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中国医药导刊 ›› 2025, Vol. 27 ›› Issue (6): 556-564.

• 专栏:药物临床试验 • 上一篇    下一篇

新药临床试验申请监管体系的国际比较与启示

严钰茸1, 曹钰然2, 何金杰1, 曹国英12, 武晓捷1, 张菁12*   

  1. 1.复旦大学附属华山医院,临床药理研究中心,上海 200040;
    2.复旦大学附属华山医院,药物临床试验机构,上海 200040
  • 收稿日期:2025-03-03 修回日期:2025-06-09 接受日期:2025-08-02 出版日期:2025-06-28 发布日期:2025-08-06
  • 基金资助:

    科技部“重大新药创制”科技重大专项(2017ZX09304005)

International Comparative Analysis and Insights on the Regulatory Systems for New Drug Clinical Trial Applications

YAN Yurong1, CAO Yuran2, HE Jinjie1, CAO Guoying12, WU Xiaojie1, ZHANG Jing12*   

  1. 1.Huashan Hospital Fudan University Clinical Pharmacology Research Center Shanghai 200040, China
    2.Huashan Hospital Fudan University Drug Clinical Trial Institute Shanghai 200040, China
  • Received:2025-03-03 Revised:2025-06-09 Accepted:2025-08-02 Online:2025-06-28 Published:2025-08-06
  • Contact: Zhang, / Jing

摘要:

目的:探讨中、美、欧、澳、新、日各国家及地区对新药临床试验申请的监管模式与审查内容的共性与差异,分析我国在新药临床试验监管国际化过程中取得的进展及优化方向,为提升我国药品监管效率与国际竞争力提供借鉴。方法:通过文献研究、资料调研与比较分析,系统梳理中、美、欧、澳、新、日各国家及地区的新药临床试验申请监管体系,总结其特点并提出未来展望。结果:以上各国家及地区的新药临床试验申请监管体系在科学性和规范性上趋于一致,建立了以科学审评、伦理保障和质量保证为核心的监管科学技术标准,并具备未来实现监管互认的潜力。结论:我国新药临床试验申请监管体系已基本实现与国际标准接轨,未来建议进一步推动伦理审查互认,深化研究各方协作机制,并加强审评资源投入,以增强国际竞争力。

 

关键词:  , 临床试验申请;国内外对比;药品监管体系;伦理审查;新药研发全球化

Abstract:

Objective: To explore the commonalities and differences in the regulatory processes and review contents for new drug clinical trial applications in China the United States the European Union Australia New Zealand and Japan and to analyze Chinas progress and optimization directions in new drug clinical trial regulation in the context of internationalization providing insights to improve Chinas drug regulatory efficiency and international competitiveness. Methods: Through literature review data collection and comparative analysis the regulatory systems of new drug clinical trial applications in China the United States the Eurpean Union Australia New Zealand and Japan were systematically reviewed their characteristics were summarized and prospects were discussed. Results: The findings indicate that the regulatory systems of new drug clinical trial application in these countries and regions are converging in terms of scientific rigor and standardization with the establishment of regulatory science and technical standards centered on scientific review ethical assurance and quality control showing potential for future regulatory mutual recognition. Conclusion: Chinas new drug clinical trial application regulatory sysem has largely aligned with international standards further efforts are recommended to promote mutual recognition of ethical reviews deepen collaboration mechanisms among stakeholders and enhance resource allocation for regulatory reviews to strengthen its international competitiveness.


Key words: Clinical trial application , International comparison , Drug regulatory system , Ethical review , Globalization of new drug development

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