Zou Chong, Ding Hong, Gao Rui, Hu Si-Yuan, Liu Jian-Zhong, Li Bo, Li Xiao-Hui, Pan Ding-Ju, Tang Jian-Yuan, Tong Xiao-Yun, Wang Ju-Yong, Yuan Wei-An, Zhang Xun, Zhang Miao, Zhao Yan-Ling, Yang Zhong-Qi
Jiangsu Provincial Hospital of Traditional Chinese Medicine Nanjing 210029, China.
Hospital of Chengdu University of Traditional Chinese Medicine Chengdu 610075, China.
Zhongguo Zhong Yao Za Zhi. 2021 Apr;46(7):1696-1700. doi: 10.19540/j.cnki.cjcmm.20210304.501.
At present, the issues regarding multi-center clinical trials of new drugs of traditional Chinese medicine(TCM) remain: the lack of agreement on the content and scope of the ethical review among the ethics committee members of the center and the participating units results in repeated review, which leads to a time-consuming ethical review process. Moreover, the review capabilities of the ethics committees of various research centers are uneven, which is not necessarily beneficial to the protection of subjects' rights and safety. In view of the existing problems, to improve the efficiency of ethical review of multi-center clinical trials of new drugs of TCM and avoid repeated reviews, the TCM Clinical Evaluation Professional Committee of Chinese Pharmaceutical Association organized experts to formulate the "Consensus on collaborative ethical review of multi-center clinical trials of new drugs of TCM(version 1.0)"(hereinafter referred to as "Consensus"). The "Consensus" is formulated in accordance with the requirements of relevant documents such as but not limited to "the opinions on deepening the reform of the evaluation and approval system to encourage the innovation of pharmaceutical medical devices", "the regulations of ethical review of biomedical research involving human subjects". The "Consensus" covers the scope of application, formulation principles, conditions for the ethics committee of the center, sharing of ethical review resources, scope and procedure of collaborative review, rights and obligations, etc. The aims of the "Consensus" is to preliminarily explore and establish a scientific and operable ethical review procedure. Additionally, on the basis of fully protecting the rights and interests of the subjects, a collaborative ethical review agreement needs to be signed to clarify the ethical review responsibilities of all parties, to avoid repeated review, and to improve the efficiency and quality of ethical review in multi-center clinical trials of new drugs of TCM.
目前,中药新药多中心临床试验存在的问题有:各中心伦理委员会成员及参与单位对伦理审查内容和范围的认识不一致,导致重复审查,使伦理审查过程耗时较长。此外,各研究中心伦理委员会的审查能力参差不齐,这未必有利于保护受试者的权益和安全。针对存在的问题,为提高中药新药多中心临床试验伦理审查效率,避免重复审查,中国药学会中药临床评价专业委员会组织专家制定了《中药新药多中心临床试验协作伦理审查共识(1.0版)》(以下简称《共识》)。《共识》依据《关于深化审评审批制度改革鼓励药品医疗器械创新的意见》《涉及人的生物医学研究伦理审查办法》等相关文件要求制定。《共识》涵盖适用范围、制定原则、中心伦理委员会条件、伦理审查资源共享、协作审查范围与程序、权利与义务等内容。《共识》旨在初步探索并建立科学、可操作的伦理审查程序。此外,在充分保护受试者权益的基础上,需签订协作伦理审查协议,明确各方伦理审查责任,避免重复审查,提高中药新药多中心临床试验伦理审查的效率和质量。