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Retrospective analysis on protocol violation of anti-tumor drug clinical trials from the perspective of ethical review
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Lei ZHANG1, Chun-yi HAO2, Jie LI3
Chinese Journal of New Drugs | 2023, 32(23) : 2411 - 2416
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Chinese Journal of New Drugs | 2023, 32(23): 2411-2416
Retrospective analysis on protocol violation of anti-tumor drug clinical trials from the perspective of ethical review
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Lei ZHANG1, Chun-yi HAO2, Jie LI3
Affiliations
  • 1Medical Ethics Committee, Peking University Cancer Hospital & Institute/Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Beijing 100142, China
  • 2Department of Gastrointestinal Oncology, Peking University Cancer Hospital & Institute/Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Beijing 100142, China
  • 3Department of Hepato Pancreato-Biliary Surgery, Peking University Cancer Hospital & Institute/Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Beijing 100142, China
Published: 2023-12-15
Outline
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To analyze the pattern, characteristics and causes of protocol violation in anti-tumor drug clinical trials from the perspective of ethical review. The number and categories of violation projects were retrospectively analyzed and compared in different departments and the area of clinical trials (domestic or international). The impact of protocol violation on clinical trials carried out in our hospital from 2018 to 2021 was also analyzed. From 2018 to 2021, 1256 protocol violation cases occurred in clinical trials of anti-tumor drugs carried out in our hospital. The number of continuous protocol violations (318, 25.32%) was the largest, and the number of researchers' failure to cooperate with supervision/audit (6, 0.50%) was the fewest. The difference in the number of protocol violation between internal and surgical, domestic and global clinical trials were both statistically significant (P<0.01). The proportion of protocol violations affecting the safety, rights of subjects and trials results were 5.81%, 4.78% and 5.41%, respectively. Various protocol violations may occur during clinical trials of anti-tumor drugs. In order to improve the quality of clinical trials, it can be effectively avoided by strengthening quality control and conducting targeted training for the research team and subjects.

ethical review  /  anti-tumor drug clinical trials  /  protocol violations  /  retrospective analysis
Lei ZHANG, Chun-yi HAO, Jie LI. Retrospective analysis on protocol violation of anti-tumor drug clinical trials from the perspective of ethical review[J]. Chinese Journal of New Drugs, 2023 , 32 (23) : 2411 -2416 .
Year 2023 volume 32 Issue 23
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  • Online Date:2026-03-05
  • Published:2023-12-15
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  • Accepted:2022-09-22
Affiliations
    1Medical Ethics Committee, Peking University Cancer Hospital & Institute/Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Beijing 100142, China
    2Department of Gastrointestinal Oncology, Peking University Cancer Hospital & Institute/Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Beijing 100142, China
    3Department of Hepato Pancreato-Biliary Surgery, Peking University Cancer Hospital & Institute/Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Beijing 100142, China
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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
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占总种数比例
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Number of
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Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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