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The Clock Starts on DAY ZERO For Medical Literature Reports

“Marketing Authorization Holders (MAHs) are expected to review and assess reports of suspected adverse reactions from the medical literature to identify and record Individual Case Safety Reports (ICSRs).”

If a pharmacovigilance case is detected in a journal, the clock starts on day ZERO of the receipt of the physical/hard copy of the local journal by the organisation/MAH/applicant and should be considered equal to performing a literature search in an electronic database.

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(Q&A: What is the day zero for ICSRs Described in Physical/hardcopy Local journals?)