• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

ACTIV试验:在突发大流行背景下试验设计中吸取的经验教训。

ACTIV trials: Lessons learned in trial design in the setting of an emergent pandemic.

作者信息

Keshtkar-Jahromi Maryam, Anstrom Kevin J, Barkauskas Christina, Brown Samuel M, Daar Eric S, Fischer William, Gibbs Kevin W, Higgs Elizabeth S, Hughes Michael D, Jagannathan Prasanna, LaVange Lisa, Lindsell Christopher J, Nayak Seema U, Paredes Roger, Parmar Mahesh, Peltan Ithan D, Proschan Michael, Shotwell Matthew S, Vock David M, Yokum Tammy, Adam Stacey J

机构信息

Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD, USA.

Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

J Clin Transl Sci. 2024 Oct 15;8(1):e151. doi: 10.1017/cts.2024.1. eCollection 2024.

DOI:10.1017/cts.2024.1
PMID:39478775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11523015/
Abstract

Accelerating COVID-19 Treatment Interventions and Vaccines (ACTIV) was initiated by the US government to rapidly develop and test vaccines and therapeutics against COVID-19 in 2020. The ACTIV Therapeutics-Clinical Working Group selected ACTIV trial teams and clinical networks to expeditiously develop and launch master protocols based on therapeutic targets and patient populations. The suite of clinical trials was designed to collectively inform therapeutic care for COVID-19 outpatient, inpatient, and intensive care populations globally. In this report, we highlight challenges, strategies, and solutions around clinical protocol development and regulatory approval to document our experience and propose plans for future similar healthcare emergencies.

摘要

加速COVID-19治疗干预和疫苗(ACTIV)项目由美国政府于2020年启动,旨在快速研发和测试针对COVID-19的疫苗及治疗方法。ACTIV治疗临床工作组挑选了ACTIV试验团队和临床网络,以便基于治疗靶点和患者群体迅速开展并推出主方案。这一系列临床试验旨在为全球范围内COVID-19门诊、住院和重症监护患者群体的治疗护理提供全面信息。在本报告中,我们重点介绍了临床方案制定和监管审批方面的挑战、策略及解决方案,以记录我们的经验并为未来类似的医疗紧急情况提出计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f32/11523015/50ebe94443f4/S2059866124000013_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f32/11523015/e375005d3203/S2059866124000013_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f32/11523015/50ebe94443f4/S2059866124000013_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f32/11523015/e375005d3203/S2059866124000013_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f32/11523015/50ebe94443f4/S2059866124000013_fig2.jpg

相似文献

1
ACTIV trials: Lessons learned in trial design in the setting of an emergent pandemic.ACTIV试验:在突发大流行背景下试验设计中吸取的经验教训。
J Clin Transl Sci. 2024 Oct 15;8(1):e151. doi: 10.1017/cts.2024.1. eCollection 2024.
2
ACTIV trials: cross-trial lessons learned for master protocol implementation.ACTIV试验:主方案实施过程中的跨试验经验教训
J Clin Transl Sci. 2024 Oct 15;8(1):e152. doi: 10.1017/cts.2024.507. eCollection 2024.
3
Engaging communities in therapeutics clinical research during pandemics: Experiences and lessons from the ACTIV COVID-19 therapeutics research initiative.在大流行期间让社区参与治疗性临床研究:ACTIV COVID-19治疗研究倡议的经验与教训
J Clin Transl Sci. 2024 Oct 15;8(1):e156. doi: 10.1017/cts.2024.561. eCollection 2024.
4
Implementation of a seamless phase 2/3 study design in the setting of an emergent infectious disease pandemic: Lessons learned from the ACTIV-2 platform COVID-19 treatment trial.在突发传染病大流行背景下实施无缝衔接的2/3期研究设计:从ACTIV-2平台新冠治疗试验中汲取的经验教训
Contemp Clin Trials. 2025 Jun;153:107887. doi: 10.1016/j.cct.2025.107887. Epub 2025 Mar 25.
5
Glycaemic control in labour with diabetes: GILD, a scoping study.糖尿病产妇分娩期间的血糖控制:GILD,一项范围界定研究。
Health Technol Assess. 2025 Aug;29(41):1-150. doi: 10.3310/KHGD2761.
6
Neuraminidase inhibitors for preventing and treating influenza in healthy adults and children.用于预防和治疗健康成人及儿童流感的神经氨酸酶抑制剂。
Cochrane Database Syst Rev. 2012 Jan 18;1:CD008965. doi: 10.1002/14651858.CD008965.pub3.
7
Audit and feedback: effects on professional practice.审核与反馈:对专业实践的影响
Cochrane Database Syst Rev. 2025 Mar 25;3(3):CD000259. doi: 10.1002/14651858.CD000259.pub4.
8
Ivermectin for preventing and treating COVID-19.伊维菌素预防和治疗 COVID-19。
Cochrane Database Syst Rev. 2022 Jun 21;6(6):CD015017. doi: 10.1002/14651858.CD015017.pub3.
9
Stepping into day treatment approach versus inpatient treatment for adults with anorexia nervosa: the DAISIES RCT.成人神经性厌食症日间治疗与住院治疗对比:雏菊随机对照试验
Health Technol Assess. 2025 Feb;29(3):1-37. doi: 10.3310/FTJP6744.
10
Passive immunotherapy for adults hospitalized with COVID-19: An individual participant data meta-analysis of six randomized controlled trials.COVID-19 住院成人的被动免疫疗法:六项随机对照试验的个体参与者数据荟萃分析
PLoS Med. 2025 Jul 7;22(7):e1004616. doi: 10.1371/journal.pmed.1004616. eCollection 2025 Jul.

本文引用的文献

1
What Does Acute Respiratory Distress Syndrome Mean during the COVID-19 Pandemic?在新冠疫情期间,急性呼吸窘迫综合征意味着什么?
Ann Am Thorac Soc. 2021 Dec;18(12):1948-1950. doi: 10.1513/AnnalsATS.202105-534PS.
2
Making trials part of good clinical care: lessons from the RECOVERY trial.将试验纳入优质临床护理:RECOVERY试验的经验教训。
Future Healthc J. 2021 Jul;8(2):e243-e250. doi: 10.7861/fhj.2021-0083.
3
Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV): Designing Master Protocols for Evaluation of Candidate COVID-19 Therapeutics.
COVID-19 治疗干预和疫苗加速行动(ACTIV):评估候选 COVID-19 疗法的主方案设计。
Ann Intern Med. 2021 Sep;174(9):1293-1300. doi: 10.7326/M21-1269. Epub 2021 Jun 29.
4
The Berlin definition of acute respiratory distress syndrome: should patients receiving high-flow nasal oxygen be included?柏林急性呼吸窘迫综合征定义:是否应包括接受高流量鼻氧疗的患者?
Lancet Respir Med. 2021 Aug;9(8):933-936. doi: 10.1016/S2213-2600(21)00105-3. Epub 2021 Apr 27.
5
The Adaptive COVID-19 Treatment Trial-1 (ACTT-1) in a real-world population: a comparative observational study.真实世界人群中的适应性新型冠状病毒肺炎治疗试验-1(ACTT-1):一项比较性观察研究。
Crit Care. 2020 Dec 7;24(1):677. doi: 10.1186/s13054-020-03406-3.
6
Dexamethasone in Hospitalized Patients with Covid-19.地塞米松在 COVID-19 住院患者中的应用。
N Engl J Med. 2021 Feb 25;384(8):693-704. doi: 10.1056/NEJMoa2021436. Epub 2020 Jul 17.
7
Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV): An Unprecedented Partnership for Unprecedented Times.加速COVID-19治疗干预和疫苗(ACTIV):应对前所未有的时代的前所未有的合作。
JAMA. 2020 Jun 23;323(24):2455-2457. doi: 10.1001/jama.2020.8920.
8
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials.Cochrane 协作网评估随机试验偏倚风险的工具。
BMJ. 2011 Oct 18;343:d5928. doi: 10.1136/bmj.d5928.
9
Sample size calculations for ordered categorical data.有序分类数据的样本量计算。
Stat Med. 1993 Dec 30;12(24):2257-71. doi: 10.1002/sim.4780122404.
10
Interim analyses for monitoring clinical trials that do not materially affect the type I error rate.
Stat Med. 1992 Jan 15;11(1):55-66. doi: 10.1002/sim.4780110107.