1.黑龙江中医药大学附属第一医院,黑龙江省哈尔滨市和平路26号,150040
2.黑龙江中医药大学
3.黑龙江省医院
xiaokewu2002@vip.sina.com,(0451) 82130094
收稿:2020-06-06,
修回:2021-06-28,
纸质出版:2021-09-17
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高敬书,王宇,朱梦一等.不孕症中医临床试验病例报告表设计思路[J].中医杂志,2021,62(18):1588-1593.
GAO Jingshu,WANG Yu,ZHU Mengyi,et al.The Design of Case Report Form of Traditional Chinese Medicine Clinical Trials in Infertility[J].Journal of Traditional Chinese Medicine,2021,62(18):1588-1593.
高敬书,王宇,朱梦一等.不孕症中医临床试验病例报告表设计思路[J].中医杂志,2021,62(18):1588-1593. DOI: 10.13288/j.11-2166/r.2021.18.006.
GAO Jingshu,WANG Yu,ZHU Mengyi,et al.The Design of Case Report Form of Traditional Chinese Medicine Clinical Trials in Infertility[J].Journal of Traditional Chinese Medicine,2021,62(18):1588-1593. DOI: 10.13288/j.11-2166/r.2021.18.006.
临床试验中病例报告表(CRF)的设计会直接影响临床试验的数据收集与整个试验质量。基于多项多中心、大样本中医不孕症临床试验经验,提出中医不孕症临床试验CRF设计需体现记录内容与研究方案的一致性,还需反映女性妊娠与生产阶段的特殊生理与病理特点以及中医干预的特异性。针对不孕症这一疾病,临床试验CRF设计中需要明确孕产相关名词的定义,需重视收集试验中主要事件的时间节点,应设置随访版块以获得受试者终点结局和孕产期的安全性指标,还应分阶段、分人群地进行不良事件信息的采集。同时,CRF的设计还应参考国内外不同临床试验报告标准或规范的要求,充分、全面地收集针刺、中药复方等中医特色干预措施的细节及不良事件相关信息。
The quality of case report form (CRF) in clinical trials directly affects the quality of the research data
even the clinical trials. Based on the experience of conducting several multi-center large-sample traditional Chinese medicine (TCM) clinical trials in fertility
this paper proposed that CRF of TCM clinical trials in infertility should be designed following the consistency principle between recorded content and research protocol; moreover
the specific physiological and pathological characteristics during pregnancy and childbirth as well as the specificity of TCM interventions should be reflected. Regarding infertility clinical trials
pregnancy and childbirth-related terms should be defined when designing the CRF
and major events at important timepoints should be collected; the follow-up part should be set to obtain the end-point outcomes and safety indicators related to pregnancy and childbirth; and the adverse events should be collected by different stages and for different population. Additionally
national and international reporting standards or specifications of clinical trials should be referred to
thus developing a qualified CRF to collect the details of TCM interventions such as acupuncture and Chinese herbal formulas as well as adverse events in a thorough and systematic way.
廖鹏 , 乔冠华 , 金鑫 , 等 . “双一流”中医院校科研基金资助现状与竞争力研究 [J]. 中医杂志 , 2019 , 60 ( 19 ): 1651 - 1656 .
LIU Z , LIU Y , XU HL , et al . Effect of electroacupuncture on urinary leakage among women with stress urinary incontinence: a randomized clinical trial [J]. JAMA , 2017 , 317 ( 24 ): 2493 - 2501 .
中华人民共和国科学技术部 . “重大新药创制”科技重大专项新闻发布会 [EB/OL].( 2019-08-01 )[ 2020-06-01 ]. http://www.most.gov.cn/xinwzx/xwzx/twzb/fbh1907 3101/index.htm http://www.most.gov.cn/xinwzx/xwzx/twzb/fbh19073101/index.htm .
何丽云 , 刘保延 , 梁志伟 , 等 . 临床研究中数据管理及其质量评价 [J]. 中国新药与临床杂志 , 2005 , 24 ( 11 ): 916 - 919 .
万霞 , 杨红 , 刘建平 . 临床试验中病例报告表的设计 [J]. 中医杂志 , 2007 , 48 ( 10 ): 885 - 887 .
U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) ,
Center for Biologics Evaluation and Research (CBER) . E 6 (R2) Good Clinical Practice: Integrated Addendum to ICH E 6 (R 1 ) [EB/OL]. ( 2018-08-24 ) [ 2021-08-10 ]. https://www.fda.gov/media/93884/download https://www.fda.gov/media/93884/download .
卜擎燕 , 熊宁宁 , 邹建东 . 从临床研究数据管理角度设计病例报告表 [J]. 中国新药杂志 , 2007 , 16 ( 5 ): 339 - 343 .
BELLARY S , KRISHNANKUTTY B , LATHA MS . Basics of case report form designing in clinical research [J] . Perspect Clin Res , 2014 , 5 ( 4 ): 159 - 166 .
WU XK , STENER VE , KUANG HY , et al . Effect of acupuncture and clomiphene in Chinese women with polycystic ovary syndrome a randomized clinical trial [J]. JAMA , 2017 , 317 ( 24 ): 2502 - 2514 .
WU XK , WANG YY , LIU JP , et al . Letrozole, berberine, or a combination for infertility in Chinese women with polycystic ovary syndrome: a multicentre, randomised, double-blind, placebo-controlled trial [J]. Lancet , 2015 , 386 : S70 - S70 . doi: 10.1016/j.fertnstert.2016.05.022 http://dx.doi.org/10.1016/j.fertnstert.2016.05.022 .
高敬书 , 吴效科 , 马红丽 , 等 . 大型不孕症临床试验的质量控制与方案依从性事件 [J]. 中华中医药杂志 , 2018 , 33 ( 8 ): 3666 - 3670
高敬书 , 于佳瑞 , 吴效科 , 等 . 不孕症临床试验妊娠随访质量提升策略 [J]. 中华中医药杂志 , 2018 , 33 ( 8 ): 3471 - 3476 .
高敬书 , 王宇 , 蔡汪宇 , 等 . 不孕症大型临床试验的数据核查策略 [J]. 中华中医药杂志 , 2017 , 32 ( 11 ): 4997 - 5000 .
高敬书 , 王桂媛 , 刘松江 , 等 . 中医临床试验数据收集的短板与对策 [J]. 中华中医药杂志 , 2016 , 31 ( 10 ): 3881 - 3883 .
Harbin Consensus Conference Workshop Group . Improving the reporting of clinical trials of infertility treatments (IMPRINT): modifying the CONSORT statement [J]. Hum Reprod , 2014 , 29 ( 10 ) : 2075 - 2082 .
LEGRO RS , BRZYSKI RG , DIAMOND MP , et al . Letrozole versus Clomiphene for Infertility in the Polycystic Ovary Syndrome [J]. N Engl J Med , 2014 , 371 ( 2 ): 119 - 129 .
高敬书 , 沈文娟 , 王桂媛 . 不孕症临床试验产科结局的追踪策略 [J]. 中华中医药杂志 , 2015 , 30 ( 11 ): 3996 - 3998 .
CHENG CW , WU TX , SHANG HC , et al . CONSORT extension for Chinese herbal medicine formulas 2017: recommendations, explanation, and elaboration (simplified Chinese version) [J]. Ann Intern Med , 2017 , 167 ( 2 ): W21 - W34 .
MACPHERSON H , ALTMAN DG , HAMMERSCHLAG R , et al . Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement [J]. PLoS Med , 2010 , 7 ( 6 ): e1000261 .
WANG CC , LI L , TANG LY , et al . Safety evaluation of commonly used Chinese herbal medicines during pregnancy in mice [J]. Hum Reprod , 2012 , 27 ( 8 ): 2448 - 2456 .
张正付 , 李萌 , 燕娟 , 等 . 药物临床试验中不良事件的案例收集与评判 [J]. 中国临床药理学杂志 , 2020 , 36 ( 23 ): 3957 - 3961 .
BIRCH S , ALRAEK T , NORHEIM AJ . Acupuncture Adverse Events in China: A Glimpse of Historical and Contextual Aspects [J]. J Altern Complement Med , 2013 , 19 ( 10 ): 845 - 850 .
HE WJ , ZHAO X , LI YQ , et al . Adverse events following acupuncture: a systematic review of the Chinese literature for the years 1956-2010 [J]. J Altern Complement Med , 2012 , 18 ( 10 ): 892 - 901 .
CLARKSON CE , O'MAHONY D , JONES DE . Adverse event reporting in studies of penetrating acupuncture during pregnancy: a systematic review [J]. Acta Obstet Gynecol Scand , 2015 , 94 ( 5 ): 453 - 464 .
岑小波 , 韩玲 . 中药新药非临床安全性研究和评价的思考 [J]. 中国药理学与毒理学杂志 , 2016 , 30 ( 12 ): 1343 - 1358 .
宋芳娇 , 翟庆慧 , 贺庆娟 , 等 . 2820例药物性肝损伤临床分析 [J]. 中华肝脏病杂志 , 2020 , 28 ( 11 ): 954 - 958 .
IOANNIDIS JP , EVANS SJ , GØTZSCHE PC , et al . Better reporting of harms in randomized trials: an extension of the CONSORT statement [J]. Ann Intern Med , 2004 , 141 ( 10 ): 781 - 788 .
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