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快速制定方案、启动研究并招募癌症患者COVID-19疫苗前瞻性研究:一种协作方法。

Rapid Protocol Development, Study Startup and Enrolment of a Prospective Study of COVID-19 Vaccination for Patients with Cancer: A Collaborative Approach.

作者信息

Body Amy, Milch Vivienne, McSorley Lynda, Lal Luxi, Ahern Elizabeth, Ryan Regina, Jones Gayle, Keefe Dorothy, Segelov Eva

机构信息

Monash Health, Clayton, VIC 3168, Australia.

Department of Medicine, Nursing and Health Sciences, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3800, Australia.

出版信息

Vaccines (Basel). 2022 Nov 24;10(12):2003. doi: 10.3390/vaccines10122003.

Abstract

BACKGROUND

COVID-19 is an unprecedented global health emergency. It has been highly disruptive for patients with cancer, both due to an increased burden of severe illness and due to pressure on healthcare systems. COVID-19 vaccination has been an important public health measure for this patient group.

AIM

The aim of this study was to describe the rapid design and startup of a multicentre study of COVID-19 vaccine response for vulnerable patients with cancer. Study startup: We set up a multicentre prospective observational study of COVID-19 vaccination response for Australian patients with cancer. Due to intensive collaboration between health services, the funding body and laboratories, we were able to develop a protocol and enrol the first patient within 52 days of the initial study proposal. Rapid startup was further enabled by prompt availability of funding and by high-level engagement of institutional review boards, allowing expedited review. Study enrolment: We rapidly enroled more than 500 patients, 80% within 4 months of study opening. Engagement and follow-up were maintained throughout the course of up to five serial vaccination doses.

CONCLUSION

Our study is an example of intensive collaboration inspired by the COVID-19 pandemic and may serve as an example of an agile research response to real-time public health challenges.

摘要

背景

2019冠状病毒病(COVID-19)是一场前所未有的全球卫生突发事件。它对癌症患者造成了极大干扰,这既是由于重症负担增加,也是由于医疗保健系统面临的压力。COVID-19疫苗接种一直是针对这一患者群体的一项重要公共卫生措施。

目的

本研究的目的是描述一项针对癌症易感患者的COVID-19疫苗反应多中心研究的快速设计与启动情况。研究启动:我们针对澳大利亚癌症患者开展了一项关于COVID-19疫苗接种反应的多中心前瞻性观察研究。由于卫生服务机构、资助机构和实验室之间的密切合作,我们得以制定方案,并在初始研究提议提出后的52天内招募到了首位患者。资金的及时到位以及机构审查委员会的高度参与使得能够加快审查,从而进一步实现了快速启动。研究招募:我们迅速招募了500多名患者,在研究开始后的4个月内招募了80%的患者。在长达五剂系列疫苗接种的整个过程中都保持了参与和随访。

结论

我们的研究是受COVID-19大流行启发而进行的密切合作的一个范例,可能成为对实时公共卫生挑战做出灵活研究反应的一个典范。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d294/9785949/c2d92b135e5f/vaccines-10-02003-g001.jpg

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