Evidence map›Paper›PMID 40461931›Full record

ArticleTherapeutic innovation & regulatory science2025

Characterization of Japanese Risk Management Plans after 10 Years of Implementation: 2013-2023.

Sono Sawada, Keiko Asao, Ryohei Kobayashi, Jaclyn Bosco, Hideki Maeda

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Article in Therapeutic innovation & regulatory science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Important potential risks not reflected in Japanese drug labeling: implications for risk management plan termination.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sono SawadaHealth Economics and Outcomes Research, IQVIA Solutions Japan G.K, Tokyo, Japan.
Keiko AsaoHealth Economics and Outcomes Research, IQVIA Solutions Japan G.K, Tokyo, Japan.
Ryohei KobayashiHealth Economics and Outcomes Research, IQVIA Solutions Japan G.K, Tokyo, Japan.
Jaclyn BoscoReal World Solutions, IQVIA, Boston, MA, USA. jaclyn.bosco@iqvia.com.
Hideki MaedaDepartment of Regulatory Science, Meiji Pharmaceutical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA decade since Japan introduced risk management plans offers an opportunity to analyze their characteristics and support future pharmacovigilance efforts.

objectivesTo describe (1) the types of post-marketing studies (PMSs) and the number of safety concerns and efficacy concerns by drug classification and (2) the distribution of important identified and important potential risks by type of safety concern.

methodsWe extracted data and examined the characteristics of the Japanese risk management plans (J-RMP). The following information from J-RMPs available as of May 2023 and the corresponding package inserts of the drugs was extracted: the brand name, the active ingredient, the first submission and the last update dates of J-RMP, safety concerns with their safety specifications, efficacy concerns, the type of PMSs, and the drug classification codes.

resultsA total of 637 J-RMPs were included in the analysis. The median number of safety and efficacy concerns per J-RMP was 8, with category-specific medians as follows: 4 important identified risks, 2 important potential risks, 0 important missing information, and 1 efficacy concerns. Among the 481 J-RMPs listing at least one PMS, 86.5% included only use-result surveys (primary data collection), 9.4% included only database PMSs, and 4.2% included both. Safety concerns related to neoplasms and pregnancy/birth defects were most commonly listed as important potential risks.

conclusionsJapanese PMSs more commonly rely on primary data collection. Adverse events with delayed effects tend to be classified as important potential risks. The information contained in J-RMPs is valuable for gaining insights into pharmacovigilance activities.

Indexed as

PharmacovigilanceProduct Surveillance, PostmarketingRisk ManagementDrug-Related Side Effects and Adverse ReactionsHumansJapanJapanPharmacovigilancePost-marketingProduct SurveillanceRisk Management Plan

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.