首页|美欧日细胞和基因治疗产品IIT和IST管理制度的关联性研究及对我国的启示

美欧日细胞和基因治疗产品IIT和IST管理制度的关联性研究及对我国的启示

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细胞和基因治疗(CGT)作为全球生物医药产业未来发展的重点方向,在许多传统治疗无效的严重或难治性疾病领域展现出巨大的应用潜力.在我国,基于CGT产品的特殊性,大多数企业在研发初期会首先开展研究者发起的临床研究(IIT)以初步评估产品的安全性和有效性.但目前我国IIT完成后尚不能直接转化应用,只能转回制药企业发起的药物临床试验(IST),而后通过药品注册上市后使用.本文通过系统梳理美欧日国家和地区CGT及IIT的监管现状,分析其IIT与IST衔接的案例,同时结合我国医药产业发展情况和IIT管理现状,分析我国目前IIT与IST衔接面临的挑战,进而提出相关建议,以期更好地配置CGT产品的临床研究资源,促进CGT产业发展.
Study on the Correlation between IIT and IST Management in America,Europe,and Japan for CGT Products and its Implications for China
Cell and gene therapy(CGT)is a key direction for the future development of the global biopharmaceutical industry and exhibits immense potential applications in the treatment of severe or refractory diseases where traditional treatments are ineffective.In China,due to the unique nature of CGT products,most companies initiate investigator-initiated trials(IIT)at the early stages of research to preliminarily assess the safety and efficacy of the products.However,currently,the results of IIT in China cannot be directly applied and must transition to industry-sponsored clinical trials(IST)conducted by pharmaceutical companies,followed by drug registration and marketing approval processes.Therefore,this paper systematically reviews the regulatory status of CGT and IIT in various countries and regions,including the United States,Europe,and Japan,and analyzes cases of IIT-IST transitions.In conjunction with the development status of China's pharmaceutical industry and the current management of IIT,this paper examines the challenges faced in the transition from IIT to IST in China,and subsequently proposes relevant recommendations,aiming to better allocate clinical research resources for CGT products and promote the development of the CGT industry.

cell and gene therapyinvestigator-initiated trialindustry-sponsored clinical trialoverseas supervision systemsenlightenment

谢金平、王艺霏、杨伊凡、邵蓉

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中国药科大学药品监管科学研究院,国家药品监督管理局药品监管创新与评价重点实验室

细胞和基因治疗产品 研究者发起的临床研究 制药企业发起的药物临床试验 国外监管体系 启示

2023年中国药品监督管理研究会课题

2023-Y-Y-001

2024

中国食品药品监管
中国医药报社

中国食品药品监管

影响因子:0.099
ISSN:1673-5390
年,卷(期):2024.(9)
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