• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

监管科学的创新正在适应临床证据生成的演变。

Innovation in Regulatory Science Is Meeting Evolution of Clinical Evidence Generation.

机构信息

The Boston Consulting Group, London, UK.

The Boston Consulting Group, Paris, France.

出版信息

Clin Pharmacol Ther. 2019 Apr;105(4):886-898. doi: 10.1002/cpt.1354.

DOI:10.1002/cpt.1354
PMID:30636288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6593618/
Abstract

At the turn of the century, the pharmaceutical industry began a transition toward a focus on oncology, rare diseases, and other areas of high unmet need that required a new, more complex approach to drug development. For many of these disease states and novel approaches to therapy, traditional approaches to clinical trial design fall short, and a number of innovative trial designs have emerged. In light of these changes, regulators across the globe are implementing new programs to provide regular development program support, facilitate accelerated access, use real-world data, and use digital tools to improve patients' lives. Emerging market regulators are also focusing on simplifying their regulatory pathways via regional harmonization schemes with varying levels of ambition. These changes in the external environment imply that biopharma regulatory teams need to adapt and evolve, leveraging digital tools, data, and analytics, and positioning themselves as strategic advisors during development.

摘要

在世纪之交,制药行业开始向专注于肿瘤学、罕见病和其他高未满足需求领域转变,这需要对药物开发采用新的、更复杂的方法。对于许多这些疾病状态和新型治疗方法,传统的临床试验设计方法存在不足,因此出现了许多创新的试验设计。有鉴于此,全球监管机构正在实施新的计划,以提供常规的开发计划支持、促进加速准入、使用真实世界数据以及使用数字工具来改善患者的生活。新兴市场监管机构也通过具有不同雄心水平的区域协调计划来专注于简化其监管途径。外部环境的这些变化意味着生物制药监管团队需要适应和发展,利用数字工具、数据和分析,并在开发过程中定位自己作为战略顾问。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/3e37d993aa13/CPT-105-886-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/fd881a288f43/CPT-105-886-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/ac0a413d304d/CPT-105-886-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/4133d7a32ed5/CPT-105-886-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/987e6ffb783e/CPT-105-886-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/da7223571806/CPT-105-886-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/420a4ed88b11/CPT-105-886-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/3e37d993aa13/CPT-105-886-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/fd881a288f43/CPT-105-886-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/ac0a413d304d/CPT-105-886-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/4133d7a32ed5/CPT-105-886-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/987e6ffb783e/CPT-105-886-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/da7223571806/CPT-105-886-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/420a4ed88b11/CPT-105-886-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/498c/6593618/3e37d993aa13/CPT-105-886-g007.jpg

相似文献

1
Innovation in Regulatory Science Is Meeting Evolution of Clinical Evidence Generation.监管科学的创新正在适应临床证据生成的演变。
Clin Pharmacol Ther. 2019 Apr;105(4):886-898. doi: 10.1002/cpt.1354.
2
Clinical Development and Initial Approval of Novel Immune Checkpoint Inhibitors in Oncology: Insights From a Global Regulatory Perspective.从全球监管视角看新型肿瘤免疫检查点抑制剂的临床研发和首次批准
Clin Pharmacol Ther. 2019 Mar;105(3):582-597. doi: 10.1002/cpt.1123. Epub 2018 Sep 12.
3
New Approaches to Regulatory Innovation Emerging During the Crucible of COVID-19 : In Responding to a Global Health Crisis, Industry is Discovering New, Efficient Ways of Meeting Objectives.新冠疫情期间涌现的监管创新新途径:在应对全球卫生危机过程中,业界发现了满足目标的新的高效途径。
Ther Innov Regul Sci. 2021 Mar;55(2):463-466. doi: 10.1007/s43441-020-00239-8. Epub 2020 Nov 25.
4
Accelerating drug development at Bristol Myers Squibb through innovation.
Drug Discov Today. 2024 May;29(5):103952. doi: 10.1016/j.drudis.2024.103952. Epub 2024 Mar 18.
5
Innovation in oncology clinical trial design.肿瘤临床试验设计的创新。
Cancer Treat Rev. 2019 Mar;74:15-20. doi: 10.1016/j.ctrv.2019.01.001. Epub 2019 Jan 4.
6
Importing oncology trials from China: a bridge over troubled waters?引入来自中国的肿瘤学试验:能否跨越困境之桥?
Lancet Oncol. 2022 Mar;23(3):323-325. doi: 10.1016/S1470-2045(22)00071-7. Epub 2022 Feb 4.
7
Impact of Regulatory Incentive Programs on the Future of Pediatric Drug Development.监管激励计划对儿科药物研发未来的影响。
Ther Innov Regul Sci. 2019 Sep;53(5):609-614. doi: 10.1177/2168479019837522. Epub 2019 Apr 14.
8
Efficacy and Effectiveness Too Trials: Clinical Trial Designs to Generate Evidence on Efficacy and on Effectiveness in Wide Practice.疗效和有效性试验:在广泛实践中产生疗效和有效性证据的临床试验设计。
Clin Pharmacol Ther. 2019 Apr;105(4):857-866. doi: 10.1002/cpt.1347. Epub 2019 Feb 12.
9
Reforming the Orphan Drug Act for the 21st Century.为21世纪改革《孤儿药法案》。
N Engl J Med. 2019 Jul 11;381(2):106-108. doi: 10.1056/NEJMp1902943.
10
Innovation in Chemistry, Manufacturing, and Controls-A Regulatory Perspective From Industry.化学、制造和控制创新——来自行业的监管视角。
J Pharm Sci. 2019 Jul;108(7):2207-2237. doi: 10.1016/j.xphs.2019.02.007. Epub 2019 Feb 19.

引用本文的文献

1
Current landscape of innovative drug development and regulatory support in China.中国创新药物研发与监管支持的现状
Signal Transduct Target Ther. 2025 Jul 22;10(1):220. doi: 10.1038/s41392-025-02267-y.
2
Longevity biotechnology: bridging AI, biomarkers, geroscience and clinical applications for healthy longevity.长寿生物技术:连接人工智能、生物标志物、衰老科学和临床应用,实现健康长寿。
Aging (Albany NY). 2024 Oct 16;16(20):12955-12976. doi: 10.18632/aging.206135.
3
Introduction of managed entry agreements in Korea: Problem, policy, and politics.

本文引用的文献

1
Optimized Medical Product Regulation in Mexico: A Win-Win for Public and Economic Health.墨西哥优化医疗产品监管:对公众健康与经济健康的双赢之举。
Ther Innov Regul Sci. 2017 Nov;51(6):744-750. doi: 10.1177/2168479017701503. Epub 2017 May 5.
2
Regulatory challenges of nanomedicines and their follow-on versions: A generic or similar approach?纳米药物及其后续版本的监管挑战:通用或类似方法?
Adv Drug Deliv Rev. 2018 Jun;131:122-131. doi: 10.1016/j.addr.2018.06.024. Epub 2018 Jun 30.
3
Medicines Adaptive Pathways to Patients: Why, When, and How to Engage?
韩国引入管理式准入协议:问题、政策与政治
Front Pharmacol. 2023 Apr 13;14:999220. doi: 10.3389/fphar.2023.999220. eCollection 2023.
4
Availability and accessibility of monoclonal antibodies in Bosnia and Herzegovina: Findings and implications.波斯尼亚和黑塞哥维那单克隆抗体的可获得性与可及性:研究结果与启示
Med Access Point Care. 2021 Jul 9;5:23992026211027692. doi: 10.1177/23992026211027692. eCollection 2021 Jan-Dec.
5
Regulatory science: The need for empowering Indian innovation.监管科学:增强印度创新能力的必要性。
Indian J Med Res. 2021 Jun;154(6):770-775. doi: 10.4103/ijmr.IJMR_1665_19.
6
Global Regulatory and Public Health Initiatives to Advance Pediatric Drug Development for Rare Diseases.全球监管和公共卫生举措,以推进罕见病儿科药物研发。
Ther Innov Regul Sci. 2022 Nov;56(6):964-975. doi: 10.1007/s43441-022-00409-w. Epub 2022 Apr 26.
7
Pulmonary lesions: correlative study of dynamic triple-phase enhanced CT perfusion imaging with tumor angiogenesis and vascular endothelial growth factor expression.肺部病变:动态三期增强 CT 灌注成像与肿瘤血管生成及血管内皮生长因子表达的相关性研究。
BMC Med Imaging. 2021 Oct 30;21(1):158. doi: 10.1186/s12880-021-00692-3.
8
The Qualitative Value of Facilitated Regulatory Pathways in Europe, USA, and Japan: Benefits, Barriers to Utilization, and Suggested Solutions.促进监管途径的定性价值:在欧洲、美国和日本的利益、利用障碍及建议解决方案。
Pharmaceut Med. 2021 Mar;35(2):113-122. doi: 10.1007/s40290-020-00372-7. Epub 2021 Feb 4.
9
Precompetitive Consensus Building to Facilitate the Use of Digital Health Technologies to Support Parkinson Disease Drug Development through Regulatory Science.通过监管科学开展竞争前共识构建,以促进数字健康技术在帕金森病药物研发中的应用。
Digit Biomark. 2020 Nov 26;4(Suppl 1):28-49. doi: 10.1159/000512500. eCollection 2020 Winter.
10
Mitigating Deficiencies in Evidence during Regulatory Assessments of Advanced Therapies: A Comparative Study with Other Biologicals.减轻先进疗法监管评估中的证据缺陷:与其他生物制品的比较研究
Mol Ther Methods Clin Dev. 2020 Jun 3;18:269-279. doi: 10.1016/j.omtm.2020.05.035. eCollection 2020 Sep 11.
药物适应患者的途径:为什么、何时以及如何参与?
Clin Pharmacol Ther. 2019 May;105(5):1148-1155. doi: 10.1002/cpt.1121. Epub 2018 Sep 11.
4
Signature program: a platform of basket trials.标志性项目:篮子试验平台
Oncotarget. 2018 Apr 20;9(30):21383-21395. doi: 10.18632/oncotarget.25109.
5
The Use of Real-World Evidence and Data in Clinical Research and Postapproval Safety Studies.真实世界证据和数据在临床研究及批准后安全性研究中的应用
Ther Innov Regul Sci. 2018 Nov;52(6):778-783. doi: 10.1177/2168479018764662. Epub 2018 Mar 28.
6
What to Know About Medicines With New Active Ingredients Approved in FY 2016 / 2016 in Japan and EU: A Brief Comparison of New Medicines Approved in Japan and the EU in 2016.2016财年在日本和欧盟获批的含新活性成分药物须知:2016年日本和欧盟获批新药简要比较
Ther Innov Regul Sci. 2018 Mar;52(2):214-219. doi: 10.1177/2168479017720248. Epub 2017 Jul 21.
7
Managed Entry Agreements for Pharmaceuticals in the Context of Adaptive Pathways in Europe.欧洲适应性途径背景下的药品管理进入协议
Front Pharmacol. 2018 Mar 27;9:280. doi: 10.3389/fphar.2018.00280. eCollection 2018.
8
Real-world evidence: How pragmatic are randomized controlled trials labeled as pragmatic?真实世界证据:被标记为实用的随机对照试验有多么实用?
BMC Med. 2018 Apr 3;16(1):49. doi: 10.1186/s12916-018-1038-2.
9
Adaptive pathway development for Fabry disease: a clinical approach.法布里病的适应性途径开发:临床方法。
Drug Discov Today. 2018 Jun;23(6):1251-1257. doi: 10.1016/j.drudis.2018.02.004. Epub 2018 Feb 15.
10
FOCUS4: a new trial design for evaluation of targeted drugs in colorectal cancer?FOCUS4:一种用于评估结直肠癌靶向药物的新试验设计?
Lancet Gastroenterol Hepatol. 2018 Mar;3(3):143-145. doi: 10.1016/S2468-1253(17)30402-8. Epub 2017 Dec 16.