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临床试验中的替代终点:提高报告质量的呼吁。

Surrogate endpoints in trials: a call for better reporting.

机构信息

SDA Bocconi School of Management, Milan, Italy.

MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

出版信息

Trials. 2022 Dec 12;23(1):991. doi: 10.1186/s13063-022-06904-7.

DOI:10.1186/s13063-022-06904-7
PMID:36503559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9743760/
Abstract

Using a surrogate endpoint as a substitute for a patient-relevant final outcome enables randomised controlled trials (RCTs) to be conducted more efficiently. However, the use of surrogates remains controversial and there is currently no guideline for the reporting of RCTs using surrogate endpoints; therefore, we seek to develop SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) and CONSORT (Consolidated Standards of Reporting Trials) extensions to improve the reporting of these trials. We would like to invite interested individuals (trial methodologists, journal editors, healthcare industry, regulators and payers, and patient/public representative groups), particularly those with experience in the use of surrogate endpoints in trials.

摘要

使用替代终点作为替代与患者相关的最终结局,可以使随机对照试验(RCT)更有效地进行。然而,替代终点的使用仍然存在争议,目前还没有关于使用替代终点的 RCT 报告的指南;因此,我们希望制定 SPIRIT(标准议定书项目:干预试验推荐)和 CONSORT(临床试验报告的统一标准)扩展,以改进这些试验的报告。我们想邀请感兴趣的个人(试验方法学家、期刊编辑、医疗保健行业、监管机构和支付方以及患者/公众代表团体),特别是那些在试验中使用替代终点方面有经验的人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d295/9743760/af4620696b39/13063_2022_6904_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d295/9743760/af4620696b39/13063_2022_6904_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d295/9743760/af4620696b39/13063_2022_6904_Fig1_HTML.jpg

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SPIRIT-PRO Extension explanation and elaboration: guidelines for inclusion of patient-reported outcomes in protocols of clinical trials.SPIRIT-PRO 扩展说明和阐述:临床试验方案中纳入患者报告结局的指南。
BMJ Open. 2021 Jun 30;11(6):e045105. doi: 10.1136/bmjopen-2020-045105.
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Immediate effects of a very brief planning intervention on fruit and vegetable consumption: A randomized controlled trial.一项非常简短的规划干预对水果和蔬菜消费的即时影响:一项随机对照试验。
Appl Psychol Health Well Being. 2021 May;13(2):377-393. doi: 10.1111/aphw.12254. Epub 2021 Feb 4.
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A Systematic Review and Recommendation for Reporting of Surrogate Endpoint Evaluation Using Meta-analyses.
随机对照试验方案中替代终点报告(SPIRIT-Surrogate):扩展清单及说明和阐述。
BMJ. 2024 Jul 9;386:e078525. doi: 10.1136/bmj-2023-078525.
一项关于使用荟萃分析报告替代终点评估的系统评价与建议
JNCI Cancer Spectr. 2019 Feb 6;3(1):pkz002. doi: 10.1093/jncics/pkz002. eCollection 2019 Mar.
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Improving outcome reporting in clinical trial reports and protocols: study protocol for the Instrument for reporting Planned Endpoints in Clinical Trials (InsPECT).改善临床试验报告和方案中的结果报告:临床试验计划终点报告工具(InsPECT)的研究方案。
Trials. 2019 Mar 6;20(1):161. doi: 10.1186/s13063-019-3248-0.
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Randomised controlled trials - the gold standard for effectiveness research: Study design: randomised controlled trials.随机对照试验——有效性研究的金标准:研究设计:随机对照试验
BJOG. 2018 Dec;125(13):1716. doi: 10.1111/1471-0528.15199. Epub 2018 Jun 19.
6
Time to Review the Role of Surrogate End Points in Health Policy: State of the Art and the Way Forward.是时候审视替代终点在卫生政策中的作用了:现状与未来方向。
Value Health. 2017 Mar;20(3):487-495. doi: 10.1016/j.jval.2016.10.011. Epub 2016 Dec 22.
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Reporting of patient-reported outcomes in randomized trials: the CONSORT PRO extension.报告随机试验中患者报告结局的方法:CONSORT PRO 扩展。
JAMA. 2013 Feb 27;309(8):814-22. doi: 10.1001/jama.2013.879.
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Comparison of treatment effect sizes associated with surrogate and final patient relevant outcomes in randomised controlled trials: meta-epidemiological study.比较随机对照试验中替代和最终与患者相关结局的治疗效果大小:Meta 流行病学研究。
BMJ. 2013 Jan 29;346:f457. doi: 10.1136/bmj.f457.
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SPIRIT 2013 statement: defining standard protocol items for clinical trials.SPIRIT 2013 声明:定义临床试验的标准议定书项目。
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Syst Rev. 2012 Nov 29;1:60. doi: 10.1186/2046-4053-1-60.