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在中药监管决策中使用真实世界证据:现状与未来方向。

Use of Real-World Evidence in Regulatory Decisions for Traditional Chinese Medicine: Current Status and Future Directions.

机构信息

School of Business Administration, Shenyang Pharmaceutical University, Shenyang, 110016, People's Republic of China.

Drug Regulatory Research Base of NMPA - Research Institute of Drug Regulatory Science, Shenyang Pharmaceutical University, Shenyang, 110016, People's Republic of China.

出版信息

Ther Innov Regul Sci. 2024 Jan;58(1):34-41. doi: 10.1007/s43441-023-00588-0. Epub 2023 Nov 23.

DOI:10.1007/s43441-023-00588-0
PMID:37996768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10764529/
Abstract

Traditional Chinese medicine (TCM) is a valuable resource unique to China with a long history of human use and clinical practice, which can be analyzed to generate real-world evidence (RWE). The Chinese government has been actively promoting regulatory reform that is in line with the characteristics of TCM, optimizing the clinical evidence system for TCM, and exploring the important role of RWE in supporting the development of new drugs and regulatory decision-making for TCM. This article aims to provide a comprehensive review of the use of RWE in regulatory decisions for TCM. Based on the characteristics of TCM, this study focuses on the application scenarios, challenges, and opportunities of RWE in TCM. And some suggestions are put forward to promote the wider application of RWE in TCM development and supervision.

摘要

中医(TCM)是中国特有的宝贵资源,具有悠久的人类使用和临床实践历史,可以进行分析以生成真实世界证据(RWE)。中国政府一直在积极推动符合中医药特点的监管改革,优化中医药临床证据体系,探索 RWE 在支持中药新药开发和监管决策中的重要作用。本文旨在全面回顾 RWE 在中药监管决策中的应用。基于中医药的特点,本研究重点关注 RWE 在中医药中的应用场景、挑战和机遇。并提出了一些建议,以促进 RWE 在中医药发展和监管中的更广泛应用。

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[Quality requirements of human use experience research on traditional Chinese medicine].[中药人用经验研究的质量要求]
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2
Management guideline for the off-label use of medicine in China (2021).中国药品未注册用法管理规定(2021 年)。
Expert Rev Clin Pharmacol. 2022 Oct;15(10):1253-1268. doi: 10.1080/17512433.2022.2120468. Epub 2022 Sep 11.
3
[Evaluation for druggability of traditional Chinese medicine preparations in medical institutions based on human use experience].基于人用经验的医疗机构中药制剂成药性评价
Zhongguo Zhong Yao Za Zhi. 2022 Aug;47(15):4256-4260. doi: 10.19540/j.cnki.cjcmm.202204012.601.
4
Existing barriers and recommendations of real-world data standardisation for clinical research in China: a qualitative study.现有障碍和中国临床研究中真实世界数据标准化的建议:一项定性研究。
BMJ Open. 2022 Aug 3;12(8):e059029. doi: 10.1136/bmjopen-2021-059029.
5
Real world data and data science in medical research: present and future.医学研究中的真实世界数据与数据科学:现状与未来。
Jpn J Stat Data Sci. 2022;5(2):769-781. doi: 10.1007/s42081-022-00156-0. Epub 2022 Apr 13.
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Gap between real-world data and clinical research within hospitals in China: a qualitative study.中国医院内真实世界数据与临床研究之间的差距:一项定性研究。
BMJ Open. 2020 Dec 29;10(12):e038375. doi: 10.1136/bmjopen-2020-038375.
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