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Data handling in clinical trials: an ongoing debate

P J Jongen1

  • 1European Charcot Foundation, Institute for Neurology, University Hospital Nijmegen, The Netherlands.

Multiple Sclerosis (Houndmills, Basingstoke, England)
|January 1, 1995
PubMed
Summary

This study emphasizes ethical data handling in clinical trials, advocating for independent monitoring boards, data analysis in separate institutions, and transparent publication of all results. It calls for enhanced corporate responsibility and investigator involvement to improve data integrity and practice implementation.

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Area of Science:

  • Clinical Trials
  • Medical Ethics
  • Data Management

Background:

  • Effective data handling is essential for the integrity and ethical conduct of controlled clinical trials.
  • Current Good Clinical Practice guidelines may require modifications to ensure comprehensive data management.
  • Ethical principles must underpin all aspects of data handling, from collection to publication.

Purpose of the Study:

  • To define and advocate for a broader scope of data handling in clinical trials, including monitoring, analysis, and publication.
  • To propose ethical modifications to existing Good Clinical Practice guidelines.
  • To outline responsibilities for sponsors, investigators, and regulatory bodies in ensuring robust data handling.

Main Methods:

  • Discussion of ethical principles related to data handling.

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  • Review and suggested modifications of Good Clinical Practice guidelines.
  • Argument for independent Data and Safety Monitoring Boards (DSMBs).
  • Advocacy for data analysis in independent institutions and mandatory interim analyses.
  • Emphasis on raw data accessibility for researchers and institutions.
  • Promotion of publishing both positive and negative trial results.
  • Main Results:

    • Independent Data and Safety Monitoring Boards (DSMBs) are crucial for corporate responsibility in data monitoring.
    • Data analysis should be conducted independently, with interim analyses being a moral obligation.
    • Full data accessibility and publication of all findings (positive and negative) are ethically mandated.
    • Commercial sponsors should implement initiatives for independent DSMBs, interim analysis, and data availability.
    • Investigators can enhance data handling quality through an Investigators Liaison Panel.

    Conclusions:

    • Implementing independent monitoring, analysis, and transparent publication is vital for ethical clinical trial data handling.
    • Clear contractual agreements and investigator-sponsored panels are necessary to ensure sponsor and investigator accountability.
    • Ethics committees and regulatory agencies must ensure that trial findings translate into improved clinical practice.