意大利观察性研究的授权过程:探索20年伦理委员会批准数据的伦理委员会
Lucia Simoni1, Filippo Recenti2, Barbara Roncari1
1Real-World Solution, IQVIA Solutions, Modena, Italy.
Annali dell'Istituto superiore di sanita
|June 16, 2025
概括
意大利关于观察性研究的法规,包括AIFA指南和GDPR,增加了伦理审查时间和暂停可能性. 这些变化可能会提高研究质量,但也会增加官僚复杂性.
科学领域:
- 临床研究 临床研究
- 监管科学 监管科学
- 现实世界的证据.
背景情况:
- 意大利药品管理局 (AIFA) 的指导方针和通用数据保护条例 (GDPR) 影响临床研究.
- 监管对提高研究质量的有效性与制造障碍的有效性尚不清楚.
- 本研究探讨了AIFA和GDPR对道德评估复杂性的影响.
研究的目的:
- 量化2008年AIFA指南和2018年GDPR对观察性研究的伦理评估流程的影响.
- 评估评估持续时间和暂停概率的变化.
- 调查研究内在特征对评估结果的影响.
主要方法:
- 分析了从2002年到2022年进行的112项多中心观察性研究 (2,875份提交).
- 使用描述性分析和评估时间的生存分析.
- 应用后勤模型来评估悬浮概率,使用悬浮作为复杂性的替代品.
主要成果:
- 在AIFA指南后提交的文件显示,中位评估时间 (70至75天) 略有增加,暂停可能性更高.
- 由于隐私审查,GDPR后提交的文件的平均评估时间 (70至90天) 增加了,但暂停概率不受影响.
- 本质研究因素没有显著影响评估持续时间或暂停概率.
结论:
- 意大利的法规,包括AIFA指南和GDPR,影响了伦理委员会评估和观察性研究的进行.
- 这些发现表明,随着评估复杂度的增加,质量控制的潜在改进.
- 数据可以为监管对临床研究的影响的未来监测提供信息.
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