Bowel Preparations for Colonoscopy: A Regulatory Perspective.

Abstract:

:Agents indicated for cleansing of the colon as a preparation for colonoscopy (bowel preps) are among the most frequently prescribed drugs for otherwise healthy patients. Better bowel preparation has been shown to translate into higher adenoma detection rates. Therefore, safety and efficacy standards need to be high. Clinical trials can be designed to show superiority or non-inferiority, and there are 3 different types of relevant New Drug Applications. Current endpoint instruments rely on clinician reporting, and more than 1 endpoint instrument may be required to ensure a valid appraisal of efficacy. Future trials that study hard-to-prepare patients and populations who are potentially at higher risk for adverse events (eg, those with renal dysfunction) would be of interest. Orthostatic hemodynamic changes with bowel preps as a drug class occur more frequently than previously recognized, and this also deserves further study.

journal_name

Ther Innov Regul Sci

authors

Gottlieb K,Turner JR,Gillespie BS,Hussain F

doi

10.1177/2168479015577868

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

739-744

issue

5

eissn

2168-4790

issn

2168-4804

journal_volume

49

pub_type

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