CHINESE JOURNAL OF MEDICINAL GUIDE >
Expert Consensus on the Management of Healthy Subjects/Participants in Phase I/Bioequivalence Clinical Trials
Received date: 2025-10-20
Revised date: 2026-03-05
Accepted date: 2026-06-28
Online published: 2026-08-17
With the rapid development of Phase I clinical trials and bioequivalence trials (BE trials) in China, the scale of clinical research targeting healthy subjects/participants continues to expand. However, its management faces multiple challenges such as insufficient risk assessment, non-standardized processes, and inadequate communication, which directly impact subject safety and the quality of trial data. To better construct the Phase I/BE clinical trial ecosystem, standardize and strengthen the management of healthy subjects/participants, protect their rights and safety, and ensure that clinical trial data is scientific, authentic, and reliable, the Guangdong Pharmaceutical Association organized experts to develop the "Expert Consensus on the Management of Healthy Subjects/Participants in Phase I/BE Clinical Trials" based on a comprehensive analysis of practical experience. Addressing the group characteristics of healthy subjects/participants, specific implementation suggestions are proposed throughout the entire process of recruitment management, duplicate checking and medical history inquiry, communication and education, daily management of Phase I wards, privacy and information protection for healthy subjects/participants in Phase I/BE clinical trials. It emphasizes that healthy subjects/participants are important contributors to clinical trials, and efforts should be made to actively promote the interconnection and interoperability of subject duplicate checking systems, explore the application of artificial intelligence, electronic monitoring, and other technologies in subject management, and continuously optimize the "subject/participant-centered" management model. This consensus aims to provide reference for the implementation of Phase I/BE clinical trials and the standardized management of healthy subjects/participants, supporting the high-quality development of clinical research for innovative drugs in China.
PAN Yunyun, XIE Zhihong, LIU Yiming, YE Suiwen, CHEN Lili, WEN Xin, CHEN Yili, DU Yanping, HE Shuai, LIANG Weixiong, XU Zhongyuan, YANG Zhongqi, YE Lika, ZHANG Xun, ZOU Yanqin
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Expert Consensus on the Management of Healthy
Subjects/Participants in Phase I/Bioequivalence Clinical Trials
[1] 阳国平,许重远.药物临床试验概论[M].北京:科学出版社,2025.
[2] 原国家食品药品监督管理总局.以药动学参数为终点评价指标的化学药物仿制药人体生物等效性研究技术指导原则[EB/OL].(2016-03-08)[2025-10-20]. https://www.cde.org.cn/zdyz/domesticinfopage?zdyzIdCODE=1e218f70d9b7c99c2663de9f6655bc5b.
[3] 国家药品监督管理局,国家卫生健康委员会.药物临床试验机构管理规定[EB/OL](2019-11-29)[2025-10-20].https://www.gov.cn/gongbao/content/2020/content_5496785.htm.
[4] 周运翱,万钢,张如意,等.健康受试者参加药物Ⅰ期临床试验动机及影响因素[J].中国研究型医院,2024,11(2):1-6.
[5] 广东省药学会药物临床试验专业委员会.药物临床试验 受试者招募·广东共识(2016)[J].今日药学,2016,26(5): 289-290.
[6] 王琎,胡晓,张兰.早期药物临床试验中健康受试者管理的常见问题与对策[J].中国当代医药,2024,31(7):168-171.
[7] 国家药品监督管理局食品药品审核查验中心.药物Ⅰ期临床试验管理指导原则[EB/OL].(2025-06-20)[2025-10-20].https://www.cfdi.org.cn/cfdi/resource/news/16424.html.
[8] 毛肖萌,张菁,戴静怡,等.创新药食物影响研究中的受试者管理[J].中国临床药理学杂志,2023,39(12):1082-1084.
[9] 国家药品监督管理局,国家卫生健康委员会.药物临床试验质量管理规范[EB/OL].(2020-04-26)[2025-10-20].https://www.nmpa.gov.cn/xxgk/fgwj/xzhgfxwj/20200426162401243.html.
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