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全球范围内的临床试验申请的监管协调和简化应能促进更快的临床开发,并更早获得救命疫苗。

Regulatory Harmonization and Streamlining of Clinical Trial Applications globally should lead to faster clinical development and earlier access to life-saving vaccines.

机构信息

Janssen Vaccines, Rehhagstrasse 79, Bern, Switzerland.

GSK Vaccines, Avenue Fleming, 1300 Wavre, Belgium.

出版信息

Vaccine. 2021 Jan 29;39(5):790-796. doi: 10.1016/j.vaccine.2020.11.077. Epub 2021 Jan 7.

Abstract

Vaccines continue to play a central role in our ability to prevent disease, save lives, and improve health. The scientific community, including our own researchers, are driven by a shared purpose to improve vaccine technologies and bring the benefits of immunization to everyone, regardless of where they live - as soon as possible, especially when the medical need is considerable. Vaccine developers and manufacturers (sometimes referred to as "study sponsors" or "applicants") are exploring technological advancements to translate breakthrough discoveries into novel vaccines which have the potential to provide protection from life-threatening and debilitating infectious diseases. Developing new vaccines is a lengthy process regulated by guidance provided by independent organizations, National Regulatory Authorities (NRAs) and the World Health Organization. As most infectious diseases can span a considerable area of the world, clinical trials are often conducted across different countries and regions. Regulatory requirements for clinical trials (both Chemistry Manufacturing & Controls - CMC, nonclinical and clinical) vary significantly between the different countries and regions adding to the complexity of vaccine development and leading to significant delays in the development of novel vaccines and ultimately equitable access for populations to these innovations. Without progress in terms of regulatory convergence and harmonization the benefits from these scientific advancements will not be fully realized. There is an urgent need by global bodies such as WHO to partner with and the NRAs to establish and implement.

摘要

疫苗在我们预防疾病、拯救生命和增进健康的能力方面继续发挥核心作用。科学界,包括我们自己的研究人员,都有一个共同的目标,即改进疫苗技术,并尽快将免疫接种的好处带给所有人,无论他们生活在何处,尤其是在医疗需求巨大的时候。疫苗研发者和制造商(有时被称为“研究赞助商”或“申请人”)正在探索技术进步,将突破性发现转化为具有潜在能力的新型疫苗,以预防危及生命和使人衰弱的传染病。开发新疫苗是一个漫长的过程,受到独立组织、国家监管机构(NRAs)和世界卫生组织(WHO)提供的指导的监管。由于大多数传染病都可能在世界的相当大的区域内传播,临床试验通常在不同的国家和地区进行。临床试验的监管要求(包括化学制造和控制-CMC、非临床和临床)在不同国家和地区之间存在显著差异,这增加了疫苗开发的复杂性,并导致新型疫苗的开发出现显著延迟,最终使这些创新在人群中得到公平应用。如果在监管趋同和协调方面没有进展,这些科学进步的好处将无法完全实现。全球机构(如世卫组织)和国家监管机构迫切需要合作,建立和实施。

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