在小儿药物开发试验中的剂量范围提交给美国FDA 2012-2020年
Carlton K K Lee1, Eugenia Kwon2, Francis G Green3
1Departments of Pediatrics and Pharmacy, Johns Hopkins Medical University, Baltimore, MD, USA.
Journal of clinical pharmacology
|March 11, 2025
概括
剂量范围研究对于儿科药物开发至关重要,并行设计是最常见的. 伦理考虑和患者利益应该指导儿科剂量策略.
科学领域:
- 儿科药理学 儿科药理学
- 药物开发 药物开发
- 临床试验设计 临床试验设计
背景情况:
- 在儿科药物开发中,剂量选择至关重要.
- 剂量测量研究对于确定适当的儿科药物剂量至关重要.
- 优化儿科剂量需要仔细考虑试验设计和患者益处.
研究的目的:
- 检查儿科药物开发中的剂量范围试验.
- 确定使用的常见剂量范围策略.
- 评估获得儿科标签的成功情况,并探讨伦理方面的考虑.
主要方法:
- 对275个儿科药物开发计划 (2012-2020年) 的分析.
- 确定了97个利用剂量范围研究的项目.
- 剂量范围设计的分类:并行,剂量升级和交叉.
主要成果:
- 在接受调查的儿科药物开发计划中,35.3%使用了剂量测量研究.
- 平行剂量设计是最常见的策略 (68%).
- 在通过并行设计批准的41种药物中,31.7%的最低剂量低于批准剂量.
结论:
- 剂量测量研究对于优化儿科药物剂量至关重要.
- 伦理考虑和个体患者的利益必须驱动剂量决定.
- 适应性设计为优化儿科剂量范围研究提供了一个潜在的方法.
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