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欧洲药品管理局对上市后研究的审查及其对欧洲药物流行病学和药物警戒中心网络的影响。

European Medicines Agency review of post-authorisation studies with implications for the European Network of Centres for Pharmacoepidemiology and Pharmacovigilance.

机构信息

Pharmacovigilance and Risk Management Sector, Patient Health Protection Unit, European Medicines Agency, London, UK.

出版信息

Pharmacoepidemiol Drug Saf. 2011 Oct;20(10):1021-9. doi: 10.1002/pds.2209.

Abstract

PURPOSE

A review of post-authorisation studies requested in 2007 by the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) was undertaken to determine compliance and the need for research capacity in the European Union (EU), with implications for the European Network of Centres for Pharmacoepidemiology and Pharmacovigilance (ENCePP).

METHODS

Information from the EMA's electronic records management systems was analysed.

RESULTS

As of 31 January 2010, of the 60 relevant studies identified, 52 had been progressed to being able to start data collection (including six merged into a single study). Of the remaining eight studies, the agreement of the CHMP that a proposed study was no longer required is documented for six, with a final decision having not been reached for another study and an acknowledgement by the CHMP that a further study would not be progressed. Of the 47 studies that could therefore have commenced data collection or extraction, 38 were ongoing, four were complete and five had not yet started. Most studies were conducted within the EU.

CONCLUSION

Compliance with the request of the CHMP to conduct studies is very good. The review identified the need for careful consideration of the necessity of studies and of timely dialogue on protocols in advance of a CHMP opinion. The need for expertise and capacity within the EU for the conduct of post-authorisation studies is confirmed. ENCePP as a transparency and excellence network and as an initiative to build research capacity will enhance post-authorisation medicines research.

摘要

目的

对 2007 年欧洲药品管理局(EMA)人用药品委员会(CHMP)要求进行的上市后研究进行审查,以确定欧盟在合规性方面的情况和对研究能力的需求,这对欧洲药品流行病学和药物警戒网络(ENCePP)具有影响。

方法

分析 EMA 电子记录管理系统中的信息。

结果

截至 2010 年 1 月 31 日,在所确定的 60 项相关研究中,有 52 项已进展到能够开始数据收集阶段(包括 6 项合并为一项研究)。在其余的 8 项研究中,有 6 项记录了 CHMP 同意不再需要拟议研究的情况,另有 1 项研究尚未做出最终决定,CHMP 还确认不会进一步开展另 1 项研究。因此,在可以开始数据收集或提取的 47 项研究中,有 38 项正在进行,4 项已经完成,5 项尚未开始。大多数研究都是在欧盟内进行的。

结论

CHMP 开展研究的请求得到了很好的遵守。审查发现,在 CHMP 意见出台之前,需要仔细考虑开展研究的必要性,并就方案进行及时的对话。欧盟在开展上市后研究方面需要专业知识和能力,这一点得到了确认。ENCePP 作为一个透明度和卓越性网络,以及建立研究能力的倡议,将增强上市后药物研究。

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