中国药物警戒 ›› 2020, Vol. 17 ›› Issue (9): 564-566.
DOI: 10.19803/j.1672-8629.2020.09.04

• 法规与管理研究 • 上一篇    下一篇

浅析儿科人群药物临床试验的风险管理

彭诗荣1, 陈海燕1, 王谦2, 丁倩2, 王晓玲2,*   

  1. 1郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院药学部,河南 郑州 450018;
    2国家儿童医学中心,首都医科大学附属北京儿童医院临床研究中心,北京 100045
  • 收稿日期:2020-08-17 修回日期:2020-08-17 出版日期:2020-09-15 发布日期:2020-08-17
  • 通讯作者: *王晓玲,女,主任药师·硕导,儿科药学。E-mail:eyjdb6380@163.com
  • 作者简介:彭诗荣,女,主管药师,临床试验管理,儿科药学。
  • 基金资助:
    科技部“重大新药创制”科技重大专项“儿童示范性新药临床评价技术平台建设”(2017ZX09304029)

Risk Management of Pediatric Drug Clinical Trials

PENG Shirong1, CHEN Haiyan1, WANG Qian2, DING Qian2, WANG Xiaoling2,*   

  1. 1Children's Hospital Affiliated to Zhengzhou University; Henan Children's Hospital; Zhengzhou Children's Hospital, Zhengzhou Henan 450018, China;
    2Clinical Research Center, Beijing Children's Hospital Affiliated to The Capital Medical University, National Center for Children's Health, Beijing 100045, China
  • Received:2020-08-17 Revised:2020-08-17 Online:2020-09-15 Published:2020-08-17

摘要: 目的 为儿科人群药物临床试验风险管理提供参考。方法 借鉴风险管理的理论,查阅文献,结合实际工作经验,总结儿科人群药物临床试验风险因素和风险控制措施。结果 从临床试验项目评估风险,比如研究者手册有幼年动物的实验结果,有成人数据和国外儿童数据等;申办者风险管理;专业团队风险管理,比如主要研究者具有丰富的儿科临床经验;临床试验实施风险管理;试验用药品和生物样本风险管理及系统风险管理中进行风险识别和风险评估,通过风险规避;风险减轻,比如加强临床试验质量控制和加强临床试验机构管理;风险转移,比如购买保险、明确合同的赔偿和权益保护条款等措施进行风险控制。结论 通过对儿科人群药物临床试验风险因素进行风险识别和评估,采取相应的措施进行风险管理,从而减少和避免临床试验风险的发生,保护受试者和研究者的权益。

关键词: 儿科人群药物临床试验, 风险识别, 风险控制

Abstract: Objective To provide reference for pediatric drug clinical trial risk management. Methods Based on the theory of risk management, literature review and practical work experience, the risk factors and risk control measures of pediatric drug clinical trials were summarized. Results Risk identification and risk assessment are carried out from project assessment risk, such as Investigator's Brochure with results from young animals, data of adult and foreign children;Sponsors manage risk; Manage risks from professional teams, such as principal investigators with extensive pediatric clinical experience; the implementation risk of clinical trials, the management risk of Investigational Medical Product and biological sample,as well as the management system risk.Through risk aversion; Risk mitigation, such as enhanced quality control of clinical trials and enhanced management of clinical trial institutions; Risk transfer, such as the purchase of insurance, clear contract compensation and rights protection clauses and other measures to control the risk. Conclusion Through risk identification and assessment of risk factors in pediatric drug clinical trials, corresponding measures are adopted for risk management, so as to reduce and avoid the occurrence of clinical trial risks and protect the rights and interests of subjects and Investigators.

Key words: pediatric drug clinical trials, risk identification, risk control

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