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Rescue medication
Rescue medication

... In addition, patients will be asked daily during treatment and at each visit during follow up if they have suffered any side-effects or adverse events (AE). Electrocardiograms (ECG) will be performed where clinically indicated by patient’s signs or symptoms. Site investigators will use their judgmen ...
a review on drug approval process for us, europe and india
a review on drug approval process for us, europe and india

... science and clinical trials. Drug reviewers in regulatory agencies around the world bear the responsibility of evaluating whether the research data support the safety, effectiveness and quality control of a new drug product to serve the public health. Every country has its own regulatory authority, ...
How to put Together the IND Application (CBER) - M
How to put Together the IND Application (CBER) - M

... • IND sponsor may be a company, institution, or an individual • IND sponsor-investigator An individual who both initiates and conducts the clinical trial ...
Idiopathic pulmonary fibrosis trials: recommendations for the jury EDITORIAL
Idiopathic pulmonary fibrosis trials: recommendations for the jury EDITORIAL

... disease and probable varied response to different therapies might partially explain the negative results and mixed signals seen from many of the prior drug studies. Clinical variants include a temporal spectrum of disease progression that varies from those individuals with a slowly protracted course ...
Regenerative Treatment of Peri
Regenerative Treatment of Peri

... progression are the expected due to earlier studies. The complications caused by the treatment (a surgery procedure) may be tenderness, but does not differ from the treatment of practice. After a risk-benefit analysis no ethichical problems have been detected. ...
Degarelix for advanced hormone dependent prostate cancer
Degarelix for advanced hormone dependent prostate cancer

... LHRHa over a 1-year treatment period. Sub analysis reported by Tombal (2009) found lower incidence of PSA failure and death in patients given degarelix compared to leuprorelin. However, there are a number of limitations that require consideration. Firstly, these are exploratory analyses involving a ...
Stroke as an emergency: Semmelweis redivivus?
Stroke as an emergency: Semmelweis redivivus?

... of outcome would have greatly increased that risk, more with each new test. Let me for a moment compare clinical trials with soccer games. According to convention, the game is decided by comparing the number of referee-approved goals scored by each team after 90 min. Now it sometimes happens that th ...
Available Tools to Facilitate Early Patient Access to
Available Tools to Facilitate Early Patient Access to

... The early approval of medicines based on surrogate endpoints and less stringent evidence requirements has already been granted for a decade for drugs that offer very promising early results. These approvals are conditional on specific post-approval requirements to confirm the initial benefit/risk ev ...
Clinical trials optimization: Monte Carlo Simulation modeling and SAS applications
Clinical trials optimization: Monte Carlo Simulation modeling and SAS applications

... The simulation explores how different trial designs will perform to detect expected drug effect. Father more, it shows the impact of differences of dose regiment, patient profile, sample size, drug duration under a multitude of uncertainties[1]. In the context of available scientific data, this can ...
High Performance Liquid Chromatography for Clinical Applications
High Performance Liquid Chromatography for Clinical Applications

... specificity,  sensitivity  and  multiplexing  ability  with  the  simultaneous  quantitation  of  several  drugs  and   metabolites  from  a  single  sample.  HPLC  with  UV  or  mass  spectrometry  detection  are  routinely  used  for   ther ...
Key milestones in Genzyme`s e ort to develop Myozyme, the rst and
Key milestones in Genzyme`s e ort to develop Myozyme, the rst and

... other product candidates are eventually terminated and Genzyme focuses on the successful development of this product, known as Myozyme. Genzyme initiates clinical trials for patients with Pompe disease. The research involves a global e ort to identify infants with Pompe disease – many of whom are se ...
Efficient and Cost-Effective Monitoring for Observational
Efficient and Cost-Effective Monitoring for Observational

... setting that embraces patients having multiple co-morbidities being treated by physicians according to standard of care, rather than a rigid protocol developed by the product’s manufacturer. Given the significant side-effects that have been demonstrated for several new products (albeit at a relative ...
Is Robenacoxib Superior to Meloxicam in Improving Patient Comfort
Is Robenacoxib Superior to Meloxicam in Improving Patient Comfort

... however this study would be useful when considered in the general practice situation as the two products have been compared directly and useful efficacy data has come from it. This usefulness would likely be reduced though should similar studies using patients with naturally occurring disease be ava ...
VIEW PDF - Retina Today
VIEW PDF - Retina Today

... improved visual acuity for up to 6 months, and macular thickness and fluorescein leakage for up to 3 months, following implantation in patients with persistent macular edema due to a variety of causes including diabetic retinopathy, retinal vein inclusion, uveitis, and Irvine-Gass syndrome.8 In a su ...
The Drug development process
The Drug development process

... • Different people respond differently to any given drug, even if they present with essentially identical disease symptoms. • Optimum dose requirements, for example, can vary significantly. • Furthermore, not all patients respond positively to a specific drug (e.g. IFN-β is of clinical benefit to on ...
guidelines for writing proposals and consent forms
guidelines for writing proposals and consent forms

... A consent form should provide, to the extent that it is possible, all the information needed for an individual to make an informed decision. Although written information is provided, a verbal explanation should also be given as well as the time to consider and ask questions. The invitation to partic ...
Sample size estimates for a clinical trial evaluating
Sample size estimates for a clinical trial evaluating

... reports indicated increased miltefosine treatment failure rates on the Indian subcontinent [1,2]. The only identified risk factor for treatment failure was to have an age <12 years [1]. Treatment failure was most significantly associated with Time>EC90 [3]. Previously, we have shown extensively that ...
Monitoring Quality and Supporting Clinical Effectiveness
Monitoring Quality and Supporting Clinical Effectiveness

... Some clinical indicators, and dimensions of care, tend to be based primarily on empirical evidence or expert judgement. The most widely used measures define explicit criteria against which performance is judged. Good evidence exists that certain clinical interventions will improve patient safety in ...
Evidence Based Medicine - University of South Alabama
Evidence Based Medicine - University of South Alabama

... sustained efficacy in a minority of patients. Therefore, the search for other treatments is of utmost importance. Several natural products and their derivatives have demonstrated benefit in the treatment of hepatitis C and other chronic liver conditions. Other herbal and nutritional supplements have ...
Bayesian Evidence Synthesis in Drug Development and
Bayesian Evidence Synthesis in Drug Development and

... used as the trial baseline parameters are nuisance parameters with no interpretation • In the two-way model an informative prior for a single treatment baseline treatment can be formed as each trial has the same parameterization • In the two way model there is much greater control over noninformativ ...
EndoGastric Solutions Announces AMA Assignment of CPT Code
EndoGastric Solutions Announces AMA Assignment of CPT Code

... Gastroesophageal reflux disease (GERD) is a chronic condition in which the gastroesophageal valve (GEV) allows gastric contents to wash back up into the esophagus, causing heartburn and possible injury to the esophageal lining. The stomach produces hydrochloric acid and other digestive enzymes after ...
Bridging Studies
Bridging Studies

... • Ability to extrapolate to new region Similar in dose response, efficacy, safety either with the same doses or with dose adjustment. ...
Actonel 30mg (risedronate sodium)
Actonel 30mg (risedronate sodium)

... Therapeutic indications ...
Company Presentation
Company Presentation

... amount of contingent payments under the license and development agreement with Seattle Genetics), forecasts of future operating results, potential collaborations, and capital raising activities, involve significant risks and uncertainties and actual results could differ materially from those express ...
ABR-Scan Science Week 46-47
ABR-Scan Science Week 46-47

... MRSA among animals: current overview. Clinical Microbiology and Infection Follow-up investigation of the first VIM-1-positive pig farm in Germany—how is the situation 4 years after the first detection? Clinical Microbiology and Infection Incidental detection of a urinary Escherichia coli isolate har ...
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Clinical trial

Clinical trials are experiments done in clinical research. Such prospective biomedical or behavioral research studies on human participants are designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, dietary choices, dietary supplements, and medical devices) and known interventions that warrant further study and comparison. Clinical trials generate data on safety and efficacy. They are conducted only after they have received health authority/ethics committee approval in the country where approval of the therapy is sought. These authorities are responsible for vetting the risk/benefit ratio of the trial - their approval does not mean that the therapy is 'safe' or effective, only that the trial may be conducted.Depending on product type and development stage, investigators initially enroll volunteers and/or patients into small pilot studies, and subsequently conduct progressively larger scale comparative studies. Clinical trials can vary in size and cost, and they can involve a single research center or multiple centers, in one country or in multiple countries. Clinical study design aims to ensure the scientific validity and reproducibility of the results.Trials can be quite costly, depending on a number of factors. The sponsor may be a governmental organization or a pharmaceutical, biotechnology or medical device company. Certain functions necessary to the trial, such as monitoring and lab work, may be managed by an outsourced partner, such as a contract research organization or a central laboratory.Only 10% of all drugs started in human clinical trials become an approved drug.
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