A Pharmaceutical Physician is a healthcare professional, usually a medical physician, who works in drug development. They work in biotechnology companies, Contract Research Organisations (CROs), Regulatory Authorities, [1] and pharmaceutical companies. [2]
Pharmaceutical physicians are key players in the development and lifecycle management of medicines, acting as crucial intermediaries between science, medicine, and regulatory frameworks. Their primary responsibility lies in overseeing the safe and effective development of new drugs, as well as investigating new uses for existing medications or medical devices. They engage extensively with a wide array of stakeholders, including pharmaceutical and biotech companies, CROs, government agencies, regulatory bodies, scientific communities, and patient organizations. The overarching goal of these collaborations is to bring innovative and promising therapies from the research lab to the market or to extend the use of already-approved drugs to new medical indications. [3]
Pharmaceutical physicians contribute to the design, conduct, and monitoring of clinical trials. They work closely with sponsors—often large pharmaceutical companies or biotech firms—who fund these trials. In their regulatory role, they collaborate with agencies like the U.S. Food and Drug Administration (FDA), the European Medicines Agency (EMA), or other competent authorities in different jurisdictions. These physicians help navigate the complex regulatory processes necessary to obtain market approval for new therapies, ensuring that trials meet stringent scientific, ethical, and safety standards.
In addition to regulatory guidance, pharmaceutical physicians often lead clinical development teams, shaping the medical strategy for drug development. They may occupy various senior roles within companies, such as Chief Medical Officer (CMO), Clinical Development Physician, or Clinical Research Physician. In these roles, they not only oversee clinical trial phases but also ensure compliance with legal and safety standards while balancing commercial considerations and ensuring a return on investment for sponsors. Their tasks range from working on early-stage drug discovery to post-market safety monitoring and the medical aspects of product marketing.
Pharmaceutical Medicine as a Specialty Pharmaceutical medicine, a lesser-known yet vital medical specialty, deals with the discovery, development, evaluation, licensing, and marketing of medicinal products. It officially became a recognized specialty in the UK in 2002 under the Faculty of Pharmaceutical Medicine (FPM) of the Royal College of Physicians. The specialty has grown rapidly and is now global, with a significant number of professionals working outside the UK, reflecting the international nature of the pharmaceutical industry.
Training in pharmaceutical medicine usually involves a blend of on-the-job experience and formal education, such as obtaining the Diploma in Pharmaceutical Medicine. Over a four-year training period, pharmaceutical physicians acquire expertise in various areas, including regulatory affairs, pharmacology, drug safety, clinical development, and the healthcare marketplace.
Bringing Drugs to Market One of the primary roles of a pharmaceutical physician is to shepherd new drugs through the clinical trial process, from initial concept to market. This involves several phases of clinical testing to demonstrate a drug's safety and efficacy before it can be submitted for regulatory approval. Pharmaceutical physicians ensure that these trials meet ethical and scientific standards (in accordance with National and regional Good Clinical Practice and other applicable Clinical Trial Directives and Regulations) while navigating the logistical and regulatory hurdles involved in bringing new therapies to market. Additionally, they may conduct trials to explore new indications for existing medications through various regulatory procedures, expanding their use for different diseases or patient populations.
In summary, pharmaceutical physicians play a critical role in drug development by engaging a range of stakeholders—from regulatory bodies and industry sponsors to CROs and patient groups—to bring innovative therapies to market or explore new uses for existing treatments. Their diverse roles within companies, ranging from clinical research to medical strategy, highlight their vital position at the intersection of medicine, science, and industry.
Pharmaceutical physicians were first recruited after the second World War to fluctuate medical aspects of drug development. British Association of Pharmaceutical Physicians was the first industry composed of pharmaceutical physicians. It was created in 1957 in Britain. [4]
The United States Food and Drug Administration is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food safety, tobacco products, caffeine products, dietary supplements, prescription and over-the-counter pharmaceutical drugs (medications), vaccines, biopharmaceuticals, blood transfusions, medical devices, electromagnetic radiation emitting devices (ERED), cosmetics, animal foods & feed and veterinary products.
A medication is a drug used to diagnose, cure, treat, or prevent disease. Drug therapy (pharmacotherapy) is an important part of the medical field and relies on the science of pharmacology for continual advancement and on pharmacy for appropriate management.
Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments and known interventions that warrant further study and comparison. Clinical trials generate data on dosage, safety and efficacy. They are conducted only after they have received health authority/ethics committee approval in the country where approval of the therapy is sought. These authorities are responsible for vetting the risk/benefit ratio of the trial—their approval does not mean the therapy is 'safe' or effective, only that the trial may be conducted.
Pharmacy is the science and practice of discovering, producing, preparing, dispensing, reviewing and monitoring medications, aiming to ensure the safe, effective, and affordable use of medicines. It is a miscellaneous science as it links health sciences with pharmaceutical sciences and natural sciences. The professional practice is becoming more clinically oriented as most of the drugs are now manufactured by pharmaceutical industries. Based on the setting, pharmacy practice is either classified as community or institutional pharmacy. Providing direct patient care in the community of institutional pharmacies is considered clinical pharmacy.
An orphan drug is a pharmaceutical agent that is developed to treat certain rare medical conditions. An orphan drug would not be profitable to produce without government assistance, due to the small population of patients affected by the conditions. The conditions that orphan drugs are used to treat are referred to as orphan diseases. The assignment of orphan status to a disease and to drugs developed to treat it is a matter of public policy that depends on the legislation of the country.
The regulation of therapeutic goods, defined as drugs and therapeutic devices, varies by jurisdiction. In some countries, such as the United States, they are regulated at the national level by a single agency. In other jurisdictions they are regulated at the state level, or at both state and national levels by various bodies, as in Australia.
Pharmacovigilance, also known as drug safety, is the pharmaceutical science relating to the "collection, detection, assessment, monitoring, and prevention" of adverse effects with pharmaceutical products. The etymological roots for the word "pharmacovigilance" are: pharmakon and vigilare. As such, pharmacovigilance heavily focuses on adverse drug reactions (ADR), which are defined as any response to a drug which is noxious and unintended, including lack of efficacy. Medication errors such as overdose, and misuse and abuse of a drug as well as drug exposure during pregnancy and breastfeeding, are also of interest, even without an adverse event, because they may result in an adverse drug reaction.
A biopharmaceutical, also known as a biological medical product, or biologic, is any pharmaceutical drug product manufactured in, extracted from, or semisynthesized from biological sources. Different from totally synthesized pharmaceuticals, they include vaccines, whole blood, blood components, allergenics, somatic cells, gene therapies, tissues, recombinant therapeutic protein, and living medicines used in cell therapy. Biologics can be composed of sugars, proteins, nucleic acids, or complex combinations of these substances, or may be living cells or tissues. They are isolated from living sources—human, animal, plant, fungal, or microbial. They can be used in both human and animal medicine.
Drug development is the process of bringing a new pharmaceutical drug to the market once a lead compound has been identified through the process of drug discovery. It includes preclinical research on microorganisms and animals, filing for regulatory status, such as via the United States Food and Drug Administration for an investigational new drug to initiate clinical trials on humans, and may include the step of obtaining regulatory approval with a new drug application to market the drug. The entire process—from concept through preclinical testing in the laboratory to clinical trial development, including Phase I–III trials—to approved vaccine or drug typically takes more than a decade.
An electronic data capture (EDC) system is a computerized system designed for the collection of clinical data in electronic format for use mainly in human clinical trials. EDC replaces the traditional paper-based data collection methodology to streamline data collection and expedite the time to market for drugs and medical devices. EDC solutions are widely adopted by pharmaceutical companies and contract research organizations (CRO).
Postmarketing surveillance (PMS), also known as post market surveillance, is the practice of monitoring the safety of a pharmaceutical drug or medical device after it has been released on the market and is an important part of the science of pharmacovigilance. Since drugs and medical devices are approved on the basis of clinical trials, which involve relatively small numbers of people who have been selected for this purpose – meaning that they normally do not have other medical conditions which may exist in the general population – postmarketing surveillance can further refine, or confirm or deny, the safety of a drug or device after it is used in the general population by large numbers of people who have a wide variety of medical conditions.
The Center for Drug Evaluation and Research is a division of the U.S. Food and Drug Administration (FDA) that monitors most drugs as defined in the Food, Drug, and Cosmetic Act. Some biological products are also legally considered drugs, but they are covered by the Center for Biologics Evaluation and Research. The center reviews applications for brand name, generic, and over the counter pharmaceuticals, manages US current Good Manufacturing Practice (cGMP) regulations for pharmaceutical manufacturing, determines which medications require a medical prescription, monitors advertising of approved medications, and collects and analyzes safety data about pharmaceuticals that are already on the market.
Expanded access or compassionate use is the use of an unapproved drug or medical device under special forms of investigational new drug applications (IND) or IDE application for devices, outside of a clinical trial, by people with serious or life-threatening conditions who do not meet the enrollment criteria for the clinical trial in progress.
Medication costs, also known as drug costs are a common health care cost for many people and health care systems. Prescription costs are the costs to the end consumer. Medication costs are influenced by multiple factors such as patents, stakeholder influence, and marketing expenses. A number of countries including Canada, parts of Europe, and Brazil use external reference pricing as a means to compare drug prices and to determine a base price for a particular medication. Other countries use pharmacoeconomics, which looks at the cost/benefit of a product in terms of quality of life, alternative treatments, and cost reduction or avoidance in other parts of the health care system. Structures like the UK's National Institute for Health and Clinical Excellence and to a lesser extent Canada's Common Drug Review evaluate products in this way.
A glossary of terms used in clinical research.
The following outline is provided as an overview of and topical guide to clinical research:
Patient recruitment is the process of finding and enrolling suitable participants for clinical trials. It is a crucial aspect of drug development and medical research, as it affects the validity, reliability, and generalizability of the results. Patient recruitment can also be challenging, time-consuming, and costly, involving various ethical, regulatory, and logistical issues.
Pharmaceutical medicine is a medical discipline concerned with the discovery, evaluation, registration, monitoring and clinical aspects of pharmaceutical development. All medical specialties overlap to some extent, and likewise the boundaries of pharmaceutical medicine are elastic. But, at its centre is the clinical testing of medicines, translation of pharmaceutical drug research into new medicines, safety and well-being of patients and research participants in clinical trials, and understanding the safety profile of medicines and their benefit-risk balance. Pharmaceutical physicians work in the pharmaceutical industry, universities / medical schools, drug regulatory authorities and contract research organisations, but have a close affinity with their medical colleagues elsewhere.
The Faculty of Pharmaceutical Medicine (FPM) is a faculty of the three Royal Colleges of Physicians of the United Kingdom. It is a UK-based professional membership organisation with 1,600 members; physicians with a professional interest in the speciality of pharmaceutical medicine, the science of discovering, developing and testing new drugs, their regulation, and monitoring them for safety both during development and when they are prescribed. FPM is a registered charity and ultimately exists to bring about an improvement in health in patients and the general population.
The phases of clinical research are the stages in which scientists conduct experiments with a health intervention to obtain sufficient evidence for a process considered effective as a medical treatment. For drug development, the clinical phases start with testing for drug safety in a few human subjects, then expand to many study participants to determine if the treatment is effective. Clinical research is conducted on drug candidates, vaccine candidates, new medical devices, and new diagnostic assays.