完成した臨床試験のピアレビューによる出版は,小児専用として行われます
Daniel K Benjamin1, Philip Brian Smith, M Dianne Murphy
1Office of Pediatric Therapeutics, Office of the Commissioner, US Food and Drug Administration, Rockville, Md, USA. danny.benjamin@duke.edu
JAMA
|September 14, 2006
まとめ
小児専用プログラムでは,小児における薬物試験を成功裏に奨励したが,試験結果の半分以下が公表された. この重要な小児薬物情報の普及を高めるために,さらなる努力が必要である.
科学分野:
- 小児薬理学 小児薬理学
- 薬物開発 薬物開発
- 規制科学とは,規制に関する科学です.
背景:
- 小児の薬物使用は,FDAが承認した研究が不足しているため,しばしばラベル外です.
- 米国食品医薬品局 (FDA) は,小児臨床試験を奨励するために小児専用を確立しました.
- これらの試験の結果,100件以上のラベリング変更が発生したが,公表率は不明である.
研究 の 目的:
- 小児専用のために実施された研究の出版率を定量化するために.
- 小児臨床試験の成果が,ピアレビューされた文献に普及しているかを評価する.
主な方法:
- 一つのコホート研究では,1998年から2004年の間に小児専用のために提出された試験を分析しました.
- 2005年まで MEDLINE と EMBASE での検索は,研究とそれに続くラベリングの変更を特定しました.
- ピアレビューされたジャーナルでの出版は,ラベリングの変更がポジティブまたはネガティブとして分類され,主要な結果指標でした.
主要な成果:
- 253件の研究が小児専用として提出され,有効性,薬理動力学,安全性に焦点を当てた.
- これらの研究のわずか113件 (45%) が,ピアレビュー雑誌に掲載されました.
- プラスのラベリング変更と有効性に関する研究は,より高い出版率を示した.
結論:
- 小児専用プログラムでは,小児医薬品の研究を効果的に刺激しました.
- 査読された文献に研究結果の拡散は依然として限られている.
- この小児薬のデータの公表とより広範な拡散を改善するためのメカニズムは,さらなる調査を必要としています.
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