Wu Wen-Wen, Ji Xing, Mou Xin-Shuang, Ma Xin-Yue, Huang Ya-Ting, Zhang Jie-Ying, Zhang Jing-Xian, Xie Xin-Rong, Mao Ning-Ying, Xu Jing
School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, Jiangsu, China.
Department of Pharmacy, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Front Med (Lausanne). 2023 Jul 6;10:1187547. doi: 10.3389/fmed.2023.1187547. eCollection 2023.
In China, the focus of drug research and development has gradually shifted from generic to innovative drugs. Using the Chinese Clinical Trials Registry and Information Transparency Platform, we retrospectively analyzed clinical trials of innovative pediatric drugs conducted in mainland China over the last decade. The goal of this work was to better understand the characteristics of and historical changes in innovative pediatric drug research and development (R&D) in China and to provide effective data support for policy makers and other stakeholders. This study included 198 innovative pediatric drug clinical trials. The data showed that, although some progress has been made in the R&D of innovative pediatric drugs in China, many factors limiting this progress still exist, such as concentrated R&D areas, inadequate pediatric participants, and unbalanced source distributions. The level of innovative pediatric drug R&D in China currently lags behind the global level and has not kept pace with anti-neoplastic drug R&D in China. To promote the innovative development of pediatric drugs in China, the Chinese government must develop an R&D supervision framework, improve the motivation and innovation capabilities of pharmaceutical companies, and optimize the source distribution between regions.
在中国,药物研发的重点已逐渐从仿制药转向创新药。利用中国临床试验注册与信息公开平台,我们回顾性分析了过去十年在中国大陆开展的创新儿科药物临床试验。这项工作的目的是更好地了解中国创新儿科药物研发的特点和历史变化,并为政策制定者及其他利益相关者提供有效的数据支持。本研究纳入了198项创新儿科药物临床试验。数据显示,尽管中国在创新儿科药物研发方面已取得一些进展,但仍存在许多限制这一进展的因素,如研发领域集中、儿科受试者不足以及来源分布不均衡等。中国创新儿科药物的研发水平目前落后于全球水平,且未跟上中国抗肿瘤药物的研发步伐。为推动中国儿科药物的创新发展,中国政府必须制定研发监管框架,提高制药企业的积极性和创新能力,并优化地区间的来源分布。