journal article Jan 20, 2015

Racial/ethnic differences in drug disposition and response: Review of recently approved drugs

Abstract
Race and ethnicity can contribute to interindividual differences in drug exposure and/or response, which may alter risk–benefit in certain populations. Approximately one‐fifth of new drugs approved in the past 6 years demonstrated differences in exposure and/or response across racial/ethnic groups, translating to population‐specific prescribing recommendations in a few cases. When data from diverse populations were lacking, additional postmarketing studies were recommended. In this review we highlight several cases where race/ethnicity was central to regulatory decision‐making.
Topics

No keywords indexed for this article. Browse by subject →

References
62
[1]
Humes K.R. Jones N.A.&Ramirez R.R.Overview of race and Hispanic origin: 2010 Census Briefs. 2011. Accessed August 20 2014.
[2]
Cavalli‐Sforza L.L. (1972)
[5]
International Conference on Harmonization E5 Guidance ‘Ethnic Factors in the Acceptability of Foreign Clinical Data’ (63 FR 31790). <http://www.gpo.gov/fdsys/pkg/FR‐1998‐06‐10/98‐15408.pdf> (1998). Accessed 2 September 2014.
[8]
Shah R.R.Pharmacogenetics ethnic differences in drug response and drug regulation. InPharmacogenomics in Admixed Populations(ed. Suarez‐Kurtz G) (CRC Press Boca Raton FL 2007).
[15]
US Food and Drug Administration.Good Review Practice: Clinical Review of Investigational New Drug Applications. <http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatory%20Information/UCM377108.pdf> (2013). Accessed 11 August 2014.
[16]
US Food and Drug Administration.Guidance for Industry: Collection of Race and Ethnicity Data in Clinical Trials. <http://www.fda.gov/downloads/RegulatoryInformation/Guidances/ucm126396.pdf> (2005). Accessed 19 June 2014.
[17]
US Food and Drug Administration.FDA Report: Collection analysis and availability of demographic subgroup data for FDA‐approved medical products. <http://www.fda.gov/downloads/RegulatoryInformation/Legislation/FederalFoodDrugandCosmeticActFDCAct/SignificantAmendmentstotheFDCAct/FDASIA/UCM365544.pdf> (2013). Accessed 8 August 2014.
[18]
US Food and Drug Administration. Drugs@FDA. <www.accessdata.fda.gov/scripts/cder/drugsatfda>. Accessed 11 August2014.
[19]
DailyMed. <http://dailymed.nlm.nih.gov/dailymed/about.cfm>. Accessed 11 August2014.
[20]
US Food and Drug Administration.Postmarketing Requirements and Commitments. <http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Post‐marketingPhaseIVCommitments/ucm070777.htm>. Accessed 11 August2014.
[26]
US Food and Drug Administration.Eltrombopag olamine approval package. <http://www.accessdata.fda.gov/drugsatfda_docs/nda/2008/022291s000_TOC.cfm>. Accessed 7 July2014.
[27]
US Food and Drug Administration.Guidance for Industry: Postmarketing Studies and Clinical Trials ‐ Implementation of Section 505(o)(3) of the Federal Food Drug and Cosmetic Act. <http://www.fda.gov/downloads/drugs/guidancecomplianceregulatoryinformation/guidances/ucm172001.pdf> (2011). Accessed 8 August2014.
[28]
US Food and Drug Administration.Belimumab approval package. <http://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/125370Orig1s000TOC.cfm>. Accessed 7 July2014.
[29]
US Food and Drug Adminstration.Ioflupane I‐123 Approval package. <http://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/022454sOrig1s000TOC.cfm>. Accessed 7 July2014.
[30]
US Food and Drug Administration.Transcript from Ioflupane I‐123Advisory Committee Meeting. <http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/Drugs/PeripheralandCentralNervousSystemDrugsAdvisoryCommittee/UCM191398.pdf>. Accessed 12 August2014.
[31]
US Food and Drug Administration.Simeprevir approval package. <http://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/205123Orig1s000TOC.cfm>. Accessed 7 August2014.
[32]
US Food and Drug Administration.Simeprevir Advisory Committee Meeting. <http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/Drugs/AntiviralDrugsAdvisoryCommittee/UCM257465.pdf>. Accessed 7 August2014.
[33]
US Food and Drug Administration.Telaprevir approval package. <http://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/201917Orig1s000TOC.cfm>. Accessed 7 July2014.
[34]
US Food and Drug Administration.Telaprevir Advisory Committee Meeting. <http://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/Drugs/AntiviralDrugsAdvisoryCommittee/UCM257465.pdf>. Accessed 7 July2014.
[37]
US Food and Drug Administration.Azilsartan medoxomil drug approval package. <http://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/200796sOrig1s000_Edarbi_TOC.cfm>. Accessed 7 August2014.
[43]
FDA news release: FDA approves Benlysta to treat lupus. <http://www.fda.gov/newsevents/newsroom/pressAnnouncements/ucm246489.htm> (2014). Accessed 7 July2014.
[44]
US Food and Drug Administration.Belimumab approval package. <http://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/125370Orig1s000TOC.cfm>. Accessed 7 July2014.
[45]
Franciscus A.HCV advocate HCSP Fact Sheet: African‐Americans and hepatitis C. <http://www.hcvadvocate.org/hepatitis/factsheets_pdf/African_Americans.pdf> (2013). Accessed 12 August2014.
[46]
CDC. National Vital Statistics System. Incidence of acute hepatitis C by race/ethnicity ‐ United States 2000‐2011. <http://www.cdc.gov/hepatitis/Statistics/2011Surveillance/Slide4.4.htm>. Accessed 7 July2014.
[47]
CDC. National Vital Statistics System. Number and rate of deaths with hepatitis C listed as a cause of death by demographic characteristic and year ‐ United States 2006‐2010. <http://www.cdc.gov/hepatitis/Statistics/2011Surveillance/Table4.5.htm>. Accessed 7 July2014.

Showing 50 of 62 references

Cited By
303
Clinical Pharmacology &amp; Therape...
Nature
Clinical and Translational Science
Metrics
303
Citations
62
References
Details
Published
Jan 20, 2015
Vol/Issue
97(3)
Pages
263-273
License
View
Cite This Article
A Ramamoorthy, MA Pacanowski, J Bull (2015). Racial/ethnic differences in drug disposition and response: Review of recently approved drugs. Clinical Pharmacology &amp; Therapeutics, 97(3), 263-273. https://doi.org/10.1002/cpt.61