患者报告的结果和措施在针对孤儿疾病的先进治疗药物试验中未得到充分利用
Andrada Ciuca1, Siddharth Banka2, Tara Clancy2
1Department of Psychology, Babeș-Bolyai University, Cluj-Napoca, Romania.
Journal of clinical epidemiology
|November 28, 2024
概括
很少有孤儿先进治疗药物 (ATMP) 试验使用患者报告的结果 (PRO) 和患者报告的结果措施 (PROM). 本次审查强调了需要更好的PRO/PROM整合,以捕捉罕见病研究中的患者经验.
科学领域:
- 药理学和治疗学 药理学和治疗学
- 临床试验设计 临床试验设计
- 患者为中心的研究成果研究成果
背景情况:
- 先进疗法药物 (ATMP) 代表基于基因,组织或细胞的创新治疗方法.
- 患者报告的结果 (PRO) 和患者报告的结果措施 (PROM) 直接捕捉患者的主观健康经验.
- 孤儿ATMP试验针对罕见疾病,需要对患者影响进行强有力的评估.
研究的目的:
- 在对孤儿ATMP的临床试验中评估PRO和PROM的利用和质量.
- 在罕见疾病ATMP研究中发现患者报告的数据纳入的差距.
主要方法:
- 进行了对临床试验数据库的系统搜索,以查找针对孤儿疾病的ATMP的检查协议.
- 分析了包含的协议,以确定使用的PRO和PROM的存在和类型.
- 提取了关于报告结果的频率和性质的数据.
主要成果:
- 在100项审查的试验中,只有37%的试验包含了PROs.
- 生活质量 (QoL) 和与健康相关的生活质量 (HRQoL) 是最常见的PRO.
- 在33个确定的PROM中,57%专注于HRQoL,大多数是疾病特异性的;其他人测量了疼痛或心理结果.
结论:
- 在孤儿ATMP试验中使用PRO和PROM存在显著差距.
- 迫切需要开发和整合相关的PRO/PROM,以便从患者的角度更好地捕捉治疗的好处和危害.
- 纳入患者经验对于指导罕见病研究方向和确保治疗方法满足患者需求至关重要.
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