Glaucoma clinical trial design: A review of the literature

The purpose of this article is to review the prior research evaluating design techniques for glaucoma clinical trials to help ophthalmologists and pharmaceutical sponsors better develop literature-based studies that are cost- and time-efficient. We performed this study using known published articles...

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Main Authors: William C. Stewart, Jeanette A. Stewart, Lindsay A. Nelson
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Perspectives in Clinical Research
Subjects:
Online Access:http://www.picronline.org/article.asp?issn=2229-3485;year=2014;volume=5;issue=3;spage=108;epage=114;aulast=Stewart
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author William C. Stewart
Jeanette A. Stewart
Lindsay A. Nelson
author_facet William C. Stewart
Jeanette A. Stewart
Lindsay A. Nelson
author_sort William C. Stewart
collection DOAJ
description The purpose of this article is to review the prior research evaluating design techniques for glaucoma clinical trials to help ophthalmologists and pharmaceutical sponsors better develop literature-based studies that are cost- and time-efficient. We performed this study using known published articles by the authors and literature found on Pub Med. We included 24 articles that analyzed specifically the results of clinical trial methods and/or interpretation. This review found that studies have evaluated glaucoma specific aspects of glaucoma clinical trials including: Predicting the results of later phase clinical trials based on early phase clinical trials and animal studies; protocol design parameters such as intraocular pressure, inclusion criteria, method of pressure measurement, study population, and side effect evaluation; and study planning issues such as number of clinical sites as well as subjects, dropout rates, estimated serious adverse events, and protocol violations. This review suggests that the medical literature supports some aspects of glaucoma clinical trial study design. Additional design features might be derived from government regulations, guidance, as well as agency contacts, consultants, and clinical community standards. Study design decisions that must be made beyond the aforementioned resources should be made carefully, with appropriate consultation as needed, considering the risk/benefit ratio to the study. However, more research is needed to better evaluate the design procedures and methods involved in glaucoma clinical trials to best provide a cost- and time-efficient study while achieving quality efficacy and safety results.
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spelling doaj.art-4dac3c0a07a04db9bc60562d46120b822022-12-21T19:31:53ZengWolters Kluwer Medknow PublicationsPerspectives in Clinical Research2229-34852014-01-015310811410.4103/2229-3485.134306Glaucoma clinical trial design: A review of the literatureWilliam C. StewartJeanette A. StewartLindsay A. NelsonThe purpose of this article is to review the prior research evaluating design techniques for glaucoma clinical trials to help ophthalmologists and pharmaceutical sponsors better develop literature-based studies that are cost- and time-efficient. We performed this study using known published articles by the authors and literature found on Pub Med. We included 24 articles that analyzed specifically the results of clinical trial methods and/or interpretation. This review found that studies have evaluated glaucoma specific aspects of glaucoma clinical trials including: Predicting the results of later phase clinical trials based on early phase clinical trials and animal studies; protocol design parameters such as intraocular pressure, inclusion criteria, method of pressure measurement, study population, and side effect evaluation; and study planning issues such as number of clinical sites as well as subjects, dropout rates, estimated serious adverse events, and protocol violations. This review suggests that the medical literature supports some aspects of glaucoma clinical trial study design. Additional design features might be derived from government regulations, guidance, as well as agency contacts, consultants, and clinical community standards. Study design decisions that must be made beyond the aforementioned resources should be made carefully, with appropriate consultation as needed, considering the risk/benefit ratio to the study. However, more research is needed to better evaluate the design procedures and methods involved in glaucoma clinical trials to best provide a cost- and time-efficient study while achieving quality efficacy and safety results.http://www.picronline.org/article.asp?issn=2229-3485;year=2014;volume=5;issue=3;spage=108;epage=114;aulast=StewartClinical trialglaucomatrial designtrial methods
spellingShingle William C. Stewart
Jeanette A. Stewart
Lindsay A. Nelson
Glaucoma clinical trial design: A review of the literature
Perspectives in Clinical Research
Clinical trial
glaucoma
trial design
trial methods
title Glaucoma clinical trial design: A review of the literature
title_full Glaucoma clinical trial design: A review of the literature
title_fullStr Glaucoma clinical trial design: A review of the literature
title_full_unstemmed Glaucoma clinical trial design: A review of the literature
title_short Glaucoma clinical trial design: A review of the literature
title_sort glaucoma clinical trial design a review of the literature
topic Clinical trial
glaucoma
trial design
trial methods
url http://www.picronline.org/article.asp?issn=2229-3485;year=2014;volume=5;issue=3;spage=108;epage=114;aulast=Stewart
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