由于损害,提前停止审判.
1Department of Biostatistics and Medical Informatics, University of Wisconsin-Madison, Madison, WI.
NEJM evidence
|February 6, 2024
概括
数据和安全监测委员会 (DSMBs) 暂停了两项临床试验,原因是参与者受到伤害. 一项试验由于实验组死亡率增加而在招生早期停止.
科学领域:
- 临床试验 临床试验
- 医学伦理 医学伦理
- 患者安全 患者安全
背景情况:
- 数据和安全监测委员会 (DSMB) 对于保护临床研究参与者至关重要.
- 在临床试验的所有阶段,确保参与者的安全至关重要.
研究的目的:
- 描述两个不同的临床试验,由于证据表明对参与者造成伤害而过早终止.
- 突出DSMB在关于试验延续的关键决策中的作用.
主要方法:
- 审查了两个DSMB根据新出现的安全数据建议终止试验的案例.
- 在参与者的不同阶段停止试验的时间和理由的分析.
主要成果:
- 一个DSMB建议在招生开始后不久提前终止试验,因为在实验组观察到的死亡率高于对照组.
- 另一项已完成招募的试验在随访和治疗阶段因安全问题而被停止.
结论:
- DSMB在保护参与者方面发挥着至关重要的作用,在发现重大危害时建议尽早停止试验.
- 停止试验的决定可以发生在不同的阶段,强调需要持续的安全监督.
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