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利用以患者为中心的采样进行临床药物开发和去中心化临床试验:从承诺到现实。

Leveraging patient-centric sampling for clinical drug development and decentralized clinical trials: Promise to reality.

机构信息

Genentech, South San Francisco, California, USA.

Roche, Welwyn, UK.

出版信息

Clin Transl Sci. 2022 Dec;15(12):2785-2795. doi: 10.1111/cts.13411. Epub 2022 Oct 8.

Abstract

Advances in the technologies to enable patient-centric sampling (PCS) have the potential to improve blood sample collection by enabling clinical trial participants to collect samples via self-collection or with the help of a caregiver in their home. Typically, blood samples to assess pharmacokinetics and pharmacodynamics of a drug during clinical development are collected at a clinical site via venous blood draw. In this position paper by the International Consortium for Innovation and Quality in Pharmaceutical Development (IQ), the potential value PCS can bring to patients, to the clinical datasets generated, and to clinical trial sponsors is discussed, along with considerations for program decision making, bioanalytical feasibility, operations, and regulatory implications. With an understanding of the value of PCS and considerations when implementing during clinical drug development, we can bring the promise of PCS closer to reality and enable decentralized clinical trials.

摘要

实现以患者为中心的采样(PCS)的技术进展有可能通过使临床试验参与者能够通过自我采集或在其家中由护理人员协助来收集样本,从而改善血样采集。通常,在临床开发期间评估药物药代动力学和药效动力学的血样是通过静脉采血在临床地点采集的。在这个由国际药品创新和质量联盟(IQ)发布的立场文件中,讨论了 PCS 可为患者、生成的临床数据集和临床试验赞助商带来的潜在价值,以及对项目决策、生物分析可行性、运营和监管影响的考虑。通过了解 PCS 的价值以及在临床药物开发过程中实施时的注意事项,我们可以使 PCS 的承诺更加接近现实,并使临床试验更加分散化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f2/9747123/48469b148379/CTS-15-2785-g001.jpg

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