Medicines for an aging population: The EMA perspective and policies
- PMID: 38757979
- DOI: 10.1111/jgs.18953
Medicines for an aging population: The EMA perspective and policies
Abstract
The European Medicines Agency adopted their Geriatric Medicines Strategy more than a decade ago. The strategy aims at elucidating the evidence basis for marketing authorization of new medicines which will be used in the older population, and at ensuring the appropriate communication of findings to the patient and healthcare provider. During the past decade new tools and data sources have emerged to support the strategy goals, and their use should be considered. Possible concrete actions are presented to improve the design of clinical trials, the data collection both pre- and post-approval, the assessment of the findings, and the communication to assist informed prescription and safe medicine taking. Implementation and prioritization of these actions should be done from the perspective of addressing the needs of patients while maximizing efficient use of resources, with the aim of integrating geriatric aspects into routine medicines development and assessment.
Keywords: Europe; frailty; geriatrics; medicines approval; regulation.
© 2024 The Authors. Journal of the American Geriatrics Society published by Wiley Periodicals LLC on behalf of The American Geriatrics Society.
Similar articles
-
Approval of Cancer Drugs With Uncertain Therapeutic Value: A Comparison of Regulatory Decisions in Europe and the United States.Milbank Q. 2020 Dec;98(4):1219-1256. doi: 10.1111/1468-0009.12476. Epub 2020 Oct 6. Milbank Q. 2020. PMID: 33021339 Free PMC article.
-
Drug policy for an aging population--the European Medicines Agency's geriatric medicines strategy.N Engl J Med. 2012 Nov 22;367(21):1972-4. doi: 10.1056/NEJMp1209034. N Engl J Med. 2012. PMID: 23171092 No abstract available.
-
Comparison between European Medicines Agency and US Food and Drug Administration in Granting Accelerated Marketing Authorizations for Covid-19 Medicines and their Utilized Regulations.Ther Innov Regul Sci. 2024 Jan;58(1):79-113. doi: 10.1007/s43441-023-00574-6. Epub 2023 Oct 20. Ther Innov Regul Sci. 2024. PMID: 37861859 Free PMC article.
-
Regulatory incentives to ensure better medicines for older people: From ICH E7 to the EMA reflection paper on quality aspects.Int J Pharm. 2016 Oct 30;512(2):343-351. doi: 10.1016/j.ijpharm.2016.05.001. Epub 2016 May 2. Int J Pharm. 2016. PMID: 27150947 Review.
-
Marketing Authorization Applications Made to the European Medicines Agency in 2018-2019: What was the Contribution of Real-World Evidence?Clin Pharmacol Ther. 2022 Jan;111(1):90-97. doi: 10.1002/cpt.2461. Epub 2021 Nov 13. Clin Pharmacol Ther. 2022. PMID: 34689339 Free PMC article. Review.
Cited by
-
Treatment of Osteoporosis and Osteoarthritis in the Oldest Old.Drugs. 2025 Mar;85(3):343-360. doi: 10.1007/s40265-024-02138-w. Epub 2025 Feb 19. Drugs. 2025. PMID: 39969778 Free PMC article. Review.
References
REFERENCES
-
- Eurostat. Population Structure and Ageing. 2023. Accessed May 15, 2024. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Popul...
-
- ICH. ICH E7. Studies in Support of Special Populations: Geriatrics: Questions and Answers. 2009. Accessed May 15, 2024. https://www.ema.europa.eu/en/ich‐e7‐studies‐support‐special‐populations‐...
-
- Cerreta F, Eichler HG, Rasi G. Drug policy for an aging population—the European Medicines Agency's geriatric medicines strategy. N Engl J Med. 2012;367(21):1972‐1974.
-
- Cerreta F, Padrao A, Skibicka‐Stepien I, Strampelli A, de Orbe Izquierdo MS. Medicines for older people: assessment and transparency at the European Medicines Agency regarding cardiovascular and antithrombotic medicinal products. Eur Geriatr Med. 2018;9(4):415‐418.
-
- Raimi‐Abraham BT, de Orbe Izquierdo MS, Collignon O, Cerreta F. Regulatory considerations on the enrollment of older adults in oncology clinical trials. J Geriatr Oncol. 2017;8(3):151‐153.
MeSH terms
LinkOut - more resources
Full Text Sources
Research Materials
Miscellaneous