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试验创新网络对COVID-19大流行的应对。

Response of the trial innovation network to the COVID-19 pandemic.

作者信息

Greenberg Rachel G, Poole Lori, Ford Daniel E, Hanley Daniel, Selker Harry P, Lane Karen, Dean J Michael, Burr Jeri, Harris Paul, Wilkins Consuelo H, Bernard Gordon, Edwards Terri, Benjamin Daniel K

机构信息

Duke Clinical Research Institute, Durham, NC, USA.

Johns Hopkins University, Baltimore, MD, USA.

出版信息

J Clin Transl Sci. 2021 Apr 20;5(1):e100. doi: 10.1017/cts.2021.782.

Abstract

INTRODUCTION

The COVID-19 pandemic prompted the development and implementation of hundreds of clinical trials across the USA. The Trial Innovation Network (TIN), funded by the National Center for Advancing Translational Sciences, was an established clinical research network that pivoted to respond to the pandemic.

METHODS

The TIN's three Trial Innovation Centers, Recruitment Innovation Center, and 66 Clinical and Translational Science Award Hub institutions, collaborated to adapt to the pandemic's rapidly changing landscape, playing central roles in the planning and execution of pivotal studies addressing COVID-19. Our objective was to summarize the results of these collaborations and lessons learned.

RESULTS

The TIN provided 29 COVID-related consults between March 2020 and December 2020, including 6 trial participation expressions of interest and 8 community engagement studios from the Recruitment Innovation Center. Key lessons learned from these experiences include the benefits of leveraging an established infrastructure, innovations surrounding remote research activities, data harmonization and central safety reviews, and early community engagement and involvement.

CONCLUSIONS

Our experience highlighted the benefits and challenges of a multi-institutional approach to clinical research during a pandemic.

摘要

引言

新冠疫情促使美国开展并实施了数百项临床试验。由美国国立转化医学推进中心资助的试验创新网络(TIN)是一个成熟的临床研究网络,转而应对这一疫情。

方法

TIN的三个试验创新中心、招募创新中心以及66个临床与转化科学奖枢纽机构合作,以适应疫情迅速变化的形势,在规划和开展应对新冠疫情的关键研究中发挥核心作用。我们的目标是总结这些合作的成果以及经验教训。

结果

2020年3月至2020年12月期间,TIN提供了29次与新冠相关的咨询,包括6次试验参与意向表达以及招募创新中心的8次社区参与研究。从这些经历中学到的关键经验教训包括利用现有基础设施的好处、围绕远程研究活动的创新、数据协调与集中安全审查,以及早期社区参与和介入。

结论

我们的经验凸显了疫情期间多机构临床研究方法的益处和挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80d0/8596173/c7410392f83c/S2059866121007822_fig1.jpg

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