研究国内实施监管制度对临床试验管理的影响

M.V. Yashchenko
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摘要

本文对国内实施监管制度对临床检验管理的影响的经验进行了总体分析。已经确定,在所有发达国家,国家在规范科学研究和创新领域,特别是在制药领域,继续发挥关键作用。尽管有现行的规范和法律规定,但在对在国家管制框架内进行药品临床检查的企业的活动进行检查时,管制和监督机构的专家发现了不遵守强制性要求的情况。有人指出,目前进行临床检查与若干风险有关:制药公司在快速开发新的低价有效药物方面面临巨大压力;需要满足的大量标准和要求;增加临床研究的复杂性(在过去10年中终点数量的增加,适应性检查数量的增加)等。人们认为,开发其他工具以提高知情同意程序的质量是当前重要的工作,因为知情同意程序是告知受试者参与的好处、临床检查时间的限制、参与可能产生的风险等的主要阶段。通过对乌克兰监管制度对临床检查管理问题的影响的分析,我们有机会假设,通过实施国家政策来解决所述问题的潜在可行变体包括:提高乌克兰临床检查市场对国内外投资者的吸引力;为乌克兰基础设施的形成和发展创造条件,这是进行现代生物医学研究所必需的;实施医生参与临床检查的有效机制等。人们普遍认为,在进行临床检查领域的国家法规不断得到修改,并有发展稳定的法律基础和乌克兰立法与基于现代科学和新医疗技术成果的临床检查基本原则的国际要求全面协调的趋势。
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STUDY OF THE DOMESTIC EXPERIENCE OF IMPLEMENTING THE IMPACT OF THE REGULATORY SYSTEM ON THE CLINICAL TRIALS MANAGEMENT
The article deals with the general analysis of the domestic experience of implementing the impact of the regulatory system on the clinical examinations management. It has been determined that in all the developed countries the state continues playing the key role in regulating the sphere of scientific investigations and innovations, in particular, the pharmaceutical field. Despite the current normative and legal regulation, during inspections of the activities of enterprises conducting clinical examinations of medicines within the framework of state control, specialists of control and supervisory structures identify cases of non-compliance with mandatory requirements. It has been stated that nowadays conducting the clinical examinations is related to a number of risks: a significant pressure on the pharmaceutical companies in the aspect of quick development of new effective medicines with a low price; a huge number of standards and requirements that need to be met; increasing the complexity of clinical research (increase in the number of endpoints during the last 10 years, increase in the number of adaptive examinations), etc. It has been resumed that the development of additional tools to improve the quality of the informed consent procedure as the main stage of informing subjects about the benefits of participation, limitations on the time of the clinical examinations, risks that may arise from participation, etc., is currently relevant. Analysis of the influence of regulatory system of Ukraine on the problem of clinical examinations management gave an opportunity to assume that the list of potentially viable variants for solving the outlined issue through the implementation of state policy include: increasing the attractiveness of the clinical examinations market of Ukraine for domestic and foreign investors; creating the conditions for infrastructure formation and development in Ukraine, which is necessary for conducting modern biomedical studies; implementing the effective mechanisms of involving doctors to the clinical examinations, etc. It has been generalized that state regulation in the field of conducting clinical examinations is continuously modified and has a tendency to develop a stable legal base and comprehensive harmonization of the Ukrainian legislation with international requirements of basic principles regarding clinical examinations based on the achievements of modern science and new medical technologies.
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