#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Clinical trials in the European Union and the Czech Republic in the years 2006, 2009 and 2012


Authors: Juraj Šesták;  Věra Strnadová
Authors place of work: Veterinární a farmaceutická univerzita Brno ;  Ústav humánní farmakologie a toxikologie Farmaceutickej fakulty
Published in the journal: Čes. slov. Farm., 2014; 63, 253-262
Category: Original Articles

Summary

The aim of this paper is to analyze clinical trials conducted in the European Union and the Czech Republic in the years 2006, 2009 and 2012. The analysis has two main points of interest: characterization of the study population (the attention is paid to the age and gender profile of the subjects’ population as well as to the fact whether healthy volunteers and/or patients were enrolled) and clinical trials focus (the phases of clinical trials and therapeutic areas the trials were focused on). In addition, the aim of this paper is to discover possible differences between the EU and the CR and to find out if the implementation of Directive 2001/20/EC of the European Parliament and Council from 4th of April 2001 had any influence on the number of clinical trials being conducted (per therapeutic area and time).

Keywords:
clinical trialsfocusparticipant populationhealthy volunteersplacebo


Zdroje

1. EU Clinical Trials Register.

https://www.clinicaltrialsregister.eu/ctr-search/search.

2. European Medicines Agency. http://www.ema.europa.eu/ema/.

3. World Health Organization. ICD-10 Interactive Self Learning Tool. http://apps.who.int/classifications/apps/icd/icd10training/.

4. Bowie M. J., Schaffer R. Understanding ICD-10-CM and ICD-10-PCS: A Worktext. Clifton Park: Delmar 2011; 586 s.

5. World Health Organization.

http://apps.who.int/classifications/icd10/browse/2010/en.

6. Národné centrum zdravotníckych informácií. http://www. nczisk.sk/Standardy-v-zdravotnictve/Pages/Medzinarodna- klasifikacia-chorob-MKCH-10.aspx.

7. European Commission. Fostering EU’s attractiveness in clinical research: Commission proposes to revamp rules on trials with medicines. http://europa.eu/rapid/press-release_IP-12-795_en.htm.

8. European Commission. Proposal for a Regulation of the European Parliament and of the Council on clinical trials on medicinal products for human use, and repealing Directive 2001/20/EC. http://ec.europa.eu/health/files/clinicaltrials/2012_07/proposal/2012_07_proposal_en.pdf.

9. Directive 2001/20/EC of the European Parliament and of the Council of 4 April 2001. http://ec.europa.eu/health/files/ eudralex/vol-1/dir_2001_20/dir_2001_20_en.pdf.

10. Herper M. The Truly Staggering Cost Of Inventing New Drugs. Forbes 2012. http://www.forbes.com/sites/matthewherper/ 2011/08/03/rallying-pharmas-rebels/print/.

11. Rolandberger. Global pharmaceutical industry is in a strategic crisis – business models must be adjusted. http://www. rolandberger. com/expertise/industries/pharmaceuticals/Pharmaceutical_ industry_in_a_strategic_crisis.html.

12. Pfizer. Financial performance. http://www.pfizer.com/files/ investors/financial_reports/annual_reports/2012/performance.html.

13. Novak T., Belotserkovsky M., Payeur G. Decline of Clinical Trials in Central and Eastern Europe: Fluctuation or Trend? Applied Clinical Trials Online. http://www. appliedclinicaltrialsonline.com/appliedclinicaltrials/Online+Extras/Decline-of-Clinical-Trials-in-Central-and-Eastern-/ArticleStandard/Article/detail/ 846044?contextCategoryId=47497.

14. Státní ústav pro kontrolu léčiv. Výroční zpráva o činnosti SÚKL. http://www.sukl.cz/sukl/vyrocni-zprava-o-cinnosti-sukl.

15. Dostál O. Právní aspekty dostupnosti tzv. biologické léčby v systému veřejného zdravotního pojištění. Medicína pro promoci 2011; 12, 40–46.

16. Platforma zdravotních pojištěnců ČR. Ukončování úhrady nákladné péče: Rady pro pojištěnce. http://www. zdravotnipojistenci.cz/article/navod-ukonceni-lecby.

17. Státní ústav pro kontrolu léčiv. PASS – Poregistrační studie bezpečnosti. http://www.sukl.cz/leciva/pass-poregistracni-studie-bezpecnosti.

18. McDermott M., et al. Changes in study design, gender issues, and other characteristics of clinical research published in three major medical journals from 1971 to 1991. J Gen Intern Med 1995; 10, 13–18.

19. Melloni C., et al. The female heart is vulnerable to cardiovascular disease emerging prevention evidence for women must inform emerging prevention strategies for women. Circ Cardiovasc Qual Outcomes 2010; 3, 118–119.

20. Lee P. Y., et al. Representation of Elderly Persons and Women in Published Randomized Trials of Acute Coronary Syndromes. JAMA 2001; 286 (6), 708–713.

21. Murthy V. H., et al. Participation in Cancer Clinical Trials: Race, Sex-, and Age-Based Disparities. JAMA 2004; 291(22), 2720–2726.

22. Lewis J. H., et al. Participation of Patients 65 Years of Age or Older in Cancer Clinical Trials. Journal of Clinical Oncology 2003; 21(7), 1383–1389.

23. Hutchins L. F., et al. Underrepresentation of patients 65 years of age or older in cancer-treatment trials. N Engl J Med 1999; 341(27), 2061–2067.

24. Rochon P. A., et al. The evolution of clinical trials: inclusion and representation. JAMC 1998; 159(11), 1373–1374.

25. Národní referenční centrum pro analýzu epidemiologických dat. Očkování – trendy infekcí České republice. http://www. szu.cz/uploads/Epidemiologie/2014_Trendy_ockovacich_nakaz.pdf.

26. Česká vakcinologická společnost ČLS JEP. Otázky a odpovědi. http://www.vakcinace.eu/otazky-a-odpovedi-blue.

27. Dagan R., et al. Nasopharyngeal Carriage of Streptococcus pneumoniae Shortly before Vaccination with a Pneumococcal Conjugate Vaccine Causes Serotype-Specific Hyporesponsiveness in Early Infancy. J Infect Dis. 2010; 201(10), 1570–1579.

28. Douglas R. M., et al. Antibody Response to Pneumococcal Vaccination in Children Younger than Five Years of Age. J Infect Dis. 1983; 148(1), 131–137.

29. Galil K., et al. Younger age at vaccination may increase risk of varicella vaccine failure. J Infect Dis. 2002; 186(1), 102–105.

30. Eurostat. Health statistics – Atlas on mortality in the European Union. Luxembourg: Office for Official Publications of the European Communities 2009; 215.

31. World Health Organization. European Detailed Mortality Database: Comparison between various causes of death in one selected country. http://data.euro.who.int/dmdb/.

32. Conly J. M., Johnston B. L. Where are all the new antibiotics? The new antibiotic paradox. Can J Infect Dis Med Microbiol 2005; 16(3), 159–160.

33. Spellberg B., et al. Trends in antimicrobial drug development: Implications for the future. Clin Infect Dis 2004; 38, 1279–1286.

34. World Medical Association. WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects. http://www.wma.net/en/30publications/10policies/b3/index.html.

35. Niedzielska D. L. The Reality of Clinical Trials in Central and Eastern Europe. Journal of Clinical Research Best Practices 2013; 9(5).

36. Pricewaterhousecoopers. Clinical trials in Poland – key challenges. http://www.pwc.com/en_gx/gx/pharma-life-sciences/assets/ clinical-trials-in-poland-2010.pdf.

37. Covance. Central and Eastern Europe Plays Increasingly Leading Role in Clinical Trials. http://blog.covance.com/2013/09/central-eastern-europe-plays-increasingly-leading-role-clinical-trials/.

38. Cerny K., Lins R., Goethals F. Early phase studies in patients: A multicenter approach offers new opportunities within enlarged EU. http://www.sgs.com/~/media/Global/Documents/ Technical%20Documents/SGS-Clinical-CEE-In-Patients-EN-09.pdf.

Štítky
Pharmacy Clinical pharmacology
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#