在严重疾病时采取AIM:实施获得试验药物的扩大访问计划
Meghan Morrison Joly1, Terri L Edwards1, Rebecca N Jerome1
1Vanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN, United States.
Frontiers in medicine
|October 25, 2023
概括
调查人员可以帮助那些缺乏其他选择的重症患者. 范德比尔特公司的范德比尔特
科学领域:
- 医学科学 医学科学 医学科学
- 监管事务 监管事务
- 患者获得治疗的机会
背景情况:
- 危急病患者可能会耗尽传统治疗方法.
- 美国食品和药物管理局 (FDA) 的扩展访问 (EA) 途径允许在临床试验不可行时使用试验药物.
- 电子商务涉及复杂的后勤和监管障碍,包括制药公司的沟通和机构要求.
研究的目的:
- 在范德比尔特大学医学中心 (VUMC) 描述获取研究药物 (AIM) 平台的开发和实施.
- 通过EA途径简化医生和寻求研究药物的患者的流程.
- 确保EA案件管理的效率和监管合规性.
主要方法:
- 在VUMC建立了AIM平台基础设施.
- 机构利益相关者的综合需求和责任 (例如,合同,IRB,药房,计费).
- 为医生和患者提供便利的EA案例.
主要成果:
- 该平台成功支持了40个EA药物和生物制剂案件.
- 支持单个患者和中等规模的EA协议.
- 管理的紧急和非紧急EA案件.
结论:
- 实施专用基础设施,如AIM平台,对于促进扩展访问至关重要.
- 优先考虑在学术医疗中心的EA支持,提高了监管知识和患者护理.
- 简化流程提高了研究药物获取的效率和合规性.
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