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以临床价值导向的中医药临床试验设计关键要素

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中医药在保障人民群众的健康中至关重要,其疗效是中医药临床价值和临床意义的核心体现.一份科学、详尽、清晰的临床试验方案对于精准评估药物临床疗效具有重要意义,可充分体现药物的临床价值,确保临床试验的科学性、可靠性及准确性,从而最终保障临床试验的圆满成功.现遵循临床试验方案设计原则,结合笔者团队在长期临床实践中积累的丰富经验,从如何体现药物临床价值的角度出发,对药物临床试验目的和临床定位的确定、受试人群选择、临床试验对照类型选择及相应统计学界值设定,以及符合中药特色的临床疗效指标的选择和使用等临床试验方案中的关键设计要素——"PICOS"原则进行全面、深入的分析和探讨,旨在为以凸显临床价值为核心的中医药临床试验方案设计提供科学、合理、实用的参考依据.
The key elements on the clinical trail design of traditional Chinese medicine from the perspective of clinical value
Traditional Chinese medicine(TCM)plays an important role in ensuring the health of the people,and its efficacy is a core reflection of its clinical value and significance.A scientific,detailed,and clear clinical trial protocol is of great significance for accurately assessing the clinical efficacy of drugs,which can fully reflect their clinical value,ensure the scientific,reliable,and accurate nature of clinical trials,and ultimately guarantee their successful completion.This article followed the design principles of clinical trial protocols,combined with the rich experience accumulated by our team in long-term clinical trial practice.From the perspective of how to reflect the clinical value of drugs,the determination of the purpose and the clinical positioning of the drug clinical trials,the selection of participants and the controls,the setting of corresponding statistical boundary values for clinical trial were discussed.And the selection of clinical efficacy outcomes which could reflect the clinical value and clinical significance of the drugs,the key design elements of clinical trial protocols-"PICOS"principle were comprehensively and deeply analyzed and discussed,aiming to provide a scientific,reasonable,and practical reference for the design of TCM clinical trial protocols that emphasize clinical value.

clinical valuetraditional Chinese medicineclinical trailprotocol designDanhong injection

刘骏、王念、于亚南、王忠

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中国中医科学院中医临床基础医学研究所,北京 100700

临床价值 中医药 临床试验 方案设计 丹红注射液

2024

世界临床药物
上海医药工业研究院

世界临床药物

CSTPCD
影响因子:0.849
ISSN:1672-9188
年,卷(期):2024.45(12)