• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

MGTX经验:国际多中心临床试验规划与执行中的挑战

The MGTX experience: challenges in planning and executing an international, multicenter clinical trial.

作者信息

Aban Inmaculada B, Wolfe Gil I, Cutter Gary R, Kaminski Henry J, Jaretzki Alfred, Minisman Greg, Conwit Robin, Newsom-Davis John

机构信息

Department of Biostatistics, University of Alabama at Birmingham, 1665 University Boulevard, Birmingham, AL 35294-0022, United States.

出版信息

J Neuroimmunol. 2008 Sep 15;201-202:80-4. doi: 10.1016/j.jneuroim.2008.05.031.

DOI:10.1016/j.jneuroim.2008.05.031
PMID:18675464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2654214/
Abstract

We present our experience planning and launching a multinational, NIH/NINDS funded study of thymectomy in myasthenia gravis. We highlight the additional steps required for international sites and analyze and contrast the time investment required to bring U.S. and non-U.S. sites into full regulatory compliance. Results show the mean time for non-U.S. centers to achieve regulatory approval was significantly longer (mean 13.4+/0.96 [corrected] months) than for U.S. sites (9.67+/0.74 [corrected] months; p=0.003, [corrected] t-test). The delay for non-U.S. sites was mainly attributable to Federalwide Assurance certification and State Department clearance.

摘要

我们介绍了我们在计划和开展一项由美国国立卫生研究院(NIH)/国立神经疾病与中风研究所(NINDS)资助的重症肌无力胸腺切除术跨国研究方面的经验。我们强调了国际研究点所需的额外步骤,并分析和对比了使美国和非美国研究点完全符合监管要求所需的时间投入。结果显示,非美国研究中心获得监管批准的平均时间(平均13.4±0.96[校正后]个月)比美国研究点(9.67±0.74[校正后]个月;p=0.003,[校正后]t检验)长得多。非美国研究点的延迟主要归因于联邦范围保证认证和美国国务院审批。

相似文献

1
The MGTX experience: challenges in planning and executing an international, multicenter clinical trial.MGTX经验:国际多中心临床试验规划与执行中的挑战
J Neuroimmunol. 2008 Sep 15;201-202:80-4. doi: 10.1016/j.jneuroim.2008.05.031.
2
Long-term effect of thymectomy plus prednisone versus prednisone alone in patients with non-thymomatous myasthenia gravis: 2-year extension of the MGTX randomised trial.非胸腺瘤性重症肌无力患者胸腺切除术联合泼尼松与单纯泼尼松治疗的长期疗效:MGX 随机试验的 2 年延伸。
Lancet Neurol. 2019 Mar;18(3):259-268. doi: 10.1016/S1474-4422(18)30392-2. Epub 2019 Jan 25.
3
Randomized Trial of Thymectomy in Myasthenia Gravis.重症肌无力胸腺切除术的随机试验
N Engl J Med. 2016 Aug 11;375(6):511-22. doi: 10.1056/NEJMoa1602489.
4
[International project--MGTX study].[国际项目——MGTX研究]
Rinsho Shinkeigaku. 2007 Nov;47(11):880-2.
5
[The Significance of Extended Thymectomy in Non-Thymomatous Myasthenia Gravis: an MGTX Study].[扩大胸腺切除术在非胸腺瘤型重症肌无力中的意义:一项MGTX研究]
Brain Nerve. 2017 Jan;69(1):51-59. doi: 10.11477/mf.1416200636.
6
Thymectomy is a beneficial therapy for patients with non-thymomatous ocular myasthenia gravis: a systematic review and meta-analysis.胸腺切除术治疗非胸腺瘤型眼肌型重症肌无力患者的疗效:系统评价和荟萃分析。
Neurol Sci. 2017 Oct;38(10):1753-1760. doi: 10.1007/s10072-017-3058-7. Epub 2017 Jul 13.
7
Status of the thymectomy trial for nonthymomatous myasthenia gravis patients receiving prednisone.接受泼尼松治疗的非胸腺瘤性重症肌无力患者胸腺切除术试验的现状
Ann N Y Acad Sci. 2008;1132:344-7. doi: 10.1196/annals.1405.014.
8
[The value of thymectomy in the treatment of non-thymomatous myasthenia gravis].胸腺切除术在非胸腺瘤性重症肌无力治疗中的价值
Chirurg. 2022 Jan;93(1):48-55. doi: 10.1007/s00104-021-01436-3. Epub 2021 Jun 16.
9
Thymectomy for myasthenia gravis.重症肌无力的胸腺切除术
Ulster Med J. 1985 Oct;54(2):176-80.
10
[Current status and future prospects of therapy for myasthenia gravis: considering thymectomy].重症肌无力治疗的现状与未来展望:胸腺切除术相关探讨
Brain Nerve. 2011 Jul;63(7):729-36.

引用本文的文献

1
Operational complexities in international clinical trials: a systematic review of challenges and proposed solutions.国际临床试验中的操作复杂性:挑战与解决方案的系统评价。
BMJ Open. 2024 Apr 15;14(4):e077132. doi: 10.1136/bmjopen-2023-077132.
2
Regulatory challenges in conducting human subjects research in emergency settings: the National Trauma Research Action Plan (NTRAP) scoping review.在紧急情况下开展人体受试者研究的监管挑战:国家创伤研究行动计划(NTRAP)范围界定审查
Trauma Surg Acute Care Open. 2023 Mar 2;8(1):e001044. doi: 10.1136/tsaco-2022-001044. eCollection 2023.
3
Recruitment patterns in a large international randomized controlled trial of perioperative care in cancer patients.在一项针对癌症患者围手术期护理的大型国际随机对照试验中,招募模式。
Trials. 2021 Mar 20;22(1):219. doi: 10.1186/s13063-021-05149-0.
4
An investigation into the factors affecting investigator-initiated trial start-up in Ireland.一项针对影响爱尔兰研究者发起的临床试验启动因素的调查。
Trials. 2020 Nov 23;21(1):962. doi: 10.1186/s13063-020-04893-z.
5
Traumatic injury clinical trial evaluating tranexamic acid in children (TIC-TOC): study protocol for a pilot randomized controlled trial.儿童创伤性损伤中氨甲环酸评估的临床试验(TIC-TOC):一项试点随机对照试验的研究方案
Trials. 2018 Oct 30;19(1):593. doi: 10.1186/s13063-018-2974-z.
6
A checklist for clinical trials in rare disease: obstacles and anticipatory actions-lessons learned from the FOR-DMD trial.罕见病临床试验清单:障碍与前瞻性行动——从杜氏肌营养不良症(FOR-DMD)试验中汲取的经验教训
Trials. 2018 May 10;19(1):291. doi: 10.1186/s13063-018-2645-0.
7
Learning from the past: reflections on recently completed myasthenia gravis trials.从过去中学习:对最近完成的重症肌无力试验的反思。
Ann N Y Acad Sci. 2018 Jan;1412(1):5-13. doi: 10.1111/nyas.13501. Epub 2017 Oct 24.
8
Factors Associated With Time to Site Activation, Randomization, and Enrollment Performance in a Stroke Prevention Trial.一项中风预防试验中与部位激活时间、随机分组及入组表现相关的因素
Stroke. 2017 Sep;48(9):2511-2518. doi: 10.1161/STROKEAHA.117.016976. Epub 2017 Aug 2.
9
Reflections 1 year into the 21-Center National Institutes of Health--funded WRIST study: a primer on conducting a multicenter clinical trial.美国国立卫生研究院资助的21中心手腕研究开展1年的思考:多中心临床试验入门
J Hand Surg Am. 2013 Jun;38(6):1194-201. doi: 10.1016/j.jhsa.2013.02.027. Epub 2013 Apr 20.
10
Therapeutic hypothermia after pediatric cardiac arrest trials: the vanguard phase experience and implications for other trials.儿科心搏骤停后治疗性低温试验:先锋阶段的经验及其对其他试验的影响。
Pediatr Crit Care Med. 2013 Jan;14(1):19-26. doi: 10.1097/PCC.0b013e31825b860b.

本文引用的文献

1
Status of the thymectomy trial for nonthymomatous myasthenia gravis patients receiving prednisone.接受泼尼松治疗的非胸腺瘤性重症肌无力患者胸腺切除术试验的现状
Ann N Y Acad Sci. 2008;1132:344-7. doi: 10.1196/annals.1405.014.
2
Specific barriers to the conduct of randomized trials.随机试验实施的特定障碍。
Clin Trials. 2008;5(1):40-8. doi: 10.1177/1740774507087704.
3
Myasthenia gravis in South Africans: racial differences in clinical manifestations.南非的重症肌无力:临床表现的种族差异
Neuromuscul Disord. 2007 Dec;17(11-12):929-34. doi: 10.1016/j.nmd.2007.07.002. Epub 2007 Aug 27.
4
The role of the data coordinating center in the IRB review and approval process: the DIG trial experience.
Control Clin Trials. 2003 Dec;24(6 Suppl):306S-315S. doi: 10.1016/s0197-2456(03)00100-4.
5
Development of a thymectomy trial in nonthymomatous myasthenia gravis patients receiving immunosuppressive therapy.在接受免疫抑制治疗的非胸腺瘤性重症肌无力患者中开展胸腺切除术试验。
Ann N Y Acad Sci. 2003 Sep;998:473-80. doi: 10.1196/annals.1254.061.
6
The epidemiology of myasthenia gravis.重症肌无力的流行病学
Ann N Y Acad Sci. 2003 Sep;998:407-12. doi: 10.1196/annals.1254.053.
7
Regulatory approvals in a large multinational clinical trial: the ESPRIT experience.大型跨国临床试验中的监管审批:依诺肝素钠治疗急性ST段抬高型心肌梗死试验(ESPRIT)的经验
Control Clin Trials. 2002 Feb;23(1):59-66. doi: 10.1016/s0197-2456(01)00183-0.
8
Clinical, pathological, HLA antigen and immunological evidence for disease heterogeneity in myasthenia gravis.重症肌无力疾病异质性的临床、病理、HLA抗原及免疫学证据
Brain. 1980 Sep;103(3):579-601. doi: 10.1093/brain/103.3.579.
9
Myasthenia gravis: population differences in disease expression and acetylcholine receptor antibody titers between Chinese and Caucasians.
Neurology. 1987 Dec;37(12):1854-7. doi: 10.1212/wnl.37.12.1854.
10
Myasthenia gravis in Hong Kong Chinese. 2. Paediatric disease.香港华人中的重症肌无力。2. 儿科疾病。
Acta Neurol Scand. 1992 Jul;86(1):68-72. doi: 10.1111/j.1600-0404.1992.tb08056.x.