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Developing new contraceptives : obstacles and opportunities / Luigi Mastroianni, Jr., Peter J. Donaldson, and Thomas T. Kane, editors.

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Format:
Book
Contributor:
Mastroianni, Luigi.
Donaldson, Peter J.
Kane, Thomas T., 1951-
Committee on Contraceptive Development (U.S.)
Language:
English
Subjects (All):
United States Food and Drug Administration.
Contraceptives--Research--United States.
Contraceptives.
Contraceptive drugs--Research--United States.
Contraceptive drugs.
Contraception--trends.
Contraceptive Agents.
Contraceptive Devices.
Research.
Medical Subjects:
United States Food and Drug Administration.
Contraception--trends.
Contraceptive Agents.
Contraceptive Devices.
Research.
Physical Description:
1 online resource (205 pages) : illustrations
Edition:
1st ed.
Place of Publication:
Washington, D.C. : National Academy Press, 1990.
Language Note:
English
Summary:
This report is the work of committees of the National Research Council and the Institute of Medicine. It analyzes the process by which contraceptives are developed and approved for use in the US and suggests ways to change that process to facilitate the development of safer, more effective, more con
Contents:
Developing New Contraceptives
Copyright
Preface
Acknowledgments
Contents
Executive Summary
THE NEED FOR NEW CONTRACEPTIVES
FDA REGULATION OF CONTRACEPTIVE PRODUCTS
PRODUCTS LIABILITY LAW AFFECTING CONTRACEPTIVES
CONCLUSION
1 Introduction
ORGANIZATION
2 The Need for New Contraceptives
CURRENT CONTRACEPTIVE USE
Contraceptive Practice
Contraceptive Effectiveness
POTENTIAL EFFECTS OF NEW CONTRACEPTIVES
Reducing Abortions
Contraception and Health
Reducing the Problems Associated with Existing Methods
Increasing the Coverage and Quality of Contraceptive Services
THE IMPORTANCE OF CONTRACEPTIVE DELIVERY
3 The Current Status of Contraceptive Research
RESEARCH LEADS
Female Methods
Male Methods
Modifications of Existing Methods
METHODS AVAILABLE OUTSIDE THE UNITED STATES
4 Values and Contraceptive Development
ROOTS OF AMERICAN VALUES ON CONTRACEPTION
Historical Perspectives
Religious Perspectives
Legal Perspectives
CONTEMPORARY VALUE CONFLICTS: STERILIZATION AND ABORTION
The Link Between Contraceptive Development and Abortion
RU-486
WOMEN'S PERSPECTIVES ON REPRODUCTION AND SOCIAL ROLES
5 Organizational Structure of Contraceptive Development
A DIVERSITY OF EXPERTISE
The Pharmaceutical Industry
Small Firms
Universities
Nonprofit Organizations
Government and Private Funding Organizations
The World Health Organization
COLLABORATIVE EFFORTS IN CONTRACEPTIVE DEVELOPMENT
Industry-University Collaboration
Competitive Aspects of Contraceptive Development
International Collaboration
STRENGTHENING THE PROCESS OF CONTRACEPTIVE DEVELOPMENT
Developing Country Institutions
National Scientific Centers in the United States
6 Funding for Contraceptive Development.
FUNDING FOR CONTRACEPTIVE DEVELOPMENT
Pharmaceutical Industry Funding
Federal Funding
Foundation Funding
Funding Worldwide
World Health Organization
TRAINING
RECOMMENDATIONS
7 Regulation and Contraceptive Development
THE DEVELOPMENT PROCESS
THE REGULATION PROCESS
FDA's Regulation of Drugs
Standards of Approval: Safety
Toxicological Testing of Contraceptive Drugs
The Case of Depo-Provera
The Appropriateness of Current Safety Requirements for Contraceptive Drugs
Standards of Approval: Effectiveness
The Risk-Benefit Trade-off
Patent Life and Profitability
FDA's Regulation of Medical Devices
Impediments to FDA Approval
Postmarketing Surveillance
CONTRACEPTIVE REGULATION: AN INTERNATIONAL PERSPECTIVE
Regulation in Europe
Regulation in Developing Countries
The World Health Organization's Role
8 Products Liability and Contraceptive Development
THE LEGAL TERRAIN
SOURCES OF DATA
TRENDS IN LITIGATION INVOLVING CONTRACEPTIVES
Intrauterine Devices
Oral Contraceptives
Other Contraceptives
PRODUCTS LIABILITY RULES
Warranty
Fraudulent Misrepresentation
Negligence
Strict Liability in Tort
CASE STUDIES
The Dalkon Shield Intrauterine Device
Other Intrauterine Devices
PRODUCTS LIABILITY INSURANCE AND CONTRACEPTIVE DEVELOPMENT
Causes of the Insurance Crisis
Cost and Availability of Liability Insurance for Contraceptives
Responses to the Crisis
Responses by Insurers
Responses by Policy Holders
Responses by State Legislatures
CONCLUSIONS AND RECOMMENDATIONS
Possible Elements of a Statute
The FDA Defense
Effect on Products Liability Cases
9 Contraceptive Development: Obstacles and Opportunities.
THE NEED FOR NEW METHODS
VALUES
ORGANIZATIONS AND RESOURCES
REGULATION
LIABILITY
A FINAL WORD
References
Legal Cases Related to Contraceptive Development
Glossary
Index.
Notes:
Bibliographic Level Mode of Issuance: Monograph
Includes bibliographical references and index.
Other Format:
Print version: Developing new contraceptives.
ISBN:
9786610212828
9781280212826
1280212829
9780309564526
0309564522
9780585155203
0585155208
OCLC:
607897730

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