Translational and Clinical Research Flashcards
DSMB
Data Safety and Monitoring Board (independent committee that reviews data during clinical trial to manage risk)
Phase One Translation (T1)
Transfer of knowledge from lab to produce new drugs, devices, and treatment options
Phase two translation (T2)
Assessment of value of T1 applications for health practice leading to evidence-based guidelines
Phase three translation (T3)
Movement of evidence-based guidelines into health practice
Phase four translation (T4)
Evaluation of real world health outcomes of a T1 application in practice
FDAAA 801 (207)
Expanded clinical trial registry and added a result database
Phase one clinical trials
Small sample of healthy volunteers for safety, PK, AEs
Phase two clinical trials
Medium clinical sample for dosing, safety, efficacy, placebo effects
Phase three clinical trials
Large clinical sample for efficacy, AEs, special populations
Phase four clinical research
Postmarket surveillance looking for low incidence AEs, risk/benefit, and pharmacoeconomics
Phase five clinical research
Mega trials, additional claims and/or new indicates
Case control studies
Examines group of subjects who experienced an event (e.g. cancer) and those who have not (e.g. no cancer)
In which can you calculate relative risk and in which can you only calculate an odds ratio: Cohor studies and Case Control studies
Case control - odds ratio only, Cohort - relative risk
What act mandated informed consent in US clinical trials?
The Kefauver-Harris Amendment (Drug Efficacy Amendment of 1962)
Reporting of adverse events has been required since when?
September 2009