在怀孕期间进行治疗试验的挑战:强调最近的经验教训
Tracy Caroline Bank1, Catherine S Stika2, Raman Venkataramanan3
1Division of Maternal Fetal Medicine, Department of Obstetrics & Gynecology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
将孕妇纳入临床研究对于基于证据的护理至关重要. 克服历史障碍和安全问题需要文化转变,以平衡风险和收益,尊重母亲的自主权.
科学领域:
- 医学伦理 医学伦理
- 临床研究 临床研究
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 从历史上看,由于对胎儿保护的担忧,孕妇被排除在治疗研究之外.
- 尽管取得了进展,但安全性和可行性问题继续限制涉及孕妇人口的研究.
- 这种排除妨碍了对影响孕妇的疾病的基于证据的治疗方法的开发.
研究的目的:
- 审查孕妇研究指南的历史.
- 为了说明包括孕妇在临床研究中的持续挑战.
- 探索新的方法,以加强怀孕中的治疗研究.
主要方法:
- 研究指导方针和伦理考虑的历史审查.
- 案例:COVID-19疫苗/疗法开发和对孕前的他试验.
- 探索怀孕研究的新方法.
主要成果:
- 过去的指导方针和持续的担忧严重限制了孕妇参与研究.
- 最近的事件,如COVID-19大流行,突出了包容性研究的必要性.
- 正在开发新的方法,以促进在孕妇群体中进行更安全,更有效的研究.
结论:
- 要重新评估孕妇研究参与者的风险益处分析,需要进行重大文化转变.
- 尊重母亲在决策中的自主权对于参与伦理临床试验至关重要.
- 确保基于证据的治疗方法需要克服怀孕研究的障碍.
更多相关视频
06:39Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
05:13Preclinical Model of Prenatal Delta-9-Tetrahydrocannabinol Exposure to Assess Its Impact on Neurodevelopmental Outcomes
Published on: February 28, 2025
相关概念视频
Clinical Trials
There are four phases in a clinical trial. A phase one...
Clinical Trials: Overview
Preclinical Development: Overview
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Drug Administration and Therapy Phases: Overview
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
Teratogenicity
