在日本重新想象早期临床开发:从监管义务到全球加速
Yasunori Kawakita1, Kayoko Matsumoto1, Masaru Hirano1
1Novartis Pharma K.K., Biomedical Research, Translational Medicine, Tokyo, Japan.
Clinical and translational science
|January 6, 2026
概括
日本 日本 日本 日本 日本.
科学领域:
- 临床药理学 临床药理学
- 药物开发 药物开发
- 监管科学 监管科学
背景情况:
- 由于强制性第一阶段研究,日本历来面临"药物滞后"和"药物损失".
- 最近的监管改革为日本在全球药物开发中提供了新的机会.
研究的目的:
- 重新定义日本第一阶段研究在早期药物开发中的价值.
- 评估三个战略选择:第一阶段豁免,日本首次对人进行研究,以及多功能第一阶段研究.
主要方法:
- 对12个日本内部I阶段豁免商的分析.
- 全国调查日本早期临床试验场所.
主要成果:
- 日本拥有强大的早期临床试验基础设施,拥有丰富的经验.
- 日本网站展示了专门评估和多样化的患者入学能力.
- 日本的临床试验启动在全球范围内具有竞争力,往往比欧盟快.
结论:
- 日本处于首次在人体和早期阶段试验的良好位置,加速了全球药物开发.
- 建议采用灵活的,逐个案例的方法,利用日本的能力.
- 将日本纳入早期开发过程可以增强药物发现生态系统和患者获取.
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