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抗生素临床试验的设计

The design of clinical trials with antibiotics.

作者信息

Norrby S R

机构信息

Department of Infectious Diseases, Lund University Hospital, Sweden.

出版信息

Eur J Clin Microbiol Infect Dis. 1990 Jul;9(7):523-9. doi: 10.1007/BF01964296.

DOI:10.1007/BF01964296
PMID:2226485
Abstract

Clinical trials to test antibiotics are normally of a less than satisfactory quality. Examples of common errors in the design and execution of trials with antibiotics are inclusion of too few patients to allow conclusions to be drawn, open uncontrolled design leading to a risk of considerable investigator bias, and inclusion of heterogeneous patient samples. This article suggests minimum requirements for antibiotic studies. Guidelines for such trials are needed and should have the widest possible international application in order to permit studies involving centres in various countries and to reduce the costs for development of new drugs.

摘要

测试抗生素的临床试验质量通常不尽如人意。抗生素试验在设计和实施过程中常见的错误包括:纳入的患者过少,无法得出结论;采用开放的非对照设计,导致存在相当大的研究者偏倚风险;纳入的患者样本具有异质性。本文提出了抗生素研究的最低要求。需要此类试验的指南,并且这些指南应具有尽可能广泛的国际适用性,以便开展涉及不同国家中心的研究,并降低新药研发成本。

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本文引用的文献

1
Sample size nomograms for interpreting negative clinical studies.用于解读阴性临床研究的样本量列线图。
Ann Intern Med. 1983 Aug;99(2):248-51. doi: 10.7326/0003-4819-99-2-248.
2
Interpretation and comparison of treatment studies for uncomplicated urinary tract infections in women.女性单纯性尿路感染治疗研究的解读与比较
Rev Infect Dis. 1985 Jul-Aug;7(4):468-78. doi: 10.1093/clinids/7.4.468.
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Statistical aspects of clinical trials of antibiotics in acute infections.急性感染中抗生素临床试验的统计学方面
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4
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J Infect Dis. 1987 Feb;155(2):170-7. doi: 10.1093/infdis/155.2.170.
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The clinical evaluation of antibacterial drugs. Report of a Working Party of the British Society of Antimicrobial Chemotherapy.
J Antimicrob Chemother. 1989 Feb;23 Suppl B:1-42.
6
The implications for Europe of revised FDA guidelines for clinical trials with anti-infective agents.美国食品药品监督管理局(FDA)对抗感染药物临床试验修订指南对欧洲的影响。
Eur J Clin Microbiol Infect Dis. 1990 Jul;9(7):552-8. doi: 10.1007/BF01964302.
7
The clinical evaluation of antibacterial drugs: guidelines of the British Society for Antimicrobial Chemotherapy.抗菌药物的临床评估:英国抗菌化疗协会指南
Eur J Clin Microbiol Infect Dis. 1990 Jul;9(7):542-7. doi: 10.1007/BF01964300.