临床试验风险的区域差异:585项临床试验的大规模分析
Sylviane de Viron1, Steve Young2, Laura Trotta3
1CluePoints SA, Louvain-la-Neuve, Belgium sylviane.deviron@cluepoints.com.
BMJ open
|October 17, 2025
概括
这项研究分析了不同地区的临床试验风险,发现了访问时间表和协议偏差等指标的显著差异. 这些见解有助于赞助商优化未来的试验规划和全球风险减轻策略.
科学领域:
- 临床研究操作临床研究操作
- 全球健康 全球健康
- 风险管理 风险管理
背景情况:
- 中央监测提供了临床试验行为的常规数据.
- 了解试验风险的区域差异对于有效监督至关重要.
- 46个赞助商和合同研究组织贡献了2015-2025年的数据.
研究的目的:
- 评估全球七个地区的10个常见的临床试验风险指标.
- 确定监测临床试验风险的区域差异.
- 为赞助商提供有关未来风险减轻策略的信息.
主要方法:
- 来自585项研究 (56189个地点) 的中央监测数据的回顾性聚合分析.
- 将试验地点分为七个地理区域进行分类.
- 与全球基准相比,每个地区的相对关键风险指标 (KRI) 风险评分的计算.
主要成果:
- 在全球范围内,没有发现有关可靠的临床研究行为的广泛担忧.
- 对于特定的KRI,观察到实质性的区域变化,包括非计划访问率,协议偏差率和屏幕失效率.
- 在访问到入口周期时间和不良事件报告率方面,在各地区发现了一致的风险分布.
结论:
- 在常见的临床试验风险中存在区域差异,并且对于某些指标来说是显著的.
- 结果可以指导临床试验赞助商在规划未来研究.
- 可以实施积极的措施,以减轻特定区域的KRI相关风险.
相关概念视频
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
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
404
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,...
404
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
Hazard Ratio
559
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...
559
Relative Risk
2.0K
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
2.0K
Bias in Epidemiological Studies
1.3K
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
1.3K


