Evidence map›Paper›PMID 41199657›Full record

ArticleJournal of evidence-based medicine2025

Quality of Drug Clinical Trials in China: A Mixed Methods Research.

Xiayan Chen, Hongling Chu, Xiaofang Zhang, Huijuan Li, Jiaxue Meng, Yangfeng Wu

Abstract read
In one paragraph

Article in Journal of evidence-based medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xiayan ChenPeking University First Hospital, Beijing, China.
Hongling ChuResearch Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.
Xiaofang ZhangClinical Research Institute, Institute of Advanced Clinical Medicine, Peking University, Beijing, China.
Huijuan LiClinical Research Institute, Institute of Advanced Clinical Medicine, Peking University, Beijing, China.
Jiaxue MengClinical Research Institute, Institute of Advanced Clinical Medicine, Peking University, Beijing, China.
Yangfeng WuClinical Research Institute, Institute of Advanced Clinical Medicine, Peking University, Beijing, China.

Funding

R&D-Based Pharmaceutical Association Committee (RDPAC), under the China Association of Enterprises with Foreign Investment (CAEFI)
6 · The paper itself

Abstract

aimThe quality of drug clinical trials is crucial for authorizing new drugs and fostering innovations in clinical practice. This study aimed to report the status, trends, and factors of the quality of drug clinical trials in China.

methodsThis mixed methods study assessed trial quality using quantitative data from public sources and qualitative data from focus groups and interviews with key stakeholders.

resultsThe No Action Indicated findings issued by the Food and Drug Administration increased from 43% from 2009-2015 to 88% from 2016-2022, whereas the Official Action Indicated findings decreased from 9% to 0% (p = 0.001). The Center for Food and Drug Inspection revealed that 12% of new drug applications in 2015-2017 were suspected of data fabrication, compared to only 0.6% failed to pass the inspection in 2022 (p < 0.001). Number of drug trials published by Chinese institutions in top medical journals increased from 1.3% in 2009 to 4.9% in 2022 (p for trend <0.001). Moreover, the number of clinical trial guidelines increased from approximately 10/year from 2015-2019 to 50-60/year from 2020-2022, number of internationally accredited ethics committees increased from 4 in 2009 to 82 in 2022, and over 130,000 individuals received training on the International Council for Harmonization guidelines. Interviews with stakeholders revealed a consensus on quality improvement, attributed to seven key factors, and highlighted further recommendations to enhance clinical trial quality in China.

conclusionsThe quality of drug clinical trials in China has significantly improved over the past decade, yet there remains scope for further enhancement.

Indexed as

Clinical Trials as TopicChinaFocus GroupsHumansclinical trialsdrug clinical developmentqualitative analysisquantitative analysisstudy quality

Identifiers

PMID41199657
PMCPMC12750488

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.