Factors Affecting %CDT Status at Entry Into a Multisite Clinical Treatment Trial: Experience from the COMBINE Study

2006 ◽  
Vol 30 (11) ◽  
pp. 1878-1883 ◽  
Author(s):  
Raymond F. Anton ◽  
Marston Youngblood
Addiction ◽  
2015 ◽  
Vol 110 (8) ◽  
pp. 1262-1271 ◽  
Author(s):  
Katie Witkiewitz ◽  
Kevin E. Vowles ◽  
Elizabeth McCallion ◽  
Tessa Frohe ◽  
Megan Kirouac ◽  
...  

Author(s):  
Felipe Martins de Oliveira ◽  
Luís Eduardo Procópio Calliari ◽  
Cecília Kauffman Rutenberg Feder ◽  
Maria Fernanda Ozorio de Almeida ◽  
Mariana Vilela Pereira ◽  
...  

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 6133-6133 ◽  
Author(s):  
Cynthia Chauhan ◽  
Pamela J. Atherton ◽  
Daniel Satele ◽  
Amylou C. Dueck ◽  
Gamini S. Soori ◽  
...  

6133 Background: Patient (pt) trial experience may give insight to quality of life (QOL) factors affecting accrual, retention and outcome. While pts are vital to clinical trial success, we know little about their post-trial opinions. This trial examined pt opinion of their trial and treatment decision making (TDM). Methods: Pts enrolled on designated North Central Cancer Treatment Group (NCCTG) phase II or III treatment trials completed the TDM Control Preferences Scale at baseline and the Was It Worth It (WIWI) satisfaction assessment at the ends of cycle 1 and active protocol treatment. The primary endpoint was the proportion of pts reporting worthwhile participation. Fisher Exact tests compared pt opinion across subgroups. Results: As of 01/15/2012, 264 pts were enrolled on 25 protocols and treated at 79 sites. 86% of pts were in phase II studies and 89% had stage IV disease. At the end of cycle 1, pts felt the trial was worthwhile (74%), would do it again (85%), and would recommend it to others (82%). 85% of pts reported undiminished QOL and only 7% rated the trial worse than expected. End of treatment responses were similar. Satisfaction rates varied by tumor site (p=0.04). 11% of pts having tumor response rated the trial as not worthwhile, and 66% of pts with progressive disease rated it worthwhile (see table). Pts with concordant preferred and actual TDM roles rated participation higher than pts with discordant TDM roles (see table). Conclusions: Most pts endorsed their clinical trial experience. Contrary to popular beliefs, treatment outcome did not have an overwhelming impact on pt satisfaction, and was just one of many factors such as TDM role discordance. Assessing pt satisfaction will inform future study design that can potentially improve pt accrual and retention. [Table: see text]


2013 ◽  
Vol 74 (04) ◽  
pp. 393-399 ◽  
Author(s):  
Margaret G. Spinelli ◽  
Jean Endicott ◽  
Andrew C. Leon ◽  
Ray R. Goetz ◽  
Robin B. Kalish ◽  
...  

eLife ◽  
2016 ◽  
Vol 5 ◽  
Author(s):  
Duy Pham Thanh ◽  
Abhilasha Karkey ◽  
Sabina Dongol ◽  
Nhan Ho Thi ◽  
Corinne N Thompson ◽  
...  

The interplay between bacterial antimicrobial susceptibility, phylogenetics and patient outcome is poorly understood. During a typhoid clinical treatment trial in Nepal, we observed several treatment failures and isolated highly fluoroquinolone-resistant Salmonella Typhi (S. Typhi). Seventy-eight S. Typhi isolates were genome sequenced and clinical observations, treatment failures and fever clearance times (FCTs) were stratified by lineage. Most fluoroquinolone-resistant S. Typhi belonged to a specific H58 subclade. Treatment failure with S. Typhi-H58 was significantly less frequent with ceftriaxone (3/31; 9.7%) than gatifloxacin (15/34; 44.1%)(Hazard Ratio 0.19, p=0.002). Further, for gatifloxacin-treated patients, those infected with fluoroquinolone-resistant organisms had significantly higher median FCTs (8.2 days) than those infected with susceptible (2.96) or intermediately resistant organisms (4.01)(p<0.001). H58 is the dominant S. Typhi clade internationally, but there are no data regarding disease outcome with this organism. We report an emergent new subclade of S. Typhi-H58 that is associated with fluoroquinolone treatment failure.Clinical trial registration: ISRCTN63006567.


2007 ◽  
Vol 195 (10) ◽  
pp. 861-865 ◽  
Author(s):  
JoAnn Difede ◽  
Loretta S. Malta ◽  
Suzanne Best ◽  
Clare Henn-Haase ◽  
Thomas Metzler ◽  
...  

2017 ◽  
Vol 66 (9) ◽  
pp. 1454-1457 ◽  
Author(s):  
Amanda M Rojek ◽  
Jake Dunning ◽  
Aleksandra Leliogdowicz ◽  
Lyndsey Castle ◽  
Mary Van Lieshout ◽  
...  

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