課程資訊
課程名稱
藥物流行病學
Pharmacoepidemiology 
開課學期
107-2 
授課對象
公共衛生學院  流行病學與預防醫學研究所  
授課教師
陳建煒 
課號
EPM7166 
課程識別碼
849 M0610 
班次
 
學分
2.0 
全/半年
半年 
必/選修
選修 
上課時間
星期一6,7(13:20~15:10) 
上課地點
公衛210 
備註
與張家勳合授
總人數上限:30人 
Ceiba 課程網頁
http://ceiba.ntu.edu.tw/1072EPM7166_PE 
課程簡介影片
 
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課程概述

This is an introductory course on pharmacoepidemiology. How the principles of modern epidemiology methods are applied to evaluate safety, effectiveness, and utilization patterns of medical products (drugs, vaccines, and medical devices) will be discussed. Examples of descriptive epidemiology studies, cohort studies, case control studies, intervention studies, and meta-analysis will be drawn from recent literature to illustrate the application of relevant methods and the challenges in post-marketing medical product assessment. Perspectives from research institutions, medical product manufacturers, and regulatory agencies will be presented. Related topics, including therapeutic risk management, safety signal detection and refinement, data sources and ethics considerations, will be discussed. Advanced methodology, such as that utilized to address confounding by indication and misclassification will be briefly introduced. 

課程目標
To know how the principles of modern epidemiology methods are applied to evaluate safety, effectiveness, and utilization patterns of medical products (drugs, vaccines, and medical devices). 
課程要求
Attend lectures, class presentation, homework, and a term paper 
預期每週課後學習時數
 
Office Hours
 
指定閱讀
待補 
參考書目
peer-reviewed research articles, commentaries, and FDA & EMA regulatory documents
Optional textbook Strom, Kimmel, & Hennessy (eds). Textbook of
Pharmacoepidemiology, 2nd Edition. Sussex: Wiley, 2013
FDA Guidance for Industry -- Good Pharmacovigilance Practices and
Pharmacoepidemiologic Assessment.
http://www.fda.gov/downloads/RegulatoryInformation/Guidances/UCM126834.pdf

EMA Guideline on good pharmacovigilance practices (GVP) Module VIII –
Post-authorisation safety studies
http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2012/06/WC500129137.pdf

Guidelines for Good Pharmacoepidemiology Practices (GPP) --
http://www.pharmacoepi.org/resources/guidelines_08027.cfm 
評量方式
(僅供參考)
   
課程進度
週次
日期
單元主題
第1週
2/18  Course overview, introduction 
第2週
2/25  Medical product development and product life cycle
Real World Evidence
 
第3週
3/04  Guest speaker 黃薇伊組長 
第4週
3/11  Commonly used research methods in pharmacoepidemiology  
第5週
3/18  Cohort studies 
第6週
3/25  Case-controls studies 
第7週
4/01  Case-crossover studies 
第8週
4/08  Self-controlled case series
Meta-analysis for safety assessment
 
第9週
4/15  Comorbidity measures and control for confounding (I) 
第10週
4/22  Control for confounding (II) and hierarchy of evidence 
第11週
4/29  Safety surveillance, safety signal detection & refinement 
第12週
5/06  Health data and related ethical considerations 
第13週
5/13  Drug utilization studies
Time series analysis
 
第14週
5/20  Pharmacogenomic
Epidemiology in medical product development
 
第15週
5/27  Regulatory decisions and therapeutic risk management  
第16週
6/03  Benefit-Risk assessment
Pragmatic trials