Gefenas Eugenijus, Cekanauskaite Asta, Lekstutiene Jurate, Lukaseviciene Vilma
Department of Medical History and Ethics, Medical Faculty of Vilnius University, Vilnius, Lithuania.
Lithuanian Bioethics Committee, Vilnius, Lithuania.
Eur J Clin Pharmacol. 2017 Jul;73(7):795-798. doi: 10.1007/s00228-017-2267-6. Epub 2017 May 31.
The purpose of this paper is to discuss the challenges of the upcoming policy change in the field of clinical drug trials due to the shift from the Clinical Trials Directive 2001/20/EC to the new Clinical Trials Regulation 536/2014, adopted in 2014. Although it is expected that the new EU Clinical Trials Regulation will increase Europe's competitiveness in clinical research, the paper argues that some measures to assure protection of research subjects should be taken before the Regulation comes into application in 2018.
The methods used in this paper are comparative analysis of legal documents and related academic papers.
The new Regulation serves as an efficient means to harmonize the clinical drug trial evaluation procedures across the EU. However, its application also raises potential challenges regarding interests and safety of research subjects: first, due to the possibility of skipping the assessment and balancing of benefits and risks from the scope of ethical review and limiting such a review to only Part II issues of the assessment report; second, due to direct applicability of the Regulation's rather vague and too general requirements for investigator's qualifications which does not allow the assessors (ethics committees and (or) competent authorities) to introduce higher qualification requirements for the investigators conducting high-risk clinical drug trials in the national legislation.
There is an urgent need to raise awareness and facilitate debate on potential application challenges of the new Regulation.
本文旨在探讨由于从2001/20/EC号《临床试验指令》过渡到2014年通过的新的《临床试验条例》(536/2014),临床药物试验领域即将发生的政策变化所带来的挑战。尽管预计新的欧盟临床试验条例将提高欧洲在临床研究方面的竞争力,但本文认为,在该条例于2018年生效之前,应采取一些措施确保对研究对象的保护。
本文采用的方法是对法律文件和相关学术论文进行比较分析。
新条例是协调欧盟范围内临床药物试验评估程序的有效手段。然而,其应用也给研究对象的利益和安全带来了潜在挑战:第一,由于有可能将利益与风险的评估和权衡排除在伦理审查范围之外,并将此类审查仅限于评估报告的第二部分问题;第二,由于该条例对研究者资格的要求相当模糊且过于笼统,直接适用该条例不允许评估者(伦理委员会和(或)主管当局)在国家立法中对进行高风险临床药物试验的研究者提出更高的资格要求。
迫切需要提高对新条例潜在应用挑战的认识并促进对此进行辩论。