一般CF患者中的临床试验队伍代表性有多大? 对试验规划的影响
Rebecca Dobra1, Sophie Pinnell1, Andy Jones1
1Imperial College London, United Kingdom.
概括
很少有12岁以上的囊性纤维化 (CF) 患者有资格参加临床试验. 资格标准,如肺功能和临床稳定性,显著限制参与,影响研究设计.
科学领域:
- 医学研究 医学研究
- 临床试验设计 临床试验设计
- 囊性纤维化治疗药物治疗方法
背景情况:
- 患者的资格对于设计有效的临床试验和确定研究优先事项至关重要.
- 了解囊性纤维化 (CF) 研究的资格率对于协议开发至关重要.
研究的目的:
- 评估12岁及以上的CF患者是否有资格参加临床试验.
- 确定影响资格不合格的关键因素,并建议改善试验协议.
主要方法:
- 在一个中心审查了643名CF患者 (12岁以上) 的医疗记录.
- 根据常见的临床试验纳入/排除标准评估资格.
- 分析了资格不合格的原因,包括肺功能 (ppFEV1),临床稳定性,并发症和坚持.
主要成果:
- 在总队列中,只有198名 (31%) 和7名 (23%) 无法接受调节器的患者符合假设试验标准.
- 不符合资格的主要原因包括高ppFEV1 (≥90%),临床不稳定性,复杂的并发症和预期的不良坚持.
- 一小部分31名患者被确定为调节器不合格 (MI).
结论:
- 很大一部分CF患者,即使是那些不符合调节器资格的患者,也无法参加临床试验.
- 协议设计和资格标准需要优化,以增加患者参与CF研究.
- 中心应评估其患者队列的临床试验资格,以告知研究规划和受试者转诊.
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