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Published on: September 13, 2018
Novel outcome measures for clinical trials in cystic fibrosis
Harm A W M Tiddens1, Michael Puderbach2, Jose G Venegas3
1Department of Pediatric Pulmonology and Allergology, Department of Radiology, Erasmus University Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands.
Abstract:
Cystic fibrosis (CF) is a common inherited condition caused by mutations in the gene encoding the CF transmembrane regulator protein. With increased understanding of the molecular mechanisms underlying CF and the development of new therapies there comes the need to develop new outcome measures to assess the disease, its progression and response to treatment. As there are limitations to the current endpoints accepted for regulatory purposes, a workshop to discuss novel endpoints for clinical trials in CF was held in Anaheim, California in November 2011. The pros and cons of novel outcome measures with potential utility for evaluation of novel treatments in CF were critically evaluated. The highlights of the 2011 workshop and subsequent advances in technologies and techniques that could be used to inform the development of clinical trial endpoints are summarized in this review. Pediatr Pulmonol. © 2014 The Authors. Pediatric Pulmonology published by Wiley Periodicals, Inc.
Insights
This review summarizes novel outcome measures for cystic fibrosis (CF) clinical trials. It highlights advances in assessing disease progression and treatment response, addressing limitations of current endpoints.
Area of Science:
- Pulmonology
- Genetics
- Clinical Trials
Background:
- Cystic fibrosis (CF) is an inherited disorder caused by CF transmembrane regulator gene mutations.
- Understanding CF molecular mechanisms and therapies necessitates improved outcome measures.
- Current regulatory endpoints for CF trials have limitations.
Purpose of the Study:
- To discuss novel endpoints for cystic fibrosis clinical trials.
- To critically evaluate the pros and cons of potential new outcome measures.
- To summarize advances informing the development of CF clinical trial endpoints.
Main Methods:
- A workshop was held in November 2011 to discuss novel CF trial endpoints.
- The review critically evaluated novel outcome measures for CF treatments.
- Subsequent technological and technical advances were considered.
Main Results:
- Novel outcome measures were discussed for assessing CF disease progression.
- The utility of these measures for evaluating new CF therapies was evaluated.
- Advances in technology and techniques relevant to endpoint development were highlighted.
Conclusions:
- There is a need for novel outcome measures in cystic fibrosis clinical trials.
- Advances in technology support the development of better CF endpoints.
- This review summarizes key discussions and subsequent developments in CF trial endpoint research.
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