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There appears to be some room for manoeuvre in the legislation with regard to the interpretation of ¡®¡®good clinical practice.¡¯¡¯ Instead of accepting each new layer of bureaucracy the academic com-munity should clarify these developments, using legal advice where necessary. The cost-effectiveness of the type of procedures that ICH GCP generates is untested. For example, it has been estimated that the cost of a single ¡®¡®data query¡¯¡¯ is US$150. Robert Califf notes that this is a ¡®¡®colossal waste of money,¡¯¡¯ and that a more effective and scientific method would be to use sampling and the statistical process control techniques that are found in other indus-tries (such as engineering and manufac-turing) [41]. In short, there is no evidence that the intense bureaucracy of centralised politically driven procedures for ICH GCP has improved the care of trial participants in any way |
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There appears to be some room for manoeuvre in the legislation with regard to the interpretation of ¡®¡®good clinical practice.¡¯¡¯ ¶Ô¡°ÁÙ´²Êµ¼ùÖ¸ÄÏ¡±µÄ½âÊÍ£¬ÔÚ·¨¹æÉÏÓÐÒ»¶¨µÄ²Ù×÷¿Õ¼ä¡£ |

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