Process management of biological samples in phase Ⅰ clinical trials
-
摘要:
目的 Ⅰ期临床试验的生物样本管理质量直接影响临床试验结果的真实性和准确性。近几年生物样本管理问题已经是国内外十分关注的研究问题之一,本研究建立Ⅰ期临床试验生物样本的流程化管理体系,旨在提高生物样本质量和工作效率,为规范Ⅰ期临床试验的生物样本管理提供参考依据。 方法 从生物样本管理的规范化和信息化要求两个方面总结经验,阐述影响Ⅰ期临床试验生物样本质量的人员、标签标识、接收、转运、处理、设备、物资、标准操作规程(standard operating procedure,SOP)、文件管理和样本信息化管理等过程。 结果 依托生物样本信息管理系统、温度智能监控报警管理系统、专业的样本管理人员、完善的制度和SOP,建立了一套规范的生物样本流程化管理体系,提高了样本管理的质量。截至2020年12月底,共接受国家药监局现场核查42次,省药监局现场检查5次,免临床核查的试验共29个,涵盖60余个药物,均顺利通过核查。 结论 高质量的临床生物样本是Ⅰ期临床研究数据和结果的可靠性、完整性和科学性的核心因素之一。建立规范的流程化生物样本管理体系可提高药物临床试验的研究质量,能有效杜绝或减少临床试验生物样本流程化管理过程中样本转运、样本处理、出入库和日常管理等问题发生,保证药物临床试验结果的准确性、可比性和可重复性。 Abstract:Objective The quality of biological sample management in phase Ⅰ clinical trials directly affects the authenticity and accuracy of clinical trial results. In recent years, the management of biological samples has become one of the research issues of great concern in China and abroad. This study established a process management system for biological samples in phase Ⅰ clinical trials, aiming to improve the quality and efficiency of biological samples and provide a reference for standardising biological sample management in phase Ⅰ clinical trials. Methods The experience from the standardisation and information requirements of biological sample management was summarised, and the procedures that affect the quality of biological samples in phase Ⅰ clinical trials, including personnel, labelling, reception, transfer, processing, equipment, materials, standard operating procedure (SOP), document management and sample information management, were described. Results A set of standardised process management system of biological samples has been established relying on biological sample information management system, temperature intelligent monitoring and alarm management system, professional sample management personnel, complete system and SOP to improve the quality of sample management. By the end of December 2020, it has been inspected on site by the National Medical Products Administration for 42 times and the provincial Medical Products Administration for 5 times, and exempted for inspection for 29 times, covering more than 60 drugs, all of which have passed the inspection successfully. Conclusion High-quality clinical biological samples are one of the core factors for the reliability, completeness and scientificity of phase Ⅰ clinical research data and results. The establishment of a standardised process of sample management system can improve the research quality of drug clinical trials, effectively prevent or reduce the occurrence of problems such as sample transportation, sample processing, in-and-out storage and daily management during the process management of biological samples, and ensure the accuracy, comparability and repeatability of drug clinical trial results. -
Key words:
- Phase Ⅰ clinical trials /
- Biological samples /
- Informationisation /
- Process management
-
[1] 张媛媛, 王亮, 程龙妹, 等. 生物样本信息化管理的应用与挑战[J]. 中国临床药理学杂志, 2018, 34(14): 1710-1713. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYZ201814036.htm [2] HARATI M D, WILLIAMS R R, MOVASSAGHI M, et al. An introduction to starting a biobank[J]. Methods Mol Biol, 2019, 1897: 7-16. http://www.ncbi.nlm.nih.gov/pubmed/30539430 [3] BISHOP D. Rein in the four horsemen of irreproducibility[J]. Nature, 2019, 568(7753): 435. doi: 10.1038/d41586-019-01307-2 [4] BAKER M, DOLGIN E. Cancer reproducibility project releases first results[J]. Nature, 2017, 541(7637): 269-270. doi: 10.1038/541269a [5] 郜恒骏, 杜莉利, 张小燕, 等. 生物样本库发展的现状、机遇与挑战[J]. 协和医学杂志, 2018, 9(2): 172-176. doi: 10.3969/j.issn.1674-9081.2018.02.013 [6] 国家药监局, 国家卫生健康委. 2020年第57号国家药监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[EB/OL]. (2020-04-23)[2020-09-10]. https://www.nmpa.gov.cn/xxgk/ggtg/qtggtg/20200426162401243.html. [7] 朱园园, 王思扬, 任健, 等. 临床试验生物样本的处理与保存规范[J]. 中国药物与临床, 2019, 19(16): 2846-2847. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201916080.htm [8] 国家食品药品监督管理局. 2017年第77号总局关于发布仿制药质量和疗效一致性评价研制现场核查指导原则等4个指导原则的通告[EB/OL]. (2017-05-16)[2020-09-10]. https://www.nmpa.gov.cn/zhuanti/ypqxgg/ggzhcfg/20170518144401840.html. [9] 李云霏, 马黔红, 邱雯. 生物样本管理系统在药物Ⅰ期临床试验样本管理中的应用[J]. 中国新药与临床杂志, 2019, 38(9): 526-532. https://www.cnki.com.cn/Article/CJFDTOTAL-XYYL201909004.htm [10] 郭丹, 王安琪, 孙健, 等. 浅谈生物样本的质量保证与质量控制[J]. 中华临床实验室管理电子杂志, 2017, 5(1): 36-45. doi: 10.3877/cma.j.issn.2095-5820.2017.01.009 [11] 吴曼丽, 王柱清, 罗凯, 等. 临床生物样本库血液样本的可控性采集和质量管理[J]. 转化医学杂志, 2016, 5(6): 327-332. doi: 10.3969/j.issn.2095-3097.2016.06.003 [12] 周君梅, 王敏, 张勘, 等. 支撑高质量转化研究的临床研究全流程样本管理体系的建立[J]. 中国医药生物技术, 2019, 14(5): 474-476. doi: 10.3969/j.issn.1673-713X.2019.05.016 [13] 杨燕, 白楠, 唐铭婧, 等. Ⅰ期临床试验样本管理系统在我院的开发与应用[J]. 中国新药杂志, 2018, 27(24): 2925-2927. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXYZ201824015.htm [14] 胡薏慧, 汤洁, 彭朋, 等. 关于当前我国新药临床试验质量问题的思考[J]. 广东药科大学学报, 2019, 35(2): 279-284. https://www.cnki.com.cn/Article/CJFDTOTAL-GDYX201902032.htm [15] 贾雨婷, 白楠, 董瑶, 等. 基于物联网技术的Ⅰ期临床试验智能生物样本管理系统的应用与发展[J]. 中国临床药理学杂志, 2020, 36(2): 206-208. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYZ202002031.htm
点击查看大图
计量
- 文章访问数: 315
- HTML全文浏览量: 72
- PDF下载量: 14
- 被引次数: 0