在临床试验的启动阶段遵守药物:对方法和报告严格性的系统审查
Non Davies1, Bernard Vrijens2,3, Daniel F B Wright4,5
1Centre for Health Economics and Medicines Evaluation, North Wales Medical School, Bangor University, Bangor, UK.
British journal of clinical pharmacology
|July 27, 2025
概括
试验的运行阶段缺乏明确的指导来衡量参与者的坚持. 大多数研究使用药丸计数,但报告和方法质量不佳,可能会破坏试验完整性.
科学领域:
- 临床试验方法论临床试验方法论
- 药物坚持研究 药物坚持研究
背景情况:
- 试验运行阶段被用来提高参与者的坚持.
- 目前的合规性测量和报告方法缺乏监管清晰度和透明度.
研究的目的:
- 在试验运行阶段描述粘附度测量方法.
- 评估这些运行研究的公开报告质量.
主要方法:
- 通过对临床试验注册表进行系统搜索,确定了相关研究.
- 观察性坚持性研究 (RoBOAS) 的偏差风险工具和ESPACOMP药物坚持性报告指南 (EMERGE) 用于质量评估.
- 用叙事合成来分析证据.
主要成果:
- 包括34项研究,其中8项将遵守作为主要目标.
- 药丸计数是最常用的方法 (20/34),通常使用80%的坚持值.
- 对方法和指标 (23/34) 报告的完整性很高,但没有公开报告的遵守数据.
- 所有的运行阶段都被评估为具有不良的方法质量和严重的偏差风险.
结论:
- 在试验启动阶段,依从性测量和报告的质量可能会损害其有效性.
- 调查结果强调了监管方面的影响,以及在运行阶段遵守标准化指南的必要性.
- 改善报告和方法对于临床试验的完整性至关重要.
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