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中国临床药理学与治疗学 ›› 2021, Vol. 26 ›› Issue (6): 714-720.doi: 10.12092/j.issn.1009-2501.2021.06.016

• 综述与讲座 • 上一篇    下一篇

人体生物等效性临床试验中健康受试者筛选标准探讨

孙宇宸,刘银辉,张贤,袁通,荆梦瑶,张新宇,杨劲   

  1. 中国药科大学药学院,南京 210009,江苏
  • 收稿日期:2020-10-30 修回日期:2021-02-15 出版日期:2021-06-26 发布日期:2021-07-06
  • 通讯作者: 杨劲,男,博士,教授,主要从事药物代谢动力学研究。 E-mail: cpu_yj@163.com
  • 作者简介:孙宇宸,男,硕士研究生,主要从事临床药理学研究。 E-mail: syc2020161375@163.com
  • 基金资助:
    中国药科大学“双一流”建设项目(CPU2018GY24)

Exploration of screening criteria for healthy volunteers in human bioequivalence clinical trials

SUN Yuchen, LIU Yinhui, ZHANG Xian, YUAN Tong, JING Mengyao, ZAHNG Xinyu, YANG Jin   

  1. Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Nanjing 210009, Jiangsu, China 
  • Received:2020-10-30 Revised:2021-02-15 Online:2021-06-26 Published:2021-07-06

摘要: 人体生物等效性试验是评价制剂质量的重要一环,虽然已有大量药物安全性数据和临床应用数据,研究药物仍可能存在对健康受试者的伦理风险。本文归纳了健康受试者的定义,总结了健康受试者的一般纳排标准、辅助纳排标准、考虑药物特殊性的纳排标准,讨论了健康受试者招募中检测异常值是否具有临床意义的判断依据、提高筛选通过率的考虑因素,以期为人体生物等效性试验的顺利开展提供有益参考。

关键词: 人体生物等效性试验, 筛败率, 纳入标准, 排除标准, 健康受试者

Abstract: Human bioequivalence testing is an important part of evaluating the quality of a formulation. Although these drugs have a large amount of safety data and clinical application data, they may still have ethical risks in healthy subjects. The definition of healthy volunteers, the general inclusion and exclusion criteria, auxiliary inclusion and exclusion criteria, and inclusion and exclusion criteria considering drug specificity are summarized. The basis for determining whether abnormal test values are clinically significant when screening healthy subjects and the considerations for improving the screening pass rate are discussed. It is expected to provide useful reference for the smooth implementation of human bioequivalence testing.

Key words: human bioequivalence test, screening failure rate, inclusion criteria, exclusion criteria, healthy volunteers

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