دورية أكاديمية

Mitigating the Effects of Nonadherence in Clinical Trials

التفاصيل البيبلوغرافية
العنوان: Mitigating the Effects of Nonadherence in Clinical Trials
المؤلفون: Shiovitz, Thomas M., Bain, Earle E., McCann, David J., Skolnick, Phil, Laughren, Thomas, Hanina, Adam, Burch, Daniel
المصدر: The Journal of Clinical Pharmacology ; volume 56, issue 9, page 1151-1164 ; ISSN 0091-2700 1552-4604
بيانات النشر: Wiley
سنة النشر: 2016
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Accounting for subject nonadherence and eliminating inappropriate subjects in clinical trials are critical elements of a successful study. Nonadherence can increase variance, lower study power, and reduce the magnitude of treatment effects. Inappropriate subjects (including those who do not have the illness under study, fail to report exclusionary conditions, falsely report medication adherence, or participate in concurrent trials) confound safety and efficacy signals. This paper, a product of the International Society for CNS Clinical Trial Methodology (ISCTM) Working Group on Nonadherence in Clinical Trials, explores and models nonadherence in clinical trials and puts forth specific recommendations to identify and mitigate its negative effects. These include statistical analyses of nonadherence data, novel protocol design, and the use of biomarkers, subject registries, and/or medication adherence technologies.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1002/jcph.689
الإتاحة: https://doi.org/10.1002/jcph.689Test
حقوق: http://creativecommons.org/licenses/by-nc/4.0Test/
رقم الانضمام: edsbas.3F2F82A1
قاعدة البيانات: BASE