences
Microbiology
Clinical sciences
Language
Abstract
Clinical pharmacology studies that describe the pharmacokinetics and pharmacodynamics of drugs in pregnant women are critical for informing on the safe and effective use of drugs during pregnancy. That being said, multiple factors have hindered the ability to study drugs in pregnant patients. These include concerns for maternal and fetal safety, ethical considerations, the difficulty in designing appropriate trials to assess the study objectives, and funding limitations. This document summarizes the recommendations of a panel of experts convened by the Division of Microbiology and Infectious Diseases at the National Institute of Allergy and Infectious Diseases, National Institutes of Health. These experts were charged with reviewing the issues related to the development of preclinical and clinical drug studies in pregnant women and to develop strategies for addressing these issues. These findings may also be utilized in the development of future drug studies involving pregnant women and their fetus/neonate.