Applied Drug Research, Clinical Trials and Regulatory Affairs - Current Issue
Volume 11, Issue 1, 2025
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Comprehensive Framework for the Global Regulation and Approval of AI-Integrated Medical Devices
Authors: Shivali Rahi, Viney Lather, Arpana Rana and Jayamanti PanditIntroductionA pivotal aspect of advancing AI technology in manufacturing and healthcare lies in ensuring legal compliance and safety. To facilitate this, the development of tools and frameworks is underway, aiding manufacturers in crafting AI-based products that align with regulations and standards.
ObjectivesThis paper focuses on providing clear, structured guidance for users involved in developing AI-based medical devices. The objectives are threefold:
To clarify the expectations set forth by regulatory bodies concerning compliance for AI/ML-based software.
To outline a systematic approach for implementing safety and effectiveness measures in AI-based medical devices.
It addresses the absence of a unified standard by providing guidance that aligns with existing regulations as fully as possible.
MethodsThe study reviews existing regulations and frameworks applicable to Artificial Intelligence based medical devices in various countries.
Results and DiscussionThis paper provides practical tools and frameworks designed to streamline regulatory compliance processes. These resources enable manufacturers to navigate legal complexities more efficiently while minimizing legal risks and ensuring that safety and effectiveness considerations are thoroughly addressed.
ConclusionAs laws and regulations continue to evolve, it is essential to create clear pathways for integrating AI technologies into medical devices. This paper provides actionable guidance that supports manufacturers in complying with current regulations, fostering a more accountable, patient-centric approach in medical decision-making and treatment. By offering structured insights and bridging the regulatory gap globally, the paper contributes to safer and more effective deployment of AI in medical devices.
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A Multicomponent Eye Cream Helps Alleviate Signs of Aging in Indian Women: A Single Center, Non-Randomized Clinical Study
Authors: Anjali Gholap and Rachna RastogiIntroductionThe area around the eye shows the first signs of fatigue and aging. The use of suitable topical treatments can help manage the periorbital area. In this study, the efficacy of a multicomponent cream in improving the aesthetics around the eye area was examined in 8 weeks.
MethodsThe study was a non-comparative, single-blind trial conducted on 50 Indian volunteers with skin types III and IV for 56 days. The safety and cosmetic acceptability of the eye cream were determined by self-evaluation. The ability of the product to improve skin hydration and elasticity was determined by instrumental analysis and aesthetic features by dermatologist evaluation.
ResultsIn an 8-week assessment, the use of the eye cream twice daily resulted in improved skin hydration by 55.82% compared to baseline. A significant reduction in the appearance of dark circles under the eye, puffiness, wrinkles, and fine lines was reported.
ConclusionWhile the skin around the eyes shows early signs of aging, regular use of cosmetic creams with active components, such as peptides and niacinamide, can lead to significant improvement in overall aesthetic appearance.
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Pharmacovigilance Programme and Its Future Perspectives: Indian Scenario
Authors: Shaveta Sharma, Annu Dagar and Ashutosh KumarDue to its ability to track drug interactions and their physiological effects on humans, pharmacovigilance is a vital component of the healthcare system. The ability to monitor and analyze medications for quality as well as identify and halt any unfavorable drug side effects makes pharmacovigilance a crucial component of modern technology. Drug safety data collection and coding, as well as case management reporting and submission, comprise case processing, which is the first step in pharmacovigilance. The Pharmacovigilance Programme of India was established in response to these advancements. India participates in the Uppsala Monitoring Centre system but contributes very little to the database itself. The objective of this research is to conduct a comprehensive analysis of the pharmacovigilance program in India and provide a succinct, current evaluation of the organization, taking into account its background and possible issues. The development of “A Pharmacovigilance Programme of India” mobile application was emphasized by the National Coordination Centre PvPI to India as a means of enhancing public health and encouraging prompt reporting of adverse drug reactions. With more and more cutting-edge veterinary medications entering the market, India needs a veterinary pharmacovigilance system. One of the most significant current responsibilities is demonstrating to the world that thousands of years-old Ayurveda Siddha Unani systems are safe and grounded in science.
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Broken Trust: India's Medicine Quality Concerns
Authors: Shivang Saxena, Sankushdeep Singh, Raj Kumar Narang and Amandeep SinghDue to its ability to track drug interactions and their physiological effects on humans, pharmacovigilance is a vital component of the healthcare system. The ability to monitor and analyze medications for quality as well as identify and halt any unfavorable drug side effects makes pharmacovigilance a crucial component of modern technology. Drug safety data collection and coding, as well as case management reporting and submission, comprise case processing, which is the first step in pharmacovigilance. The Pharmacovigilance Programme of India was established in response to these advancements. India participates in the Uppsala Monitoring Centre system but contributes very little to the database itself. The objective of this research is to conduct a comprehensive analysis of the pharmacovigilance program in India and provide a succinct, current evaluation of the organization, taking into account its background and possible issues. The development of “A Pharmacovigilance Programme of India” mobile application was emphasized by the National Coordination Centre PvPI to India as a means of enhancing public health and encouraging prompt reporting of adverse drug reactions. With more and more cutting-edge veterinary medications entering the market, India needs a veterinary pharmacovigilance system. One of the most significant current responsibilities is demonstrating to the world that thousands of years-old Ayurveda Siddha Unani systems are safe and grounded in science.
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Brain-computer Interface on Medical Devices: A Promising Technology with Limitless Possibilities
Authors: Jijo Shaji Varughese, M. Arjun, Sangita Mishra and M. P. VenkateshBrain-computer interface (BCI) technology has emerged as a groundbreaking innovation with transformative potential in medical devices. BCIs are analyzed for their ability to diagnose, treat, and manage neurological disorders, such as Parkinson's disease, ALS, and stroke.
The study explores the integration of BCI technology into medical devices and examines the challenges and opportunities regulatory authorities face in overseeing this rapidly evolving field.
The study employs a comprehensive literature review with the help of databases like Google Scholar, and PubMed, analyzing case studies and regulatory requirements.
BCI technology enables direct communication between the human brain and external devices, allowing for the control of computers or prosthetic limbs. Additionally, software tools facilitate the analysis of recorded brain signals, aided by advancements in Artificial Intelligence (AI), including Machine Learning (ML) and Deep Learning (DL), for automatic classification of EEG signals. However, the rapid advancement leads to high costs and complexity of BCI systems which can limit their accessibility and scalability, posing a barrier. Moreover, the development of standardized protocols and guidelines for BCI implementation is essential to maintain consistency and reliability across applications.
The ethical considerations surrounding BCI technology are vital and emphasize the need for government regulations to ensure its safe and effective integration into healthcare. BCI's potential for responsible innovation in patient-centric care is advocated, propelling medical technology into a new era of seamless integration and improved patient outcomes.
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Impact of Contract Research Organizations on Pharmaceutical Industries: A Review
Authors: Neeta Solanki, Jaya Verma, Satyender Kumar, Seema3, Jyoti Mundlia, Rajesh Saini and Sapna SainiContract Research Organizations are bodies that offer research and development services on a contract basis to the pharmaceutical, biotechnology, medical device, and other industries. These organizations offer a wide range of services to support the drug discovery, development, and commercialization process. Initially, CROs begin with clinical trial management facilities and assisting sponsors with clinical study design, whereas laboratory CROs provide drug discovery, manufacturing, and bioanalytical services, including site feasibility. Their services mainly cover pharmaceutical and biotechnology industry based work such as drug development, pharmaceutical product development, clinical and preclinical trials, analytical method developments, pharmacovigilance, medical writing, etc. India presents itself as a wonderful platform for CROs attributing to its huge population, varied disease conditions, accessible human resources, large number of hospitals and low treatment cost. In the clinical trial process, CROs are engaged by the sponsor to accomplish a number of duties, taking into account various administrative and technical responsibilities on behalf of the sponsor. The current manuscript highlights the globalization of clinical trials, the concept of CRO, roles and responsibilities, functions of CROs, regulatory infrastructure of CRO, criteria for selection of suitable CRO, Indian CRO market and impact of COVID-19 pandemic on it.
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Efficacy of Nanofiber Mats Loaded with 5-Fluorouracil and Rosemary
Authors: Reza Jamali, Erfaneh Ghassami, Nazila Poostiyan, Mahboubeh Barati and Zabihollah ShahmoradiBackground/IndroductionActinic keratosis (AK) is a precancerous skin condition caused by abnormal growth of epidermal keratinocytes. Current treatments, like 5-fluorouracil (5-FU) cream, have limitations. Rosemary extract has shown anticancer and antioxidant properties, enhancing the effects of 5-FU. Nanofibers are a potential drug delivery system due to their unique properties. Thus, this study aimed to investigate the efficacy of 5-FU and rosemary extract-loaded nanofibers in AK treatment.
MethodsPolymeric nanofibers loaded with 5-FU and rosemary extract were created using electrospinning. A randomized controlled double-blinded clinical trial was conducted on AK patients, divided into three groups: Group A (nanofibers with 5% 5-FU and rosemary extract), Group B (nanofibers with 5% 5-FU), and Group C (5% 5-FU cream). Improvement, satisfaction, and side effects were assessed using visual analogue scale (VAS) scores and the modified Investigator Global Improvement Score.
Results and DiscussionGroup A exhibited significantly higher global improvement scores compared to Group B (p value<0.001). Group A also had the highest VAS score, indicating greater patient satisfaction. Side effects were lowest in Group A and highest in Group C.
ConclusionThis randomized double-blinded clinical trial suggests that nanofibers loaded with 5-FU and rosemary extract (Group A) are more effective in improving AK lesions compared to nanofibers with 5-FU alone (Group B) and 5-FU cream (Group C). Group A also showed higher patient satisfaction and fewer side effects. The combination of 5-FU and rosemary extract in nanofibers holds promise as an alternative treatment for AK. Further studies are needed to validate these findings and investigate the long-term effects of the treatment.
Clinical Trial Registration NumberIRCT20210118050067N1.
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IPR and Blockchain Technology: Opportunities and Risks for the Digital Economy
Authors: Brajesh Kumar Panda, Diksha1, Komal2 and Amandeep SinghBlockchain technology is a decentralized, peer-to-peer network-based public, encrypted, and immutable digital federated ledger system with various applications in the digital economy. This paper examines how blockchain technology can strengthen intellectual property rights (IPR) in the digital age and the potential challenges and risks associated with this use. The paper analyses the advantages and disadvantages of blockchain technology for confirming and protecting IPR, such as transparency, security, efficiency, and scalability, as well as issues such as legal uncertainty, interoperability, and governance. The paper also explores the implications of blockchain technology for different types of IPR, such as patents, and copyrights, and how it can facilitate innovation, licensing, and enforcement. The paper concludes by providing recommendations for improving the legal and regulatory framework for IPR management using blockchain technology and identifying some areas for further research.
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