A serious adverse event (SAE) in human drug trials is defined as any untoward medical occurrence that at any dose
Results in death
Is life-threatening
Requires inpatient hospitalization or causes prolongation of existing hospitalization
Results in persistent or significant disability/incapacity
May have caused a congenital anomaly/birth defect
Requires intervention to prevent permanent impairment or damage[1]
The term "life-threatening" in the definition of "serious" refers to an event in which the patient was at risk of death at the time of the event; it does not refer to an event which hypothetically might have caused death if it were more severe.[2] Adverse events are further defined as “Any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.”[2]
^"What is a Serious Adverse Event?". FDA. 9 September 2020.
^ abExpert Working Group (Efficacy) of the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). (August 25, 2007). "Guideline for Industry - Clinical safety data management: definitions and standards for expedited reporting" (PDF). FDA Center for Drug Evaluation and Research.
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