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人工胰腺临床试验的结局指标:一份共识报告。

Outcome Measures for Artificial Pancreas Clinical Trials: A Consensus Report.

作者信息

Maahs David M, Buckingham Bruce A, Castle Jessica R, Cinar Ali, Damiano Edward R, Dassau Eyal, DeVries J Hans, Doyle Francis J, Griffen Steven C, Haidar Ahmad, Heinemann Lutz, Hovorka Roman, Jones Timothy W, Kollman Craig, Kovatchev Boris, Levy Brian L, Nimri Revital, O'Neal David N, Philip Moshe, Renard Eric, Russell Steven J, Weinzimer Stuart A, Zisser Howard, Lum John W

机构信息

Barbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO.

Division of Pediatric Endocrinology and Diabetes, Department of Pediatric Endocrinology, Stanford University, Stanford, CA.

出版信息

Diabetes Care. 2016 Jul;39(7):1175-9. doi: 10.2337/dc15-2716.

Abstract

Research on and commercial development of the artificial pancreas (AP) continue to progress rapidly, and the AP promises to become a part of clinical care. In this report, members of the JDRF Artificial Pancreas Project Consortium in collaboration with the wider AP community 1) advocate for the use of continuous glucose monitoring glucose metrics as outcome measures in AP trials, in addition to HbA1c, and 2) identify a short set of basic, easily interpreted outcome measures to be reported in AP studies whenever feasible. Consensus on a broader range of measures remains challenging; therefore, reporting of additional metrics is encouraged as appropriate for individual AP studies or study groups. Greater consistency in reporting of basic outcome measures may facilitate the interpretation of study results by investigators, regulatory bodies, health care providers, payers, and patients themselves, thereby accelerating the widespread adoption of AP technology to improve the lives of people with type 1 diabetes.

摘要

人工胰腺(AP)的研究和商业开发继续迅速推进,并且人工胰腺有望成为临床护理的一部分。在本报告中,青少年糖尿病研究基金会(JDRF)人工胰腺项目联盟的成员与更广泛的人工胰腺领域的团体合作:1)主张在糖化血红蛋白(HbA1c)之外,在人工胰腺试验中使用连续血糖监测血糖指标作为结果测量指标;2)确定一组简短的、易于解释的基本结果测量指标,以便在可行的情况下在人工胰腺研究中进行报告。就更广泛的测量指标达成共识仍然具有挑战性;因此,鼓励根据个别人工胰腺研究或研究组的情况酌情报告其他指标。基本结果测量指标报告的更大一致性可能有助于研究人员、监管机构、医疗保健提供者、付款人和患者自身对研究结果的解读,从而加速人工胰腺技术的广泛应用,改善1型糖尿病患者的生活。

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