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Labeling Products for Use in Pregnancy: Moving Forward

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Table of Contents

Labeling Products for Use in Pregnancy: Moving Forward

Objectives for Today

Labeling 101

Label Guides Use of Product

I. Pregnancy Section of Label

Experience Applying Categories

Greatest Challenge Area of medicine where the most certainty is desired, but there is the least data.

II. Pregnancy Labeling Taskforce

Task A: Examine Current Regulations: Part 15 Public Hearing

Current System: Positive Aspects

Current System: Sample Criticisms

“Take Home Message”

II. Developing a New Model

Model Label Format

December 2000 Where are we now?

Why Does it Take Years?

III. Broader Needs of Pregnancy Labeling

1. FDA Expertise

2. Improving Data: Safety

Safety Data in the Future

3. Data: Lactation

FDA and Lactation

4. Data: Clinical Pharmacology

Pregnancy Changes Physiology and Alters Drug PK

Contrast of Altered Physiologies

FDA and Pregnancy PK/PD Current Status

Where We Need To Go: Collaboration and Facilitation

Collaboration (continued)

Summary

Author: Sandra L. Kweder, M.D. FDA, Office of Drug Evaluation IV

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Last update: July 11, 2005

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