Clinical Trials of Traditional Herbal Medicines In India
اسلاید 1: www.tabaye.ir
اسلاید 2: Clinical Trials of Traditional Herbal Medicines In India Y.K.GuptaProfessor & Head,Department of Pharmacology,All India Institute of Medical Sciences, New Delhi
اسلاید 3: IntroductionUse of traditional medicines (TM) remains widespread in developing countries like India Use of complementary and alternative medicine (CAM) is increasing rapidly in developed countries For the use of large animals, permission to be obtained from Chennai office.
اسلاید 4: What includes Traditional Medicines?Diversity of health practices, approaches, knowledge, and beliefs incorporating plant, animal, and/or mineral-based medicines; spiritual therapies; manual techniques; and exercises, applied singly or in combination maintain well-being, as well as to treat, diagnose, or prevent illness …..WHO
اسلاید 5: Potential RisksDirect risks of adverse effects and drug interactionsIndirect risk that an traditional remedies without demonstrated efficacy may compromise, delay or replace an effective form of conventional treatment.
اسلاید 6: Hazardous in specific patients under special circumstances or when combined with conventional drugs.Risks….
اسلاید 7: The substance is being clinically evaluated for same indication for which it is being used or as has been described in the texts. b. An extract of a plant or a compound isolated from the plant has to be clinically evaluated for a therapeutic effect not originally described in the texts of traditional systems- new chemical entity (NCE) Never been in use before and has not ever been mentioned in ancient literature.Categories of Herbal Drugs
اسلاید 8: Methodological quality is variableQuality of the trial drug has to be tested for batch-to-batch uniformity of the active constituentsSource, processing, and final composition of the herbal product Herbal trials generally use placebo and not an active comparatorConcerns about Clinical Study Designs
اسلاید 9: Study should be adequately powered.Combined use of an herbal medication and a conventional drug considered in clinical trials Adequate doses of both herbal drug and active comparator to be usedConcerns about Clinical Study Designs….
اسلاید 10: If Design of the trial is appropriate to provide the expected outcomes for the traditional medicine.Whether the methodology limits the treatment procedure of traditional medicine.Benchmarks Of A Clinical Trial Using Herbal/Traditional Medicines
اسلاید 11: In order to avoid the loss or alteration of the efficacy of the substance, validated methods needed while adapting modern method to formulate and dispense the medicaments.Benchmarks Of A Clinical Trial Using Herbal/Traditional Medicines……..
اسلاید 12: ChallengesRegulatory Status Assessment of safety EfficacyQuality Control
اسلاید 13: Regulatory Requirements For The Conduct Of Clinical Trials on Herbal MedicinesTraditional medicines are governed by the Drugs and Cosmetics Act of 1940 and the Drugs and Cosmetics Rules of 1945.In 1959, the Government of India amended the Drugs and Cosmetics Act to include drugs which are derived from traditional Indian medicine
اسلاید 14: Regulatory Requirements…..In 1993, the guidelines for the safety and efficacy of herbal medicines developed by an expert committeeNo new herbal medicines other than those authorized by the licensing authorities be allowed to be manufactured or marketed, except for those mentioned in ancient scriptures
اسلاید 15: The procedures laid down by the office of the DCGI for allopathic drugs should be followed for all traditional and herbal products to enter into clinical trials for any therapeutic condition. Regulatory Requirements…..
اسلاید 16: Co-investigators/collaborators of the expert group are from the associations of physicians from the concerned system for designing and evaluating the Study. Regulatory Requirements…..
اسلاید 17: Phases of Clinical TrialsPhase I studies may not be necessaryNeed for testing its toxicity in animals has been considerably reduced. Toxicity study may not be needed for phase II trial unless reports suggesting toxicity/herbal preparation is to be used for more than 3 months
اسلاید 18: Larger multicentric phase III trial is subsequently planned based on results of phase II study. These trials have also got to be approved by the appropriate scientific and ethical committees of the concerned Institutes Phases of Clinical Trials…
اسلاید 19: Challenges which need to be addressedQuality control of herbal medicines is complicated and difficult Relevant appropriate requirements should be established for the assessment of safety and efficacy for different categorized herbal medicines to reduce cost and expenditureIntegration of traditional medicine into national health system
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