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Risk Management & Signal Detection Flashcards

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  1. In the context of signal detection, what is a 'false positive' signal?

    Answer: A statistical association that does not reflect a true causal relationship

    A false positive is a statistical disproportionality that meets detection thresholds but does not represent a real drug-caused effect upon further evaluation.

  2. Which of the following best describes the concept of 'Important Potential Risk' in an EU RMP?

    Answer: An unconfirmed concern based on preclinical data, mechanism, or class effects that may be causal

    An Important Potential Risk is a concern for which there is some evidence of association but causality has not been confirmed.

  3. The Empirical Bayes Geometric Mean (EBGM) is primarily used in which signal detection system?

    Answer: FDA FAERS (Multi-item Gamma Poisson Shrinker — MGPS)

    The FDA uses the Multi-item Gamma Poisson Shrinker (MGPS), which outputs the EBGM as its primary disproportionality statistic in FAERS analyses.

  4. Which element of a Risk Management Plan specifically describes what is already known about the drug's safety profile at the time of authorization?

    Answer: Safety Specification

    The Safety Specification summarizes known and potential risks, populations at risk, missing information, and the epidemiology of the condition.

  5. A product is withdrawn from the EU market due to an unfavorable benefit-risk balance. Which authority issues the withdrawal decision for centrally authorized products?

    Answer: CHMP via the European Commission

    For centrally authorized products, the CHMP issues an opinion and the European Commission issues the formal legal decision to suspend or withdraw the marketing authorization.

  6. What is the primary purpose of a 'signal triage' step in pharmacovigilance?

    Answer: To prioritize detected signals based on clinical importance and novelty

    Signal triage rapidly assesses which detected signals warrant further evaluation, filtering out known reactions and prioritizing those that are new or clinically significant.

  7. Under FDA regulations, a REMS with Elements to Assure Safe Use (ETASU) may include all of the following EXCEPT:

    Answer: Mandatory generic substitution prohibition

    ETASU components focus on safe use conditions (certifications, restricted distribution, monitoring) but do not include prohibitions on generic substitution, which is governed by separate pharmaceutical law.