分散临床试验发展的现状
Xiaoliang Chen1, Mingxuan Zhao2, Na Lei3
1Shenyang Pharmaceutical University, Shenyang, China.
Frontiers in medicine
|December 5, 2025
概括
分散临床试验 (DCT) 通过数字工具改变了药物开发. 全球监管方法各不相同,这凸显了需要国际协调,以最大限度地发挥DCT的好处和减轻风险.
科学领域:
- 临床研究 临床研究
- 药物开发 药物开发
- 监管科学 监管科学
背景情况:
- 分散临床试验 (DCT) 利用数字技术和远程流程作为传统现场研究的替代方案.
- 临床临床技术为创新药物开发,改善可访问性和增强患者参与提供了巨大的潜力.
研究的目的:
- 通过分析学术研究,政策报告和全球监管指导,审查目前的DCT格局.
- 识别和讨论与DCT实施相关的机遇和挑战.
- 为了比较全球主要地区的监管框架和方法.
主要方法:
- 学术研究,政策报告和监管指导的文献综述.
- 美国,欧盟和中国监管框架的比较分析.
- 检查DCT方法,治理和协调挑战中的区域差异.
主要成果:
- 在科学/运营创新,公平,可访问性,治理,信任,可持续性和基础设施方面,DCT提供了机会.
- 监管方法不同:美国关注效率/技术,欧盟关注公平/参与,中国关注罕见疾病/区域差异.
- 在全球范围内,数字健康技术和以患者为中心的模型的监管方式存在显著差异.
结论:
- 加强国际协调和协调对于实现DCT潜力,同时管理风险至关重要.
- 解决分散的治理问题和从试点实施中吸取教训是制定整体全球DCT框架的关键.
- 了解区域差异对于为全球一致的DCT战略提供未来努力的信息至关重要.
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