Regulatory Practices and Enlightment of Drug Clinical Trials in China the United State and the European Union

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  • Shanghai Center for Drug Evaluation and Inspection Shanghai 200080, China

Received date: 2025-03-17

  Accepted date: 2025-08-05

  Online published: 2025-08-11

Abstract

Drug clinical trials are a critical stage in drug research and development and the cornerstone for evaluating the safety and efficacy of drugs also serve as a critical bridge between basic research and clinical application representing a resource-intensive and time-consuming phase. This article analyzes the current status and development trends of global clinical trial regulatory systems with a focus on introducing the regulatory requirements recent regulatory practices and new measures in clinical trial oversight in the United States European Union and China. It further explores these findings in the context of emerging trends faced by China's clinical trial regulatory framework focusing on four key aspects the allocation of clinical trial resources and management framework regulatory coordination and risk signals to clinical trial quality the empowerment of new technologies to advance intelligent and digital regulation and the enhancement of capacity building aiming to offer insights and references for enhancing the quality and efficiency of drug clinical trial regulation in China.

 

Cite this article

111 111 111 .

Regulatory Practices and Enlightment of Drug Clinical Trials in China the United State and the European Union

[J]. CHINESE JOURNAL OF MEDICINAL GUIDE, 2025 , 27(6) : 548 -555 . DOI: magtech.2025.03.17-00001

References

  [1 国家药品监督管理局,国家卫生健康委.关于发布药物临床试验质量管理规范的公告(2020年第57号)[EB/OL.2020-04-23)[2025-03-12.https//www.nmpa.gov.cn/xxgk/fgwj/xzhgfxwj/20200426162401243.html.

         2  ICH. E6 Good Clinical Practice EB/OL.2025-01-06)[2025-03-12.https//www.ich.org/page/efficacy-guidelines.

         3  U.S.FDA. FDA History EB/OL.2018-06-29)[2025-03-12.https//www.fda.gov/about-fda/fda-history.

         4  U.S.FDA. Investigational New Drug IND ApplicationEB/OL.2024-11-18)[2025-03-12.https//www.fda.gov/drugs/types-applications/investigational-new-drug-ind-application.

         5  U.S.FDA. CDER Manual of Policies & ProceduresEB/OL.2025-03-11)[2025-03-12.https//www.fda.gov/about-fda/center-drug-evaluation-and-research-cder/cder-manual-policies-procedures-mapp.

         6  U.S.FDA. New Drug Application NDA)[EB/OL.2022-01-21)[2025-03-12.https//www.fda.gov/drugs/types-applications/new-drug-application-nda.

         7  U.S.FDA. Processes and Practices Applicable to Bioresearch Monitoring InspectionsEB/OL.2018-06-29)[2025-03-12.https//www.fda.gov/regulatory-information/search-fda-guidance-documents/processes-and-practices-applicable-bioresearch-monitoring-inspections.

         8  U.S.FDA. FDA Modernization Efforts for Establishing a Unified Human Foods Program New Model for Field Operations and MoreEB/OL.2024-10-01.2025-03-12.https//www.fda.gov/about-fda/fda-organization/fda-modernization-efforts-establishing-unified-human-foods-program-new-model-field-operations-and.

         9  U.S.FDA. BIMO Inspection MetricsEB/OL.2024-11-06)[2025-03-12.https//www.fda.gov/science-research/clinical-trials-and-human-subject-protection/bimo-inspection-metrics.

         10 U.S.FDA. Office of Scientific Investigations EB/OL.2024-02-13)[2025-03-12.https//www.fda.gov/about-fda/cder-offices-and-divisions/office-scientific-investigations.

         11 U.S.FDA. Conducting Remote Regulatory Assessments Questions and Answers EB/OL.2024-11-05)[2025-03-12.https//www.fda.gov/regulatory-information/search-fda-guidance-documents/conducting-remote-regulatory-assessments-questions-and-answers.

         12 U.S.FDA. CDER Center for Clinical Trial Innovation C3TI)[EB/OL.2024-05-17)[2025-03-12.https//www.fda.gov/about-fda/center-drug-evaluation-and-research-cder/cder-center-clinical-trial-innovation-c3ti.

         13 EMA. Clinical trials in human medicines EB/OL.2025-03-11)[2025-03-12.https//www.ema.europa.eu/en/human-regulatory-overview/research-development/clinical-trials-human-medicines#clinical-trials-regulation-and-the-clinical-trials-information-system-10684.

         14 EMA. EudraLex-Volume 10-Clinical trials guidelines EB/OL.2025-03-11)[2025-03-12.https//health.ec.europa.eu/medicinal-products/eudralex/eudralex-volume-10_en#set-of-documents-applicable-to-clinical-trials-that-will-be-authorised-under-regulation-eu-no-5362014-once-it-becomes-applicable.

         15 EMA. Good Clinical Practice EB/OL.2025-03-11)[2025-03-12.https//www.ema.europa.eu/en/human-regulatory-overview/research-development/compliance-research-development/good-clinical-practice.

         16 EMA .Good Clinical Practice Inspectors Working Group EB/OL.2025-03-12.https//www.ema.europa.eu/en/human-regulatory-overview/research-development/compliance-research-development/good-clinical-practice/good-clinical-practice-inspectors-working-group.

         17 EMA. Accelerating Clinical Trials in the EU ACT EU) [EB/OL.2025-03-12.https//www.ema.europa.eu/en/human-regulatory-overview/research-development/clinical-trials-human-medicines/accelerating-clinical-trials-eu-act-eu.

         18 国家药品监督管理局药品审评中心.中国新药注册临床试验进展年度报告(2023年)[EB/OL.2023-10-07)[2025-06-16.https//www.cde.org.cn/main/news/viewInfoCommon/d25e2879906bd2d3ae6c929aece41e34.

         19 国家药品监督管理局食品药品审核查验中心.2022年度药品检查工作报告[EB/OL.2023-10-07)[2025-03-12.https//www.cfdi.org.cn/cfdi/resource/news/15638.html.

         20 U.S.FDA. Data DashboardEB/OL.2025-03-12.https//datadashboard.fda.gov/ora/cd/inspections.htm.

         21 国家药品监督管理局.关于印发优化创新药临床试验审评审批试点工作方案的通知(国药监药注〔202421号)[EB/OL.2024-07-31)[2025-03-12.https//www.gov.cn/zhengce/zhengceku/202408/content_6965736.htm.

         22 Sellers JW Mihaescu CM Ayalew K et al. Descriptive analysis of good clinical practice inspection findings from U.S. Food and Drug Administration and European Medicines AgencyJ.Ther Innov Regul Sci2022565):753-764.

         23 Askin S Burkhalter D Calado G et al. Artificial intelligence applied to clinical trials opportunities and challengesJ.Health Technol2023132):203-213.

         24 WHO. Guidance for best practices for clinical trialsEB/OL.2024-09-25)[2025-03-12.https//www.who.int/publications/i/item/9789240097711.

Outlines

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