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Drug Interaction Research
BackgroundAs the number of medications that people with HIV disease continues to expand, the impact of the interactions between these drugs grows significantly. These interactions have tremendous impact on the effectiveness of anti-viral treatment regimens and other medications, can create additional toxicities, but , too often, the interactions are not well researched prior to or after marketing of the drugs. Designing studies and trials to research the interactions is especially challenging given the number of possible combinations. Outlining a Strategy for ActionIn April 2000, the Forum convened European and U.S. regulatory agencies, researchers, the pharmaceutical industry, and the patient advocate community to review the role of drug interaction studies in drug licensing from their four perspectives. The meeting was held on conjunction with the 1st International Workshop on Clinical Pharmacology and HIV Therapy and focused on four specific areas:
A full meeting report is available. Creating a Better System for Sharing Investigational AgentsOne issue discussed at the meeting was the great difficulty that independent investigators not aligned with a pharmaceutical company have in securing investigational compounds for drug interaction studies. Often the industry is wary of providing such agents to independent investigators because the compound may be studied in ways industry feels are not appropriate or in ways other than those originally proposed by the investigator. The Forum agreed to seek ways to facilitate the sharing of investigational agents for drug interaction studies by acting as a conduit for requests to industry for the compounds.
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