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艾昆纬(IQVIA):2026早期临床试验优化白皮书:降低风险并提升决策效能(中译版)(16页).pdf

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1、White PaperOptimizing Early-Phase Clinical Trials to Minimize Risk and Improve Decision-Making ELIZABETH ALLEN,PhD,Vice President,Early Phase Development Centre of Excellence,Scientific Strategy,IQVIA RAYMOND COOK,MD,Vice President,Medical Strategy for Early Phase Development,IQVIA DAPHNE C.TSITOURA

2、,MD,PhD,Vice President,Therapeutic Strategy,IQVIATable of contentsIntroduction:The increasing importance of early-phase trials in a changing environment 3Pillars of success 4Pillar one:Innovative trial design frameworks 4 Adaptive and hybrid trial designs 4 Basket trials 5 Master protocols 6 Bayesia

3、n analytics 7Pillar two:Selecting CRO partners that align scientific expertise with operational capabilities 9 Global strategies 10Pillar three:Integrated delivery 11Case Study:Early-phase study in sickle cell disease 12Future horizons:Early stage and beyond 13About the authors increasing importance

4、 of early-phase trials in a changing environmentFor more than half a century,clinical trials have adopted a model wherein phase I and II trials examine the safety,pharmacokinetics,dose range,optimal dosing,and early efficacy of a new molecule in small groups of healthy volunteers and patients.These

5、phases have traditionally operated consecutively,with phase II studies beginning after the results of phase I have been reported and statistically analyzed.Today,this paradigm is changing as the result of science evolution,intensified economic pressures,and constrained capital that have raised the c

6、osts inherent in drug development while simultaneously heightening scrutiny over investment decisions.From the earliest stages of drug development,sponsors are expected to provide strong scientific justification for investment decisions while delivering credible investment-related evidence that supp

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1. **创新试验设计框架**:采用适应性、混合和篮子试验设计,结合主协议和贝叶斯分析,加速早期决策(如剂量调整、队列扩展),提升安全性和效率。 2. **CRO伙伴选择**:需具备科学专长与运营能力,包括全球策略、治疗领域 expertise 及早期监管互动,确保数据可靠性和风险管控。 3. **整合交付模式**:从设计到执行全周期一体化,确保数据连贯性,支持无缝过渡至后期阶段,缩短FIH至概念验证时间。 4. **案例佐证**:镰刀细胞病研究中,混合适应性设计(SAD/MAD/PoC)结合早期监管互动,实现5年内FIH至NDA提交,患者临床改善显著。
早期试验如何提速? 创新设计有何优势? 如何降低早期风险?
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