针对性代理和分析利用注册表研究:一个务实的临床试验
Pam K Mangat1, Elizabeth Garrett-Mayer1, Jacqueline K Perez1
1American Society of Clinical Oncology, Alexandria, VA, USA.
Clinical trials (London, England)
|July 25, 2023
概括
针对性代理和分析利用注册表研究表明,务实,多中心篮子试验可以识别晚期癌症患者的向治疗信号. 这种方法产生了临床上有用的,可概括的证据,患者和站点负担最小.
科学领域:
- 在瘤学瘤学.
- 临床试验设计 临床试验设计
- 精准医学是一门精准的医学.
背景情况:
- 实用性临床试验对于现实世界的证据生成至关重要.
- 美国临床瘤学会的向剂和分析利用注册表研究 (NCT02693535) 作为实用性试验设计的模型.
研究的目的:
- 在临床试验中探索实用主义的概念框架.
- 为了识别食品和药物管理局 (FDA) 批准的药物在晚期癌症中非标签使用的药物活性信号.
- 为社区癌症中心提供基因组测试和精准医学方面的教育.
主要方法:
- 一个务实的,非随机的,第二阶段,多中心篮子临床试验设计.
- 在晚期癌症患者中,将FDA批准的药物与预先指定的基因组标匹配.
- 利用通常的护理条件来确保结果的概括性.
主要成果:
- 证明了在社区实践中进行大型多中心精密药物篮试验的可行性.
- 产生关于非标签向治疗的临床有用信息.
- 对患者和临床试验场所的负担最小.
结论:
- 实用性试验原则可以在各种证据生成策略中应用.
- 目标代理和分析利用注册表研究是成功的实用方法的典范.
- 这种模型产生了适用于现实世界临床实践的可概括结果.
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