摘要
目的:分析生物制品临床试验现状,规范临床试验管理,为临床试验发展提供依据.方法:选择 2022 年期间开展的临床试验项目,从专业科室、适应症及不良事件 3 个方面统计分析徐州医科大学附属医院生物制品临床试验现状.结果:2022年期间共开展临床试验 135 项,化学药品、生物制品和中药分别占比 56.30%、41.48%和 2.22%.生物制品的Ⅰ~Ⅳ期临床试验分别占比 16.07%、21.43%、60.71%和 1.79%.其中,肿瘤科和血液科分别占比 19.64%与 17.86%,血液系统疾病生物制品临床试验全国占比最高(30.95%),其主要不良事件为肝功能受损与血细胞下降,分别为 11.86%与 34.02%.结论:各方应积极发展以血液系统疾病为代表的生物制品临床试验,建立并完善临床试验管理体系,保障临床试验的顺利开展.
Abstract
Objective:To analyze the current situation of clinical trials of biological products,standardize clinical trial management,and provide basis for the development of clinical trials.Methods:The clinical trials carried out during 2022 are selected to analyze the clinical trials of biological products in Affiliated Hospital of Xuzhou Medical University from three aspects:professional departments,indications and adverse events.Results:A total of 135 clinical trials are carried out during 2022,with chemical drugs,biological products and traditional Chinese medicines accounting for 56.30%,41.48%and 2.22%respectively.Phase Ⅰ to Ⅳ clinical trials of biological products account for 16.07%,21.43%,60.71%and 1.79%,respectively.Among them,the departments of oncology and hematology account for 19.64%and 17.86%respectively,but the clinical trials of biological products of blood system diseases accounted for the highest proportion in China(30.95%),and the main adverse events are liver function impairment and blood cell decline,which are 11.86%and 34.02%,respectively.Conclusion:All departments should encourage the development of clinical trials of biological products represented by blood system diseases,establish and improve clinical trial management system,and ensure the smooth development of clinical trials.