中国遗传性视网膜疾病临床试验有效性评价专家共识

标题: 中国遗传性视网膜疾病临床试验有效性评价专家共识
title: Expert consensus on the efficacy outcome measurements in clinical trials for inherited retinal diseases in China
版本: 原创版
version: Original
分类: 专家共识
classification: Experts consensus
领域: 其他
field: Others
国家和地区: 中国
Country and region: China
指南使用者:
Guide users:
证据分级方法: 不适用
Evidence grading method: Not applicable
制定单位: 中华医学会眼科学分会眼底病学组, 中国医师协会眼科医师分会眼底病专业委员会
Formulating unit: Fundus Disease Group of Ophthalmology Society of Chinese Medical Association, and Fundus Disease committee of Ophthalmology Society Chinese Medical Doctor Association
注册时间: 2022-06-18
Registration time:
注册编号: IPGRP-2022CN351
Registration number:
指南制订的目的: 近年来以基因治疗为代表的新兴精准医学技术的高速发展,为遗传性视网膜疾病(IRDs)等过去尚无有效治疗方法的罕见致盲性眼病带来了治疗的希望。虽然过去十年内IRD相关药物临床试验在全球范围内加速发展,但由于IRDs存在高度基因及临床表型异质性,同时流行病学和疾病自然病程等研究有限,导致此类临床试验缺乏公认的研究终点及评价方法,这对研究设计和临床实践应用等方面提出了多重挑战。目前 针对IRDs药物临床试验疗效终点及评价方法尚未形成系统的规范化指导意见 。因此,为了规范IRDs临床试验有效性评价及终点指标选择 ,中华医学会眼科学分会眼底病学组以及中国医师协会眼科医师分会眼底病专业委员会组织国内相关专家,经过反复讨论,提出了我国IRDs药物临床试验疗效终点及评价指标的规范化意见 ,供临床医师在临床研究和实践中参考应用,旨在促进我国IRD临床试验及自然病程研究的设计水平的提高和 有效地评估疾病进展及干预疗效 ,随着医学科学和临床试验发展,相关内容将不断完善与更新。
Purpose of the guideline: Rapid development of recently emerging precision medicine techniques represented by gene therapy has brought hope for the treatment of rare blinding eye diseases such as inherited retinal diseases (IRDs) for which there was no effective treatment previously. Although the globally growth of clinical trials for IRDs has increased rapidly over the past decade, due to the high genetic and clinical phenotypic heterogeneity of IRDs, as well as limited data on epidemiology and natural history of the disease, such studies lack standard outcome measurements and endpoints, posing multiple challenges in terms of study design and clinical practice application. At present, there is no systematic and standardized guidance on clinical outcome measurements and endpoints for clinical trial design in IRDs. Therefore, in order to standardize the evaluation of IRD clinical research outcomes and end-point indicators, the Fundus Disease Group of Ophthalmology Society of Chinese Medical Association and Chinese Medical Doctor Association organized domestic experts to put forward standardized opinions on outcome measurements and endpoints for clinical study design in IRDs, aiming to advance the study design of IRDs natural history research and clinical trials and to effectively evaluate disease progression and intervention efficacy.