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非酒精性脂肪性肝炎新药临床试验:设讣和实践中的挑战

茅益民

临床肝胆病杂志2017,Vol.33Issue(12):2292-2295,4.
临床肝胆病杂志2017,Vol.33Issue(12):2292-2295,4.DOI:10.3969/j.issn.1001-5256.2017.12.007

非酒精性脂肪性肝炎新药临床试验:设讣和实践中的挑战

Clinical trials of investigational new drugs for nonalcoholic steatohepatitis:challenges in design and practice

茅益民1

作者信息

  • 1. 上海交通大学医学院附属仁济医院,上海市消化疾病研究所,上海市脂肪性肝病诊治研究中心,上海交通大学医学院临床研究中心,上海 200127
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摘要

Abstract

Research and development of investigational new drugs for nonalcoholic fatty liver disease is now a research hotspot in the field of liver disease. However,there are still great challenges in protocol design and implementation in phase Ⅱ/ Ⅲ clinical trials. Since there are still controversies over the exact histological definition of nonalcoholic steatohepatitis in the academic world and a lack of long - term large -scale studies on the natural history and clinical pathology of nonalcoholic fatty liver disease/ nonalcoholic steatohepatitis,we still face a lot of challenges in the selection and definition of study population,selection of study endpoints,and interpretation of true clinical value. In addi-tion,such clinical trials often have various confounding factors,which should be controlled as much as possible in protocol design and imple-mentation,in order to minimize the bias in research conclusions.

关键词

非酒精性脂肪性肝炎/临床试验/药物设计

Key words

nonalcoholic steatohepatitis/clinical trial/drug design

分类

医药卫生

引用本文复制引用

茅益民..非酒精性脂肪性肝炎新药临床试验:设讣和实践中的挑战[J].临床肝胆病杂志,2017,33(12):2292-2295,4.

基金项目

十三五科技重大专项(2017ZX09304016) (2017ZX09304016)

国家自然科学基金(81670524) (81670524)

上海交通大学医学院多中心临床研究项目资助 ()

上海申康医院发展中心临床创新三年行动计划资助 ()

临床肝胆病杂志

OA北大核心CSTPCD

1001-5256

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