关于制定一次性硬化性胆管炎临床试验的核心成果集的议定书
Nasir Hussain1,2, Christopher Ma3, Gideon Hirschfield4
1NIHR Birmingham Biomedical Research Centre, Birmingham, UK.
BMJ open
|June 26, 2024
概括
为初级硬化性胆道炎 (PSC) 试验开发核心结果集 (COS) 对于标准化结果指标至关重要. 这种协调的方法将改善对这种进展性肝病的新疗法的评估.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 临床试验方法论 临床试验方法论
- 结果测量 结果测量
背景情况:
- 初级硬化性胆道炎 (PSC) 是一种免疫媒介的肝病,目前没有治疗方法来减缓进展.
- 针对PSC的临床试验面临挑战,原因是异质的结果措施和不断变化的治疗目标.
- 需要在PSC研究中标准化结果评估.
研究的目的:
- 开发一套基于共识的核心结果集 (COS) 进行一次性硬化性胆管炎 (PSC) 临床试验.
- 协调评估新型PSC疗法的结果措施.
- 提高PSC临床试验结果的可靠性和可比性.
主要方法:
- 系统的文献审查以确定现有的PSC试验结果.
- 与各种利益相关者 (患者,临床医生,行业,付款人) 进行定性访谈.
- 国际双轮德尔菲调查以确定结果优先级.
- 达成共识的会议最终确定了COS.
主要成果:
- 该研究概述了一种多阶段的方法,用于开发特定于PSC的COS.
- 这个过程涉及文献审查,利益相关者参与,德尔菲调查和共识建设.
- 由此产生的COS旨在在未来的PSC试验中标准化结果测量.
结论:
- 一个协调的核心结果集对于推进PSC临床试验评估至关重要.
- 标准化结果将有助于对新的治疗干预措施进行更可靠的评估.
- 开发的COS将有助于比较试验结果,并为临床决策提供信息.
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