中国药物临床试验质量:一种混合方法研究
Xiayan Chen1,2, Hongling Chu3, Xiaofang Zhang2
1Peking University First Hospital, Beijing, China.
Journal of evidence-based medicine
|November 7, 2025
概括
中国的药物临床试验质量有了显著的改善,监管问题减少,在顶级期刊上发表的论文更多. 为了在制药研究中继续取得进展,建议进一步改进.
科学领域:
- 制药科学 制药科学
- 临床研究 临床研究
- 监管事务 监管事务
背景情况:
- 药物临床试验质量对于药物批准和医疗创新至关重要.
- 评估中国药物临床试验质量的现状和趋势至关重要.
研究的目的:
- 报告中国药物临床试验质量的现状,趋势和影响因素.
- 确定进一步提高临床试验质量的领域.
主要方法:
- 采用混合方法方法,整合来自公共来源的定量数据.
- 通过重点小组和采访主要利益相关者收集了定性数据.
主要成果:
- 监管调查结果有所改善",不需要采取行动"的比例从43%上升到88%,而"需要采取官方行动"的比例下降到0%.
- 在新药申请中,涉嫌数据伪造的可能性大幅下降,从12%降至0.6%.
- 在顶级期刊上发表中国药物试验的数量增加,临床试验指南的增加,认可的伦理委员会和关于国际协调理事会指南的培训也增加了.
结论:
- 在过去的十年中,中国药物临床试验的质量显著改善.
- 尽管取得了进展,但仍有机会进一步提高中国的临床试验质量.
更多相关视频
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
Clinical Trials: Overview
4.5K
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...
4.5K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
392
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,...
392
Preclinical Development: Overview
5.8K
Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
5.8K
Clinically Relevant Drug Product Specifications: Methods of Establishment
192
Product specifications define the acceptable quality of a pharmaceutical product by ensuring identity, purity, potency, and strength. These specifications serve as benchmarks during development, manufacturing, and post-approval quality control. Clinically relevant specifications are particularly important because they directly relate to a drug's safety and efficacy in clinical use.Dissolution studies are critical biopharmaceutic tools that link in vitro behavior to in vivo performance. They...
192
Bioavailability Study Design: Healthy Subjects Versus Patients
137
Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
137


