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药物临床试验中生物样本管理问题分析

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目的 对药物临床试验生物样本管理各环节存在的问题进行分析,并提出相应的处理措施,以保证临床试验的质量。方法 从我院药物临床试验管理系统中下载 2019 年5 月至2023 年5 月已上报伦理委员的违背方案报告,对其中的生物样本管理相关违背进行回顾性分析,包括违背的类型、数量、责任主体、常见违背方案类型在不同临床试验分期中的分布、新版《药物临床试验质量管理规范》(GCP)实施前后违背类型对比以及违背方案产生的影响。结果 纳入 304 份违背方案报告共涉及生物样本相关违背 76 例次,最常见的违背方案类型为样本储存超温(22 例次,占比 28。95%)、采集超窗(14 例次,占比 18。42%)、离心时间超窗(8 例次,占比 10。53%)。结论 通过完善生物样本质量管理体系、加强研究者GCP法规和方案培训,以提高研究者GCP意识及能力,产生高质量的生物样本、助力新药研发。
Analysis of biospecimen management problems in drug clinical trials
Objective To analyze the problems existing in the management of biological samples in drug clinical trials,and to propose corresponding measures to ensure the quality of clinical trials.Methods The violation protocol reports submitted to the ethics committee from May 2019 to May 2023 were downloaded from the drug clinical trial management system of our hospital,and the biospecimen management-related violations were retrospectively analyzed,including the type,quantity,responsible subject,distribution of common violation regimen types in different clinical trial stages,comparison of violation types before and after the implementation of the new version of drug clinical trial quality management standards,and the impact of violation of the protocol.Results A total of 76 cases of violations related to biological samples were included in the 304 protocol violation reports,and the most common types of protocol violations were sample storage over-temperature(22 cases,accounting for 28.95%),collection over-window(14 cases,accounting for 18.42%),and centrifugation time over-window(8 cases,accounting for 10.53%).Conclusion Improve the quality management system of biological samples,strengthen the training of investigators'GCP regulations and protocols,improve the awareness and ability of investigators'GCP,generate high-quality biological samples,and facilitate the research and development of new drugs.

Drug clinical resarchNoncompliance/violation protocalBiological sample management

梁欣、肖妍、张梦琦、夏瑞、张亚同、耿晓坤

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首都医科大学附属北京潞河医院,北京 101149

中国食品药品检定研究院,北京 100050

北京医院,北京 100730

药物临床试验 违背方案 生物样本管理

国家重点研发计划

2020YFC2009001

2024

药学研究
山东省药品检验所 山东省药学会

药学研究

CSTPCD
影响因子:0.653
ISSN:2095-5375
年,卷(期):2024.43(7)