Clinical Trials as Topic
Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries.
Randomized Controlled Trials as Topic
Clinical Trials Data Monitoring Committees
Committees established to review interim data and efficacy outcomes in clinical trials. The findings of these committees are used in deciding whether a trial should be continued as designed, changed, or terminated. Government regulations regarding federally-funded research involving human subjects (the "Common Rule") require (45 CFR 46.111) that research ethics committees reviewing large-scale clinical trials monitor the data collected using a mechanism such as a data monitoring committee. FDA regulations (21 CFR 50.24) require that such committees be established to monitor studies conducted in emergency settings.
Treatment Outcome
Clinical Trials, Phase III as Topic
Works about comparative studies to verify the effectiveness of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques determined in phase II studies. During these trials, patients are monitored closely by physicians to identify any adverse reactions from long-term use. These studies are performed on groups of patients large enough to identify clinically significant responses and usually last about three years. This concept includes phase III studies conducted in both the U.S. and in other countries.
Cost-Benefit Analysis
A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.
Drug Industry
Models, Economic
Drug Costs
Data Interpretation, Statistical
Research Design
Ethics Committees
Committees established by professional societies, health facilities, or other institutions to consider decisions that have bioethical implications. The role of these committees may include consultation, education, mediation, and/or review of policies and practices. Committees that consider the ethical dimensions of patient care are ETHICS COMMITTEES, CLINICAL; committees established to protect the welfare of research subjects are ETHICS COMMITTEES, RESEARCH.
Drug Therapy, Combination
Committee Membership
Advisory Committees
Ethics Committees, Research
Risk Assessment
Neoplasms
Severity of Illness Index
Professional Staff Committees
Risk Factors
Ethics Committees, Clinical
Double-Blind Method
Multicenter Studies as Topic
Ethical Review
A formal process of examination of patient care or research proposals for conformity with ethical standards. The review is usually conducted by an organized clinical or research ethics committee (CLINICAL ETHICS COMMITTEES or RESEARCH ETHICS COMMITTEES), sometimes by a subset of such a committee, an ad hoc group, or an individual ethicist (ETHICISTS).
Clinical Trials, Phase II as Topic
Works about studies that are usually controlled to assess the effectiveness and dosage (if appropriate) of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques. These studies are performed on several hundred volunteers, including a limited number of patients with the target disease or disorder, and last about two years. This concept includes phase II studies conducted in both the U.S. and in other countries.
Pharmacy and Therapeutics Committee
Animal Care Committees
Institutional committees established to protect the welfare of animals used in research and education. The 1971 NIH Guide for the Care and Use of Laboratory Animals introduced the policy that institutions using warm-blooded animals in projects supported by NIH grants either be accredited by a recognized professional laboratory animal accrediting body or establish its own committee to evaluate animal care; the Public Health Service adopted a policy in 1979 requiring such committees; and the 1985 amendments to the Animal Welfare Act mandate review and approval of federally funded research with animals by a formally designated Institutional Animal Care and Use Committee (IACUC).
Clinical Trials, Phase I as Topic
Works about studies performed to evaluate the safety of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques in healthy subjects and to determine the safe dosage range (if appropriate). These tests also are used to determine pharmacologic and pharmacokinetic properties (toxicity, metabolism, absorption, elimination, and preferred route of administration). They involve a small number of persons and usually last about 1 year. This concept includes phase I studies conducted both in the U.S. and in other countries.
Evidence-Based Medicine
An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)
Patient Selection
Controlled Clinical Trials as Topic
Works about clinical trials involving one or more test treatments, at least one control treatment, specified outcome measures for evaluating the studied intervention, and a bias-free method for assigning patients to the test treatment. The treatment may be drugs, devices, or procedures studied for diagnostic, therapeutic, or prophylactic effectiveness. Control measures include placebos, active medicines, no-treatment, dosage forms and regimens, historical comparisons, etc. When randomization using mathematical techniques, such as the use of a random numbers table, is employed to assign patients to test or control treatments, the trials are characterized as RANDOMIZED CONTROLLED TRIALS AS TOPIC.
Placebos
Any dummy medication or treatment. Although placebos originally were medicinal preparations having no specific pharmacological activity against a targeted condition, the concept has been extended to include treatments or procedures, especially those administered to control groups in clinical trials in order to provide baseline measurements for the experimental protocol.
Quality-Adjusted Life Years
Endpoint Determination
Access to Information
Prospective Studies
Follow-Up Studies
Practice Guidelines as Topic
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
Outcome Assessment (Health Care)
Clinical Protocols
Reproducibility of Results
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
Survival Analysis
A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.
Drug Administration Schedule
Quality of Life
Stroke
A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)
Meta-Analysis as Topic
A quantitative method of combining the results of independent studies (usually drawn from the published literature) and synthesizing summaries and conclusions which may be used to evaluate therapeutic effectiveness, plan new studies, etc., with application chiefly in the areas of research and medicine.
Patient Dropouts
Research Subjects
Questionnaires
Health Care Costs
The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.
Data Collection
Clinical Trials, Phase IV as Topic
Planned post-marketing studies of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques that have been approved for general sale. These studies are often conducted to obtain additional data about the safety and efficacy of a product. This concept includes phase IV studies conducted in both the U.S. and in other countries.
Decision Support Techniques
Single-Blind Method
Antineoplastic Combined Chemotherapy Protocols
Prognosis
Bias (Epidemiology)
Any deviation of results or inferences from the truth, or processes leading to such deviation. Bias can result from several sources: one-sided or systematic variations in measurement from the true value (systematic error); flaws in study design; deviation of inferences, interpretations, or analyses based on flawed data or data collection; etc. There is no sense of prejudice or subjectivity implied in the assessment of bias under these conditions.
Retrospective Studies
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Dose-Response Relationship, Drug
Biomedical Research
Antibodies, Monoclonal, Humanized
Antibodies from non-human species whose protein sequences have been modified to make them nearly identical with human antibodies. If the constant region and part of the variable region are replaced, they are called humanized. If only the constant region is modified they are called chimeric. INN names for humanized antibodies end in -zumab.
Ethics, Research
Informed Consent
Guidelines as Topic
A systematic statement of policy rules or principles. Guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by convening expert panels. The text may be cursive or in outline form but is generally a comprehensive guide to problems and approaches in any field of activity. For guidelines in the field of health care and clinical medicine, PRACTICE GUIDELINES AS TOPIC is available.
Disease Progression
Cardiovascular Diseases
Models, Statistical
Chemotherapy, Adjuvant
Ethics, Medical
HIV Infections
Sample Size
Platelet Aggregation Inhibitors
Ethics Consultation
Services provided by an individual ethicist (ETHICISTS) or an ethics team or committee (ETHICS COMMITTEES, CLINICAL) to address the ethical issues involved in a specific clinical case. The central purpose is to improve the process and outcomes of patients' care by helping to identify, analyze, and resolve ethical problems.
Pilot Projects
Therapeutic Human Experimentation
Age Factors
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Databases, Factual
Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.
Combined Modality Therapy
Sensitivity and Specificity
Antihypertensive Agents
Drugs used in the treatment of acute or chronic vascular HYPERTENSION regardless of pharmacological mechanism. Among the antihypertensive agents are DIURETICS; (especially DIURETICS, THIAZIDE); ADRENERGIC BETA-ANTAGONISTS; ADRENERGIC ALPHA-ANTAGONISTS; ANGIOTENSIN-CONVERTING ENZYME INHIBITORS; CALCIUM CHANNEL BLOCKERS; GANGLIONIC BLOCKERS; and VASODILATOR AGENTS.
Incidence
Terminology as Topic
Proportional Hazards Models
Arthritis, Rheumatoid
A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated.
Markov Chains
United States Food and Drug Administration
Myocardial Infarction
Algorithms
Drugs, Investigational
Physician's Practice Patterns
Drug Approval
Postmenopause
Immunization Schedule
Nontherapeutic Human Experimentation
Hypertension
Drug Evaluation
Conflict of Interest
A situation in which an individual might benefit personally from official or professional actions. It includes a conflict between a person's private interests and official responsibilities in a position of trust. The term is not restricted to government officials. The concept refers both to actual conflict of interest and the appearance or perception of conflict.
Health Planning Guidelines
Publishing
Heart Failure
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
Disease-Free Survival
Quality Control
Survival Rate
International Cooperation
Vaccination
Feasibility Studies
Canada
National Institutes of Health (U.S.)
Placebo Effect
Pain Measurement
Neoplasm Staging
Patient Participation
National Cancer Institute (U.S.)
Dietary Supplements
Products in capsule, tablet or liquid form that provide dietary ingredients, and that are intended to be taken by mouth to increase the intake of nutrients. Dietary supplements can include macronutrients, such as proteins, carbohydrates, and fats; and/or MICRONUTRIENTS, such as VITAMINS; MINERALS; and PHYTOCHEMICALS.
Computer Simulation
Research
Critical and exhaustive investigation or experimentation, having for its aim the discovery of new facts and their correct interpretation, the revision of accepted conclusions, theories, or laws in the light of newly discovered facts, or the practical application of such new or revised conclusions, theories, or laws. (Webster, 3d ed)
Exercise Therapy
Intention to Treat Analysis
Random Allocation
Decision Making
Drug Combinations
Cross-Over Studies
Studies comparing two or more treatments or interventions in which the subjects or patients, upon completion of the course of one treatment, are switched to another. In the case of two treatments, A and B, half the subjects are randomly allocated to receive these in the order A, B and half to receive them in the order B, A. A criticism of this design is that effects of the first treatment may carry over into the period when the second is given. (Last, A Dictionary of Epidemiology, 2d ed)
Pregnancy
Kaplan-Meier Estimate
A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)
Patient Satisfaction
Editorial Policies
Peer Review, Research
The evaluation by experts of the quality and pertinence of research or research proposals of other experts in the same field. Peer review is used by editors in deciding which submissions warrant publication, by granting agencies to determine which proposals should be funded, and by academic institutions in tenure decisions.
Safety
Predictive Value of Tests
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
Biological Markers
Measurable and quantifiable biological parameters (e.g., specific enzyme concentration, specific hormone concentration, specific gene phenotype distribution in a population, presence of biological substances) which serve as indices for health- and physiology-related assessments, such as disease risk, psychiatric disorders, environmental exposure and its effects, disease diagnosis, metabolic processes, substance abuse, pregnancy, cell line development, epidemiologic studies, etc.
Infusions, Intravenous
Consensus
Analysis of Variance
Vaccines
Drug-Related Side Effects and Adverse Reactions
Cognitive Therapy
A direct form of psychotherapy based on the interpretation of situations (cognitive structure of experiences) that determine how an individual feels and behaves. It is based on the premise that cognition, the process of acquiring knowledge and forming beliefs, is a primary determinant of mood and behavior. The therapy uses behavioral and verbal techniques to identify and correct negative thinking that is at the root of the aberrant behavior.
Treatment Failure
Consent Forms
Documents describing a medical treatment or research project, including proposed procedures, risks, and alternatives, that are to be signed by an individual, or the individual's proxy, to indicate his/her understanding of the document and a willingness to undergo the treatment or to participate in the research.
Social Control, Formal
Cohort Studies
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Microbial Sensitivity Tests
Statistics, Nonparametric
A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)
Chronic Disease
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
Guideline Adherence
Pain
Antifungal Agents
Ethicists
Melanoma
A malignant neoplasm derived from cells that are capable of forming melanin, which may occur in the skin of any part of the body, in the eye, or, rarely, in the mucous membranes of the genitalia, anus, oral cavity, or other sites. It occurs mostly in adults and may originate de novo or from a pigmented nevus or malignant lentigo. Melanomas frequently metastasize widely, and the regional lymph nodes, liver, lungs, and brain are likely to be involved. The incidence of malignant skin melanomas is rising rapidly in all parts of the world. (Stedman, 25th ed; from Rook et al., Textbook of Dermatology, 4th ed, p2445)
Internationality
Dissent and Disputes
Therapies, Investigational
European Union
The collective designation of three organizations with common membership: the European Economic Community (Common Market), the European Coal and Steel Community, and the European Atomic Energy Community (Euratom). It was known as the European Community until 1994. It is primarily an economic union with the principal objectives of free movement of goods, capital, and labor. Professional services, social, medical and paramedical, are subsumed under labor. The constituent countries are Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, Netherlands, Portugal, Spain, Sweden, and the United Kingdom. (The World Almanac and Book of Facts 1997, p842)
Evaluation Studies as Topic
Product Surveillance, Postmarketing
Program Evaluation
Bioethical Issues
Translational Medical Research
Immunotherapy
World Health Organization
Multivariate Analysis
Risk
Internet
Neoplasm Recurrence, Local
Congresses as Topic
Academies and Institutes
Quality Assurance, Health Care
Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.
Institute of Medicine (U.S.)
Identifies, for study and analysis, important issues and problems that relate to health and medicine. The Institute initiates and conducts studies of national policy and planning for health care and health-related education and research; it also responds to requests from the federal government and other agencies for studies and advice.
Unilateral transplantation of human primary fetal tissue in four patients with Huntington's disease: NEST-UK safety report ISRCTN no 36485475. (1/43)
OBJECTIVES: Huntington's disease (HD) is an inherited autosomal dominant condition in which there is a CAG repeat expansion in the huntingtin gene of 36 or more. Patients display progressive motor, cognitive, and behavioural deterioration associated with progressive cell loss and atrophy in the striatum. Currently there are no disease modifying treatments and current symptomatic treatments are only partially effective in the early to moderate stages. Neural transplantation is effective in animal models of HD and offers a potential strategy for brain repair in patients. The authors report a safety study of unilateral transplantation of human fetal striatal tissue into the striatum of four patients with HD. SUBJECTS AND METHODS: Stereotaxic placements of cell suspensions of human fetal ganglionic eminence were made unilaterally into the striatum of four patients with early to moderate HD. All patients received immunotherapy with cyclosporin A, azathioprine, and prednisolone for at least six months postoperatively. Patients were assessed for safety of the procedure using magnetic resonance imaging (MRI), regular recording of serum biochemistry and haematology to monitor immunotherapy, and clinical assessment according to the Core Assessment Protocol For Intrastriatal Transplantation in HD (CAPIT-HD). RESULTS: During the six month post-transplantation period, the only adverse events related to the procedure were associated with the immunotherapy. MRI demonstrated tissue at the site of implantation, but there was no sign of tissue overgrowth. Furthermore, there was no evidence that the procedure accelerated the course of the disease. CONCLUSIONS: Unilateral transplantation of human fetal striatal tissue in patients with HD is safe and feasible. Assessment of efficacy will require longer follow up in a larger number of patients. (+info)Conducting stroke research with an exception from the requirement for informed consent. (2/43)
BACKGROUND: Obtaining viable informed consent from stroke patients for participation in clinical trials of acute stroke therapies is often problematic because of patients' neurological deficits. Furthermore, obtaining permission from surrogates is often not possible or not legally permissible. SUMMARY OF REVIEW: In 1996 the Food and Drug Administration and Department of Health and Human Services published regulations that allow investigators to conduct emergency research without patient consent under a narrowly defined set of circumstances. We review requirements of these regulations, paying particular attention to how they may be applied in a clinical trial of an acute stroke therapy. CONCLUSIONS: Acute stroke researchers should consider conducting clinical trials with an exception from the informed consent requirement permitted by this law. (+info)Items of concern associated with source document verification of clinical trials for new drugs. (3/43)
In the present study, we analyzed concerns of the sponsors of clinical trials regarding source document verification (SDV) procedures performed at the University of Tokyo Hospital during April 1999 and March 2001, with special focus on the differences in description between the source document and case report form (CRF). Of 132 SDV procedures (78 protocols, 496 cases), the sponsors had problematic concerns with 348 cases (70.2%) totalling 693 items, which consisted of description inconsistencies between the source documents and the CRF (41.4%), lack of description in the CRF (39.8%), and lack of description in the source documents (8.8%). The most frequently found inconsistencies between the source documents and CRF were concerning items regarding observations, laboratory examinations, and compliance, which were associated with misdescription of clinical data and/or items for evaluation in the CRF. It was also revealed that the frequent lack of description in the CRF was associated with patient history and/or complications, adverse events, and concomitant drugs and/or therapy. In contrast, the frequent lack of description in the source documents was associated with items concerning patient background, observations, and informed consent. Further, we found that submission of a report of deviation from the protocols was required for 4.0% of the claims. These results suggest the necessity of better data management during the practice of clinical trials for the purpose of maintaining the quality of clinical trials. (+info)Challenges in the design of antibiotic equivalency studies: the multicenter equivalency study of oral amoxicillin versus injectable penicillin in children aged 3-59 months with severe pneumonia. (4/43)
The World Health Organization (WHO) recommends that children with severe pneumonia (characterized by cough or difficult breathing, as well as lower chest wall indrawing) be hospitalized and treated with parenteral penicillin. Oral amoxicillin, if equally effective for treating severe pneumonia, would address challenges associated with providing parenteral therapy, including risk of transmission of bloodborne pathogens from contaminated needles, exposure to nosocomial pathogens during hospitalization, inadequate access to health care facilities, and cost. The recently completed multicenter international trial of oral amoxicillin versus parenteral penicillin for treatment of severe pneumonia demonstrated the equivalency of these agents in children with severe pneumonia. This article focuses on the challenges of designing an equivalence study and the threats to the validity of the trial results, particularly the implications of the bias toward finding equivalence when subjects are unlikely to respond to either study therapy. These considerations have implications for use of the Amoxicillin Penicillin Pneumonia International Study (APPIS) results in clinical practice and for potential modification of WHO treatment guidelines. (+info)The data monitoring experience in the MOXCON trial. (5/43)
AIMS: This article describes a challenging data monitoring experience that occurred in a major international randomized placebo-controlled trial in patients with heart failure, in which the accumulating interim data showed an excess of deaths on the active treatment. METHODS AND RESULTS: The MOXonidine CONgestive Heart Failure trial was a randomized comparison of moxonidine, a central sympathetic inhibitor, with placebo. It was planned to recruit 4500 patients with heart failure. The primary endpoint was all-cause mortality, and average follow-up was anticipated to be around 2.5 years until 724 deaths occurred. The trial Data Monitoring Board (DMB) was to conduct safety monitoring reviews of interim data at least every six months, and make their recommendations to the Executive Committee. Within a few months of the study starting, the Data Monitoring Board (DMB) observed an emerging trend of an excess of deaths on moxonidine compared with placebo. This article describes the sequence of events that unfolded: several DMB meetings to evaluate the accumulating evidence, a DMB recommendation to stop the trial, consequent dialogue with the Executive Committee and sponsor leading to a final decision to stop the trial. Ten months after the first patient was randomized, the study was stopped based on 46 versus 25 deaths in 990 moxonidine and 943 placebo patients, respectively, P=0.01. The final published evidence had 54 versus 32 deaths, P=0.012. CONCLUSIONS: This study illustrates the problems faced by a DMB, and subsequently the trial Executive Committee and sponsor, in deciding how to act in the face of an emerging (and agonizing) negative trend for mortality in a major international trial. (+info)Issues in data monitoring and interim analysis of trials. (6/43)
OBJECTIVES: To address issues about data monitoring committees (DMCs) for randomised controlled trials (RCTs). DATA SOURCES: Electronic databases. Handsearching of selected books. Personal contacts with experts in the field. REVIEW METHODS: Systematic literature reviews of DMCs and small group processes in decision-making; sample surveys of: reports of RCTs, recently completed and ongoing RCTs and policies of major organisations involved in RCTs; case studies of four DMCs; and interviews with experienced DMC members. All focused on 23 prestated questions. RESULTS: Although still a minority, RCTs increasingly have DMCs. There is wide agreement that nearly all trials need some form of data monitoring. Central to the role of the DMC is monitoring accumulating evidence related to benefit and toxicity; variation in emphasis has been reflected in the plethora of names. DMCs for trials performed for regulatory purposes should be aware of any special requirements and regulatory consequences. Advantages were identified for both larger and smaller DMCs. There is general agreement that a DMC should be independent and multidisciplinary. Consumer and ethicist membership is controversial. The chair is recognised as being particularly influential, and likely to be most effective if he or she is experienced, understands both statistical and clinical issues, and is facilitating in style and impartial. There is no evidence available to judge suggested approaches to training. The review suggested that costs should be covered, but other rewards must be so minimal as to not affect decision-making. It is usual to have a minimum frequency of DMC meetings, with evidence that face-to-face meetings are preferable. It is common to have open sessions and a closed session. A report to a DMC should cover benefits and risks in a balanced way, summarised in an accessible style, avoiding excessive detail, and be as current as possible. Disadvantages of blinded analyses seem to outweigh advantages. Information about comparable studies should be included, although interaction with the DMCs of similar ongoing trials is controversial. A range of formal statistical approaches can be used, although this is only one of a number of considerations. DMCs usually reach decisions by consensus, but other approaches are sometimes used. The general, but not unanimous, view is that DMCs should be advisory rather than executive on the basis that it is the trial organisers who are ultimately responsible for the conduct of the trial. CONCLUSIONS: Some form of data monitoring should be considered for all RCTs, with reasons given where there is no DMC or when any member is not independent. An early DMC meeting is helpful, determining roles and responsibilities; planned operations can be agreed with investigators and sponsors/funders. A template for a DMC charter is suggested. Competing interests should be declared. DMC size (commonly three to eight people) is chosen to optimise performance. Members are usually independent and drawn from appropriate backgrounds, and some, particularly the chair, are experienced. A minimum frequency of meetings is usually agreed, with flexibility for more if needed. The DMC should understand and agree the statistical approach (and guidelines) chosen, with both the DMC statistician and analysis statistician competent to apply the method. A DMC's primary purpose is to ensure that continuing a trial according to its protocol is ethical, taking account of both individual and collective ethics. A broader remit in respect of wider ethical issues is controversial; arguably, these are primarily the responsibility of research ethics committees, trial steering committees and investigators. The DMC should know the range of recommendations or decisions open to it, in advance. A record should be kept describing the key issues discussed and the rationale for decisions taken. Errors are likely to be reduced if a DMC makes a thorough review of the evidence and has a clear understanding of how it should function, there is active participation by all members, differences are resolved through discussion and there is systematic consideration of the various decision options. DMCs should be encouraged to comment on draft final trial reports. These should include information about the data monitoring process and detail the DMC membership. It is recommended that groups responsible for data monitoring be given the standard name 'Data Monitoring Committee' (DMC). Areas for further research include: widening DMC membership beyond clinicians, trialists and statisticians; initiatives to train DMC members; methods of DMC decision-making; 'open' data monitoring; DMCs covering a portfolio of trials rather than single trials; DMC size and membership, incorporating issues of group dynamics; empirical study of the workings of DMCs and their decision-making, and which trials should or should not have a DMC. (+info)Preliminary data release for randomized clinical trials of noninferiority: a new proposal. (7/43)
Noninferiority trials often require a long follow-up period for the data to reach the maturity needed for definitive analysis. A proposal is presented that allows for early release of outcome data from a carefully specified subset of noninferiority trials. This subset is defined so that the early release of the data will be potentially useful to patients who face a treatment decision but will not compromise the integrity of the trial or interfere with the completion of the trial to its definitive analysis. In particular, the release of the data will only occur after the last participant has been randomly assigned and is off treatment-arm-specific therapy and only if it is unlikely that subsequent treatment and/or follow-up practices will change based on the knowledge of released data. In contrast to standard interim monitoring, (1) the release of the data would be automatic and independent of the observed data, and (2) the trial would continue on to its planned final analysis and not be stopped. Examples are given demonstrating how the proposal would work, along with a discussion of possible objections to the proposal. (+info)Randomized trials stopped early for harm in HIV/AIDS: a systematic survey. (8/43)
PURPOSE: The decision to stop trials early because of the harmful effects of the intervention is complex and requires weighing statistical, logistical, and ethical considerations. We assessed the prevalence of randomized clinical trials (RCTs) stopped early for harm in HIV/AIDS and determined the quality of reporting of methods to inform the decision to stop the trial. METHOD: We searched 11 electronic databases and major conference abstract databases, contacted trialist and advocacy groups, and searched the Internet. We selected RCTs stopped early for harm. We extracted data on journal and year of publication, reporting of methods and funding, planned sample size, number and planning of interim analyses, stopping rules, and effect size of the harm outcomes. RESULTS: We found 10 RCTs stopped early for harm (median, n = 85; range, 7-1227). Most interventions (n = 9) were antiviral drugs; one trial studied vitamins to prevent vertical transmission of HIV. Five studies reported a priori defined adverse events, and only 1 trial reported planned stopping guidelines. The primary harm outcomes reported across trials included toxicity, death, and increased mother-to-child transmission. Two trials were stopped due to sudden unanticipated adverse events (Stevens-Johnson syndrome, death, and encephalopathy). Relative risk point estimates for harm ranged from 1 to 6.18. Six studies reported the presence of a data safety and monitoring board. CONCLUSION: The reporting of methods to inform the decision to stop trials for harm in this population is deficient in a variety of ways, including lack of stopping guidelines. Clinicians should interpret RCTs stopped early for harm with caution and interpret the results in light of related evidence. Trialists should improve the transparency of their decision-making regarding early stopping for harmful effects. (+info)
Updated Interim Data from Phase I Trial of STRO-002 Show Promise in Ovarian Cancer | Cancer Network
Interim Data From Peregrines Phase II Trial in Second-Line Non-Small Cell Lung Cancer Demonstrate Doubling of Median Overall...
Syndax Announces Positive Interim Data Demonstrating Robust Clinical Activity in Phase 1 Portion of the AUGMENT-101 Trial of ...
https://www.thefreelibrary.com/Oncopeptides+announces+presentation+of+first+interim+data+from+the...-a0564129990
Theravance Biopharma Presents Interim Data from Ongoing Telavancin Observational Use Registry
Ascletis Publishes Interim Data of Phase II Study in Taiwan for its Interferon-free HCV Regimen
Merck Announces Presentation of Interim Data from Study Evaluating Lambrolizumab, an Investigational - AOL Finance
Pieris to Present Interim Data from the Phase I Clinical Trial of PRS-050 at Molecular Medicine Tri-Conference |...
Lpath Reports Interim Data From Phase 2a Study for Anti-Cancer Drug, ASONEP - Cancer Commons
Plus it
Clinical Alert: Immunizations Are Discontinued in Two HIV Vaccine Trials
Interim Data Suggest Potential Benefits of AranespR Dosed Every Three Weeks with Intravenous Iron for ChemotherapyInduced...
Acceleron Presents Preliminary Interim Data from the SPECTRA Phase 2 Trial of Sotatercept in Pulmonary Arterial Hypertension ...
Abeona Therapeutics Announces Positive Interim Data from the ABO-102 Phase 1/2 Gene Therapy Clinical Trial in MPS IIIA -...
SUNSET sPE trial of EKOS vs standard catheter thrombolysis: interim data
Merck to Present Updated Interim Data from Phase II Trial Evaluating Investigational NS3/4A Protease Inhibitor MK-5172 for...
StemCells, Inc. Reports Positive Interim Data from Spinal Cord Injury Trial
bluebird bio Announces Publication of Interim Data from Starbeam Study of Lenti-DTM Drug Product in Patients with Cerebral...
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health...
Interim data study into effects of fish oil on plaque progression shows promising findings - PACE-CME
Celldex Presents Promising Interim Data from Phase 1 Study of Differentiated CD40 Agonist CDX-1140 at the Society for...
Cocrystal Announces Positive Interim Data from an Ongoing Phase 1 Study with CC-31244 for the Treatment of Chronic Hepatitis C...
ZIOPHARM Presents Positive Palifosfamide Sarcoma Randomized Phase II Interim Data at Annual Meeting of the Connective Tissue...
Aegera Therapeutics Reports Survival Data from the Phase 1 Portion of its Phase 1-2 Study of AEG35156 in Combination with...
Prima BioMed Releases Interim Immune Monitoring Data From CVac Clinical Trial | SYS-CON ITALIA
Anthera Provides Clinical Program Updates for Blisibimod and Sollpura® - Reprototype
Endovascular Today - Interim BIOFLEX PEACE Data Presented for Biotroniks Pulsar-18 Stent in SFA Treatment
ChemoCentryx Announces Top-Line Interim Results for CCX140, an Orally Administered CCR2 Inhibitor, in an Ongoing 52 Week Phase...
New Interim Phase Ib/II Combination Data Investigate Halaven® (eribulin) With Immunotherapy pembrolizumab in Advanced or...
Repositorio da Producao Cientifica e Intelectual da Unicamp: Long-term Safety And Efficacy Of Extended-interval Prophylaxis...
Plus it
Eyewire Today | BioTime Announces New Positive Data from OpRegen Trial in Dry-AMD
Barrow Ruptured Aneurysm Trial - Full Text View - ClinicalTrials.gov
Novavaxs Highly Effective Vaccine Could Be A Game Changer
Press Releases - Page 8 - TapImmune
News & Events - Page 8 - TapImmune
One-month data show early safety and effectiveness with the Valiant thoracic stent graft | Vascular News
Treatment outcomes after initiation of exenatide twice daily or insulin in clinical practice: 12-month results from CHOICE in...
Diffuse Large B-Cell Lymphoma Emerging Drugs, 2020 - Maine News Reporter
Outcomes with durvalumab and savolitinib in metastatic papillary renal cancer (mPRC) according to international metastatic...
Tom Fagan Interviews Bud Kukull | ALZFORUM
Green Pharmacy: Cuantas pastillas de cytotec in the USA!
NIH Network Identifies Better Treatment Regimen for HIV-Infected Infants - November 3, 2010 | News | AIDSinfo
January 29, 2018 - Stock Market Research, Option Picks, Stock Picks,Financial News,Option Research
Opioids in non-cancer pain - EFIC 2000, Nice, France
Results Indicate That Larotrectinib Is Effective as the First Novel Targeted Therapy to Show a Consistent Response across...
Results Indicate That Larotrectinib Is Effective as the First Novel Targeted Therapy to Show a Consistent Response across...
Press Releases : BioMarin
The SOLIDARITY Data | In the Pipeline
The SOLIDARITY Data | In the Pipeline
Independent safety officer
Large, multi-site clinical trials are commonly overseen by a Data Monitoring Committee or Data and Safety Monitoring Board ( ... 2002). Data monitoring committees in clinical trials : a practical perspective. Fleming, Thomas R., DeMets, David L., 1944-. ... In addition, an ISO has experience with clinical trials so that they can monitor the progress of the trial for adequate ... For clinical trials with intermediate complexity or risk, the use of an ISO can be very helpful to monitor the trial for ...
Susan S. Ellenberg
Reviews of Data Monitoring Committees in Clinical Trials: A Practical Perspective: Levin, Bruce (January-February 2003), "No, ... With Thomas Fleming and David DeMets, Ellenberg is the author of Data Monitoring Committees in Clinical Trials: A Practical ... for leadership in setting standards for clinical trial data monitoring committees; for senior statistical leadership for many ... She was the 1993 president of the Society for Clinical Trials and the 1999 President of the Eastern North American Region of ...
List of Guidances for Statistics in Regulatory Affairs
... of Clinical Trial Data Monitoring Committees EMA/CHMP/295050/2013 Adjustment for baseline covariates in clinical trials CHMP/ ... or Data and Safety Monitoring Committees (DSMCs)) that may carry out important aspects of clinical trial monitoring. EMA/CHMP/ ... CHMP/EWP/5872/03: Data monitoring committees (EMA) deals with independent data monitoring committees. It highlights the key ... FDA: Establishment and Operation of Clinical Trial Data Monitoring Committees. This guidance discusses the roles, ...
Colitis
"Coronado Biosciences Announces Independent Data Monitoring Committee Recommendation to Discontinue Falk Phase 2 Trial of TSO in ... Early clinical trials suggested that exposure to helminths such as Trichuris suis or Necator americanus can improve IBD. ... Early trials of Trichuris suis ova (TSO) showed promising results when used in people with IBD but later trials failed at Phase ... However, the phase 2 trials had used a different formulation of TSO from the one that had been used in the earlier studies that ...
Pocock boundary
... gives a p-value threshold for each interim analysis which guides the data monitoring committee on whether to stop the trial. ... The Pocock boundary is a method for determining whether to stop a clinical trial prematurely. The typical clinical trial ... The investigators running the clinical trial will wish to stop the trial early for ethical reasons if the treatment group ... The many reasons underlying when to stop a clinical trial for benefit were discussed in his editorial from 2005. The Pocock ...
Oliver Sartor
In addition he has served as chair of the Data Monitor Committee for numerous phase III trials, including 6 trials pivotal for ... His research has mainly focused on translational science and clinical research trials of advanced prostate cancer since 1990 ... He has published extensively on both prostate cancer translational studies and clinical trials that involve novel agents. ... A Randomized Phase III Trial-FIRSTANA". Journal of Clinical Oncology. 35 (28): 3189-3197. doi:10.1200/JCO.2016.72.1068. ISSN ...
Sabizabulin
Independent Data Monitoring Committee Halts Study Early for Overwhelming Efficacy". Veru Inc. (Press release). 11 April 2022. ... "Veru Enrolls First Patient in Phase 3 Clinical Trial of Sabizabulin (VERU-111) in High Risk Hospitalized COVID-19 Patients". ... "Veru Announces Oral Late-Breaking Presentation of Phase 2 Data of Sabizabulin for the Treatment of Hospitalized Severe COVID-19 ... ClinicalTrials.gov (Press release). 13 April 2021. Retrieved 1 May 2022. Li, Chien-Ming; Lu, Yan; Chen, Jianjun; Costello, ...
Douglas Jabs
He has served on numerous data and safety monitoring committees for clinical trials, both those sponsored by the National ... Trial. He has chaired five randomized, controlled, clinical trials on the treatment of CMV retinitis and now chairs a ... "Eyecare Clinical Trials". Archived from the original on 2010-02-12. Retrieved 2010-04-28. "Multicenter Uveitis Steroid ... Jabs DA, Nussenblatt RB, Rosenbaum JT (September 2005). "Standardization of uveitis nomenclature for reporting clinical data. ...
Galeterone
Tokai announced the discontinuation of ARMOR3-SV on July 26, 2016, after a data monitoring committee determined that the trial ... "Otic Pharma to Become Majority Owner of Tokai Pharma (TKAI)". "Lowe inks new deal for clinical trials of another cancer drug". ... In the week following cancellation of the ARMOR3-SV clinical trial, Tokai announced a reduction of its workforce by around 60% ... Galeterone was being compared to enzalutamide in a phase III clinical trial (ARMOR3-SV) for AR-V7-expressing metastatic ...
Sheila Bird
"External data required timely response by the Trial Steering-Data Monitoring Committee for the NALoxone InVEstigation (N-ALIVE ... pilot trial". Contemporary Clinical Trials Communications. 2017, 5: 1-7. doi:10.1016/j.conctc.2017.01.006. PMC 5389338. PMID ... "Home Affairs Committee - Drugs: Breaking the CycleWritten evidence submitted by Sheila M Bird OBE MA PhD CStat FFPH, Medical ... Parmar MK, Strang J, Choo L, Meade AM, Bird SM (2016). "Randomized controlled pilot trial of naloxone-on-release to prevent ...
Epoetin alfa
... regarding the results of the DAHANCA 10 clinical trial. The DAHANCA 10 data monitoring committee found that three-year loco- ... The FDA has focused its concern on study results from some clinical trials showing an increased risk of death and tumor growth ... Psychiatric diseases Randomized clinical control trials have shown promising results of EPO in improving cognition which is ... In a randomized controlled trial, erythropoietin was shown to not change the number of blood transfusions required by ...
Peter Sleight
He served on several data monitoring committees of major clinical trials, including Gusto, ECLA, ASCOT, ADVANCE, EUCLID, MODEST ... as chair of the ISIS group steering committee and the related coronary prevention studies coordinated by the Clinical Trials ... Clinical & Experimental Physiology & Pharmacology, and the Journal of Ambulatory Monitoring. He peer reviewed articles and co- ... As chair of the ISIS group steering committee he was involved in several significant international trials in cardiology, such ...
Anne Fagot-Largeault
Its moral reflection has been enriched and tested by the experience of various Data and Safety Monitoring Committees ( ... overseeing clinical trials in AIDS or cancer patients) and by participation (1990-1998) in the work of the National ... clinical research methodology, ethics of bio-medical investigation, biological epistemology, bio-medical anthropology. Her ... and was developed through fruitful contacts with clinical and epidemiological research. ...
DMC
Philippines Data monitoring committee for a clinical trial Detailed marks certificate, a detailed report of academic ... a category within the DLNA standard Data Matrix Code, laser etched square code, often used for marking products in the ... performance Digital Media City, Seoul, South Korea Disaster Monitoring Constellation of imaging satellites DMC International ...
Adverse event
Clinical trial Complication (medicine) Good clinical practice (GCP) Data monitoring committees Serious adverse event Adverse ... influences the extent and nature of data. A 2018 review conducted found that some participants in clinical drug trials were ... "Eliciting adverse effects data from participants in clinical trials". The Cochrane Database of Systematic Reviews. 1: MR000039 ... Clinical trial results often report the number of grade 3 and grade 4 adverse events. Grades are defined: Grade 1 Mild AE Grade ...
Research ethics consultation
... consent Data Monitoring Committees Office for human research protections Ethical problems using children in clinical trials ... Analogous to clinical ethics consultation, Research Ethics Consultation (REC) describes a formal way for researchers to solicit ... The first REC service was established at the National Institutes of Health (NIH) Clinical Center in 1997. Today, most REC ... Institutional Review Board Ethics Committee (European Union) Human experimentation in the United States IRB: Ethics & Human ...
Serious adverse event
Adverse event, including mild/minor Clinical trial Good clinical practice (GCP) Data Monitoring Committees Pharmacovigilance ... a drug that had SAEs in a clinical trial BIA 10-2474, a drug that had SAEs, including a fatality, in a clinical trial What Is A ... Investigators in human clinical trials are obligated to report these events in clinical study reports. Research suggests that ... To balance the overemphasis on benefit, scholars have called for more complete reporting of harm from clinical trials. Serious ...
Darbepoetin alfa
... as to the results of the DAHANCA 10 clinical trial. The DAHANCA 10 data monitoring committee found that 3-year loco-regional ... According to the 2010 update to clinical practice guidelines from the American Society of Clinical Oncology (ASCO) and the ... November 2010). "American Society of Clinical Oncology/American Society of Hematology clinical practice guideline update on the ... Amgen sent a "dear stockholders" letter in January, 2007, that highlighted results from a recent anemia of cancer trial, and ...
Crohn's disease
"Coronado Biosciences Announces Independent Data Monitoring Committee Recommendation to Discontinue Falk Phase 2 Trial of TSO in ... Early clinical trials suggested that exposure to helminths such as Trichuris suis or Necator americanus can improve IBD. ... "Evidence Check 2: Homeopathy - Science and Technology Committee". British House of Commons Science and Technology Committee. ... Vermeire S (June 2004). "NOD2/CARD15: relevance in clinical practice". Best Practice & Research. Clinical Gastroenterology ( ...
Good clinical practice
Data monitoring committees Directive 2001/20/EC (European Union) Drug development EudraVigilance European Forum for Good ... clinical trial sponsors, and monitors. In the pharmaceutical industry monitors are often called clinical research associates. A ... Clinical Trials) Regulations 2004 The Medicines for Human Use (Clinical Trials) Amendment Regulations 2006 The Medicines for ... Clinical Trials) Amendment (No.2) Regulations 2006 (Good clinical practice, Clinical research, Pharmaceutical industry, Good ...
Institutional review board
Clinical trial Data monitoring committee Declaration of Helsinki Ethical problems using children in clinical trials Ethics ... Such studies may be clinical trials of new drugs or devices, studies of personal or social behavior, opinions or attitudes, or ... Here is a summary of several key regulatory guidelines for oversight of clinical trials: Safeguard the rights, safety, and well ... A 2016 article on the hope to expand ethics reviews of such research included an example of a data breach in which a big data ...
Glossary of clinical research
... data monitoring committee that may be established by the sponsor to assess at intervals the progress of a clinical trial, the ... Data and Safety Monitoring Board or Independent Data Monitoring Committee DSMB. An impartial group that oversees a clinical ... The terms clinical trial and clinical study are synonymous. (ICH E6) Clinical Trial/Study Report A written description of a ... Also called a clinical trial. (NCI) A clinical trial is a research study to answer specific questions about vaccines or new ...
Monitoring in clinical trials
Clinical trials Data monitoring committee Drug development European Medicines Agency Safety monitoring U.S. Food and Drug ... Clinical monitors execute the monitoring plan laid out by the sponsors and investigators of a clinical trial. Monitors may be ... monitor, Clinical Research Monitor, Study Site Monitor and Quality Specialist. The number of clinical monitors depends on the ... of clinical trial monitoring is to observe each trial site to ensure that the standardized operation procedures for the trial ...
Jonathan L. Halperin
... and the Data Safety Monitoring Board for the Clinical Trial of Aspirin and Simvastatin in Pulmonary Arterial Hypertension for ... Current federal appointments include the U.S Food and Drug Administration's Cardiovascular and Renal Advisory Committee, ... He was a clinical and research fellow in peripheral vascular disease at the Evans Memorial Foundation for Clinical Research in ... Halperin, Jonathan L (August 2009). "What can ongoing clinical trials of anticoagulants demonstrate?". Journal of ...
ClinicalTrials.gov
Consortium Clinical trials registry Community-based clinical trial Contract Research Organization Data Monitoring Committees ... Academic clinical trials Bioethics CIOMS Guidelines Clinical data acquisition Clinical Data Interchange Standards ... "AIDS Clinical Trials and Information Services What is AIDS AIDS Symptoms and Treatments AIDS Research Aids Clinical Trials". ... Each trial record is administered by a trial record manager. A trial record manager typically provides initial trial ...
Clinical trial
In larger clinical trials, a sponsor will use the services of a data monitoring committee (DMC, known in the US as a data ... Clinical trial costs vary depending on trial phase, type of trial, and disease studied. A study of clinical trials conducted in ... Adaptive clinical trials use existing data to design the trial, and then use interim results to modify the trial as it proceeds ... Web-based electronic data capture (EDC) and clinical data management systems are used in a majority of clinical trials to ...
Cytel
... means of communicating a clinical trial's interim analysis results and recommendations between the Data Monitoring Committee ( ... Cytel specializes in adaptive trials - a type of randomized clinical trial that allows modifications of ongoing trials while ... Cytel provides clinical trial design, implementation services, and statistical products primarily for the biotech and ... Compass Compass is used by biostatisticians and clinicians to plan and design earlier stage adaptive clinical trials ( ...
James Childress
... the Biomedical Ethics Advisory Committee, and several Data and Safety Monitoring Boards for NIH clinical trials. From 1996 to ... the UNOS Ethics Committee, the Recombinant DNA Advisory Committee, the Human Gene Therapy Subcommittee, ...
Verubecestat
However, the trial was terminated in February 2018, after a data monitoring committee concluded it was unlikely that the drug ... it was in two phase 2/3 clinical trials that have progressed to phase 3. EPOCH, was to complete data collection for the primary ... www.firstwordpharma.com/node/1542930 Clinical trial number NCT01953601 for "Efficacy and Safety Trial of Verubecestat (MK-8931 ... "Merck presents results of a phase I clinical trial evaluating investigational BACE inhibitor MK-8931 at American Academy of ...
Data monitoring committee
"Guidance for Clinical Trial Sponsors: Establishment and Operation of Clinical Trial Data Monitoring Committees" (PDF). Food and ... "Data Monitoring Committees in Practice: Tips on using DMCs to improve trial efficiency and safety". Applied Clinical Trials. ... A data monitoring committee (DMC) - sometimes called a data and safety monitoring board (DSMB) - is an independent group of ... Data and Safety Monitoring Committees in Clinical Trials, Chapman & Hall/CRC, ISBN 978-1-4200-7037-8 David Kerr; Lynn Shemanski ...
Evidence-based medicine
The concept of a controlled clinical trial was first described in 1662 by Jan Baptist van Helmont in reference to the practice ... Trial design considerations: High-quality studies have clearly defined eligibility criteria and have minimal missing data. ... and guidelines for the use of the BCLC staging system for diagnosing and monitoring hepatocellular carcinoma in Canada.[65] ... or reports of expert committees. ... Analysis of clinical trials. *Risk-benefit ratio. *Systematic ...
2-րդ տիպի շաքարային դիաբետ - Վիքիպեդիա՝ ազատ հանրագիտարան
Meta-analysis of individual patient data in randomised trials of self monitoring of blood glucose in people with non-insulin ... American College of Obstetricians and Gynecologists Committee on Practice Bulletins-. ACOG Practice Bulletin. Clinical ... 29,0 29,1 29,2 International Expert Committee (July 2009)։ «International Expert Committee report on the role of the A1C assay ... Mary Lee (2013)։ Basic Skills in Interpreting Laboratory Data։ ASHP։ էջեր Chapter 13։ ISBN 9781585283453 ...
Hand sanitizer
... randomised clinical trial". British Medical Journal. 325 (362): 362. doi:10.1136/bmj.325.7360.362. PMC 117885. PMID 12183307. ... Twentieth report of the WHO Expert Committee 2015 (including 19th WHO Model List of Essential Medicines and 5th WHO Model List ... "FDA issues proposed rule to address data gaps for certain active ingredients in health care antiseptics". U.S. Food and Drug ... Sanchez-Prado, Lucia; Llompart, Maria; Lores, Marta; García-Jares, Carmen; Bayona, Josep M.; Cela, Rafael (2006). "Monitoring ...
Gagal ginjal kronis bahasa Indonesia, ensiklopedia bebas
A Bayesian Network Meta-analysis of Randomized Clinical Trials". American Journal of Kidney Diseases (Systematic Review & Meta- ... "United States Renal Data System (USRDS)". Diarsipkan dari versi asli tanggal 2007-02-13.. Parameter ,url-status=. yang tidak ... Qaseem A, Hopkins RH, Sweet DE, Starkey M, Shekelle P (December 2013). "Screening, monitoring, and treatment of stage 1 to 3 ... report from the panel members appointed to the Eighth Joint National Committee (JNC 8)". JAMA. 311 (5): 507-20. doi:10.1002/ ...
Specialty drugs in the United States
... data collection, or administration) or, Patient management prior to or following administration (monitoring, disease or ... "introduce important medicines to the market based on very promising phase 2 rather than phase 3 clinical trial results". ... a b c Committee on Rheumatologic Care, (2015). The Complexity of Biologics and their Coverage and Payment. American College of ... monitor patients for adverse events and work with primary care provider offices to monitor the outcomes of the medication.[69] ...
Vegānisms - Vikipēdija
"A Low-Fat Vegan Diet Improves Glycemic Control and Cardiovascular Risk Factors in a Randomized Clinical Trial in Individuals ... jūnijā, Wayback Machine vietnē., Physicians Committee for Responsible Medicine. *↑ "A new food guide for North American ... "Is Tel Aviv's vegan craze here to stay?, Al-Monitor, 6 March 2014.Veidne:Pb Tova Cohen, "In the land of milk and honey, ... "American Journal of Clinical Nutrition 78 (3): 533S-538S. PMID 12936946. Atjaunināts: 2008-01-31. "Secinājums - gan britu ...
Variants del SARS-CoV-2 - Viquipèdia, l'enciclopèdia lliure
Variants: distribution of cases data» (en anglès), 18-02-2021. *↑ Risk related to the spread of new SARS-CoV-2 variants of ... Moderna Launches Trial For Covid-19 Vaccine Booster To Tackle South African Strain» (en anglès). Forbes Breaking News, 25-01- ... Neutralization of variant under investigation B.1.617 with sera of BBV152 vaccinees». Clinical Infectious Diseases. Oxford ... Following a risk assessment with the relevant expert committee, they may be designated Variant of Concern (VOC)» ...
Wîkîpediya:Dîwan (tevlîhev)/Arşîv 1 - Wîkîpediya
Funds Dissemination Committee (FDC). The Funds Dissemination Committee (FDC) makes recommendations about how to allocate ... infoboxes (making it possible to store the data that is currently in infoboxes in one central place and share the data) ... We will be monitoring the usage to check for any failures or issues, but please do let us know on the Content Translation talk ... DynaMed - clinical reference tool for medical topics. *Royal Pharmaceutical Society - pharmaceutical information and practice ...
COVID-19, den frie encyklopædi
A Single-arm Clinical Trial for Chloroquine Phosphate in the treatment of Novel Coronavirus Pneumonia 2019 (COVID-19) ... Kinesiske data har vist andelene på henholdsvis 80.9%, 13.8% og 4.7%. For de kritisk tilfælde er dødeligheden fundet til 49%.[ ... The virus itself has been designated SARS-CoV-2 by the International Committee on Taxonomy of Viruses..." ... risk with acute life-threatening events that require adequate treatment with anticoagulants based on laboratory monitoring with ...
Alcoholics Anonymous
... an instrumental variables re-analysis of randomized clinical trials". Alcoholism: Clinical and Experimental Research. 38 (11): ... voted to dissolve its Institutions Committee and form two separate committees, one for treatment facilities, and one for ... "Historical Data: The Birth of A.A. and Its Growth in the U.S./Canada", aa.org, retrieved 18 April 2019 ... but recent high quality clinical meta-studies using randomized trials show that AA costs less than other treatments and results ...
Elsevier
While these are made available to those who wish to license this data, Elsevier cannot make such a large corpus of data, to ... "American Committee on Asian Economic Studies. Retrieved 20 August 2020.. *^ Wiemer, Calla. "The state of journal publishing: ... J. Cardiol.), the Australasian Journal of Clinical Pharmacy (Australas. J. Clin. Pharm.), and the Australasian Journal of ... "Hated Science Publisher Elsevier To Help EU Monitor Open Science - Including Open Access". Techdirt. Retrieved 5 April 2018.. ...
Bedaquiline
Clinical trials[edit]. Bedaquiline has been studied in phase IIb studies for the treatment of multidrug-resistant tuberculosis ... Twentieth report of the WHO Expert Committee 2015 (including 19th WHO Model List of Essential Medicines and 5th WHO Model List ... Collaborative Group for the Meta-Analysis of Individual Patient Data in MDR-TB treatment-2017) (September 2018). "Treatment ... Centers for Disease Control Prevention (October 2013). "Provisional CDC guidelines for the use and safety monitoring of ...
Wiki
It can be monitored to ensure that a page, or a set of pages, keeps its quality. A person willing to maintain pages will be ... Au, C. H. (December 2017). "Wiki as a research support system - A trial in information systems research". 2017 IEEE ... and committee work.[41] In the mid-2000s, the increasing trend among industries toward collaboration placed a heavier impetus ... a data systems specialist, summarizes the controversy as follows: "Most people when they first learn about the wiki concept, ...
Temporomandibular joint dysfunction
Committee on Temporomandibular Disorders (TMDs): From Research Discoveries to Clinical Treatment; Board on Health Sciences ... Ear canal inserts are also available, but no published peer-reviewed clinical trials have shown them to be useful. ... "Medical Science Monitor. 24: 812-817. doi:10.12659/MSM.908810. PMC 5813878. PMID 29420457.. ... Data concluded from a systematic review showed that only extensive erosions and large osteophytes can be detected by panoramic ...
Clinical research
Monitoring in clinical trials. *Ethics committee. *Institutional review board. *Data monitoring committee ... Clinical research is different from clinical practice. In clinical practice established treatments are used, while in clinical ... Main article: Phases of clinical research. Clinical trials involving new drugs are commonly classified into four phases.[6] ... "Clinical science" redirects here. For the journal, see Clinical Science (journal).. Clinical research is a branch of healthcare ...
Visok krvni tlak - Wikipedija, prosta enciklopedija
National Institute Clinical Excellence (August 2011). "1.5 Initiating and monitoring antihypertensive drug treatment, including ... Data from the health examination surveys, 1960 to 1991". Hypertension. 26 (1): 60-9. doi:10.1161/01.HYP.26.1.60. PMID 7607734. ... A scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood ... februar 2006). "Lifestyle interventions to reduce raised blood pressure: a systematic review of randomized controlled trials". ...
បារាំង - វិគីភីឌា
How to conduct European clinical trials from the Paris Region ? Clinical Trials. Paris. February 2003 ... Christian Science Monitor (12 July 2012)Retrieved on 25 April 2013 *↑ France. Berkley Center for Religion, Peace, and World ... Although it is illegal for the French state to collect data on ethnicity and ancestry, a law with its origins in the 1789 ... Paris was the first home of the International Olympic Committee, before it moved to Lausanne.[៣៧១] Since 1900, France has ...
Association of American Physicians and Surgeons
"No clinical benefit from use of hydroxychloroquine in hospitalised patients with COVID-19". Recovery Trial, Nuffield Department ... Also opposed to the bill was the conservative National Physicians Committee. The committee began a membership drive in February ... A Critical Review of Recent Studies Based on Prospective Data" (PDF). Journal of American Physicians and Surgeons. 10 (4): 105- ... They went to court to block enforcement of a Social Security amendment that would monitor the treatment given to Medicare and ...
Attention deficit hyperactivity disorder
Reviews on Recent Clinical Trials. 2 (1): 3-19. CiteSeerX 10.1.1.329.563. doi:10.2174/157488707779318107. PMID 18473983. ... these patients show a very robust clinical response consistent with that observed in pediatric studies. These data suggest that ... "Monitor on Psychology. 34 (2): 28. Archived from the original on 9 April 2017.. ... "Background Document for the Food Advisory Committee: Certified Color Additives in Food and Possible Association with Attention ...
Cervical cancer
American Society of Clinical Oncology Resource-Stratified Clinical Practice Guideline". Journal of Global Oncology. 2 (5): 311- ... August 2018). "Evidence for single-dose protection by the bivalent HPV vaccine-Review of the Costa Rica HPV vaccine trial and ... Committee on Practice Bulletins-Gynecology (November 2012). "ACOG Practice Bulletin Number 131: Screening for cervical cancer ... Interventions such as playing music during the procedure and viewing the procedure on a monitor can reduce the anxiety ...
Benjamin Franklin
In doing so, the committee concluded, through blind trials that mesmerism only seemed to work when the subjects expected it, ... The Christian Science Monitor. Retrieved August 21, 2018. Charles Osborne (April 1, 1994). The bel canto operas of Rossini, ... International Journal of Clinical and Experimental Hypnosis. 50 (4): 332-363. doi:10.1080/00207140208410109. PMID 12362951. ... News from Wikinews Quotations from Wikiquote Texts from Wikisource Textbooks from Wikibooks Resources from Wikiversity Data ...
Helen Rees
... on Immunizationand is a member of the National Health Data Advisory and Coordination Committee chairing the TB/HIV committee. ... She was the Protocol Chair of the first SA microbicide network trial (FACTS 001), a Phase 3 trial of 1% tenofovir gel for HIV ... She is a member of the SAGE Working Group on Measles and Rubella, and of the SAGE Working Group monitoring the progress of the ... Rees is an Honorary Professor in the Department of Clinical Research at the London School of Hygiene and Tropical Medicine. ...
Childbirth
For external monitoring of the fetus during childbirth, a simple pinard stethoscope or doppler fetal monitor ("doptone") can be ... American Academy of Pediatrics Committee on Fetus Newborn; American College of Obstetricians Gynecologists Committee on ... Unless there is some other indication, mothers can attempt a trial of labour and most are able to have a vaginal birth after C ... Obstetric Data Definitions Issues and Rationale for Change Archived 6 November 2013 at the Wayback Machine, 2012 by ACOG. Boyle ...
Gregory M. Herek
PsycLAW: Romer v. Evans Kersting, Karen (May 2003), "APA submits a record four Supreme Court amicus briefs", APA Monitor, p. 58 ... He testified in Perry v. Schwarzenegger trial. Herek has also conducted research documenting the prevalence of stigma directed ... From 1995 to 2007, he served as chairperson of the Scientific Review Committee of the American Psychological Foundation's Wayne ... Journal of Consulting and Clinical Psychology, vol. 67, no. 6, pp. 945-951, doi:10.1037/0022-006x.67.6.945, PMID 10596515, ...
Timeline of the COVID-19 pandemic in the United Kingdom (July-December 2021)
A second man pleads not guilty and iis committed for trial on 23 November. The latest NHS hospital data for England indicates ... a joint report published by the House of Commons Health and Social Care Committee and the Science and Technology Committee, as ... The clinical guidelines regarding the booster vaccine are to be changed for some people, such as care home workers, to allow ... "Covid: Pulse oxygen monitors work less well on darker skin, experts say". BBC News. 31 July 2021. Retrieved 4 August 2021. "UK ...
Elsevier
While these are made available to those who wish to license this data, Elsevier cannot make such a large corpus of data, to ... The suit came to trial in November 2011 and was dismissed in July 2012, with the judge ruling that the article was " ... As a consequence, all but one of the journal's editorial advisory committee members co-signed a letter of resignation. In ... J. Cardiol.), the Australasian Journal of Clinical Pharmacy (Australas. J. Clin. Pharm.), and the Australasian Journal of ...
Doxepin
The incidence of side effects with doxepin and its safety at these doses was similar to that of placebo in clinical trials; the ... Elks J (14 November 2014). The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies. Springer. pp. ... ECG monitoring is recommended for several days after doxepin overdose due to the potential for cardiac conduction abnormalities ... Joint Formulary Committee (2013). British National Formulary (BNF) (65 ed.). London, UK: Pharmaceutical Press. ISBN 978-0-85711 ...
Prostate cancer
PARP inhibitor olaparib is an approved breast/ovarian cancer drug that is undergoing clinical trials. Also in trials for CRPC ... "Prostate Imaging-Reporting and Data System Steering Committee: PI-RADS v2 Status Update and Future Directions". European ... Active surveillance involves monitoring the tumor for growth or symptoms, which trigger treatment. The monitoring process may ... American Society of Clinical Oncology Provisional Clinical Opinion". Journal of Clinical Oncology. 30 (24): 3020-3025. doi: ...
Physiological effects in space
Arteriovenous oxygen differences were calculated from the measured oxygen consumption and cardiac output data. The data ... In a 90-day bed rest trial, a 26% ± 7 decline in the CSA of the calf muscle was observed. This rate of decline is consistent ... Medical requirements for the Mercury astronauts were formulated by the NASA Life Sciences Committee, an advisory group of ... Highly refined exercise protocols and robust exercise equipment and methods to monitor functional capacity are mandatory for ...
SVN53-67/M57-KLH Peptide Vaccine in Treating Patients With Newly Diagnosed Multiple Myeloma Receiving Lenalidomide Maintenance...
Has Data Monitoring Committee No U.S. FDA-regulated Product Studies a U.S. FDA-regulated Drug Product: Yes. ... NCI-2014-02621 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) ). I 247913 ( Other Identifier: Roswell Park ... ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP ... Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT ...
What Participants Need to Know About Clinical Trials - Special Subjects - Merck Manuals Consumer Version
What Participants Need to Know About Clinical Trials - Explore from the Merck Manuals - Medical Consumer Version. ... Data safety and monitoring boards and committees In many large clinical trials, a group of experts who are not involved in the ... Leaving a clinical trial Clinical trial participants can always quit a trial if it proves to be uncomfortable or too ... The Clinical Trial Participants Bill of Rights. Any participant who gives consent to participate in a clinical trial or who is ...
Details for: Data Monitoring Committees in Clinical Trials: A Practical Perspective (Statistics in Practice) › WHO...
Data Monitoring Committees (DMCs) are an essential component of many clinical trials, safeguarding trial participants and ... Data Monitoring Committees (DMCs) are an essential component of many clinical trials, safeguarding trial participants and ... Data Monitoring Committees in Clinical Trials: A Practical Perspective (Statistics in Practice) By: Susan S. Ellenberg (Author ... Data Monitoring Committees in Clinical Trials: A Practical Perspective, 2nd Edition offers practical advice for those managing ...
Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health...
All-cause mortality was not affected during the trial. The risk-benefit profile found in this trial is not consistent with the ... Clinical Trials Data Monitoring Committees * Colorectal Neoplasms / epidemiology * Coronary Disease / epidemiology* * Coronary ... the data and safety monitoring board recommended stopping the trial of estrogen plus progestin vs placebo because the test ... This report includes data on the major clinical outcomes through April 30, 2002. Estimated hazard ratios (HRs) (nominal 95% ...
What Participants Need to Know About Clinical Trials - Special Subjects - MSD Manual Consumer Version
What Participants Need to Know About Clinical Trials - Explore from the MSD Manuals - Medical Consumer Version. ... Data safety and monitoring boards and committees In many large clinical trials, a group of experts who are not involved in the ... Leaving a clinical trial Clinical trial participants can always quit a trial if it proves to be uncomfortable or too ... The Clinical Trial Participants Bill of Rights. Any participant who gives consent to participate in a clinical trial or who is ...
Effect of Pterostilbene on Cholesterol, Blood Pressure and Oxidative Stress - Tabular View - ClinicalTrials.gov
Has Data Monitoring Committee No U.S. FDA-regulated Product Not Provided ... Riche DM, McEwen CL, Riche KD, Sherman JJ, Wofford MR, Deschamp D, Griswold M. Analysis of safety from a human clinical trial ... ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP ... Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT ...
The Promise of Microsampling in Supporting Remote Clinical Trials - Xtalks
Join this webinar to learn more about incorporating microsampling into a clinical trial and evaluating the performance of ... Data Monitoring Committees in the Changing Landscape of Clinical Trials. April 29, 2021 Decentralized Clinical Trials: Lets ... The Promise of Microsampling in Supporting Remote Clinical Trials. Life Sciences, Clinical Trials, Pharmaceutical, Laboratory ... How Digital Therapeutics and Remote Patient Monitoring Can Drive Pharmaceutical Product Differentiation. ...
Radiation Dose Optimization in Diffuse Large B- Cell Lymphoma. | Clinical Research Trial Listing ( NonHodgkin Lymphoma ) (...
Clinical trial for NonHodgkin Lymphoma , Radiation Dose Optimization in Diffuse Large B- Cell Lymphoma. ... Independent data monitoring committee (IDMC). The Tata Memorial Hospital Ethics Committee has established the Data and Safety ... Monitor the overall progress of institutional clinical trials and for ensuring adherence to clinical trial and procedural ... Monitoring Sub Committee for monitoring the conduct of the institutional trials. The Committee has 15 members and meets on the ...
Clinical Trials Register
Trial has a data monitoring committee. No E.8.8. Definition of the end of the trial and justification where it is not the last ... The EU Clinical Trials Register currently displays 43207 clinical trials with a EudraCT protocol, of which 7151 are clinical ... Clinical Trials marked as "Trial now transitioned" were transitioned to the Clinical Trial Regulation 536/2014 and can be ... Clinical trials The European Union Clinical Trials Register allows you to search for protocol and results information on: * ...
Marcus Flather - Research output
- University of East Anglia
Independent academic Data Monitoring Committees for clinical trials in cardiovascular and cardiometabolic diseases. Filippatos ... Individual participant data analysis of two trials on aldosterone blockade in myocardial infarction. Beygui, F., van Belle, E. ... Influence of systolic blood pressure on clinical outcomes in elderly heart failure patients treated with nebivolol: data from ... a meta-analysis with 5-year patient-level data from the ARTS, ERACI-II, MASS-II, and SoS trials. Daemen, J., Boersma, E., ...
Clinical Trials Register
Trial has a data monitoring committee. Yes E.8.8. Definition of the end of the trial and justification where it is not the last ... The EU Clinical Trials Register currently displays 42869 clinical trials with a EudraCT protocol, of which 7063 are clinical ... Clinical Trials marked as "Trial now transitioned" were transitioned to the Clinical Trial Regulation 536/2014 and can be ... Clinical trials The European Union Clinical Trials Register allows you to search for protocol and results information on: * ...
Jim Neaton - Research output
- [email protected]
Clinical Trials Data Monitoring Committees 100% * Practice Guidelines 60% * Committee Membership 21% ... Data monitoring committees: Promoting best practices to address emerging challenges. Fleming, T. R., Demets, D. L., Roe, M. T. ... Zhang, J., Carlin, B. P., Neaton, J. D., Soon, G. G., Nie, L., Kane, R., Virnig, B. A. & Chu, H., Apr 2014, In: Clinical Trials ... Lan, G., Lindborg, S. & Neaton, J., Dec 2012, In: Clinical Trials. 9, 6, p. 736-740 5 p.. Research output: Contribution to ...
Safety and immunogenicity of 2-dose heterologous Ad26.ZEBOV, MVA-BN-Filo Ebola vaccination in healthy and HIV-infected adults:...
When the independent data monitoring committee and the regulatory authorities agreed to continuation of the study (clinical ... Clinical Programming Lead]); Clinical Working Group members (Sanne de Ridder [Clinical Trial Manager], Len Roza [ID&V Risk ... An independent data monitoring committee was established to assess the safety data regularly during the study. The study was ... EUCLID/F-CRIN Clinical Trials Platform (Christine Schwimmer, PhD [EUCLID Executive Director], Christine Betard [Clinical Trial ...
Share
During a cluster-randomized clinical trial for trachoma in Ethiopia, two rounds of adverse event surveillance were performed in ... We thank the project officer for the clinical trial (Donald Everett, National Eye Institute, Bethesda, MD); the data safety and ... monitoring committee including William Barlow (University of Washington, Washington, DC; Chair), Donald Everett (National Eye ... On estimating efficacy from clinical trials. Stat Med 10: 45-52.. Sommer. A. Zeger. SL. , 1991. . On estimating efficacy from ...
Reported adverse event during Covaxin phase 1 trial within 24 hours: Bharat Biotech - The Economic Times
... following a report by Economic Times which revealed that a serious adverse event was seen in a case during the Phase I trial of ... Bharat Biotech said that all adverse events were reported to the site ethics committee, CDSCO, data monitoring board and the ... Bharat Biotech said on Saturday that it had reported the adverse event that happened during the Phase I clinical trials to the ... 72hrs" data-no-of-words="315.0">. Reported adverse event during Covaxin phase 1 trial within 24 hours: Bharat Biotech. ...
Portal LIS - Localizador de Informação em Saúde
Clinical Protocols, Clinical Trials Data Monitoring Committees, Research Groups, Neoplasmas Cerebrales, Neoplasmas de la Médula ... Clinical Protocols, Research Design, Child, Adolescent, Clinical Trials Data Monitoring Committees, Research Groups, Pediatrics ... ACRIN both funds and provides a complete infrastructure for multi-institutional clinical trials of imaging and related ... Clinical Protocols, Cancer Care Facilities, Neoplasmas Cerebelosos, Estadificación de Neoplasmas, recurrencia local del ...
LGIANNI ENG2014.doc - Luca Gianni pdf - PDF Archive
Present/past member/chair of Independent Data Monitoring Committees of international clinical trials. November 2014 3 ... Luca Gianni has conducted clinical trials according to ICH / GCP. Last training on Sept 24th, 2013 (Clinical Trial SIV) ... 2010: Member of the evaluation committee (President) for the designation of early Phase clinical trials centers of the INCa of ... research clinical study cancer breast scientific gianni medical oncology tumori nazionale member istituto milan committee ...
Covid vaccine allergy warning after UK health workers with allergy history suffer reaction to Pfizer/BioNTech shot | CNN
... this vaccine was generally well tolerated with no serious safety concerns reported by the independent Data Monitoring Committee ... "In the pivotal phase 3 clinical trial, ... said the Pfizer/BioNTech trial data indicated that there were ... Pfizers trial protocol shows that people with a history of severe allergic reaction (e.g., anaphylaxis) "to any component of ... The trial has enrolled over 44,000 participants to date, over 42,000 of whom have received a second vaccination." ...
Pharmaceutical transparency in Canada: Tired of talk - The BMJ
He is a member of an independent data monitoring committee for a Sanofi Pasteur clinical trial. ... It also treats-in our view wrongly-clinical data as "confidential business information" (CBI), thereby confirming secrecy as ... which has carried out a number of clinical trials sponsored by vaccine manufacturers. MH has not been involved, in any way, ... Open data Post navigation. Ashish K Jha and Liana Woskie: Funding, trust, and the 69th World Health Assembly ...
Optimising Kidney Utilisation 2022
Health Safety of Blood Tissues and Organs Advisory Committee and of the Data Monitoring Committee of the NHSBT Clinical Trials ... A progressive approach to organ utilisation, based on extensive clinical experience.. *Close collaboration between surgeons, ... Principal Statistician within the Statistics and Clinical Studies team at NHS Blood and Transplant (NHSBT) ...
High-Dose Laquinimod Dropped Due to Cardiac Issues in MS
Teva has discontinued development of the 1.2-mg and 1.5-mg doses because of eight cardiovascular events in two clinical trials ... The change comes at the recommendation of the data monitoring committee (DMC) overseeing two active clinical studies in MS. The ... Clinical trials such as these are made both scientifically and ethically better through the dedicated efforts of these ... "The main message from this story is how important the data monitoring committee is in the determination of public safety. ...
Webinar | Synthetic and External Control Arms in Clinical Trials
... changing the way that clinical trials are conducted. Find out more >> ... several clinical trial data monitoring committees and has been the principal statistician for over 50 completed clinical trials ... changing the way that clinical trials are conducted. Where-as placebo-controlled randomized trials control trials remain the ... Innovative Trial Design. Cytel is the largest provider of statistical software and advanced analytics for clinical trial design ...
DMC | Keywords | EQUATOR Network
Press Release Distribution and Management
... in dose-ascending phase of study following recommendation by Independent Data Monitoring Committee... ... Dosed first patient in final cohort, Cohort 4, in dose-ascending phase of Imagine-1 clinical trial for GM1 gangliosidosis; ... Advanced Imagine-1 clinical trial for GM1 gangliosidosis to recruitment of final cohort, Cohort 4, ... Passage Bio Doses First Patient in Global Clinical Trial of PBFT02 Gene Therapy for Frontotemporal Dementia with Granulin ...
Trial Steering Committees in randomised controlled trials: A survey of registered clinical trials units to establish current...
... the Data Monitoring Committee and the Trial Steering Committee. In this model, the Trial Steering Committee is the executive ... keywords = "trials, oversight committee, clinical trials unit, trial steering committee, clinical trial, randomised controlled ... the Data Monitoring Committee and the Trial Steering Committee. In this model, the Trial Steering Committee is the executive ... the Data Monitoring Committee and the Trial Steering Committee. In this model, the Trial Steering Committee is the executive ...
No news on Pfizer's Covid-19 vaccine is good news - and bad news
... is likely to be the first to have any efficacy data. ... by an independent committee called a data and safety monitoring ... If the vaccine is shown to be effective in the interim analysis of a well run clinical trial it should IMMEDIATELY be granted ... A warning, then, from past attempts from investors to read the tea leaves on clinical trials: They are frequently wrong. ... Making educated guesses about what is happening in a clinical trial is normal practice for investors who follow pharmaceutical ...
School of Medicine: Academic staff | University of Surrey
Alongside designing and recruiting to clinical trials, Dr Field chairs the Independent Data Monitoring Committee for an ongoing ... Dr Michael is a Medical Director for Surrey Clinical Trials Unit and a Cancer Lead for Kent Surrey And Sussex Clinical Research ... She led as PI/CI over 60 clinical trials - including global multi-national trials - in various therapeutic areas both early and ... He is also a member of the steering committees for Association of British Clinical Diabetologists national audits on COVID-19 ...
Faculty and Credentialed Providers | School of Medicine | University of Utah Health
He serves on several Data Safety Monitoring Boards and protocol review committees.. ... Holubkov also regularly teaches courses on the design and analysis of randomized clinical trials and mentors clinical ... Co-Director of the Study Design and Biostatistics Center in the Center for Clinical Sciences (CCTS), and the chief ... and he also directed the Coordinating Center for an industry-sponsored international randomized trial comparing two mechanical ...
NISS Academic Affiliate Meetup: How to Present Your Research | National Institute of Statistical Sciences
Overview The NISS Academic Affiliate Committee is holding a virtual meet-up on November 30, from 1:30-3pm ET, on How to ... Her book on clinical trials data monitoring committees, co-authored with Drs. Thomas Fleming (University of Washington) and ... Particular areas of interest include efficient trial designs, interim monitoring and the operation of data monitoring ... and special issues in trials of cancer and AIDS therapies, and of vaccines. She is an associate editor of Clinical Trials and ...
EfficacyIndependent Data Monitorin2020OutcomesGuidelinesRegulatoryDMCsInterimEthics committeesInvestigatorsResearchPracticesParticipants2021Good ClinicalCommittee'sStatistician2016InterventionsCentersVaccinesOversightSteering Committees2002METHODSBiostatisticsStudyCollaborationPlaceboTesting the company'sResearchersLaboratoryRecommendationEvaluationAdvisory CommitteeACIPAnalysesBIREMEPhase I triPatientDurationAssessResultsPatientsBaselineInstitutional ReviePfizerRegistriesInterventionConductEligibilityStudiesInfantsAdverse eventsCoronary arteryOrganizationDosesReviewEvidenceAdaptiveFindingsJournal of Clinical IInterpretableIndependently
Efficacy12
- I. To collect preliminary data on therapeutic efficacy of this combination against multiple myeloma, including response rate, time to progression and disease progression slope. (clinicaltrials.gov)
- The authoritative guide for Data Monitoring Committees--fully revised and updated The number of clinical trials sponsored by government agencies and pharmaceutical companies has grown in recent years, prompting an increased need for interim monitoring of data on safety and efficacy. (who.int)
- Commenting for Medscape Medical News , Jeffrey Cohen, MD, Cleveland Clinic, Ohio, who is not involved in trials of the drug, said, "The higher dose of laquinimod was being evaluated to assess for better efficacy compared to 0.6 mg. (medscape.com)
- Pfizer and BioNTech are under a white-hot spotlight because their Covid-19 vaccine, by design, is likely to be the first to have any efficacy data. (statnews.com)
- At an advisory panel of outside experts the FDA held last week, the agency signaled that it was not certain it would grant an EUA for a vaccine until a sufficient amount of data had been accumulated to more fully understand the safety and efficacy of a vaccine prospect. (statnews.com)
- Committees established to review interim data and efficacy outcomes in clinical trials. (bvsalud.org)
- We examined the association between baseline UACR and the effects of the SGLT2 inhibitor, canagliflozin, on efficacy and safety outcomes in the Canagliflozin and Renal Endpoints in Diabetes with Established Nephropathy Clinical Evaluation (CREDENCE) randomized controlled trial. (asnjournals.org)
- Identify clinical implications of safety and efficacy of Omr-IgG-am compared with that of IVIG and NS in patients with WNV neuroinvasive disease in a phase 2, randomized, double-blind, multicenter study. (cdc.gov)
- Preoperative use of the somatostatin analogue pasireotide has been studied but its efficacy in reducing clinical relevant POPFs remains questionable, and its expense and adverse effects limit its usefulness. (medscape.com)
- From October 2013 to February 2015, the ACIP HPV Vaccine Work Group reviewed clinical trial data assessing the efficacy, immunogenicity, and safety of 9vHPV, modeling data on cost-effectiveness of 9vHPV, and data on burden of type-specific HPV-associated disease in the United States. (cdc.gov)
- In a phase III efficacy trial comparing 9vHPV with 4vHPV among approximately 14,000 females aged 16 through 26 years, 9vHPV efficacy for prevention of ≥CIN2, vulvar intraepithelial neoplasia grade 2 or 3, and vaginal intraepithelial neoplasia grade 2 or 3 caused by HPV 31, 33, 45, 52, or 58 was 96.7% in the per protocol population* ( Table 2 ) ( 2 , 16 ). (cdc.gov)
- This review aims to summarise the current data for COVID-19 vaccine efficacy in patients with cancer, suggest priority areas for future research and look at potential disparities at a global level. (ecancer.org)
Independent Data Monitorin6
- Advanced Imagine-1 clinical trial for GM1 gangliosidosis to recruitment of final cohort, Cohort 4, in dose-ascending phase of study following recommendation by Independent Data Monitoring Committee. (globenewswire.com)
- Safety data will be periodically reviewed by an Independent Data Monitoring Committee (IDMC). (mycancergenome.org)
- Merck last month stopped enrolling new participants in two of the trials after an independent data monitoring committee observed more deaths occurred among participants who received Keytruda in combination with another treatment than among participants in the studies' control groups. (advisory.com)
- On November 3, GSK announced that they were halting enrollment of a new phase 3 trial in response to substantial positive findings, on the basis of a recommendation by the Independent Data Monitoring Committee (see Infographic). (medscape.com)
- In the pivotal phase 3 clinical trial, this vaccine was generally well tolerated with no serious safety concerns reported by the independent Data Monitoring Committee. (medscape.com)
- In mid-April, at the recommendation of an independent data monitoring committee, AstraZeneca unblinded a phase 3 trial of Tagrisso two years early. (lcfamerica.org)
20208
- The adverse event during phase I clinical trials during August 2020 was reported to the CDSCO-DCGI within 24 hours of its occurrence and confirmation. (indiatimes.com)
- In November 2020, the company initiated a phase 2 clinical trial of ANX005 for treating HD patients. (grandviewresearch.com)
- These units include a custom retrofitted recreational vehicle (RV) to support clinical development and, if approved, market demand, including our production estimates for 2020 and approximately 1. (billfryer.com)
- Based on its deep expertise in mRNA vaccine development and manufacture of health care products, including innovative medicines and biosimilars across more than a century ago by a man committed what do i need to buy spiriva to developing these novel vaccines with pre-clinical and clinical data at the 2020 Tokyo Olympics may become a symbol of a global supply. (billfryer.com)
- The Regional Committee is invited to endorse the proposed regional strategy to improve access to medicines and vaccines in the Eastern Mediterranean, 2020-2030. (who.int)
- During December 2020, the vaccine was granted Emergency Use Authorization (EUA) by the Food and Drug Administration (FDA), and the Advisory Committee on Immunization Practices (ACIP) issued an interim recommendation for use among persons aged ≥18 years (1), which was adopted by CDC. (bvsalud.org)
- Given the urgent public health need to address cVDPV2 in polio-affected countries, the vaccine is being made available through WHO's Emergency Use Listing (EUL) procedure since 2020.ii · nOPV2 is a live type 2 poliovirus and can currently be handled outside of GAPIII containment requirements for the purposes of production, quality control testing, clinical trials, stockpile, and outbreak response. (who.int)
- Trial registration: ClinicalTrials.gov NCT04251429 (retrospectively registered January 29, 2020), protocol version 1. (cdc.gov)
Outcomes8
- This report includes data on the major clinical outcomes through April 30, 2002. (nih.gov)
- ATMOSPHERE (Aliskiren Trial to Minimize Outcomes in Patients with Heart Failure) randomized more than 7,000 heart failure patients to the ACE inhibitor enalapril (Vasotec), aliskiren, or the combination of the two. (cardiobrief.org)
- Medical data and outcomes regarding emotional symptoms, disability, quality of life, and emotion regulation biases will be collected at baseline, immediately after treatment, and 6 and 12 months later. (biomedcentral.com)
- Digital health interventions' effectiveness vary across outcomes: clinical (mixed), behavioral (positively inclined), and service implementation outcomes (clear effectiveness). (cdc.gov)
- Pay for performance had no discernible effects on processes of care or on hypertension related clinical outcomes. (bmj.com)
- Nutrition education with inclusion of peer to peer support was of clinical benefit in improving metabolic outcomes and reducing MetS in T2DM patients. (biomedcentral.com)
- Study outcomes will determine whether HealthLinks is an effective approach to increasing evidence-based health promotion in small , low-wage worksites and whether wellness committees are a capacity-building tool that increases HealthLinks' effectiveness. (cdc.gov)
- Process evaluation outcomes include fidelity of the HWPP intervention, extent of individual DT member activity, expansion of committee scope to include employee well-being, program obstacles and opportunities in each setting, and sustainability (within the available time frame). (cdc.gov)
Guidelines18
- Simulation (patient data acquisition) guidelines. (centerwatch.com)
- BACKGROUND: The Medical Research Council Guidelines for Good Clinical Practice outlines a three-committee trial oversight structure - the day-to-day Trial Management Group, the Data Monitoring Committee and the Trial Steering Committee. (elsevier.com)
- METHODS: A survey to establish Trial Steering Committee's current practices, role and the use and opinion on the Medical Research Council guidelines was undertaken within UK Clinical Research Collaborative registered Clinical Trials Units. (elsevier.com)
- We have identified a widespread adoption of Medical Research Council Guidelines for Trial Steering Committees in the United Kingdom, but limitations in this existing provision have been identified that need to be addressed. (elsevier.com)
- Serves as a point of contact activities related to monitoring adherence to DSMP and policies and procedures adopted by Winship Cancer Institute as required by the Cancer Center Support Grant Guidelines (CCSG). (icims.com)
- Coordinates and attends Data Safety and Monitoring Committee meetings in accordance with Cancer Center Support Grant guidelines to ensure the success of the Cancer Center's protocol review and monitoring process. (icims.com)
- and 3) to describe the positive and negative predictive values (PPV and NPV, respectively) of meeting the guidelines by calculating the percentage of women meeting the physical activity recommendation by the 7D-PAR who also met this recommendation based on data from the accelerometer. (biomedcentral.com)
- The self-reported data from the national surveys suggested that approximately 50 % of all adults met the 2008 Physical Activity Guidelines [ 5 ]. (biomedcentral.com)
- Devlin specifically advocates for clinical practice guidelines from the Infectious Diseases Society of America (IDSA), which is currently working on updated guidance for acute uncomplicated cystitis and pyelonephritis treatment. (medscape.com)
- In 1996, the Department of Health and Human Services and the Henry J. Kaiser Family Foundation convened the Panel on Clinical Practices for the Treatment of HIV to develop guidelines for the clinical management of HIV-infected persons. (cdc.gov)
- These guidelines were developed by the Panel on Clinical Practices for Treatment of HIV Infection, convened by the Department of Health and Human Services (DHHS) and the Henry J. Kaiser Family Foundation. (cdc.gov)
- The guidelines contain recommendations for the clinical use of antiretroviral agents in the treatment of adults and adolescents (defined in Considerations for Antiretroviral Therapy in the HIV-Infected Adolescent) who are infected with the human immunodeficiency virus (HIV). (cdc.gov)
- As the FDA continues to develop evolving guidelines, our industry has experienced a sudden, paradigm shift towards hybrid and virtual trials, with telemedicine becoming the "norm" for patient interaction across a variety of therapeutic areas. (pharpoint.com)
- Research efforts on the analytic validity, clinical validity and utility of cfDNA as a diagnostic and therapeutic biomarker have expanded in the past decade, yet very few applications fall into CDC Tier 1 classified guidelines (genomic applications with a level of evidence established for use in practice. (cdc.gov)
- Current National Comprehensive Cancer Network (NCCN) 2022 guidelines specific to NSCLC (V5.2022) advise plasma cell-free/circulating tumor DNA testing should not be used in lieu of histologic tissue diagnosis, although it can be considered in specific clinical circumstances (i.e., if a patient is not suitable for invasive tissue sampling, if insufficient material following pathologic confirmation or incomplete assessment of all recommended biomarkers in the initial diagnostic setting). (cdc.gov)
- A special panel session regarding the recent American College of Medical Genetics and Genomics (ACMG) guidelines for reporting incidental findings in clinical sequencing. (constantcontact.com)
- This spiral-bound, 5" x 7.5" book is a compilation of the European Union Directives, implementing guidances and ICH guidelines governing the conduct of clinical research in the EU. (clinicalresearchresources.com)
- PharmaLex customizes the monitoring and signal detection activities as per client requirements ensuring reliable, high quality, trackable data in compliance with the regulatory guidelines (e.g. (pharmalex.com)
Regulatory16
- Bharat Biotech said on Saturday that it had reported the adverse event that happened during the Phase I clinical trials to the drug regulatory body within 24 hours. (indiatimes.com)
- In addition to the usual trial details, the NEJM publications contained a fascinating round of articles from the trial's Data Monitoring Committee, executives from drug sponsor Novartis, and officials from European regulatory agencies, offering their perspectives on the pandemonium that ensued when the drug began to fall. (cardiobrief.org)
- In a separate NEJM paper, members of the ATMOSPHERE Data Monitoring Committee- Karl Swedberg, Jeffrey Borer, Bertram Pitt, Stuart Pocock, and Jean Rouleau- issued a harsh condemnation of regulatory intervention in the trial. (cardiobrief.org)
- They wrote that they consider the regulatory action "to be a threat to the function of data monitoring committees [DMCs] and potentially to the integrity of monitored trials. (cardiobrief.org)
- Problems with aliskiren first emerged in the ALTITUDE trial, resulting in the early termination of the trial and a regulatory warning against use of the drug in diabetic patients. (cardiobrief.org)
- and 2) fulfilling the role of liaison to Committee Chairmen, Program Leaders, Principal Investigators, Regulatory Specialists, and Study Coordinators. (icims.com)
- Partnering with Training/Education to ensure monitoring trends are addressed within the clinical trials teams and regulatory and training/competency materials are revised to meet compliance standards. (icims.com)
- The importance of systematically involving patients from early development through regulatory process to ongoing monitoring and safe use in everyday healthcare. (tghn.org)
- The problem of substandard and falsified (SF) medical products affects all countries but few regulatory authorities or pharmaceutical companies have policies of publicly releasing data. (tghn.org)
- Clinical trial (CT) sites face a continually changing legal and regulatory landscape, making research conduct and program operations challenging. (ijam-web.org)
- COLUMBIA, Md. , Jan. 25, 2023 /PRNewswire/ -- Advarra, the market leader in regulatory review solutions, clinical research technology for sites and sponsors, and research quality and compliance consulting services, announced today that Scott Hoffman has joined the company as Chief Commercial Officer. (fox16.com)
- Human subjects research involving individually identifiable human specimens or data and subject to federal and state regulatory requirements. (nih.gov)
- We offer biostatistical consulting focusing on clinical trials, Bayesian statistics, and strategic statistical communication for regulatory designs and filings. (confluencestat.com)
- The name ConfluenceStat signifies the importance of having an experienced clinical trial statistician at the intersection, or confluence, of your executive, clinical and regulatory teams throughout drug or device development. (confluencestat.com)
- The BERD Core provides training and assistance with research design, epidemiology, and biostatistics, including implementation of data collection tools and methods, data management and monitoring, and data analysis for manuscripts and grants, and it works with the Research Service Center to ensure that MCCTR investigators are thoroughly trained in regulatory principles and management. (umc.edu)
- How this will affect clinical trials and regulatory approvals in the future remains to be seen, but there is reason to be optimistic. (impetusdigital.com)
DMCs2
- Data Monitoring Committees (DMCs) are an essential component of many clinical trials, safeguarding trial participants and protecting the credibility and validity of the study. (who.int)
- Examination of topics such as the composition and independence of DMCs, statistical, philosophical and ethical considerations, and determining when a DMC is needed, presents readers with a comprehensive foundational knowledge of clinical trial oversight. (who.int)
Interim5
- Umer Raffat, a senior managing director at the investment bank Evercore ISI, wrote in an analyst note that the fact that Pfizer hasn't conducted an interim analysis was "a good thing" because it means that, based on the details of the trial protocol, the vaccine had not failed to prevent more than 77% of Covid cases, the benchmark for success at this early juncture. (statnews.com)
- In that spirit, we are committed to decreasing health disparities in underrepresented populations through the clinical trial design allows for interim analyses and unblinded reviews by an independent external Data Monitoring Committee (DMC) at a high risk of exposure. (billfryer.com)
- Is there an interim analysis planned for this trial? (who.int)
- In a complex clinical trial, data monitoring committee's oversee interim data to ensure adequate safety monitoring. (advarra.com)
- In addition to initial clinical trial data, ACIP considered new information gathered in the 12 months since issuance of the interim recommendations, including additional follow-up time in the clinical trial, real-world vaccine effectiveness studies, and postauthorization vaccine safety monitoring. (bvsalud.org)
Ethics committees2
- It said that it had submitted all documentation within timelines, and as mandated by the ethics committees and CDSCO, including a complete causality report. (indiatimes.com)
- Government regulations regarding federally-funded research involving human subjects (the "Common Rule") require (45 CFR 46.111) that research ethics committees reviewing large-scale clinical trials monitor the data collected using a mechanism such as a data monitoring committee. (bvsalud.org)
Investigators13
- The people who conduct clinical trials are called clinical researchers, or investigators. (merckmanuals.com)
- Investigators are usually doctors, but may be other health care professionals, who are paid to conduct the trials by the National Institutes of Health (NIH) or by a pharmaceutical, biotechnologic, or medical device company. (merckmanuals.com)
- Investigators may also conduct trials supported by professional organizations such as the American Diabetes Association or the American Heart Association. (merckmanuals.com)
- Investigators follow a detailed protocol (list of instructions) that dictates who is eligible to participate in the trial, what interventions will be given or used, how often participants will be evaluated, and how data will be collected. (merckmanuals.com)
- Dr. Holubkov also regularly teaches courses on the design and analysis of randomized clinical trials and mentors clinical investigators as well as students in the Masters of Statistics Program. (utah.edu)
- D program involving Pfizer, BioNTech, clinical investigators, and study participants with symptomatic COVID-19 disease. (billfryer.com)
- Advarra advances the way clinical research is conducted: bringing life sciences companies, CROs, research sites, investigators, and academia together at the intersection of safety, technology, and collaboration. (fox16.com)
- A clinical trial statistician who understands the clinical situation and effectively communicates with investigators, sponsors, regulators, patients, patient advocates, and other key stakeholders is vital to the success of a clinical trial. (confluencestat.com)
- DXA,CV core), and research nutrition resources to ICTR investigators, based on merit and willingness to be actively monitored by the Translational Research Evaluation Committee (TREC) for study-specific milestones. (johnshopkins.edu)
- BOOST- For junior investigators, first-time R01 awardees, K awardees, and KL2 scholars to generate pilot data for a larger grant submission or to supplement research funds for the K project. (johnshopkins.edu)
- PROPEL- For established investigators who are performing early stage clinical trials, deep phenotyping studies, or studies that address Maryland health priorities. (johnshopkins.edu)
- The objective of the MCCTR Pilot Project Program is to assist junior investigators in generating sufficient data to be competitive for extramural funding. (umc.edu)
- From the onset of the pandemic, scientists have been openly sharing their data with investigators from other centers or countries. (impetusdigital.com)
Research44
- Thousands of clinical trials are conducted each year and may take place at a variety of locations, including universities, hospitals, clinics, doctors' private offices, and professional clinical research sites. (merckmanuals.com)
- What are the credentials and research experience of the trial doctor and trial staff? (merckmanuals.com)
- Adapted from The Center for Information and Study on Clinical Research Participation, www.ciscrp.org/ . (merckmanuals.com)
- Join this webinar for a discussion of the ideal applications of microsampling in clinical research, including details on how to evaluate sample stability. (xtalks.com)
- Consent, then randomization will be performed by statistician at Clinical Research Secretariat, Institutional Review Board. (centerwatch.com)
- PLOS Medicine publishes research and commentary of general interest with clear implications for patient care, public policy or clinical research agendas. (plos.org)
- The company is conducting Phase III clinical trials of Covaxin, in collaboration with Indian Council of Medical Research . (indiatimes.com)
- His research focuses on Bayesian statistical methods for evidence synthesis, innovative clinical trial designs, real world analytics, and global decision-making. (cytel.com)
- His teaching and educational efforts focuses on making complex Bayesian methods widely applicable and interpretable to the global clinical research community. (cytel.com)
- CONCLUSION: We present the first survey reporting on practices within UK Clinical Research Collaborative registered Clinical Trials Units on the experience and remits of Trial Steering Committees. (elsevier.com)
- Dr Hana Hassanin is an associate professor and the Director of Surrey Clinical Research Facility. (surrey.ac.uk)
- She is a clinical consultant for the Dementia Research Institute (DRI) at the Surrey Sleep Research Centre. (surrey.ac.uk)
- Seek out new practice methods and principles, applying them to existing clinical research practices. (icims.com)
- The conclusion was made on the basis of findings of an unblinded Independent Data Monitoring Committee's (iDMC) preplanned examination of data from the phase III research. (grandviewresearch.com)
- This trial aims to contribute to clinical practice research. (biomedcentral.com)
- Clinical research is a highly specialized and rapidly evolving field of expertise. (ijam-web.org)
- Ready to Advance Your Clinical Research Capabilities? (advarra.com)
- The positive safety data in the previous phase 1 study and in the ongoing phase 1/2a study gives us the confidence to now proceed to administration of 20 million cells, which based on our significant pre-clinical research is likely well within the dosing range where we would expect to see clinically meaningful improvement in these patients," said Dr. Edward Wirth, Chief Medical Officer of Asterias Biotherapeutics. (spinalcordinjuryzone.com)
- Further data were provided via direct correspondence with staff at the RANZCR and the Trans-Tasman Radiation Oncology Group (TROG), the major RO research group in Australasia. (bvsalud.org)
- These leadership appointments reinforce the company's focus on advancing clinical research through integrated solutions for sites, sponsors, and CROs and underscore Advarra's commitment to operational excellence. (fox16.com)
- His expertise in building and leading collaborative, high-performing sales organizations will support our strategy of connecting the clinical research ecosystem globally by offering holistic, integrated solutions that provide transformational benefits to our customers. (fox16.com)
- Hoffman commented, "I'm excited to join Advarra to enhance how the commercial organization engages with the clinical research industry and contributes to meeting the company's strategic goal of advancing clinical research to make it safer, smarter, and faster. (fox16.com)
- Learn more on NIAID's Clinical Trial Research page. (nih.gov)
- Research using human specimens or data. (nih.gov)
- With increasing amounts of novel technologies becoming available and more patients taking part in remote health care monitoring, further evaluation and research into digital technologies is needed. (cdc.gov)
- Long-term use of digital devices is critical for successful clinical or research use, but digital health studies are challenged by a rapid drop-off in participation. (cdc.gov)
- In view of the fact that statistical research forms the base of executive planning to achieve measles elimination by 2010, we studied measles epidemiological indexes in Ghazvin city and its territories (as a pilot model) from April 1997 to April 2003 and compared our data with those for the Islamic Republic of Iran as a whole for the same time. (who.int)
- Clinical registries are used for quality management and clinical research. (sogacot.org)
- Randomized controlled trials (RCTs) enable us to gain level I evidence for treatment strategies but have the disadvantage of well-defined subgroups as their target of research and a standardized environment that does not reflect clinical reality. (sogacot.org)
- While raising funds to support lung cancer research, LCFA will raise the public's awareness and serve as a resource for patients or anyone seeking answers, hope, and access to updated treatment information, scientific investigation, and clinical trials. (lcfamerica.org)
- BOOST and PROPEL awards are quarterly clinical research grants that award Clinical Research Unit (CRU) resources such as research space, specialized research nursing, imaging assistance (i.e. (johnshopkins.edu)
- ETHICS AND DISSEMINATION: The study has Human Research Ethics Committee approval. (ox.ac.uk)
- The Mississippi Center for Clinical and Translational Research (MCCTR) is a partnership involving the University of Mississippi Medical Center, the University of Southern Mississippi, and Tougaloo College. (umc.edu)
- The Professional Development Core oversees the Clinical and Translational Research Scholars Program, Mentor Academy, and Seminar Series. (umc.edu)
- The RSC also provides administrative and logistical assistance to lower the barriers to research implementation and enhance the success of the MCCTR's clinical, translational, and community-engaged research. (umc.edu)
- Understand a data strategy's role in clinical research and how enforcing one will benefit your studies. (advarra.com)
- Download our white paper for practical strategies for enhancing innovation, efficiency, and talent development in clinical research. (advarra.com)
- About BioNTech Biopharmaceutical New Technologies is a critical step forward in strengthening sustainable access to results from analyses of whole browse this site exome sequencing data from 300,000 research participants from the BNT162 program, and if obtained, whether or when considering continuing XELJANZ in patients with pre-existing severe gastrointestinal narrowing. (micronus.xyz)
- Training Mentors of Clinical and Translational Research Scho. (lww.com)
- Dr. Pfund is researcher, Institute for Clinical and Translational Research and Wisconsin Center for Education Research, University of Wisconsin-Madison, Madison, Wisconsin. (lww.com)
- Ms. House is research project director, Research Education and Career Development, Institute for Clinical and Translational Research, University of Wisconsin-Madison, Madison, Wisconsin. (lww.com)
- Dr. Sorkness is professor, School of Pharmacy and School of Medicine, and senior associate executive director, Institute for Clinical and Translational Research, University of Wisconsin-Madison, Madison, Wisconsin. (lww.com)
- This project has been funded in whole or in part with federal funds from the National Center for Research Resources (NCRR), grant no. 1UL1RR025011, and the National Center for Advancing Translational Sciences (NCATS), grant no. 9U54TR000021, National Institutes of Health, through the Clinical and Translational Science Awards (CTSA) Program (University of Wisconsin-Madison). (lww.com)
- The consortium includes four academic centers (Amsterdam UMC, University of Utrecht, University of Amsterdam and Maastricht University), five companies (Winclove Probiotics B.V., Springfield Nutraceuticals, Microbiome Center, Biovis Diagnostics, Danone/Nutricia Research) and two citizen/patient organizations (My Data Our Health Foundation and the Holland Health Data Cooperative). (briljantemislukkingen.nl)
Practices8
- Providing recent examples to illustrate DMC principles, this fully-updated guide reflects current developments and practices in clinical trial oversight and offers expanded coverage of emerging issues and challenges in the field. (who.int)
- Greater transparency is needed so that researchers can independently assess a drug's safety and effectiveness and doctors can examine the data to ensure the appropriateness of their prescribing, while investigative journalists and civil society at large put public pressure on regulators and industry to improve their practices. (bmj.com)
- The United States (US) Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) convened the regularly scheduled quarterly meeting of the Advisory Committee on Immunization Practices (ACIP) on February 24-25, 2021. (cdc.gov)
- Our second presenter is Dr. Kathleen Dooling, who is a co-lead for the Advisory Committee for Immunization Practices COVID-19 Vaccines Workgroup as part of CDC's COVID-19 response. (cdc.gov)
- An early version of the HIT system was introduced during the 2003 football season: four football players from Virginia Polytechnic Institute and State University, in Blacksburg, Va., were monitored through 35 practices and 10 games. (ieee.org)
- During its February 2015 meeting, the Advisory Committee on Immunization Practices (ACIP) recommended 9-valent human papillomavirus (HPV) vaccine (9vHPV) (Gardasil 9, Merck and Co., Inc.) as one of three HPV vaccines that can be used for routine vaccination ( Table 1 ). (cdc.gov)
- The advisory committee on immunization practices' recommendation for use of Moderna COVI. (bvsalud.org)
- Comply with the most current Advisory Committee on Immunization Practices (ACIP) recommendations for meningococcal vaccination in patients with complement deficiencies. (centerwatch.com)
Participants7
- Teva is notifying trial sites to discontinue the higher doses immediately in both trials and will encourage participants to continue follow-up. (medscape.com)
- Both trials, CONCERTO and ARPEGGIO, are continuing the lower-dose arms (0.6mg daily), and participants in the trials will be provided with an update to confirm re-consent for participation. (medscape.com)
- Merck said FDA suspended the trials in response to data that showed trial participants who had received Keytruda were more likely to die than those who had received other treatments. (advisory.com)
- Merck said FDA placed a full clinical hold on the two blood cancer trials in which the company had stopped enrolling new participants and a partial hold on the third trial. (advisory.com)
- According to the Journal , Merck said a portion of participants in the third trial also will stop receiving Keytruda. (advisory.com)
- 12 In the Cochrane meta-analysis, a subanalysis restricted to trial participants who actually reached the active phase of labour showed little or no effect on the caesarean section rate. (bmj.com)
- The trial has enrolled over 44,000 participants to date, over 42,000 of whom have received a second vaccination. (medscape.com)
20214
- Most hospitals and clinics across the globe reported that post the second quarter of 2021, clinical visits frequency for the diagnosis and treatment of HD has improved. (grandviewresearch.com)
- The data were collated in February 2021. (bvsalud.org)
- In January 2021, Pfizer announced that the Phase 2 clinical trials for product candidates includes individualized and off-the-shelf mRNA-based therapies, innovative chimeric antigen receptor T cells, bi-specific checkpoint immuno-modulators, targeted cancer antibodies and small molecules. (micronus.xyz)
- LILACS Brazil's evaluation and permanence criteria are compatible with LILACS regional criteria and were discussed and approved at a meeting of the LILACS Brazil Journal Evaluation and Selection Committee in March 2021 and have taken effect in July 2021. (bvsalud.org)
Good Clinical1
- The study will be conducted in accordance with the principles of the Declaration of Helsinki and Good Clinical Practice. (ox.ac.uk)
Committee's3
- There is yet to be in-depth consideration establishing the Trial Steering Committee's role and functionality. (elsevier.com)
- In special cases, the data monitoring committee's statistical analysis plan to deal with these concerns should be shared with the regulators. (cardiobrief.org)
- Committee chair sends letter to the investigator informing of the committee's decision, and includes any relevant comments. (johnshopkins.edu)
Statistician2
- Dr. Thorlund sits on several clinical trial data monitoring committees and has been the principal statistician for over 50 completed clinical trials. (cytel.com)
- We also provide expertise for sponsors seeking an experienced data monitoring committee (DMC) statistician . (confluencestat.com)
20162
- To address the urgent medical need during the 2014 to 2016 outbreak, the clinical development of the 2-dose vaccine regimen comprising of Ad26.ZEBOV and MVA-BN-Filo was accelerated. (plos.org)
- Based on an international symposium organized by the Medical School of the University of Duisburg-Essen (Germany) and held in January 2016, we discuss the opportunities and challenges of three specific areas, i.e., public-private partnerships, adaptive designs and big data. (frontiersin.org)
Interventions4
- At the University of Pittsburgh, Dr. Holubkov was chief biostatistician for the NHLBI Registries of Percutaneous Coronary Interventions and the two NHLBI Bypass Angioplasty Revascularization Investigations (BARI), and he also directed the Coordinating Center for an industry-sponsored international randomized trial comparing two mechanical heart valves. (utah.edu)
- While our data suggest that self-report could be used to identify a physically inactive sample, it would be likely to over-estimate the proportions of women who become active in one or both arms of trials of interventions promoting MVPA. (biomedcentral.com)
- NCCN reports ctDNA testing studies have shown high specificity but compromised sensitivity for detecting molecular biomarkers that guide therapeutic interventions, therefore data supports complementary testing to reduce turnaround time and increase yield of targetable alteration detection. (cdc.gov)
- This study is a three-arm randomized controlled trial testing the impact of the HealthLinks intervention on worksites' adoption and implementation of evidence-based interventions. (cdc.gov)
Centers3
- Estrogen plus progestin component of the Women's Health Initiative, a randomized controlled primary prevention trial (planned duration, 8.5 years) in which 16608 postmenopausal women aged 50-79 years with an intact uterus at baseline were recruited by 40 US clinical centers in 1993-1998. (nih.gov)
- Out of 17 centers willing to participate, 4 were still lacking any data entries. (sogacot.org)
- Due to the high inaccuracy, the high number of centers lacking mandatory entries at all and the number of false entries, these data alert us to advocate unannounced audits and further measures to improve the situation. (sogacot.org)
Vaccines3
- As noted in the ACIP Policies and Procedures manual, Dr. Cohn reminded everyone that ACIP members agree to forgo participation in certain activities related to vaccines during their tenure on the committee. (cdc.gov)
- Members who conduct vaccine clinical trials or serve on data safety monitoring boards (DSMBs) may present to the committee on matters related to those vaccines, but are prohibited from participating in committee votes. (cdc.gov)
- Dr. Sharon Frey serves as a Principal Investigator on several COVID-19 vaccines trials. (cdc.gov)
Oversight2
- Responsible for the maintenance, revision and oversight for the Data Safety and Monitoring Plan (DSMP). (icims.com)
- Advarra designs your data monitoring committee to provide the appropriate independent oversight to support participant safety and statistical evaluations. (advarra.com)
Steering Committees1
- She has served as PI on several NIH R01 grants, served on the Executive Steering Committees for international clinical trials and national registries, Event Adjudication Committees, and Data Safety Monitoring Boards. (cardiometabolichealth.org)
20021
- On May 31, 2002, after a mean of 5.2 years of follow-up, the data and safety monitoring board recommended stopping the trial of estrogen plus progestin vs placebo because the test statistic for invasive breast cancer exceeded the stopping boundary for this adverse effect and the global index statistic supported risks exceeding benefits. (nih.gov)
METHODS6
- He has taught a variety of courses at Cornell including Statistical Methods II, the second semester of a statistical methods sequence for graduate students from a wide variety of disciplines, Biological Statistics I, Data Science for All, as well as core courses for statistics undergraduates, professional masters students, and Ph.D. students in the Fields of Statistics. (niss.org)
- METHODS: De-identified data were provided from two recent FRO workforce censuses conducted in 2014 and 2018 with permission from the EWC. (bvsalud.org)
- METHODS AND ANALYSIS: This open-label, seven-centre, randomised controlled parallel group clinical trial will compare home-based hybrid closed-loop versus standard diabetes therapy in Australia. (ox.ac.uk)
- A 2015 updated American College of Obstetrics and Gynecology (ACOG) Committee Opinion (Tier 2) recommended conventional screening methods as the most appropriate choice for first-line screening for most women in the general obstetric population since cell-free DNA screening has limitations in performance and limited data on cost-effectiveness in the low-risk obstetric population. (cdc.gov)
- In the literature we find data evaluating the installation of sympathetic block through HRV using linear methods however, there is a lack of studies using methods based on the domain of chaos. (bvsalud.org)
- We ensure Signal detection methods applied are appropriate for the data set under analyses as qualitative analyses alone may not suffice for large data sets and complex statistical tools may not be appropriate for smaller data sets. (pharmalex.com)
Biostatistics1
- With strategic scientific consulting and clinical data services (biostatistics, data management/EDC, and IRT/IWRS) expertise at our core, our services are scalable via our diverse and complementary strategic partnerships to provide full service clinical trial solutions. (sdcclinical.com)
Study21
- Study record managers: refer to the Data Element Definitions if submitting registration or results information. (clinicaltrials.gov)
- All study visits will consist of brief clinical examination (including vital signs), subjective adverse event reporting, and fasting donated blood and urine for clinical laboratory tests. (clinicaltrials.gov)
- The trial is expected to continue until 150 of the volunteers in the study have had Covid-19. (statnews.com)
- Disseminates policy decisions and resolutions to Winship study teams from the Data Safety and Monitoring Committees. (icims.com)
- The informative lecture provided useful recommendations which included ensuring DSMB members are supportive of the trial and structuring the study team to maintain blind during the construction and review of DSMB reports. (nihr.ac.uk)
- The SciStar study, funded in part by the California Institute for Regenerative Medicine (CIRM) is a Phase 1/2a clinical trial that is designed to test first the safety and then the effectiveness of Asterias' AST-OPC1 cells. (spinalcordinjuryzone.com)
- This clinical trial is the first study to evaluate the effect of vitamin D dosing interval on susceptibility to acute respiratory infection. (bmj.com)
- This study aimed to assess the determinants of competency levels for health workers who utilized data from health information systems in Eastern Ethiopia . (bvsalud.org)
- GSK has announced that it will seek approval for gepotidacin and pursue peer-reviewed publication of study data early next year. (medscape.com)
- The study used UK Biobank data, COVID-19 test results, and deaths recorded March-July. (medscape.com)
- to know whether clinical trial rules and regulations will apply to your study. (nih.gov)
- Sunitinib is also approved by the FDA for PNET, on the basis of a study that was discontinued after the independent data and safety monitoring committee observed more serious adverse events and deaths in the placebo group but an improvement in PFS in the sunitinib group. (medscape.com)
- The aim of this study was to determine the accuracy and completeness of registry data o the example of the German Spine Society (DWG) registry. (sogacot.org)
- It assists applicants for MCCTR resources and MCCTR awardees through the Investigator Development Program and Pilot Projects Program with study design and execution, including instrument, protocol, and Manual of Procedure development, data coordination, analytics, and reporting. (umc.edu)
- The study was approved by the Ethics Committee of the Kansai University of Welfare Sciences. (hindawi.com)
- As a clinical trial moves through phases, how does the return on investment benefit study design and the program overall? (advarra.com)
- Data on MetS risk factors as well as food intake patterns and physical activity levels were taken at baseline and at different time points during the study. (biomedcentral.com)
- The results are "very encouraging," said Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases, who was not involved in the trial, which he called a "very difficult study under very difficult circumstances. (aucmaglobal.com.cn)
- The purpose of this paper is to (a) describe the intervention design and study protocol of the HealthLinks Trial and (b) report baseline findings. (cdc.gov)
- The design seeks to achieve comparable study engagement and data quality between groups. (cdc.gov)
- Potential challenges include difficulty in pooling data across study sites if Design Teams select different intervention topics, and follow-up periods too short for change to be observed. (cdc.gov)
Collaboration4
- Currently, Cellavita, in collaboration with AzidusPharma, is investigating stem cell therapy, CELLAVITA-HD in phase 2/ 3 ADORE-DH trial. (grandviewresearch.com)
- Clinical trials require extensive collaboration and communication. (confluencestat.com)
- In addition, the MCCTR pursues extensive collaboration with the IDeA-funded Louisiana Clinical and Translational Science Center and Mayo Clinic's Center for Clinical and Translational Sciences. (umc.edu)
- Another positive note is that the pandemic has accelerated laboratory and clinical trial collaboration far beyond what has ever been seen before. (impetusdigital.com)
Placebo7
- Does the trial involve a placebo or a treatment that is already on the market? (merckmanuals.com)
- In this randomised, observer-blind, placebo-controlled Phase II trial, 668 healthy 18- to 70-year-olds and 142 HIV-infected 18- to 50-year-olds were enrolled from 1 site in Kenya and 2 sites each in Burkina Faso, Cote d'Ivoire, and Uganda. (plos.org)
- Where-as placebo-controlled randomized trials control trials remain the gold standard, in some situations synthetic control arms can be used instead. (cytel.com)
- Synthetic control arms leverage real world data from various sources or evaluations of historical clinical data to demonstrate the positive effects of a new therapy or treatment , without the need to use a placebo or standard of care as a control. (cytel.com)
- In a randomized trial of 240 women, 3 months of daily administration resulted in 56% of women avoiding UTIs for 1 year, compared with 25% of women treated with placebo. (medscape.com)
- The placebo-controlled randomised trials that supported the temporary authorisation of these two antivirals were conducted in unvaccinated patients with COVID-19, so an evidence-based prescription practice would only use these drugs for unvaccinated patients until further data become available. (thelancet.com)
- In postsurgery patients with EGFR-mutated non-small cell lung cancer , Tagrisso cut the risk of disease recurrence or death by a whopping 83% compared with placebo, AstraZeneca revealed ahead of the American Society of Clinical Oncology's (ASCO's) virtual annual meeting. (lcfamerica.org)
Testing the company's1
- Merck on Wednesday announced that FDA has placed a hold on three clinical trials that were testing the company's drug Keytruda as a treatment for blood cancer. (advisory.com)
Researchers4
- Following numerous parliamentary committees, auditor general reports, journalist investigations, and academic researchers calling for greater transparency, Health Canada has offered up several supposed transparency initiatives. (bmj.com)
- The device would provide, for the first time, a data set large enough for researchers to understand when a concussion is likely to have occurred, according to how hard a hit was and to which part of the helmet. (ieee.org)
- The researchers conducted a randomized clinical trial protocol to assess autonomic function at motor recovery in patients receiving spinal anesthesia with isobaric bupivacaine alone or clonidine-associated isobaric bupivacaine. (bvsalud.org)
- W.H. Freeman and Company has published a printed version of Mentor Training for Clinical and Translational Researchers. (lww.com)
Laboratory3
- Obtaining experience with this device in both the laboratory and clinical setting will help the user to gain knowledge about the advantages and disadvantages. (xtalks.com)
- Scandinavian Journal of Clinical and Laboratory Investigation. (wustl.edu)
- Public health scientists at CDC will collect and analyze epidemiologic and laboratory data to determine pandemic severity using the PSAF 1 . (cdc.gov)
Recommendation2
- The change comes at the recommendation of the data monitoring committee (DMC) overseeing two active clinical studies in MS. The DMC identified an imbalance in the number of cardiovascular events in the studies. (medscape.com)
- The Food and Drug Administration's (FDA) Vaccine and Related Biological Products Advisory Committee (VRBPAC) will review the WHO recommendation and make a recommendation to the Commissioner of Food and Drugs at FDA for viruses to include in the pandemic vaccine for the United States. (cdc.gov)
Evaluation4
- Risk of fracture with thiazolidinediones: An up to date meta-evaluation of randomized clinical trials. (ehd.org)
- The aim of this paper is to present the AEPC position on frequently asked questions regarding Covid-19 in a Paediatric and Congenital Cardiology setting, based on continuous monitoring and evaluation of scientific papers. (aepc.org)
- evaluating and critically appraising ICSRs, aggregate data, and literature and thereby providing a comprehensive evaluation report considering the strengths and weaknesses of all the data sets and sources reviewed. (pharmalex.com)
- Brazilian scientific journals are selected by the LILACS Brazil Journal Evaluation and Selection Committee, coordinated by BIREME, in support of the coordination activities of LILACS and VHL 3 Brazil networks, led by the Brazilian Ministry of Health. (bvsalud.org)
Advisory Committee2
- and receiving honoraria from Synlogic Medical Advisory Committee (personal honorarium). (elsevier.com)
- Advisory Committee (EAC). (cdc.gov)
ACIP2
- For these recommendations, ACIP reviewed additional data on 9vHPV in males aged 16 through 26 years ( 4 ). (cdc.gov)
- ACIP also considered comparisons of mRNA vaccine effectiveness and safety in real-world settings when first doses were administered 8 weeks apart instead of the original intervals used in clinical trials (3 weeks for BNT162b2 [Pfizer-BioNTech] COVID-19 vaccine and 4 weeks for Moderna COVID-19 vaccine). (bvsalud.org)
Analyses1
- Such analyses are a standard part of clinical trials, and are conducted by an independent committee called a data and safety monitoring board, or DSMB. (statnews.com)
BIREME1
- BIREME coordinates LILACS's International Journal Selection Committee, which endorses the titles selected by the National Selection Committees, periodically evaluates the titles indexed in LILACS, and promotes studies on Latin American and Caribbean scientific production. (bvsalud.org)
Phase I tri2
- This phase I trial studies the safety of SVN53-67/M57-KLH peptide vaccine in incomplete Freund's adjuvant together with sargramostim in treating patients with newly diagnosed multiple myeloma who are receiving lenalidomide maintenance therapy. (clinicaltrials.gov)
- The statement was issued following a report by Economic Times which revealed that a serious adverse event was seen in a case during the Phase I trial of its indigenous Covid vaccine. (indiatimes.com)
Patient7
- After completion of staging, the patient is informed about this trial after checking the eligibility checklist. (centerwatch.com)
- The patient is informed about this trial, including the following main points: title and aim of the trial, nature of the treatment, side effects, reason for randomization, passing on of data and material samples and the patient's freedom to decide. (centerwatch.com)
- The written consent to participate in the trial and to randomization, if needed, in the presence of a witness takes place at least 24 hours after patient briefing. (centerwatch.com)
- Unlike other companies like AstraZeneca and Johnson & Johnson which had temporarily halted their phase 3 clinical trial immediately after an adverse event was observed in a patient, Bharat Biotech continued with the trial and the no public disclosure was made by the company. (indiatimes.com)
- One event was observed in the 1.5-mg daily-dose arm of the ARPEGGIO trial in primary-progressive MS. ARPEGGIO has enrolled 191 patients and has 35 years of patient experience. (medscape.com)
- expect to dose the final patient in this phase of the trial by year-endPlan. (globenewswire.com)
- A median of 31 items per patient was evaluated including completeness and accuracy of data. (sogacot.org)
Duration3
- Baseline data on duration of MVPA from the mPED trial were analyzed for 215 women. (biomedcentral.com)
- Several questions concerning vaccination remain unanswered and require further exploration, such as response duration, need for response monitoring and rates of breakthrough infections. (ecancer.org)
- Throughout the duration of the block, patients should receive constant monitoring. (bvsalud.org)
Assess2
- We conducted a randomised trial to assess the safety and the immunogenicity of the Ad26.ZEBOV, MVA-BN-Filo vaccine regimen in 3 different vaccination intervals in healthy and HIV-infected adults. (plos.org)
- Responsibilities include the following duties: Process, review, and assess SAE, device incident, and pregnancy reports from clients' ongoing drug or device clinical trials in a timely manner. (icims.com)
Results11
- What has already been learned about the trial treatment and have any trial results been published? (merckmanuals.com)
- The risk-benefit profile found in this trial is not consistent with the requirements for a viable intervention for primary prevention of chronic diseases, and the results indicate that this regimen should not be initiated or continued for primary prevention of CHD. (nih.gov)
- RESULTS: Our results showed that compared to females, male radiation oncologists were more likely to be engaged in full-time active clinical work, hold a postgraduate degree and obtain a consultant or fellowship position following graduation. (bvsalud.org)
- And these results are consistent with what was observed in the clinical trials and are essentially expected. (cdc.gov)
- Of 8866 results, 52 met eligibility criteria (31 reviews, 21 trials). (cdc.gov)
- Results of clinical trials conducted by HHS, and other available data, will be used to determine the appropriate formulation of a pandemic vaccine (e. g., specific virus(es), antigen content, whether an adjuvant is required, and dosage) and number of doses required to elicit a protective immune response. (cdc.gov)
- Clinical trial results will inform any adjustments needed in the targeting strategy and FDA-licensure of a pandemic vaccine. (cdc.gov)
- Such flames were fanned by two high-profile events last year: Eliot Spitzer's lawsuit against GlaxoSmithKline ( GSK ) for allegedly suppressing data linking antidepressants to suicide risk in children (which later prompted initiatives to disclose clinical trial results) and the recent scare over the safety of COX-2 inhibitors, a class of pain-killers, following the withdrawal by Merck of one of these called Vioxx. (economist.com)
- Results are easily recalled for review or data transmission. (novabiomedical.com)
- An experimental Ebola vaccine being tested in the West African nation of Guinea during the continuing outbreak of the viral disease has shown promising initial results, according to a report on the clinical trial that was published Friday. (aucmaglobal.com.cn)
- HealthLinks randomized controlled trial: design and baseline results. (cdc.gov)
Patients23
- Patients who fit the eligibility criteria will be screened for the trial. (centerwatch.com)
- Patients who consent to participate in the trial will be registered into the trial prior to the start of chemotherapy. (centerwatch.com)
- Seven cardiovascular events were observed in patients receiving laquinimod daily at 1.2 mg for treatment of relapsing-remitting MS (RRMS) in the CONCERTO trial. (medscape.com)
- The trial was significantly modified midstream when major safety concerns in patients with diabetes emerged in two other trials testing the drug, ALTITUDE and ASTRONAUT . (cardiobrief.org)
- Although they had not seen the data from ATMOSPHERE, the regulators intervened and asked Novartis to discontinue the use of aliskiren in diabetic patients in the trial. (cardiobrief.org)
- APPRAISE-2, one of nine clinical trials evaluating the drug, was expected to enrol 10,800 patients with a recent ACS. (pharmatimes.com)
- Primarily, they are focusing on the rolling submission of data for the prevention of stroke in patients with atrial fibrillation who are unsuitable for treatment with the gold standard warfarin to the US Food and Drug Administration and the application to the European Medicines Agency for venous thromboembolism prevention. (pharmatimes.com)
- News of the apixaban setback comes just after Bayer and Johnson & Johnson presented strong data for their rival drug Xarelto (rivaroxaban) at the American Heart Association meeting in Chicago, showing it was superior to warfarin, with less risk of bleeding, in protecting against stroke among patients with AF. (pharmatimes.com)
- 2This is the set of data generated by the subset of patients who complied with the protocol sufficiently to ensure that these data would be likely to exhibit the effects of treatment, according to the underlying scientific model. (who.int)
- Oakland, CA - A clinical trial using stem cells to treat people with recent spinal cord injuries has cleared two key safety hurdles, and been given approval to expand the therapy to a larger group of patients with a much higher dose of cells. (spinalcordinjuryzone.com)
- Asterias Biotherapeutics announced that its Data Monitoring Committee (DMC) has reviewed the safety data from the first two groups of patients treated and found no problems or adverse side effects. (spinalcordinjuryzone.com)
- The patients enrolled in the trial have experienced injuries in the C5-C7 vertebrae and have essentially lost all feeling and movement below the injury site, with severe paralysis of the upper and lower limbs. (spinalcordinjuryzone.com)
- At the same time, STRONG was planned to provide important data on age and sex matched normal values of controls and retinal vein occlusion (RVO) patients and the natural course of iCRVO and NVG in a very large and well-investigated cohort. (europa.eu)
- The drug has already blitzed its way to the top of AstraZeneca's sales ranks, generating $3.19 billion in 2019 on the back of data in previously untreated metastatic EGFR lung cancer patients that made it the standard of care in that setting. (lcfamerica.org)
- CMS coverage has been approved under specific clinical scenarios for liquid biopsy for patients with lung cancer , as well NSCLC, colorectal, breast, and other solid tumors . (cdc.gov)
- A Canadian clinical guideline publication recommends liquid biopsy being performed first for the detection of EGFR T790M mutation in patients with EGFR sensitizing mutation-positive NSCLC who progress on first- or second-generation EGFR TKI therapy, followed up with tissue biopsy if the liquid biopsy is negative for T790M. (cdc.gov)
- Although patients diagnosed with or receiving therapy for cancer were excluded from the initial vaccine trials, emerging evidence now supports vaccine safety with potentially diminished immune response in this group. (ecancer.org)
- The data on cellular response are scarce and conflicting since not all studies have showed a difference between patients with malignancies and healthy subjects. (ecancer.org)
- The aim of this paper is to present the AEPC position on frequently asked questions based on the most recent scientific data, as well as to frame a discussion on how to take care of our patients during this unprecedented crisis. (aepc.org)
- To better support patients' needs and advance the foundation's mission of accelerating the development and adoption of clinical indications, the FUS Foundation is transitioning the work of its Focal Drug Delivery Program to two other initiatives. (fusfoundation.org)
- AND Gaston Remmers: "Our joint proposal involved a structured approach to 'Learn to Fish' in the sea of data and observations that patients make on a daily basis about their health. (briljantemislukkingen.nl)
- The project has dual leadership, divided between scientists and patients: Amsterdam UMC (science) and My Data Our Health Foundation (patients). (briljantemislukkingen.nl)
- The clinical trial involved inoculating people who had come into contact with Ebola patients, and the contacts of those contacts. (aucmaglobal.com.cn)
Baseline4
- Adults aged ≥25 years with type 1 diabetes using intensive insulin therapy (via multiple daily injections or insulin pump, total enrolment target n=120) will undertake a run-in period including diabetes and carbohydrate-counting education, clinical optimisation and baseline data collection. (ox.ac.uk)
- XELJANZ should be given to lymphocyte counts at baseline and after 4-8 weeks of treatment and for our industry will be followed for three additional years to monitor antibody persistence. (micronus.xyz)
- Main outcome measures Centiles of systolic and diastolic blood pressures over time, rates of blood pressure monitoring, blood pressure control, and treatment intensity at monthly intervals for baseline (48 months) and 36 months after the implementation of pay for performance. (bmj.com)
- and 3302 employees across the worksites participated in the baseline data collection. (cdc.gov)
Institutional Revie2
- As Chief Operating Officer, Uebele is responsible for strategy and operations for Review Services, including institutional review board (IRB), institutional biosafety committee (IBC), data monitoring, and endpoint adjudication, Global Services and Product Delivery, Consulting Services as well as Advarra's customer success teams. (fox16.com)
- If you still have questions about whether your application has human subjects, ask your institutional review board (IRB) or independent ethics committee (IEC) before writing your application. (nih.gov)
Pfizer3
- It might also have been possible, for instance, for Pfizer to have told the DSMB only to give it information if there is enough safety data to file for an EUA. (statnews.com)
- Bristol-Myers Squibb and Pfizer have suffered a setback with the news that a late-stage trial of their investigational blood-clotting treatment apixaban has been stopped to an increase in bleeding. (pharmatimes.com)
- So we did have some data for Pfizer dose two, and we do have now data for Moderna dose two which is similar. (cdc.gov)
Registries9
- However, this remains uncertain, as none of these registries have implemented independent monitoring. (sogacot.org)
- Registries were designed to acquire comprehensive data on treatment effects and natural course of diseases [ 1 ]. (sogacot.org)
- Thus, we look back on more than two decades of experience with data originating from registries, which are increasingly used for clinical science and quality management. (sogacot.org)
- Registries have the hypothetical advantage to acquire data from a complete population with a specific disease treated in a real-world setting. (sogacot.org)
- Thus, clinical studies with data from registries are considered to ideally complementing RCTs or vice versa. (sogacot.org)
- Data originating from clinical registries become also increasingly important today for quality management purposes to all stakeholders of our healthcare systems, e.g., health insurances, healthcare providers, politicians, professionals and their respective scientific societies. (sogacot.org)
- Because these two purposes are highly important and may have far reaching consequences, data quality of registries itself with regard to completeness and accuracy becomes of utmost importance. (sogacot.org)
- In strong contrast to this stands the fact that few spine registries have external monitoring, which would be a first prerequisite to assure data quality. (sogacot.org)
- Another obstacle for almost all registries with exception of the Scandinavian ones is that most national data protection laws require strictly anonymized data entries, which prohibits any relevant and accurate follow-up for very important markers such as reoperation rates or 30-day readmissions. (sogacot.org)
Intervention7
- Clinical trials are experiments designed to find out whether an intervention is safe and effective and that the potential benefits of the intervention outweigh the risks. (merckmanuals.com)
- Several thousand people typically participate in clinical trials for each new intervention before it becomes available to the general public. (merckmanuals.com)
- If legitimate concerns arise regarding the safety of any intervention, as was the case here, sharing of data with regulators should be avoided. (cardiobrief.org)
- Legally defined term for living persons about whom an investigator obtains specimens or data through direct interaction or intervention or through identifiable, private information. (nih.gov)
- Analysis will be intention to treat, with the primary outcome time in continuous glucose monitoring (CGM) target range (3.9-10.0 mmol/L) during the final 3 weeks of intervention. (ox.ac.uk)
- This was a randomized controlled trial with two intervention groups and one control. (biomedcentral.com)
- The unit of intervention is a workplace health and safety committee, adapted here to a joint labor-management "Design Team" (DT). (cdc.gov)
Conduct2
- Objective To conduct a clinical trial of high-dose versus low-dose vitamin D 3 supplementation for ARI prevention in residents of sheltered-accommodation housing blocks ('schemes') and their carers in London, UK. (bmj.com)
- In the event of insufficient information to validate a signal, cases with the event of interest are followed up for further information or conduct descriptive or analytical studies to reinforce the information to have a further understanding on the magnitude and clinical significance. (pharmalex.com)
Eligibility1
- COVID-19 treatment what do i need to buy spiriva should visit Lilly TrialGuide for information regarding eligibility for ongoing trials. (billfryer.com)
Studies6
- The COVID-19 virus outbreak is disrupting the way clinical studies are performed, but they may have a better chance of continuation when remote/home sampling can be performed. (xtalks.com)
- Teva says it has completed large trials and is conducting long-term extension studies at the 0.6-mg dose, which is currently without cardiovascular concerns. (medscape.com)
- She added that Teva has previously completed two phase 3 trials in RRMS (ALLEGRO and BRAVO) and continues long-term extension studies with laquinimod at 0.6 mg/day, which has not been associated with cardiovascular events. (medscape.com)
- The 0.6-mg dose has been well tolerated in previous trials and long-term follow-up studies. (medscape.com)
- Merck said the clinical hold does not apply to the other studies testing Keytruda for additional uses. (advisory.com)
- FDA regulations (21 CFR 50.24) require that such committees be established to monitor studies conducted in emergency settings. (bvsalud.org)
Infants1
- PCP is often the initial clinical sign of HIV infection, particularly among infants. (cdc.gov)
Adverse events1
- Bharat Biotech said that all adverse events were reported to the site ethics committee, CDSCO, data monitoring board and the sport. (indiatimes.com)
Coronary artery1
- Clinical trials can also test whether treatments can help prevent disorders (for example, coronary artery disease, cancer, Alzheimer disease). (merckmanuals.com)
Organization2
- Provides overall support and organization for all committee functions and responsibilities. (icims.com)
- ASSIST replaces the Grants.gov downloadable forms currently used with most NIH opportunities and provides many features to enable electronic multi-project application submission and improve data quality, including: pre-population of organization and PD/PI data, pre-submission validation of many agency business rules and the generation of data summaries in the application image used for review. (nih.gov)
Doses3
- The doses of radiation used in these trials are heterogeneous ranging from 30-55 Gray(Gy). (centerwatch.com)
- These units include a custom retrofitted recreational vehicle (RV) to support clinical development and manufacture globally up to 100 million doses worldwide by the Government of Canada to supply up to. (billfryer.com)
- Rationale Low-dose vitamin D supplementation is already recommended in older adults for prevention of fractures and falls, but clinical trials investigating whether higher doses could provide additional protection against acute respiratory infection (ARI) are lacking. (bmj.com)
Review5
- He serves on several Data Safety Monitoring Boards and protocol review committees. (utah.edu)
- Responsible for compiling agendas, assigning committee reviewers, composing official minutes, and constructing reports and correspondence in final form for Winship review committees, all of which are components essential to the success of the Core Grant. (icims.com)
- Given the growing importance of this issue, a working group was established under the Faculty of Radiation Oncology (FRO) of the Royal Australian and New Zealand College of Radiologists' (RANZCR) Economics and Workforce Committee (EWC) to review the current status of gender diversity within radiation oncology (RO) in Australia and New Zealand. (bvsalud.org)
- They are unique within the ICTR in that awards are for CRU resources and applicants undergo a rigorous, NIH-style, multidisciplinary review process via the TREC review committee. (johnshopkins.edu)
- Based on a review of safety and preliminary genetic stability data from initial campaigns held in Nigeria, Liberia, Benin and Congo, SAGE has endorsedi, a transition to the next rollout phase for the vaccine. (who.int)
Evidence3
- European regulators wanted to examine blinded data from the ongoing ATMOSPHERE trial but the DMC resisted, though they reassured the regulators that they were carefully monitoring the trial and that they had not found evidence to warrant discontinuation of aliskiren in diabetics. (cardiobrief.org)
- Evidence on the effectiveness of these strategies is varied and there are concerns regarding the reliability of information, use of personal data, commercial exploitation of parents, and the effects of replacing caregiver presence with digital technology. (cdc.gov)
- The supporting data of the detected signal is evaluated with an aim to verify that the available evidence contains sufficient evidence indicating a potentially new causal association or a new aspect of a known association justifying a further analysis of the signal. (pharmalex.com)
Adaptive4
- In the afternoon Professor Steven Julious from University of Sheffield gave a very entertaining and enlightening lecture of his experience in designing clinical trials utilising an adaptive approach. (nihr.ac.uk)
- Our experience includes all clinical trials, though we specialize in innovative trials, including Bayesian, adaptive, and platform trials. (confluencestat.com)
- Adaptive trial designs are also increasingly discussed. (frontiersin.org)
- Adaptive licensing can be a counter-part of adaptive trial design. (frontiersin.org)
Findings2
- The findings of these committees are used in deciding whether a trial should be continued as designed, changed, or terminated. (bvsalud.org)
- News about a potential new drug and findings related to prevention of recurrent UTI sparked interest, leading to this week's top trending clinical topic. (medscape.com)
Journal of Clinical I1
- Journal of Clinical Investigation. (wustl.edu)
Interpretable1
- It also reflects our founder's unique background in biomedical engineering, statistics, and public policy and how that combination of experiences converges to provide insight into your drug or device development and to produce a successful, reliable, interpretable clinical trial. (confluencestat.com)
Independently4
- We strongly recommend that the data monitoring committee in a clinical trial be allowed to act independently during the progress of the trial. (cardiobrief.org)
- Independently verifies submitted protocols meet requirements for placement on committee agenda by reviewing submitted form, protocol priority diagrams, and protocols prior to assignment. (icims.com)
- Additionally, we provide TrialDX SM , a service to independently evaluate clinical trials for sponsors or investors. (confluencestat.com)
- Experts in pediatric HIV infection (convened by the Pediatric HIV Resource Center) independently reviewed recent data and provided recommendations to the U.S. Public Health Service for PCP prophylaxis for HIV-infected or -exposed children. (cdc.gov)