首页|期刊导航|中国临床药理学杂志|特殊药品临床试验的全流程闭环药物管理模式探索

特殊药品临床试验的全流程闭环药物管理模式探索OA

Exploration of a Full-Process Closed-Loop Drug Management Model for Clinical Trials of Special Drugs

中文摘要英文摘要

特殊药品的临床试验管理需同时满足特殊药品专项管制法规以及《药物临床试验质量管理规范》(GCP)的双重要求.随着我国特殊药品临床试验的数量逐年递增,传统的单一中心化管理模式已难以满足其复杂的管控需求.本文专注特殊药品临床试验中的药物管理,结合本院特殊药品临床试验的实践经验展开研究,全面对比特殊药品和普通试验药物的管理差异,归纳出当前行业存在执行标准不统一、全流程追溯能力不足、风险管理难度大的核心挑战.据此提出中心化管理为核心、科室协同管理为补充的全流程闭环管理模式.并进一步从人员、数据、风险防控这3个管理方向明确了该模式的实施重点,目的在于提升管理效能与质量,强化风险管控,为国内医疗机构开展特殊药品临床试验提供可复制的实践范式,也为监管部门完善相关规范提供实证依据.

The clinical trial management of special drugs must comply with both the specialized regulatory requirements for special drugs and Good Clinical Practice(GCP).With the annual increase in the number of clinical trials involving special drugs in China,the traditional centralized management model has become inadequate to meet their complex regulatory demands.This paper focuses on drug management in clinical trials of special drugs and conducts research based on practical experience from our institution.It methodically contrasts the management differences between special drugs and regular trial drugs,pinpointing the core challenges in the industry.These issues include inconsistent implementation standards,limited full-process traceability capacities,and heightened risk management difficulties.Consequently,a closed-loop management framework is put forward,which is marked by centralized management as the core and departmental collaborative management as the supplement.The crucial aspects of implementation within this framework are further elucidated across three management spheres:personnel,data,and risk prevention.The objective is to improve management effectiveness and quality,reinforce risk management,present a replicable practical paradigm for domestic medical institutions carrying out clinical trials of special drugs,and provide empirical references for regulatory authorities to refine relevant standards.

陶洁;陈艳;孙健

中山大学附属第三医院药物临床试验机构,广东 广州 510630中山大学附属第三医院药物临床试验机构,广东 广州 510630中山大学附属第三医院药物临床试验机构,广东 广州 510630

医药卫生

特殊药品临床试验药物管理中心化管理协同管理

special drugsclinical trialsdrug managementcentralized managementcollaborative management

《中国临床药理学杂志》 2026 (14)

2095-2100,6

10.13699/j.cnki.1001-6821.2026.14.023

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