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提前终止试验以获益——没那么快!

Stopping trials early for benefit--not so fast!

机构信息

Department of Pharmacy, Texas Health Presbyterian Hospital Dallas. TX, USA.

出版信息

Ann Pharmacother. 2012 Nov;46(11):1564-7. doi: 10.1345/aph.1Q780. Epub 2012 Nov 7.

DOI:10.1345/aph.1Q780
PMID:23136354
Abstract

On October 25, 2011, Eli Lilly and Company announced the voluntary withdrawal of Xigris (drotrecogin alfa [activated]) following the negative results of its most recent clinical trial, the PROWESS-SHOCK study. The purpose of this commentary is to briefly review the history of drotrecogin alfa, discuss issues surrounding early cessation of clinical trials for benefit, and highlight the scientific and ethical dilemmas faced when deciding whether or not to stop a trial early for benefit. This review should serve as an introduction to the topic of stopping trials early for benefit.

摘要

2011 年 10 月 25 日,礼来公司宣布其最新临床试验 PROWESS-SHOCK 研究结果为阴性后,自愿撤回 Xigris(重组人活化蛋白 C)。本文旨在简要回顾重组人活化蛋白 C 的历史,讨论临床试验因获益而提前终止的相关问题,并强调在决定是否因获益而提前终止试验时所面临的科学和伦理困境。本文旨在作为提前终止获益临床试验这一主题的介绍。

相似文献

1
Stopping trials early for benefit--not so fast!提前终止试验以获益——没那么快!
Ann Pharmacother. 2012 Nov;46(11):1564-7. doi: 10.1345/aph.1Q780. Epub 2012 Nov 7.
2
Human recombinant activated protein C for severe sepsis.用于严重脓毒症的人重组活化蛋白C
Cochrane Database Syst Rev. 2012 Mar 14(3):CD004388. doi: 10.1002/14651858.CD004388.pub5.
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Cost-effectiveness of drotrecogin alfa (activated) for the treatment of severe sepsis in Germany.德国使用重组人活化蛋白C治疗严重脓毒症的成本效益分析
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Treating severe sepsis with drotrecogin alfa (activated).
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Drotrecogin alfa (activated) for severe sepsis.活化蛋白C用于严重脓毒症
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[Clinical approach to the identification of patients suffering from severe sepsis with several organ failures for the administration of drotrecogin alfa (activated): from the PROWESS study to clinical practice].[用于识别患有严重脓毒症合并多器官功能衰竭患者以给予活化蛋白C(drotrecogin alfa)治疗的临床方法:从PROWESS研究到临床实践]
Ann Fr Anesth Reanim. 2003 Dec;22 Spec No 1:53-64.
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Activated protein C (Xigris) treatment in sepsis: a drug in trouble.脓毒症中活化蛋白C(Xigris)治疗:一种陷入困境的药物。
Acta Anaesthesiol Scand. 2006 Sep;50(8):907-10. doi: 10.1111/j.1399-6576.2006.01086.x.
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A prospective, observational study of Xigris Use in the United States (XEUS).美国希格里斯(Xigris)应用的前瞻性观察研究(XEUS)。
J Crit Care. 2010 Dec;25(4):660.e9-16. doi: 10.1016/j.jcrc.2010.03.009.
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Drotrecogin alfa: a new approach in the treatment of severe sepsis.
Expert Opin Biol Ther. 2002 Aug;2(6):659-64. doi: 10.1517/14712598.2.6.659.
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Drotrecogin alfa (activated)...a sad final fizzle to a roller-coaster party.重组人活化蛋白 C(Drotrecogin alfa(activated))……一场过山车般狂欢的悲伤终章。
Crit Care. 2012 Feb 6;16(1):107. doi: 10.1186/cc11152.

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Are investigators' access to trial data and rights to publish restricted and are potential trial participants informed about this? A comparison of trial protocols and informed consent materials.研究者是否有权获取试验数据和发表权受限,以及潜在的试验参与者是否了解这一点?试验方案和知情同意书的比较。
BMC Med Ethics. 2021 Aug 28;22(1):115. doi: 10.1186/s12910-021-00681-9.