在临床试验中采用基于风险的质量管理的全面评估
Abigail Dirks1, Maria Florez2, Francois Torche3
1Tufts Center for the Study of Drug Development, Tufts School of Medicine, Boston, MA, USA. abigail.dirks@tufts.edu.
Therapeutic innovation & regulatory science
|February 17, 2024
概括
基于风险的质量管理 (RBQM) 通过关注关键数据风险,提高临床试验效率. 尽管有监管鼓励,但采用面临诸如知识缺乏和变化管理不良等障碍,阻碍了其广泛实施.
科学领域:
- 临床试验 临床试验
- 药物开发 药物开发
- 监管科学 监管科学
背景情况:
- 自2013年以来,FDA和EMA一直鼓励基于风险的监测 (RBM) 和基于风险的质量管理 (RBQM).
- 这些方法旨在通过管理对安全性和有效性数据的风险来提高临床试验的效率,速度和质量.
- 然而,由于缺乏了解的障碍,RBM/RBQM的采用一直很缓慢.
研究的目的:
- 调查制药行业中RBQM实践的采用水平.
- 确定阻碍RBQM实施的主要障碍.
- 为改善RBQM采用率提供见解.
主要方法:
- 塔夫茨药物开发研究中心进行了一项在线调查.
- 该调查针对的是制药,生物技术和合同研究组织.
- 收集了206个回复,详细介绍了采用32种不同的RBQM实践的情况.
主要成果:
- 在接受调查的组织中,RBQM平均在57%的临床试验中实施.
- 每年进行100多项试验的公司的采用率更高 (63%),相比于进行25项试验以下的公司 (48%).
- 关键障碍包括缺乏组织知识,价值主张不清楚,变革管理不足.
结论:
- 组织知识,对RBQM好处的明确沟通和有效的变革管理对于成功采用至关重要.
- 需要量身定制的策略来克服已识别的障碍,并增加RBQM的实施.
- 进一步的研究可以探索具体的干预措施,以提高RBQM的吸收率及其对临床试验质量的影响.
相关概念视频
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
126
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
126
Clinical Trials
6.7K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.7K
Hazard Ratio
122
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
122
Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Quality Assurance
125
Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
125


