1058
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Klin272480400107446583131
Farmakol2871804001074278105179220258305325
Farm.3212804001074178104179195
2026;40(2):108-1113423804001074487128170185229275299342364379416455500529567602636
/41048040010732
KLINICKÁ4182804001074488109168189242288346
FARMAKOLOGIE4546804001074191138210265311372414474533554597
A51618040010753
FARMACIE5231804001074291138211265317337380
11156558020012657107157
HLAVNÍ4945200012671127198263336370
TÉMA5337200012657114204274
Environmental404636001063071110127162203245299330372404440471
sustainability453336001063171103136172189231270306324355373405444
in499336001061556
clinical50653600106326481122140174216247
research532836001063365100131173208243284
material343620010976123155203235259306330
on703620010950103
sustainable83662001093789127161208231284331385410458
trial13246200109316387133157
designs.1511620010952100139163216269307329
The1870620010946100149
majority343760010975121145197229252284332
of70476001095078
existing81176001094691114152184207260312
resources115376001092976114167219250293339377
have155976001095196140187
an177576001094496
occasional19007600109509334390001094187125148200253299323
character69590001094193139171217260295342374
and109990001094396150
provide127890001095284136181205259307
useful161490001095088136165218242
introductions,188690001092173105343104001093082137189233268291344398435457
but8301040010952105138
are998104001094476124
insufficient1152104001092174112165194226253296319368421453
given1635104001095175121169222
the1887104001093083132
scale,343118001093782130155205227
complexity,608118001094295176232258308355380414464482
and11281180010945100155
multidisciplinary13221180010977131156190215271295335380405460486511565613647697
nature343132001095096127179211258
of630132001095079
the738132001093082130
challenges897132001094092138161184232285338386424
of1350132001094978
implementing1457132001092199152176224302350402434457509562
sustainability343146001093688126159206229282328382406430453486533
principles906146001095284108161204227281306354392
into1328146001092174106157
clinical151514600109416488140164207253277
research1822146001093077116164343160001094375117168
(20,534160001092672120140
27,696160001094793104
28,823160001094694115
30,961160001094694114
32,1097160001094792113
33).1232160001094793118136
In483174001092273
order583174001095081133179210
to821174001093080
raise92817400109297497133180
awareness11351740010944110155186232283330367404
of1566174001095077
sustainability167117400109358612215419922227331734318800109527598121153200
in571188001092173
clinical67318800109406386138161203249272
trials97318800109316285130153191
via1192188001094467112
education1333188001094599151194240271294346398
and1759188001094497150
to1937188001093081
address343202001094394146176221257293
this653202001093080101137
educational807202001094496146187231261283333383427449
gap,1273202001095094145163
the1454202001092979125
ERASMUS+1596202001094492150195267325369423
GREEN-TRIALS3432160010959109156202262294336387411468512559
project930216001095183134157204247280
had1238216001095095148
been14142160010952100147199
proposed1641216001095283134188240277324378
by343230001095398
the471230001093084132
Masaryk6332300010975122160207239288334
University,9972300010960113136183230263302325358406423
the1450230001093184133
University16132300010960112136182230262302325358406
College3432440010953103127149197250298
Cork,6692440010953103135179202
the899244001093082129
NOVA10562440010960125177230
University13142440010959110133179225256295317349396
Lisbon,1738244001094366103156208261281
the343258001093184133
University5092580010960113137184231264304327360408
of950258001095180
Nicosia,1063258001096185129181219243289311
and1407258001094498153
ECRIN15932580010945100152177240
and1866258001094598153
launched343272001092268120173217270318373
as745272001094482
part8562720010953100132167
of1051272001095180
the1160272001093083132
same1321272001093683162211
consortium1561272001094192146184236269304327379458
in343286001092276
November4702860010961116163212293349400434
2025.954286001094898147198219
The12242860010946101152
GREEN-TRIALS14262860010960114163212276310356410436496542593
project343300001095284136159207251285
focuses656300001092779123174212260298
on9823000010951103
integrating1114300001092174105152206237283315338390443
sustainability158530000109378812615920522828032638040334331400109224578126
principles500314001095385109162206229284308357395
into926314001092275107159
the1116314001093184133
trial127931400109316387133157
methodology14673140010977126159212265320374398451506552
curriculum343328001094193124156179222274297349426
and798328001094496149
creating976328001094172119165196219271324
highly1328328001095174127179202247
innovative1603328001092274126178223269301323369416
structured34334200109366899150192226277307354407
learning778342001092168113144195218269321
resources1127342001092976113164216247288334371
covering1525342001094191135181212235286338
the1891342001093081128
topic213862001093080132155196
from235962001092657108184
broad256762001095182133178230
perspectives.282162001095199129167219266309342364408454491511
The335662001094597144
GREENTRIALS3524620010958108154199259213876001094595119175218265
project’s243076001095182133156202245278301335
primary279276001095182105181226256303
target312276001093075106157204235
population3385760010951103155207229274304326377429
is213890001092158
undergraduate2224900010950102156203234287318364417468513545591
healthcare284390001095198144166198250292338369416
students,328790001093669120173221273304343363
but3678900010952104136
the2138104001093082130
curriculum2296104001094193125157180222274297349427
will2751104001096791114136
be29161040010952100
adapted3044104001094498144197229276330
for3402104001092779110
clinical354110400109416386138161204250273
trialists213811800109306083127149171208239277
and2434118001094394146
other2599118001094980131178209
professionals2826118001095283133160207244280302353404449471507
more33521180010975126157203
or3574118001094980
less3673118001092168104141
directly2138132001095071100145186217239281
involved2435132001092170112160182225269320
in2772132001092070
trial285813200109295980123144
design3018132001095095131152202251
and3285132001094392143
oversight.3444132001094991135164201222272321350370
Moreover,21381460010972123154200252296341372388
the2548146001093081127
GREEN-TRIALS26981460010958108154199259290332382406461505552
project3272146001095182132155202244277
places3571146001095275119161206243
strong213816000109356696146196247
emphasis24021600010944120171222265301322358
on2777160001094999
reach2893160001092974118159209
and3119160001094393144
its328016000109215188
own33851600010949115165
sustainability.35681600010935841201511952162138174001095094147169192214245291307
The2472174001094597144
curriculum2643174001094091121152175216267289340416
will3086174001096689111133
be3247174001095198
available3372174001094487132154176221273296343
in3742174001092172
English2138188001094494146168189225276
and2431188001094494146
translated2595188001092960104155191213257287333385
into2998188001092171101151
four3167188001092676127157
other3342188001094980130177207
languages.35671880010921651161672182138202001094395142179199
Additionally,23582020010956107159181212234285337381403425469485
each2865202001094589131182
curriculum3068202001094091121153175216267289340416
unit35062020010949100122153
will3681202001096688111133
be2138216001095198
accompanied2260216001094385125175251304349400422468521
by2804216001095295
a29222160010943
teacher’s2989216001093075120161212259290311345
guide.33572160010951101123176222242
A36222160010955
series3700216001093683213823000109295298135
of2291230001094977
international,2386230001092172102148179230274305327378429473496515
free2919230001092758104151
training3088230001093060105127178200251303
events3409230001094589135186216254
will3681230001096689111133
be2138244001095198
conducted2263244001094190142194244286319365418
in2707244001092172
20272806244001094693138183
and3016244001094394146
20283189244001094693138185
to3400244001093080
support3507244001093686138191242273307
widespread2138258001096689141188224276307353398450
capacity2609258001094085138183224246277324
building.29532580010952103125147199221272324344
Conclusion21382830014771137206261292361411442510580
The2278300001094598146
findings2453300001092752105158181233286324
clearly2805300001094164112158189213258
indicate3091300001092274127150193239271318
that3437300001093083128160
both36253000010952105137189
healthcare2138314001095097142165196248290335366413
and2578314001094395147
clinical275331400109406285136159201246269
research3049314001093076113160205236278329
are3405314001094475121
important35533140010921981512032342138328001093075127158
contributors2318328001094090142173204227280331363413445483
to2823328001093080
global2925328001095174125178224247
greenhouse3194328001095081128175227279330381418465
gas3682328001095095132
emissions,21383420010944120142177213235285336371391
making25473420010974118161184234285
them2850342001092980126201
priority3069342001095081103153183206236282
areas3368342001094373119163198
for3584342001092676107
resource‑efficiency3708342001092975393462001093687138169211257288337366397422464486533585627673
and462662001094495148
sustainability479362001093586123155200223274319372395418440471518
efforts.533062001094573104155187221259280
Progress393476001094776125176206251287322
in427476001092070
this436176001092979100135
domain4513760010950100175218240289
depends481976001095096147193243294330
on516676001094898
a5281760010943
precise534176001095080125167188223269
understanding3934900010950101154201232270302348399452475526578
of453890001094977
the464190001093081128
emissions4795900010945122145181218241292344380
associated520190001094380117169211234278309355409
with3934104001096689121172
specific4126104001093688136179201229255297
research4443104001092976113160205236278329
processes4792104001095183133176222259296343381
and5193104001094394147
on53601040010950101
the5482104001092981128
feasibility3934118001092776123162185240264288312345394
of4358118001095180
optimizing44681180010951107140163243267309333386441
these4939118001093184133172222
processes,5191118001095386138183231270309358397419
too.3934132001093080132151
Although4108132001095578109160212263316367
sustainability4498132001093586123155201223275320372395418440472518
considerations5039132001094091142179201254301332378409431482534571
are3934146001094578127
only40971460010951106130177
beginning43101460010953103159183237291316370425
to4771146001093184
be48911460010953103
systematically5031146001093684123158206286334367391435483508532579
integrated3934160001092174105152206237284315362416
into4379160001092174105156
clinical456416000109416487140162205252275
trial486816000109306185131154
methodology,50511600010976124156208261315367391443497542559
increasing3934174001092170111141186229265286336386
awareness43371740010943107151181226276322357393
and4747174001094292143
coordinated4907174001093988138168219240290333363407459
stakeholder53831740010935661101521963934188001094999122173219250
engagement4202188001094495146190241287362408459489
can4709188001094084134
significantly4861188001093557108158180207232273317367397419463
accelerate53411880010943841241691922383934202001092974105151
the4103202001093081127
development4249202001095097141186209260313389436488518
of4786202001094976
effective4881202001094573103150192225248292338
solutions.5237202001093687110160191214264316352373
Moreover,39342160010973126157205257302349381397
sustainable4360216001093688125158204227279325379403450
elements4839216001094669117195243296327366
in5234216001092173
clinical533621600109416486139162204250274
trial393423000109306184128151
design4112230001095198135158210261
may44002300010975120163
offer4590230001095078109155187
benefits4804230001095199150198226251283321
that5152230001093081126157
extend5336230001094589123169221274
beyond3934244001095199143193245298
environmental4259244001094597140163194245297373421472503549572
impact4858244001092197150196238271
reduction5156244001093076130181223256279330382
–55652440010945
by3934258001095195
reducing4050258001093076129180222245296349
participant4420258001095197128162184226248301347398429
burden,48702580010952103134186233285306
enhancing5197258001094597148193245287309361413
inclusivity,3934272001092173115137188225247293316347394410
and4371272001094394147
improving4545272001092197150181232276300351403
the4975272001093081128
feasibility5130272001092673118155177230253275298329376
of5532272001095078
generating3934286001095097149196228273304326378430
quality43872860010951102147170192224270
data.4680286001095196127173193
Integrating4896286001092273104150203234280311333384437
sustainability53562860010935861231552012233934300001095094147169192214245291
principles4244300001095182104155197219272295341378
into4641300001092172102152
clinical481230000109406284135157199244267
research5097300001092976112159204234276326
thus5442300001093080131167
represents3934314001092975127158203240286337367405
an4357314001094293
important4468314001092196148199230263308358389
step4875314001093566112164
toward5057314001092979145189219271
advancing53463140010943941391832343934328001094062113164
both41163280010951103133184
scientific431832800109357799145196227249276301343
rigor4679328001092951103154184
and4882328001094393145
environmental5046328001094495138161191241293368415466496541564
responsibility.3934342001092976113166218270306329381404427450481528544
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Healthcare72542200834582115131154194227261283319
Risk10654220083375380111
Waste119842200835991119143178
Treatment13984220083335187120143203239278301
Technologies172142200833365991381782172342743434320083385388115
Have47643200834476108142
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Environment.84343200833371102118139176215272307346367380
Int12424320083145274
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3.34345200853753
Health41745200834582115132155195
care’s6344520083326689124138164
climate8204520083334965125158181216
footprint.10594520083185898121162185201241264278
[Internet].1359452008319367598133156196232256274287
Health166845200834582115132155195
Care18854520083417598133
Without34346200835976100140180219243
Harm;60846200834579101162175
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Mar131346200835790113
27].14484620083356991104
Available157446200834274108124141174215232268
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https://global.noharm.org/sites/default/files/documents-files/5961/HealthCaresClimateFootprint_092319.pdf.343472008337598312314916218920924526029833837138639943747651454656862663967769973776378780282585888591194698110001034107110871109113611541171118612211248127313091347138014181475151015481570159816191637165434348200831550771021361682042342563013363683834064444855185395736006406556707287607828168498869259479861008102310611083112011561191122412591290132013311371141114301442
4.34349200853651
Chen-Xu41449200834078113151173210246
J,68049200832436
Corda7364920083407799137169
MO,926492008354102113
Varga10594920083366788126159
O,123849200834758
et131649200833456
al.13934920083314760
Health147349200834479111126149187
burden16804920083397798136171209
and191049200833169108
costs3435020083316793116143
attributable498502008331527697112150188210242280296330
to84050200832157
the9105020083215893
carbon10155020083316383122160198
footprint12255020083185593114153174189226247
of148450200833756
the15525020083225993
health165750200833772103118139177
sector18465020083266092116152173
in34351200831553
the4115120083216095
European5215120083336990128167203235273
Union.8095120083448196134173186
Environ101051200833371102118139176215
Int.1240512008315537488
2024;190:108828.134351200833468101133145175205241254284315351386420453467
5.34352200853650
Bressler4135220083355791118144159194215
RD.6485220083368293
The76152200833372107
mortality88852200835795117142174190205227261
cost11695220083316894118
of130652200833857
carbon.13835220083316485125164202215
Nat16185220083457799
Commun.173752200834077135193230268281
2021;12:4467.34353200833468101133141171201213248285321354360
6.34354200853652
Building4085420083357388104142158196235
a657542008331
cohort70254200833268107145167192
of90854200833756
health97854200833873104120142180
authorities11725420083327092131169190206228244278305
committed149154200833168127185200222246280320
to182554200832158
zero18975420083286384121
emissions.34355200833491106132158172210248274287
Health64355200834378109125147184
Care8405520083397293126
Without9795520083577395132170208230
Harm12225520083437596154
-1389552008320
Europe14225520083326889126165200
[Internet].1635552008318347192126146185219241258270
Health1917552008344793435620083324769106
Care4625620083397293126
Without6015620083577395132170208230
Harm8435620083447697155
Europe10105620083336990126166201
[cited1223562008319486385118157
2026139356200833468100133
Feb153956200833265104
22].1656562008333688597
Available176556200834171103118133165204219254
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https://europe.noharm.org/news/building-cohort-health-authorities-committed-zero-emissions.5025720083375882121148160186206238275296333372407419457495533565586643656694715753779815849900927952992102910441059109811121150118812101244128013181356137714011421145914943435820083324770108130162200223261299321336359374409436457490527585643658681705739778801827861883920943980103810531079110511201158119712231237
7.34359200853544
Nations3985920083447596111148185210
U.62059200834354
Net6865920083447899
Zero7975920083377090126
Coalition.93559200833975107122136158172209246259
United12065920083437994115148186
Nations14045920083447596111148185211
[Internet].1626592008319347191124144182216237254265
United190359200834380943436020083215594
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