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中国医药导刊 ›› 2025, Vol. 27 ›› Issue (7): 654-659.

• 监管科学 • 上一篇    下一篇

宫颈癌筛查相关体外诊断产品临床应用实践及产品评价探究

徐超, 郑生伟, 何静云*   

  1. 国家药品监督管理局医疗器械技术审评中心,北京 100081
  • 收稿日期:2025-06-30 修回日期:2025-07-17 接受日期:2025-10-10 出版日期:2025-07-28 发布日期:2025-10-10
  • 基金资助:

    国家重点研发计划项目(2022YFC2409900)

Clinical Application Practice and Product Evaluation of In Vitro Diagnostic Products for Cervical Cancer Screening

XU Chao, ZHENG Shengwei, HE Jingyun*   

  1. Center For Medical Device Evaluation NMPA Beijing 100081, China
  • Received:2025-06-30 Revised:2025-07-17 Accepted:2025-10-10 Online:2025-07-28 Published:2025-10-10

摘要:

临床实践中,对适龄妇女定期开展宫颈癌筛查是宫颈癌二级预防的主要措施。目前宫颈癌筛查的手段有宫颈细胞学涂片检查、人乳头瘤病毒(HPV)检测、宫颈癌相关基因甲基化检测、阴道镜检查及病理学检查等。上述检查过程中,除阴道镜检查外均需要使用体外诊断试剂或分析软件。本研究系统阐述我国宫颈癌筛查过程中相关体外诊断试剂产品及分析软件的应用,深入分析已上市产品临床应用情况及临床试验开展情况,结合相关产品技术审评过程中的思考,研究宫颈癌筛查相关产品临床试验设计要求,阐述相关要求的科学性与合理性,并针对该类产品临床预期适用场景及相关临床试验设计提出有关建议,以期为相关医疗器械生产企业及临床试验研究者更加科学合理地进行相关产品临床试验设计提供参考,充分评价产品安全有效性,促进产品尽快上市。


关键词: 宫颈癌, 筛查, 体外诊断试剂, 临床试验

Abstract:

 In clinical practice the regular screening of cervical cancer for women of eligible age is the main measure of secondary prevention of cervical cancer. Currently the method of cervical cancer screening include ThinPrep cytologic test human papillomavirus HPV detection methylation test for cervical cancer-related genes colposcope histopathology etc. Except for colposcopy all the above-mentioned examinations need in vitro diagnostic reagents or analytical software. This study systematically elaborates on the application of in vitro diagnostic reagent products and analytical software in the process of cervical cancer screening in China deeply analyzes the clinical application of marketed products and the progress of clinical trials. and studies the clinical trial design requirements for cervical cancer screening-related products in combination with the considerations in the technical review process of relevant products elaborating on the scientific and rational nature of these requirements and provide suggestions for the clinical trial design of this type of product and its expected clinical application scenarios so as to provide reference for relevant medical device manufactures and principal investigators of clinical trials to enable more scientific and rational design of clinical trials for relevant products to fully evaluate the safety and effectiveness of the products and to promote the products to be marketed as soon as possible.


Key words: Cervical cancer, Screening, In vitro diagnostic reagents, Clinical trials

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