Implementation exploration and ethical concerns of decentralized drug clinical trials in the oncology field
10.12026/j.issn.1001-8565.2026.05.05
- VernacularTitle:去中心化药物临床试验在抗肿瘤领域的实施探讨与伦理关注
- Author:
Hongwu LIAO
1
;
Haihong ZHANG
2
;
Jie LI
1
Author Information
1. Department of Institutional Review Board， Beijing Cancer Hospital & Beijing Institute for Cancer Research/Key Laboratory of Carcinogenesis and Translational Research 〈Ministry of Education〉， Beijing 100142， China
2. Department of Scientific Research， Peking University Health Science Center， Beijing 100191， China
- Publication Type:Journal Article
- Keywords:
decentralized clinical trial;
patient-centered;
ethical review;
digital health technology
- From:
Chinese Medical Ethics
2026;39(5):588-593
- CountryChina
- Language:Chinese
-
Abstract:
The advancement of artificial intelligence and big data has accelerated the exploration of decentralized clinical trials （DCTs）， and their future complementary relationship with traditional clinical trial models represents an inevitable trend. Given the greater complexity of preliminary research and protocol design in oncology drug clinical trials， the implementation of “decentralization” requires all stakeholders to clarify the responsibilities and authorities， enhance communication and collaboration， conduct comprehensive training， and progressively promote the integration and sharing of medical resources， thereby facilitating the establishment of a new quality and risk management framework. Concurrently， institutional review board should focus on reviewing and evaluating the scientificity， feasibility， and research risk controllability of DCT project protocol designs. It should also prioritize the implementation of informed consent norms， the management of safety event reporting and continuing review， and the protection of participants’ personal information and privacy. By adopting corresponding ethical review procedures， it emphasizes improving the risk identification and addressing capabilities of institutional review board members regarding the review projects， guiding researchers to adhere to DCT regulations. This aims to genuinely implement the “value-oriented， patient-centered” philosophy， thereby promoting the standardized and efficient conduct of DCTs.
