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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vedomostiregmed</journal-id><journal-title-group><journal-title xml:lang="ru">Регуляторные исследования и экспертиза лекарственных средств</journal-title><trans-title-group xml:lang="en"><trans-title>Regulatory Research and Medicine Evaluation</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">3034-3062</issn><issn pub-type="epub">3034-3453</issn><publisher><publisher-name>Federal State Budgetary Institution ‘Scientific Centre for Expert Evaluation of Medicinal Products’ of the Ministry of Health of the Russian Federation (FSBI ‘SCEEMP’)</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">vedomostiregmed-61</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ ФАРМАКОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL PHARMACOLOGY</subject></subj-group></article-categories><title-group><article-title>Клинические исследования лекарственных средств у беременных: отношение ожидаемой пользы к возможному риску?</article-title><trans-title-group xml:lang="en"><trans-title>Clinical trials in pregnancy: evaluation of benefit/risk?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сокова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sokova</surname><given-names>E. A.</given-names></name></name-alternatives><email xlink:type="simple">sokova2@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бунятян</surname><given-names>Н. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Bunyatyan</surname><given-names>N. D.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мазеркина</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Mazerkina</surname><given-names>I. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Демидова</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Demidova</surname><given-names>O. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Александрова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Aleksandrova</surname><given-names>T. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Научный центр экспертизы средств медицинского применения» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Institution «Scientific Center for Expert Evaluation of Medicinal Products» of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>13</day><month>02</month><year>2018</year></pub-date><volume>0</volume><issue>4</issue><fpage>26</fpage><lpage>31</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сокова Е.А., Бунятян Н.Д., Мазеркина И.А., Демидова О.А., Александрова Т.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Сокова Е.А., Бунятян Н.Д., Мазеркина И.А., Демидова О.А., Александрова Т.В.</copyright-holder><copyright-holder xml:lang="en">Sokova E.A., Bunyatyan N.D., Mazerkina I.A., Demidova O.A., Aleksandrova T.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.vedomostincesmp.ru/jour/article/view/61">https://www.vedomostincesmp.ru/jour/article/view/61</self-uri><abstract><p>С точки зрения фармакотерапии беременность представляет собой специфическую фазу жизни, которая отличается от всех других фаз жизни по медицинским, этическим и правовым основам. В статье рассматриваются научные, этические и некоторые регуляторные принципы включения беременных женщин в клинические исследования лекарственных средств, обосновывается необходимость их проведения с позиции клинической фармакологии. Клиническая ценность исследований по оценке отношения ожидаемой пользы к возможному риску при проведении фармакотерапии у беременных диктует необходимость развития данного научного направления.</p></abstract><trans-abstract xml:lang="en"><p>In terms of pharmacotherapy, pregnancy is a specific phase of life that is different from all the other phases of the life of medical, ethical and legal framework. The article examines the scientific, ethical and regulatory principles of inclusion of pregnant women in the clinical trials of drugs, the necessity for them is justified from the point of clinical pharmacology. The clinical value assessment studies regarding the expected benefits to the possible risks during the pharmacotherapy in pregnancy necessitates the development of this scientific direction.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>pregnancy</kwd><kwd>drugs</kwd><kwd>clinical trials</kwd><kwd>safety</kwd><kwd>efficacy</kwd><kwd>metabolism</kwd><kwd>pharmacogenetics</kwd><kwd>беременность</kwd><kwd>лекарственное средство</kwd><kwd>клиническое исследование</kwd><kwd>безопасность</kwd><kwd>эффективность</kwd><kwd>метаболизм</kwd><kwd>фармакогенетика</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Briggs GG, Freeman RK, Yaffe SJ. A reference guide to fetal and neonatal risk. Drugs in pregnancy and lactation. 9th edition. Philadelphia: Lippincott Williams&amp;Wilkins; 2014.</mixed-citation><mixed-citation xml:lang="en">Briggs GG, Freeman RK, Yaffe SJ. 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