Asian Journal of Biomedical and Pharmaceutical Sciences

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Short Communication - Asian Journal of Biomedical and Pharmaceutical Sciences (2025) Volume 15, Issue 11

Pharmacovigilance: Advancing safety in phamascine and basomedial

Soobin Park*

Department of Pharmacogenomics, Seoul National University, South Korea

*Corresponding Author:
Soobin Park
Department of Pharmacogenomics
Seoul National University, South Korea
E-mail: soobin.park@snu.ac.kr

Received: 01-May -2025, Manuscript No. AABPS-25 -166492; Editor assigned: 03-May-2025, Pre QC No. AABPS-25-166492(PQ); Reviewed: 17-May-2025, QC No.AABPS-24-166492; Revised: 21-May-2025, Manuscript No. AABPS-25-166492(R); Published: 28-May-2025, DOI: 10.35841/aabps-15.111.296

Citation: Park S. The future of medicine: Transforming healthcare through precision medicine. Asian J Biomed Pharm Sci. 2025;15(111):296

Introduction

Pharmacovigilance is the science and activities dedicated to detecting, assessing, understanding, and preventing adverse effects or other drug-related problems. In the rapidly evolving fields of phamas scine and biomedile, effective pharmacovigilance systems ensure that patient safety remains paramount as new therapies and biologics enter the market. By systematically collecting and analyzing safety data from clinical trials, real-world usage, and postmarketing surveillance, pharmacovigilance identifies risk patterns early, informs regulatory decisions, and supports continuous improvement of therapeutic regimens [1].

Once a drug is approved, its safety profile must be continually monitored. Spontaneous reporting systems (e.g., EudraVigilance, FAERS) collect individual case safety reports (ICSRs) from healthcare professionals, patients, and pharmaceutical companies. Aggregated data enable signal detection—to uncover unexpected adverse drug reactions (ADRs) that may not have appeared during clinical trials [2].

Regulatory agencies mandate RMPs outlining how a company will monitor and mitigate identified and potential risks associated with a new medicinal product. These plans define targeted safety studies, additional pharmacovigilance activities, and communication strategies for prescribers and patients. Large healthcare databases and electronic health records (EHRs) permit cohort and case–control studies to quantify incidence rates of ADRs, compare safety profiles across populations, and investigate risk factors. For example, retrospective studies using national insurance claims have identified rare cardiac events linked to certain kinase inhibitors, prompting label updates and prescribing guideline revisions [3].

Label Updates: When a safety signal is confirmed, product labeling is revised to include new warnings, contraindications, or dosage adjustments. Black box warnings for severe risks (e.g., cardiomyopathy with certain antipsychotics) ensure prescribers are alerted to critical information Dear Health Care Provider Letters: Direct communications to healthcare professionals convey urgent safety findings—such as rare thrombotic events associated with specific vaccine platforms—advising on patient monitoring and management Patient Education Materials: Leaflets, websites, and mobile applications provide guidance on recognizing common ADRs, proper reporting channels, and adherence to risk minimization strategies (e.g., contraception requirements when prescribing teratogenic agents) [4].

Periodic Safety Update Reports (PSURs)/Periodic Benefit-Risk Evaluation Reports (PBRERs): Submitted at defined intervals (e.g., every six months for new products, annually thereafter), these comprehensive documents summarize global safety data, signal evaluations, and benefit–risk assessments. Expedited Reporting: Serious and unexpected ADRs (SUSARs) must be reported to regulatory authorities within 7–15 calendar days (depending on region). Failure to comply can result in regulatory actions, including suspension of marketing authorization [5].

Biologics—such as monoclonal antibodies and gene therapies—carry unique safety considerations (e.g., immunogenicity, on-target off-tissue effects). Pharmacovigilance for biologics requires: Traceability: Batch numbers and manufacturer details must be captured in reports to identify product-specific issues (e.g., contamination, manufacturing drift). Immunogenicity Monitoring: Postmarketing studies track anti-drug antibody formation, infusion-related reactions, and loss of efficacy over extended periods. Comparative Safety for Biosimilars: Head-to-head observational studies and registries evaluate whether biosimilars exhibit safety profiles equivalent to reference biologics, guiding interchangeability decisions [6].

Long-Term Follow-Up: Vector integration risks—such as insertional oncogenesis—necessitate surveillance protocols extending 15 years or more post-administration. Patient Registries: Disease-specific registries enrolling treated and untreated cohorts provide context for adverse events and natural disease progression, enabling benefit–risk comparisons. Real-World Evidence (RWE): Wearable devices and remote monitoring technologies capture patient-reported outcomes and biomarker changes in near real time, offering early detection of late-onset toxicities. Physicochemical Characterization: Particle size, surface charge, and composition influence biodistribution and toxicity. Any manufacturing change affecting these properties requires additional safety assessments [7].

Unique ADR Profiles: Off-target organ accumulation (e.g., hepatic or splenic sequestration) may lead to novel safety signals—requiring tailored pharmacovigilance strategies, such as specialized imaging or laboratory tests to monitor organ function. Despite regulatory requirements, spontaneous reporting systems capture only a fraction of actual ADRs. Incomplete or inaccurate case details hamper causality assessment. Educational initiatives and simplified digital reporting portals aim to improve submission rates and data fidelity [8].

Large volumes of data can generate false-positive signals. Robust statistical thresholds, combined with expert clinical review, are essential to distinguish true safety concerns from coincidental associations. Divergent pharmacovigilance regulations (e.g., FDA’s 21 CFR Part 314 vs. EMA’s GVP guidelines) complicate multinational drug development. Efforts by the International Council for Harmonisation (ICH) to align requirements—such as ICH E2E on pharmacovigilance planning—seek to streamline global reporting and reduce redundancies [9].

EHRs, claims databases, and patient-generated health data hold promise for earlier signal detection. However, challenges include data standardization, interoperability, and ensuring patient privacy (GDPR compliance in Europe, HIPAA in the U.S.). Advanced data-mining algorithms and federated learning models offer solutions by enabling analysis without transferring raw data across institutions.Automated processing of large-scale ICSRs, literature mining, and social media monitoring can identify emerging safety concerns faster than manual review. AI models trained to recognize patterns in unstructured data (e.g., clinical narratives) may flag potential ADRs that traditional algorithms miss .

Mobile health applications and wearable sensors enable real-time monitoring of vital signs, medication adherence, and patient-reported outcomes. Direct patient feedback on symptoms—captured through electronic diaries—enhances early detection of safety signals and empowers individuals to participate actively in their own safety monitoring.Integration of pharmacogenomic data (e.g., HLA alleles linked to drug hypersensitivity) with electronic prescribing systems can trigger alerts when patients carry high-risk genotypes. Such preemptive pharmacovigilance prevents ADRs by guiding clinicians toward safer therapeutic alternatives.

Initiatives like the WHO Programme for International Drug Monitoring and the Uppsala Monitoring Centre facilitate international data sharing and joint signal evaluation. Expansion of regional centers of excellence in low- and middle-income countries ensures broader representation of diverse patient populations.

Adaptive risk management—whereby risk mitigation strategies are updated dynamically based on accumulating evidence—will become the norm. Regulatory frameworks may evolve to accept real-time RWE for safety label changes, shortening the time from signal confirmation to label revision [10].

Conclusion

Pharmacovigilance is an indispensable component of phamas scine and biomedile, safeguarding public health by ensuring that therapeutic advances do not compromise patient safety. Through rigorous data collection, sophisticated signal detection, and proactive risk management, pharmacovigilance centers identify and mitigate adverse drug reactions throughout a product’s lifecycle. Emerging technologies—such as AI, patient-generated data, and pharmacogenomic integration—promise to refine safety monitoring, personalize risk assessments, and expedite regulatory actions. As novel therapies continue to reshape modern medicine, robust pharmacovigilance systems will remain critical to balancing innovation with the fundamental principle of “first, do no harm.

References

  1. Cochrane MG, Bala MV, Downs KE, et al. Inhaled corticosteroids for asthma therapy: patient compliance, devices, and inhalation technique. Chest. 2000;117(2):542-50.
  2. Indexed at, Google Scholar, Cross Ref

  3. Chapman KR, Love L, Brubaker H. A comparison of breath-actuated and conventional metered-dose inhaler inhalation techniques in elderly subjects. Chest. 1993;104(5):1332-7.
  4. Indexed at, Google Scholar, Cross Ref

  5. Lenney J, Innes JA, Crompton GK. Inappropriate inhaler use: assessment of use and patient preference of seven inhalation devices. Resp med. 2000;94(5):496-500.
  6. Indexed at, Google Scholar, Cross Ref

  7. Epstein S, Maidenberg A, Hallett D, et al. Patient handling of a dry-powder inhaler in clinical practice. Chest. 2001;120(5):1480-4.
  8. Indexed at, Google Scholar, Cross Ref

  9. Lavorini F, Fontana GA, Usmani OS. New inhaler devices-the good, the bad and the ugly. Resp. 2014;88:3-15.
  10. Indexed at, Google Scholar, Cross Ref

  11. Sanchis J, Corrigan C, Levy ML, et al. Inhaler devices–from theory to practice. Resp med. 2013;107:495-502.
  12. Indexed at, Google Scholar, Cross Ref

  13. Virchow JC, Crompton GK, Dal Negro R, et al. Importance of inhaler devices in the management of airway disease. Resp med. 2008;102(1):10-9.
  14. Indexed at, Google Scholar, Cross Ref

  15. Stein SW, Thiel CG. The history of therapeutic aerosols: a chronological review. J Aerosol Med Pulmon Drug Deliv. 2017;30(1):20-41.
  16. Indexed at, Google Scholar, Cross Ref

  17. Usmani OS, Scullion J, Keeley D. Our planet or our patients—is the sky the limit for inhaler choice?. Lancet Respir Med. 2019;7(1):11-3.
  18. Indexed at, Google Scholar, Cross Ref

  19. Keeley D, Scullion JE, Usmani OS. Minimising the environmental impact of inhaled therapies: problems with policy on low carbon inhalers. Euro Resp J. 2020;55(2).
  20. Indexed at, Google Scholar, Cross Ref

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