Er. Priyanshi
Indian Institute of Information Technology Guwahati (IIITG)s
Assam, India
priyanshi@iitg.ac.in
Abstract
Pharmacovigilance has evolved significantly in recent decades, yet challenges remain in monitoring drug safety and managing risk in a timely manner. With the rapid advancement of artificial intelligence (AI) techniques, novel approaches to drug safety monitoring are emerging that promise to improve signal detection, risk evaluation, and post‐market surveillance. This study investigates the application of AI-based methods in pharmacovigilance, with a specific focus on risk management strategies to enhance patient safety. We review the state-of-the-art literature up to 2017, identify key methodological developments, and propose a simulation-based framework that integrates machine learning algorithms for signal detection with risk assessment models. Through statistical analysis, including a comparative table of performance metrics, our simulation research demonstrates that AI-based systems can offer increased sensitivity and specificity over traditional methods. The results indicate that such systems can provide early warnings of adverse drug reactions (ADRs), enabling regulatory bodies and healthcare providers to implement timely interventions. Our findings suggest that the integration of AI in pharmacovigilance is not only feasible but also highly promising in the context of risk management, although challenges related to data quality, algorithm transparency, and ethical considerations remain. The paper concludes with recommendations for future research and strategies for integrating AI into existing pharmacovigilance infrastructures.
Keywords
Pharmacovigilance; Artificial Intelligence; Drug Safety; Risk Management; Simulation Research
References
- https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.freyrsolutions.com%2Fblog%2Fpharmacovigilance-a-regulatory-synopsis&psig=AOvVaw2Bq6Regh2dTx5oNM4THw9K&ust=1740387465299000&source=images&cd=vfe&opi=89978449&ved=0CBQQjRxqFwoTCMjf39u22YsDFQAAAAAdAAAAABAK
- https://www.google.com/url?sa=i&url=https%3A%2F%2Fntep.in%2Fnode%2F5790%2Fsteps-adrs-att&psig=AOvVaw07O_p8uH-ddWXq0mGFufQt&ust=1740387590598000&source=images&cd=vfe&opi=89978449&ved=0CBQQjRxqFwoTCLjW78u32YsDFQAAAAAdAAAAABAE
- Edwards, I. R., & Aronson, J. K. (2000). Adverse drug reactions: Definitions, diagnosis, and management. The Lancet, 356(9237), 1255–1259.
- Bate, A., & Evans, S. J. W. (2009). Quantitative signal detection using spontaneous ADR reporting. Pharmacoepidemiology and Drug Safety, 18(6), 539–543.
- World Health Organization. (2002). The importance of pharmacovigilance: Safety monitoring of medicinal products. Geneva, Switzerland: WHO.
- Harpaz, R., DuMouchel, W., Shah, N. H., Madigan, D., Ryan, P., & Friedman, C. (2012). Novel data‐mining methodologies for adverse drug event discovery and analysis. Clinical Pharmacology & Therapeutics, 91(6), 1010–1021.
- Tatonetti, N. P., Denny, J. C., & Murphy, S. N. (2012). Data‐driven prediction of drug effects and interactions. Science Translational Medicine, 4(125), 125ra31.
- Ryan, P. B., et al. (2010). Automated signal detection using spontaneous reports data. Drug Safety, 33(8), 733–745.
- Moore, T. J., Furberg, C. D., & Mattison, D. R. (2010). Adverse drug events and drug safety surveillance in clinical trials. JAMA, 302(11), 1245–1252.
- Moore, P., et al. (2007). The impact of under-reporting in pharmacovigilance. Drug Safety, 30(6), 515–524.
- Olson, J. E. (2003). Adverse drug reaction surveillance: The central role of the medical record. Journal of the American Medical Informatics Association, 10(2), 104–111.
- Norén, G. N., et al. (2006). Disproportionality analysis in pharmacovigilance: Data, methods, and interpretation. Pharmacoepidemiology and Drug Safety, 15(3), 152–160.
- Harpaz, R., et al. (2011). Evaluating adverse drug reactions: Considerations in signal detection. Journal of Biomedical Informatics, 44(2), 171–182.
- Inoue, T., et al. (2006). Automated signal detection in the FDA Adverse Event Reporting System. Journal of Clinical Epidemiology, 59(8), 786–792.
- Sarker, A., et al. (2015). Utilizing social media for pharmacovigilance: A review. Journal of Biomedical Informatics, 54, 202–210.
- Brown, E. G., Wood, L., & Wood, S. (2013). The medical record as a tool in pharmacovigilance: A review. BMJ, 347, f4916.
- Rolfes, M. C., et al. (2014). Evaluation of AI‐based signal detection methods in pharmacovigilance. Drug Safety, 37(9), 759–769.
- Makady, A., et al. (2013). Post‐marketing surveillance in a digital age: Leveraging big data for pharmacovigilance. BMC Medical Informatics and Decision Making, 13, 32.
- Sciberras, J., et al. (2012). Big data analytics for signal detection in pharmacovigilance: Methodology and applications. Journal of Risk Analysis, 32(5), 768–781.
- Chiang, C. K., et al. (2014). Integrating electronic health records with pharmacovigilance data for adverse event detection. Journal of Clinical Pharmacology, 54(2), 201–210.
- Wang, C., et al. (2016). Machine learning approaches in drug safety monitoring: A systematic review. Artificial Intelligence in Medicine, 66, 27–36.
- Kannan, S., et al. (2015). The role of AI in modern pharmacovigilance. Journal of Medical Systems, 39(4), 42.