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影响新药临床试验成功的因素。

Factors Affecting Success of New Drug Clinical Trials.

机构信息

Department of R&D Planning and Support, Biomedical Research Institute, Chungbuk National University Hospital, 776 1Sunhwan-ro, Seowon-Gu, Cheong-Ju, Chungbuk, 28644, Republic of Korea.

Department of Medicine, College of Medicine, Chungbuk National University, 1 Chungdae-ro, Seowon-gu, Cheongju, Chungbuk, 28644, Republic of Korea.

出版信息

Ther Innov Regul Sci. 2023 Jul;57(4):737-750. doi: 10.1007/s43441-023-00509-1. Epub 2023 May 11.

Abstract

Clinical trials are an essential process in the development of new drugs. In spite of time-consuming processes and high costs, the overall success rate of clinical trials is only 7.9%, which is a high risk for biopharmaceutical companies. However, despite these huge risks, research on finding factors affecting clinical trials to overcome and manage to risks has been insufficient. Considering these characteristics of the pharmaceutical industry, this study investigated the factors affecting the success of sponsor-initiated clinical trials. The success factors investigated were categorized into four factors: quality of clinical trials, speed of clinical trials, relationship type, and communication. Logistic regression was performed to measure each factor by analyzing 24,295 cases of Phase 1 to 4 trials from ClinicalTrials.gov. Because of the analysis, the factors affecting the success of the clinical trials were varied according to each clinical phase and the drug types: New Molecular Entity (NME)/Biologics, and the success ratio in the quality variable affected the overall clinical trial phases. Additionally, the experience, speed, relationship type, and communication variables were also found to be statistically significant for the success of each phase and drug type.

摘要

临床试验是新药开发的重要过程。尽管临床试验过程耗时且成本高昂,但总体成功率仅为 7.9%,这对生物制药公司来说是一个高风险。然而,尽管存在这些巨大的风险,但对于寻找影响临床试验的因素以克服和管理风险的研究还不够充分。考虑到制药行业的这些特点,本研究调查了影响发起方主导的临床试验成功的因素。研究中调查的成功因素分为四个因素:临床试验质量、临床试验速度、关系类型和沟通。通过分析 ClinicalTrials.gov 上的 24295 例 1 期至 4 期试验,采用逻辑回归来衡量每个因素。由于分析,临床试验成功的影响因素因每个临床阶段和药物类型而异:新型分子实体(NME)/生物制剂,质量变量中的成功率影响整体临床试验阶段。此外,经验、速度、关系类型和沟通变量也被发现对每个阶段和药物类型的成功具有统计学意义。

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