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Lecture4ClinicalResearch
relapsebiomarkerfollow-upinformedconsentendpoint
subjectblindingprotocolbiasretrospective
testnewtreatmentsormedicaldevicesinpeopleitisshowntobesafeinpeopleandworkswell20to100participantswithorwithoutthedisease Learnaboutsafety,howthetreatmentworksinthehumanbody,andthebestamounttotake Lessthanayear
About300participantswiththedisease Learnmoreaboutsafetybylookingatsideeffectsandotherproblems Afewmonthsto2years Hundredsorthousandsofparticipantswiththedisease Seehowwellthetreatmentworksandlearnmoreaboutsideeffects 1–3years Thousandsofparticipantswiththedisease Continuetolookatthetreatment’sbenefitforpeople Manyyears protectthesafetyofparticipants
1.Whatisblindinginclinicaltrials?Blindingisaprocedureinwhichoneormorepartiesinatrialarekeptunawareoftreatmentarmallocationofparticipants.2.Whocanbeblindedinclinicaltrials?Dependingonthetypeofthetrialthefollowingcanbeblinded,participantsbeingtreated,clinicalstafforinvestigatoradministeringtreatment,teamcollectingoutcomedataordataanalysts.
3.Whatisanopen-labeltrial?Andwhenisitused?Allthepeopleinvolvedinthetrialwillbeawareofthetreatmentgroupassignmentofstudyparticipants.Itisusedwhenethicalconsiderationsdonotpermitblindingandifnocontrolgroupcanbeused.4.Whatisasingle-blindedtrial?Andwhenisitused?Usuallythesubjectreceivingtheinterventionisblinded.Itisusedwhendoubleblindingisnotpossible,andwhentheexperimentalmedicineandcontrolcannotbemanufacturedidentically.
5.Whatisadoubleblindedtrial?Andwhenisitused?Usually,theinvestigatorsaswellasthestudyparticipantsareblindedtothetreatmentallocation.Doubleblindingshouldbeusedwheneverpossiblebecauseitisthebestcontroltrialdesignwithdecreasedtenseofobservationalbias
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