약학회지

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Table. 1. Characteristics of drugs that have patient-reported outcomes (PROs) as main endpoints
NDA-NMEs and BLAs approved by FDA (N=288) NDA-NMEs and BLAs without PRO information in labels (N=225) NDA-NMEs and BLAs with PRO information in labels (N=63) p value
Application, n (%) 0.569
NDA-NME 209 (72.6) 161 (71.6) 48 (76.2)
BLA 79 (27.4) 64 (28.4) 15 (23.8)
Orphan status, n (%) 0.002
Non-Orphan 136 (47.2) 95 (42.2) 41 (65.1)
Orphan 152 (52.8) 130 (57.8) 22 (34.9)
Expedited approval pathways, n (%)
Priority 182 (63.2) 152 (67.6) 30 (47.6) 0.006
Fast track 108 (37.5) 91 (40.4) 17 (27.0) 0.071
Breakthrough 81 (28.1) 69 (30.7) 12 (19.0) 0.098
AA 51 (17.7) 51 (22.7) 0 (0.0) <0.001
Not applicable 90 (31.3) 61 (27.1) 29 (46.0)
ICD-10, n (%) <0.001
Diseases of the Nervous System 37 (12.8) 15 (6.7) 22 (34.9)
Endocrine, Nutritional, and Metabolic Diseases 40 (13.9) 31 (13.8) 9 (14.3)
Diseases of the Skin and Subcutaneous Tissue 17 (5.9) 9 (4.0) 8 (12.7)
Diseases of the Blood and Blood-Forming Organs, Certain Immune Disorders 17 (5.9) 13 (5.8) 4 (6.4)
Diseases of the Respiratory System 5 (1.7) 1 (0.4) 4 (6.4)
Diseases of the Digestive System 6 (2.1) 2 (0.9) 4 (6.4)
Diseases of the Genitourinary System 9 (3.1) 6 (2.7) 3 (4.8)
Diseases of the Musculoskeletal System and Connective Tissue 4 (1.4) 2 (0.9) 2 (3.2)
Mental, Behavioral, and Neurodevelopmental Disorders 7 (2.4) 5 (2.2) 2 (3.2)
Certain Infectious and Parasitic Diseases 33 (11.5) 32 (14.2) 1 (1.6)
Diseases of the Circulatory System 1 (0.3) 0 (0.0) 1 (1.6)
Injury, Poisoning and Certain Other Consequences of External Causes 3 (1.0) 2 (0.9) 1 (1.6)
Neoplasms 87 (30.2) 86 (38.2) 1 (1.6)
Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified 6 (2.1) 6 (2.7) 1 (1.6)
Pregnancy, Childbirth, and the Puerperium 3 (1.0) 3 (1.3) 0 (0)
Factors Influencing Health Status and Contact with Health Services 3 (1.0) 2 (0.9) 0 (0)
External Causes of Morbidity and Mortality 2 (0.7) 2 (0.9) 0 (0)
Diseases of the Eye and Adnexa 7 (2.4) 7 (3.1) 0 (0)
Codes for Special Purposes 1 (0.3) 1 (0.4) 0 (0)

BLA, Biologic License Application; FDA, Food and Drug Administration; NDA, New Drug Application; NME, New Molecular Entity; AA, Accelerated Approval; ICD-10, International Classification of Diseases 10th revision

“Main endpoints” is when PRO is used as either a primary or secondary endpoint in studies.

Yakhak Hoeji 2024;68:223-38 https://doi.org/10.17480/psk.2024.68.4.223
© 2024 Yakhak Hoeji