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药物临床试验新机构备案第三方评估问题分析OA

Analysis of Third-Party Evaluation Issues in the Filing of New Drug Clinical Trial Institutions

中文摘要英文摘要

目的 基于第三方评估报告挖掘药物临床试验新机构备案中的问题并提出建议,为拟备案医疗机构提供借鉴.方法 收集2020-2025年23家三级医院首次备案的第三方评估报告,整理516项现场检查问题,结合专家咨询进行量化分析.结果 我国药物临床试验备案新机构主要存在文件体系(52.33%)、硬件设施(23.26%)、人员资质(20.93%)、组织架构(3.49%)等4个方面问题,其中管理文件体系不完善(40.37%)和操作性不强/与实际情况不一致(21.11%)、药房和药物储存设施不合理(40.00%)、对法规和管理文件掌握不足(50.93%)最为突出,且61.82%问题集中在专业组.结论 药物临床试验备案新机构需在文件体系建设、培训激励、硬件配置及伦理机制等方面改进,多方协同完善备案管理体系,该研究为拟备案机构提供了针对性改进路径.

Objective Based on third-party evaluation reports,this study aims to explore the problems in the registra-tion of new drug clinical trial institutions and provide suggestions,in order to provide reference for medical institutions planning to register.Methods Third-party evaluation reports were collected from 23 tertiary hospitals that completed initial registration from 2020 to 2025.A total of 516 on-site inspection issues were summarized,and quantitative analysis were performed based on expert consultation.Results Newly registered institutions for drug clinical trials in China mainly have four problems:docu-ment system(52.33%),hardware facilities(23.26%),personnel qualification(20.93%),and organizational structure(3.49%).Among them,the management document system is incomplete(40.37%),the operability is weak/inconsistent with the actual situation(21.11%),the pharmacy and drug storage facilities are unreasonable(40.00%),and there is insufficient mastery of regulation and management document requirements(50.93%),and 61.82%of the problems are concentrated in the professional group.Conclusions Newly registered institutions for drug clinical trials need to improve their document system,training incentives,hardware configuration,and ethical mechanisms,and collaborate with multiple parties to improve their filing management system.This study provides a targeted improvement path for the proposed filing institution.

董玉君;潘婷;戴炜均;余秋钿;程国华;欧阳舒婷

广州市第一人民医院伦理委员会办公室,广州 510180南方医科大学皮肤病医院临床研究中心,广州 510091南方医科大学第七附属医院药物临床试验机构办公室,佛山 528244暨南大学附属广东省第二人民医院临床研究部,广州 510317暨南大学药学院,广州 511443广州医科大学附属肿瘤医院临床研究管理中心,广州 510095

医药卫生

药物临床试验机构机构备案伦理委员会专业组管理文件

Drug clinical trial institutionsInstitutional filingEthics committeeProfessional groupManage files

《医药导报》 2026 (6)

1057-1064,8

国家药品监督管理局药品审评检查大湾区分中心监管科学研究课题(GBA-JGKX-2403).

10.3870/j.issn.1004-0781.2026.06.017

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