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索尔福德肺部研究方案:一项针对慢性阻塞性肺疾病的实用、随机、III期真实世界有效性试验。

The Salford Lung Study protocol: a pragmatic, randomised phase III real-world effectiveness trial in chronic obstructive pulmonary disease.

作者信息

Bakerly Nawar Diar, Woodcock Ashley, New John P, Gibson J Martin, Wu Wei, Leather David, Vestbo Jørgen

机构信息

Salford Royal NHS Foundation Trust, Salford, UK.

Institute of Inflammation and Repair, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.

出版信息

Respir Res. 2015 Sep 4;16(1):101. doi: 10.1186/s12931-015-0267-6.

DOI:10.1186/s12931-015-0267-6
PMID:26337978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4558879/
Abstract

BACKGROUND

New treatments need to be evaluated in real-world clinical practice to account for co-morbidities, adherence and polypharmacy.

METHODS

Patients with chronic obstructive pulmonary disease (COPD), ≥ 40 years old, with exacerbation in the previous 3 years are randomised 1:1 to once-daily fluticasone furoate 100 μg/vilanterol 25 μg in a novel dry-powder inhaler versus continuing their existing therapy. The primary endpoint is the mean annual rate of COPD exacerbations; an electronic medical record allows real-time collection and monitoring of endpoint and safety data.

CONCLUSIONS

The Salford Lung Study is the world's first pragmatic randomised controlled trial of a pre-licensed medication in COPD.

TRIAL REGISTRATION

Clinicaltrials.gov identifier NCT01551758.

摘要

背景

新的治疗方法需要在真实世界的临床实践中进行评估,以考虑合并症、依从性和联合用药情况。

方法

年龄≥40岁、在过去3年中有过病情加重的慢性阻塞性肺疾病(COPD)患者,以1:1的比例随机分配,一组使用新型干粉吸入器每日一次吸入100μg糠酸氟替卡松/25μg维兰特罗,另一组继续其现有治疗。主要终点是COPD病情加重的年均发生率;电子病历可实时收集和监测终点及安全性数据。

结论

索尔福德肺部研究是世界上首个针对COPD中一种未获许可药物的实用性随机对照试验。

试验注册

Clinicaltrials.gov标识符NCT01551758。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b4e/4558879/1cc0c424c8ef/12931_2015_267_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b4e/4558879/1cc0c424c8ef/12931_2015_267_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b4e/4558879/1cc0c424c8ef/12931_2015_267_Fig1_HTML.jpg

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本文引用的文献

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Using an electronic medical record (EMR) to conduct clinical trials: Salford Lung Study feasibility.利用电子病历(EMR)开展临床试验:索尔福德肺部研究的可行性
BMC Med Inform Decis Mak. 2015 Feb 7;15:8. doi: 10.1186/s12911-015-0132-z.
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Quality standards for real-world research. Focus on observational database studies of comparative effectiveness.真实世界研究的质量标准。重点关注比较有效性的观察性数据库研究。
Ann Am Thorac Soc. 2014 Feb;11 Suppl 2:S99-104. doi: 10.1513/AnnalsATS.201309-300RM.
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Reassessing the evidence hierarchy in asthma: evaluating comparative effectiveness.
氟替卡松维兰特罗对慢性阻塞性肺疾病索尔福德肺研究中卫生保健资源利用的影响。
Ther Adv Respir Dis. 2021 Jan-Dec;15:17534666211001013. doi: 10.1177/17534666211001013.
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Linkage of primary care prescribing records and pharmacy dispensing Records in the Salford Lung Study: application in asthma.索尔福德肺部研究中初级保健处方记录与药房配药记录的关联:在哮喘中的应用。
BMC Med Res Methodol. 2020 Dec 10;20(1):303. doi: 10.1186/s12874-020-01184-8.
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Patient and healthcare professional experiences of the Salford Lung Studies: qualitative insights for future effectiveness trials.患者和医疗保健专业人员对索尔福德肺部研究的体验:对未来有效性试验的定性洞察。
Trials. 2020 Sep 17;21(1):798. doi: 10.1186/s13063-020-04655-x.
6
Community pharmacy: a crucial enabler in creating the effectiveness study environment in the Salford Lung Studies.社区药房:索尔福德肺部研究中创建有效性研究环境的关键推动者。
Int J Pharm Pract. 2020 Oct;28(5):529-533. doi: 10.1111/ijpp.12647. Epub 2020 Jun 26.
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Comparing Randomized Controlled Trials and Real-World Studies in Chronic Obstructive Pulmonary Disease Pharmacotherapy.比较慢性阻塞性肺疾病药物治疗的随机对照试验和真实世界研究。
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Pulm Ther. 2019 Dec;5(2):117-126. doi: 10.1007/s41030-019-00102-8. Epub 2019 Nov 2.
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Real-World Data and Randomised Controlled Trials: The Salford Lung Study.真实世界数据与随机对照试验:索尔福德肺研究。
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重新评估哮喘证据层级:评估比较疗效。
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Improving the process and outcome of care in COPD: development of a standardised assessment tool.改善慢性阻塞性肺疾病的护理流程与结局:一种标准化评估工具的开发
Prim Care Respir J. 2009 Sep;18(3):208-15. doi: 10.4104/pcrj.2009.00053.
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A systematic review of the associations between dose regimens and medication compliance.剂量方案与药物依从性之间关联的系统评价。
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