在2022年俄罗斯入侵后,乌克兰正在进行的临床试验的注册参数发生变化
Diana Gujinovic1, Tomislav Vidak2, Mariia Melnikova3
1Department of Pharmacology, University of Split School of Medicine, Split, Croatia.
JAMA network open
|June 26, 2023
概括
俄罗斯入侵破坏了乌克兰的临床试验,但注册表更新并不完全反映这些与战争有关的变化. 确保及时提供试验数据对于危机期间的参与者安全至关重要.
科学领域:
- 临床研究行动临床研究行动.
- 公共卫生政策 公共卫生政策
- 国际关系 国际关系
背景情况:
- 俄罗斯入侵乌克兰严重影响了临床试验活动.
- 缺乏关于这种冲突如何影响正在进行的临床试验的数据.
研究的目的:
- 评估试验信息的注册变化是否准确地反映了乌克兰与战争有关的动荡.
- 评估俄罗斯入侵对临床试验进行和注册的影响.
主要方法:
- 一项横截面研究分析了2022年2月24日至2023年2月24日期间在乌克兰未完成的试验.
- ClinicalTrials.gov记录使用更改历史记录功能进行了检查,以爱沙尼亚和斯洛伐克作为对比组.
- 对20个协议和结果注册参数的变化频率进行了比较,比较战争开始前后的变化频率.
主要成果:
- 在乌克兰分析的888项试验中,30.1%没有记录入侵后的更新.
- 乌克兰在1.7%的多站点试验中被删除,平均9.4个月后.
- "联系人和地点"字段是最经常修改的 (56.1%),与战前或国际试验相比,仅在乌克兰的试验的更新总体较少.
结论:
- 乌克兰与战争有关的临床试验中断可能未能在公共注册表中得到充分代表.
- 当前的注册更新实践在危机期间可能不足.
- 强制性及时更新对于保护试验参与者的安全和冲突地区的权利至关重要.
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