在临床研究期间监测和确保安全
M A Morse1, R M Califf, J Sugarman
1Center for the Study of Medical Ethics and Humanities, Box 3040, Duke University Medical Center, Durham, NC 27710, USA.
JAMA
|March 20, 2001
概括
目前的临床试验监督机制对于大型,由行业资助的研究是不够的. 本次审查审查了不良事件报告和数据监测委员会,以改善人类受试者保护和机构审查委员会流程.
科学领域:
- 临床研究 临床研究
- 人类对象保护 人类对象保护
- 监管科学 监管科学
背景情况:
- 临床试验监督机制对于大型,多中心和行业资助的研究已经过时了.
- 现有的系统在现代临床研究环境中难以充分保护人类受试者.
研究的目的:
- 评估当前临床试验监测机制,重点关注不良事件报告.
- 确定机构审查委员会 (IRB) 在管理不良事件报告时所面临的挑战.
- 为加强临床试验中人类受试者保护提出建议.
主要方法:
- 在2000年5月召集了一组临床试验专业人员.
- 评估了不良事件报告流程和监督机构之间的互动.
- 分析了数据监测委员会在利用总体不良事件数据方面的作用.
主要成果:
- 报告不良事件可以提高参与者的安全.
- 数据监测委员会在分析聚合安全数据方面发挥着至关重要的作用.
- 在持续审查期间,IRB面临着多次不良事件报告的重大挑战.
结论:
- 目前的不良事件报告和监督流程需要显著改进.
- 提出了建议,以提高机构审查委员会和数据监测委员会的有效性.
- 加强这些机制对于在当代临床试验中强有力的人类受试者保护至关重要.
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