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中国药物安全评价。

Drug Safety Evaluation in China.

机构信息

Department of Allergy, Beijing Key Laboratory of Precision Medicine for Diagnosis and Treatment on Allergic Diseases, National Clinical Research Center for Immunologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China.

出版信息

Curr Allergy Asthma Rep. 2019 Jul 18;19(9):39. doi: 10.1007/s11882-019-0872-4.

Abstract

PURPOSE OF REVIEW

This review aimed to introduce the regulations management and current situations of drug safety evaluation in China.

RECENT FINDINGS

The nationwide implementation of good laboratory practice and good clinical practice guarantees the quality of pre-marketing drug safety evaluation. In recent years, post-marketing drug safety monitoring is changing from passive mode to the combination of active and passive monitoring. A national adverse drug reaction monitoring sentinel alliance has been created to actively identify, report, and evaluate adverse reactions, with more than 1.4 million cases reported in 2017. But the quality of the reports is not optimal, with few reports from drug manufacturers, low rate of severe reports, and trend of lag reporting. Drug safety evaluation in China is transitioning from passive monitoring to a combination mode. Drug pharmacovigilance is a powerful tool for active monitoring, but participation by drug manufacturers would be essential to an effective drug safety evaluation system.

摘要

目的综述

本文旨在介绍中国药物安全评价的法规管理和现状。

最近的发现

全国范围内实施的良好实验室规范和良好临床规范保证了上市前药物安全评价的质量。近年来,药物上市后安全监测已从被动模式转变为主动和被动监测相结合。创建了全国性的药物不良反应监测哨点联盟,积极识别、报告和评估不良反应,2017 年报告了超过 140 万例。但报告质量并不理想,来自制药商的报告较少,严重报告率低,且存在滞后报告的趋势。中国的药物安全评价正从被动监测向结合模式转变。药物药物警戒是主动监测的有力工具,但制药商的参与对于有效的药物安全评价体系至关重要。

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