Outcome measures Flashcards
Key outcomes for a phase I clinical trial
Safety
Tolerability
Dose - PK
Key outcomes for a phase II clinical trial
Efficacy
Safety
Tolerability
Key outcomes for a phase III clinical trial
Efficacy
Safety
Tolerability
Key outcomes for a phase IV clinical trial
Safety
Effectiveness
Define efficacy
Efficacy is the extent to which an intervention does more good than harm under ideal circumstances
Define effectiveness
Effectiveness assesses whether an intervention does more good than harm when provided under usual circumstances of healthcare practice
Outcome measures for clinical trials; medical history
Presenting complaint Past medical history Medications Social history Family history
Outcome measures for clinical trials; examination
General observation
Vital signs
Systems examination
Outcome measures for clinical trials; investigations
Sampling
Imaging; Xray, CT scan
Physiology; ECG, lung function
What are ‘events’
Disease onset or flare; heart attach, stroke, COVID infection
Healthcare contact
Survival
What are clinically meaningful outcomes?
How the patient feels, functions.
E.g. symptom score, health care, disability
What are biomarkers?
Biochemical, physiological, structural measurements.
Indicate normal biological or pathophysiological processed.
What are surrogate markers?
Biomarkers that predict a clinically-meaningful outcome