通过数字疗法和生物标志物的监管框架进行导航
Cinja Koller1, Marc Blanchard1, Thomas Hügle1
1Department of Rheumatology, University Hospital Lausanne, Lausanne, Switzerland.
Health informatics journal
|October 9, 2025
概括
数字疗法和数字生物标志物的监管框架复杂且不断发展. 全球协调这些法规对于确保患者安全和促进数字健康领域的创新至关重要.
科学领域:
- 数字健康数字健康
- 监管科学 监管科学
- 医疗器械规则 医疗器械规则
背景情况:
- 数字健康技术,包括数字疗法和生物标志物,面临着复杂的监管监督.
- 确保患者的安全,有效性和质量需要强有力的监管审计.
- 不断变化的数字健康环境需要不断调整监管框架.
研究的目的:
- 对数字治疗药物和数字生物标志物的现行法规和标准进行审查.
- 涵盖从技术开发到市场准入的生命周期.
- 提供监管环境的概述.
主要方法:
- 非结构化的文献评论.
- 确定相关的指导方针,政策和标准.
- 专注于软件作为医疗设备.
主要成果:
- 关键的法规包括美国FDA的21 CFR和欧盟的医疗器械法规2017/745.
- 对于数字疗法,正出现像DiGA这样的特定监管途径.
- 数字生物标志物资格通常是自愿的,但会影响开发和批准.
结论:
- 目前对数字生物标志物和治疗药物的法规是分散的和多样化的.
- 对国际监管框架的协调有很大需要.
- 促进一致的全球法规对于数字卫生部门至关重要.
相关概念视频
Drug Products: Biologics, Biosimilars and Interchangeables
233
Body:Biologics, derived from living sources such as humans, animals, or microorganisms, represent a significant category of pharmaceuticals. These complex molecules, developed through advanced biotechnological methods or purified from natural sources, include essential medical treatments like insulin and growth hormones. The complexity of biologics arises from their large molecular structures and the intricate processes required for their production, making them distinct from conventional...
233
Drug Control Governance: Regulatory Bodies and Their Impact
491
Drug control governance involves the oversight and regulation of pharmaceuticals to ensure their safety and efficacy while preventing illegal drug use and trafficking. Regulatory bodies, including the US Food and Drug Administration (FDA) and the European Union's European Medicines Agency (EMA), play a central role in this process. These agencies evaluate the safety and efficacy of drugs before they can be marketed. They fund clinical trials and assess the benefits and risks associated with...
491
Clinical Trials
10.1K
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...
10.1K
Clinical Trials: Overview
4.6K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.6K
Therapeutic Drug Monitoring: Affecting Factors
200
Therapeutic Drug Monitoring (TDM) is the clinical practice of measuring specific drug levels in a patient's blood or body tissues to manage and optimize therapy. TDM is crucial for drugs with narrow therapeutic windows, like warfarin and phenytoin, where incorrect doses can lead to treatment failure or severe side effects. This monitoring ensures the dosage administered is within a safe and effective range. The factors affecting therapeutic drug monitoring include:Patient-Specific Factors:a.
200
Drug Regulation
2.7K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
2.7K


