关于协议修改实践,趋势及其对临床试验性能影响的新基准
Kenneth Getz1, Zachary Smith2, Emily Botto2
1Tufts Center for the Study of Drug Development, Tufts University School of Medicine, Boston, USA. kenneth.getz@tufts.edu.
Therapeutic innovation & regulatory science
|March 4, 2024
概括
临床试验的修改正在增加,超过76%的协议现在需要更改. 这些往往不可避免的修订会对试验时间表和性能产生重大影响,尤其是在流行病期间.
科学领域:
- 临床试验的管理管理.
- 制药研究 制药研究
- 监管事务 监管事务
背景情况:
- 在临床试验中,协议修改是常见的.
- 由于COVID-19的流行,可能会影响修改趋势.
研究的目的:
- 评估临床试验协议修改经验中的趋势.
- 评估修改对临床试验绩效的影响.
- 在COVID-19大流行期间分析修改趋势.
主要方法:
- 2022年由塔夫斯CSDD进行的后续研究.
- 从16家制药公司和CRO收集的数据.
- 在I-IV阶段分析了950个协议和2188个修正案.
主要成果:
- 自2015年以来,修订协议的普及率从57%增加到76%.
- 每个议定书的平均修订量增加到3.3 (从2.1),增长了60%.
- 修改实施时间几乎增加了三倍;平均持续时间为260天.
- 77%的修订是不可避免的,这是由于监管和战略变化.
- 修改后的协议显示,患者查增加,招生偏差减少.
- 疫情期间的协议有更多的修订.
结论:
- 临床试验的修改变得越来越频繁和复杂.
- 修改会显著影响试验持续时间和运营效率.
- 监管和战略变化是修正案的主要驱动因素.
- 流行病状况加剧了修改趋势及其影响.
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