Patients’ involvement in the development of pharmaceutical products at pre-launch: problems experienced and how to resolve them

Clara Toyin Fatoye, April Betts, Abayomi Odeyemi, Francis Fatoye, Isaac Odeyemi

Abstract


Background: Pharmaceutical products are developed for patients as the end-users. It has been advocated that patients should be involved in the development of such products. However, this is not the case as patients are usually not involved. To date, no study has investigated the involvement of patients at pre-launch stage of pharmaceutical products. Therefore, this study explored patients’ involvement at this stage of pharmaceutical products development.


Methods: A survey of Market Access (MA) and Health Economic and Outcomes Research (HEOR) professionals at International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Glasgow 2017 was carried out. Responses were examined using thematic and descriptive analyses to capture professionals’ suggestions about involvement of patients at pre –launch stage and how to resolve issues identified.


Results: Results showed patients are not currently involved in this process, depriving them of benefits associated with involvement such as improved psychological well-being, health outcomes and drug safety. Participants advocated involvement of patients in the developments of pharmaceutical products. This may help improve adherence and quality of life in patients hence, ensuring effective use of pharmaceutical products.


Conclusion: Patients are to be involved at pre-launch stage of pharmaceutical product development. Their involvement can ensure adherence to early stage development regulations. This may facilitate effective networking among stakeholders. Whilst it is generally agreed that patients should be involved to ensure adherence to regulations, problems are experienced that could be resolved by effective communication; understanding of external issues and how to tackle them. Also, it may help with deeper understanding of issues important to patients.

Keywords


Market access; Pre-launch; Target products profile; Product development plan; Design of clinical trials; Food and Drug Administration.

Full Text:

PDF

References


Alshammari, T. M. (2016). Drug safety: the concept, inception and its importance in patients’ health. Saudi Pharmaceutical Journal, 24(4), 405-412. Doi: https://doi.org/10.1016/j.jsps.2014.04.008

Bowling, A. (2005). Mode of questionnaire administration can have serious effects on data quality. Journal of public health, 27(3), 281-291. Doi: https://doi.org/10.1093/pubmed/fdi031

Conversano, C., Poli, A., Ciacchini, R., Hitchcott, P., Bazzichi, L., & Gemignani, A. (2019). A psychoeducational intervention is a treatment for fibromyalgia syndrome. Clin Exp Rheumatol, 37(116), S98-S104.

Cosci, F., Guidi, J., Tomba, E., & Fava, G. A. (2019). The Emerging Role of Clinical Pharmacopsychology. Clinical Psychology in Europe, 1(2), 1-18. Doi: https://doi.org/10.32872/cpe.v1i2.32158

Fava, G. A., Staccini, L., Delle, R. C., Belaise, C., & Tomba, E. (2014). Clinical pharmacopsychology. Rivista di psichiatria, 49(5), 251-254.

Fava, G. A., Tomba, E., & Bech, P. (2017). Clinical pharmacopsychology: conceptual foundations and emerging tasks. Psychotherapy and psychosomatics, 86(3), 134-140.

Jimmy, B. & Jose, J. (2011) Patient Medication Adherence: Measures in Daily Practice. Oman Medical Journal 26(3): pp. 155-159 Doi: https://doi.org/10.5001/omj.2011.38

Li, J., & Li, Z. (2018). Differences and similarities in clinical pharmacy practice in China and the United States: a narrative review. European Journal of Hospital Pharmacy, 25(1), 2-5. Doi: https://doi.org/10.1136/ejhpharm-2016-001195

Lowe, M. M., Blaser, D. A., Cone, L., Arcona, S., Ko, J., Sasane, R., & Wicks, P. (2016). Increasing patient involvement in drug development. Value in Health, 19(6), 869-878. Doi: https://doi.org/10.1016/j.jval.2016.04.009

Merlo, E. M. (2019). Opinion Article: The role of psychological features in chronic diseases, advancements and perspectives. Mediterranean Journal of Clinical Psychology, 7(3). Doi: https://doi.org/10.6092/2282-1619/2019.7.2341

Mirdrikvand, F., Sepahvandi, M. A., Khodarahimi, S., Gholamrezaei, S., Rahimian Bougar, M., & Shafikhani, P. (2019). Early Maladjustment Schemas in Individuals with and without Type 2 Diabetes Mellitus. Journal of Mind and Medical Sciences, 6(1), 150-156. Doi: https://doi.org/10.22543/7674.61.P150156

Newington, L., & Metcalfe, A. (2014). Factors influencing recruitment to research: qualitative study of the experiences and perceptions of research teams. BMC medical research methodology, 14(1), 10. Doi: https://doi.org/10.1186/1471-2288-14-10

National Institute for Health Research (2020) (NIHR) [available at] https://www.nihr.ac.uk/explore-nihr/industry/pecd.htm?utm_source=google-ads&utm_medium=cpc&utm_campaign=pecd [accesses on 24/03/2020]

Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 1609406917733847. Doi: https://doi.org/10.1177/1609406917733847

Odeyemi, I. (2014) Demystifying pharmaceutical market access. Paris, France: European Market Access University Diploma.

Parsons, S., Starling, B., Mullan-Jensen, C., Tham, S. G., Warner, K., & Wever, K. (2016). What do pharmaceutical industry professionals in Europe believe about involving patients and the public in research and development of medicines? A qualitative interview study. BMJ open, 6(1), e008928. Doi: https://doi.org/10.1136/bmjopen-2015-008928

Perfetto, E. M., Burke, L., Oehrlein, E. M., & Epstein, R. S. (2015). Patient-focused drug development: a new direction for collaboration. Medical care, 53(1), 9-17. Doi: https://doi.org/10.1097/MLR.0000000000000273

PMlive: (2012) [available at] http://www.pmlive.com/pharma_intelligence/the_true_meaning_of_market_access_422511 [accesses on 28/03/2020]

Questback (2015). 7 Reasons to Use Open-Ended Survey Questions. Blog 2015 available at https://www.questback.com/blog/7-reasons-to-use-open-ended-survey-questions/ [accesses on 25/01/20]

Sacristán, J. A., Aguarón, A., Avendaño-Solá, C., Garrido, P., Carrión, J., Gutiérrez, A., ... & Flores, A. (2016). Patient involvement in clinical research: why, when, and how. Patient preference and adherence, 10, 631. Doi. https://doi.org/10.2147/PPA.S104259

Schuhmacher, A., Gassmann, O., & Hinder, M. (2016). Changing R&D models in research-based pharmaceutical companies. Journal of translational medicine, 14(1), 105. Doi: https://doi.org/10.1186/s12967-016-0838-4

Sendyona, S., Odeyemi, I., & Maman, K. (2016). Perceptions and factors affecting pharmaceutical market access: results from a literature review and survey of stakeholders in different settings. Journal of market access & health policy, 4(1), 31660. Doi: https://doi.org/10.3402/jmahp.v4.31660

Settineri, S., Frisone, F., Merlo, E. M., Geraci, D., & Martino, G. (2019). Compliance, adherence, concordance, empowerment, and self-management: five words to manifest a relational maladjustment in diabetes. Journal of multidisciplinary healthcare, 12, 299. Doi: https://doi.org/10.2147/JMDH.S193752

Tomba, E., Guidi, J., & Fava, G. A. (2018). What psychologists need to know about psychotropic medications. Clinical psychology & psychotherapy, 25(2), 181-187. Doi: https://doi.org/10.1002/cpp.2154

Torjesen, I. (2015). Drug development: the journey of a medicine from lab to shelf. Pharmaceutical Journal.

U.S.A, (2007) department of health and human services food and drug administration center for drug evaluation and research (CDER); guidance for industry and review staff target product profile - a strategic development process tool, guidance for industry.

Wiering, B., de Boer, D., & Delnoij, D. (2017). Patient involvement in the development of patient‐reported outcome measures: a scoping review. Health Expectations, 20(1), 11-23. Doi: https://doi.org/10.1186/s12913-017-2582-8

Yilmaz, K. (2013). Comparison of quantitative and qualitative research traditions: Epistemological, theoretical, and methodological differences. European journal of education, 48(2), 311-325. Doi: https://doi.org/10.1111/ejed.12014




DOI: https://doi.org/10.6092/2282-1619/mjcp-2363

Refbacks

  • There are currently no refbacks.