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参与者对提供注册试验结果的偏好。

Participant preferences for the provision of registration trials results.

作者信息

Tajima Soichiro, Akaishi Akiyo, Miyamoto Toshiko, Katashima Rumi, Nakai Kenichi, Mitsui Takao, Yanagawa Hiroaki

机构信息

Clinical Trial Center for Developmental Therapeutics, Tokushima University Hospital, Japan.

出版信息

J Clin Med Res. 2013 Oct;5(5):401-6. doi: 10.4021/jocmr1494w. Epub 2013 Aug 5.

Abstract

BACKGROUND

Clinical trials leading to drug approval (registration trials) play a central role in the drug development process, and attention has recently been paid to providing trial results to participants. In the present study, we examined the preferences of participants of registration trials for the provision of trial-related information.

METHODS

We used questionnaires to survey the preferences of registration trial participants at Tokushima University Hospital and Tokushima National Hospital. Of the 15 questions, 6 related to participant characteristics and the trials in which they participated, while 9 questions were concerned with preferences for the provision of information. A five-point scale (strongly agree, agree, neutral, disagree, and strongly disagree) was used, and positive answers (strongly agree and agree) were considered to indicate a positive preference.

RESULTS

Of the 58 subjects, 1 declined, giving a response rate of 98%. More than 70% of participants preferred to obtain information, even if they had served as controls. More than 80% of participants agreed to obtain information relating to trial results, even if the results were negative, and more than 80% of participants agreed to obtain information on the labeling state of the agent, even if development had ceased. Although more than 60% of participants agreed for the provision of information on their allocation and around more than 70% agreed to the provision of information on registration trials status, significantly fewer participants with difficult-to-treat diseases (for example, neurological and malignant diseases) agreed to obtain information compared with participants with other types of diseases (for example, acute, chronic, and psychological diseases). More than 50% of participants desired information to be provided directly by the physician, while a considerable number of participants desired information by means of clinical research coordinators (CRCs) (24.4%) or by posted letter (33.3%).

CONCLUSION

The present results suggest the preferences for the provision of individual and overall information concerning research results. However, further study is warranted to determine participant preferences more precisely and the effect of the CRC-initiated infrastructure for providing information on patient satisfaction and for promoting registration trials.

摘要

背景

促成药物获批的临床试验(注册试验)在药物研发过程中起着核心作用,近期人们开始关注向参与者提供试验结果。在本研究中,我们调查了注册试验参与者对于获取试验相关信息的偏好。

方法

我们使用问卷调查了德岛大学医院和德岛国立医院注册试验参与者的偏好。15个问题中,6个与参与者特征及他们所参与的试验相关,另外9个问题涉及信息提供方面的偏好。采用五点量表(强烈同意、同意、中立、不同意、强烈不同意),肯定回答(强烈同意和同意)被视为表明积极偏好。

结果

58名受试者中,1人拒绝,回复率为98%。超过70%的参与者更倾向于获取信息,即便他们是对照组。超过80%的参与者同意获取与试验结果相关的信息,即便结果为阴性,超过80%的参与者同意获取关于药物标签状态的信息,即便研发已停止。虽然超过60%的参与者同意提供关于他们分组的信息,超过70%的参与者同意提供关于注册试验状态的信息,但与患有其他类型疾病(如急性、慢性和心理疾病)的参与者相比,患有难治性疾病(如神经疾病和恶性疾病)的参与者同意获取信息的人数明显更少。超过50%的参与者希望由医生直接提供信息,而相当一部分参与者希望通过临床研究协调员(CRC)(24.4%)或通过邮寄信件(33.3%)获取信息。

结论

目前的结果表明了对于提供关于研究结果的个人和总体信息的偏好。然而,有必要进一步研究以更精确地确定参与者的偏好,以及CRC发起的信息提供基础设施对患者满意度和促进注册试验的影响。

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