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[良好临床规范(GCP)]

[Good clinical practice (GCP)].

作者信息

Hvidberg E, Dirach J

出版信息

Theriaca. 1998 Sep;31:7-53.

Abstract

The wave of Good Clinical Practice (GCP) that swept Europe in the mid-eighties also hit Denmark. The influence from the USA was highly significant. However, the history of GCP in Denmark builds upon the ethical and scientific requirements for clinical trials of drugs which had developed over the preceding two decades. Furthermore, quality assurance of trials were already in progress. The Danish health authorities and the pharmaceutical industry were cooperating well in the evolution of GCP in Denmark. Parallelly, Denmark took an active part in the international harmonisation of the various GCP-guidelines within the Nordic countries, in the European Community, and world-wide through the development of the WHO- and the ICH-guidelines. In the work with these guidelines, several experts from a number of countries collaborated with Danish experts. Through this continuous interaction, Denmark profited from the tight connection with the circles and institutions where this development took place, both causing an increased awareness of GCP in Denmark, and an indisputable contribution from Danish participants to the international GCP-development. In 1987, an interdisciplinary Danish GCP Society was established. This has increased the understanding of GCP and, together with other activities, promoted the cooperation between the health authorities, the law-based ethics committee system, the sponsors, the investigators, and the Danish Data Protection Agency. The Society has arranged numerous courses and seminars, and held conferences and meetings in order to inform about GCP. The Danish GCP Society seems internationally to be rather unique in its scope and work. It is concluded that Denmark is well prepared for the coming regulations of trials on medicinal products proposed by the EU.

摘要

八十年代中期席卷欧洲的良好临床实践(GCP)浪潮也冲击了丹麦。来自美国的影响非常显著。然而,丹麦的GCP历史建立在过去二十年中发展起来的药物临床试验的伦理和科学要求之上。此外,试验的质量保证已经在进行中。丹麦卫生当局和制药行业在丹麦GCP的发展中合作良好。与此同时,丹麦通过制定世界卫生组织(WHO)和国际人用药品注册技术协调会(ICH)指南,积极参与北欧国家、欧洲共同体以及全球范围内各种GCP指南的国际协调工作。在这些指南的制定工作中,来自多个国家的几位专家与丹麦专家合作。通过这种持续的互动,丹麦受益于与GCP发展相关的圈子和机构的紧密联系,这既提高了丹麦对GCP的认识,也使丹麦参与者对国际GCP发展做出了无可争议的贡献。1987年,一个跨学科的丹麦GCP协会成立。这增进了对GCP的理解,并与其他活动一起促进了卫生当局、基于法律的伦理委员会系统、申办者、研究者以及丹麦数据保护局之间的合作。该协会安排了众多课程和研讨会,并举办会议以宣传GCP。丹麦GCP协会在其规模和工作方面在国际上似乎相当独特。结论是,丹麦已为欧盟提出的即将出台的药品试验法规做好了充分准备。

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