Clinical Trial Registration and Reporting: Drug Therapy and Prevention of Cardiac-Related Infections
Objective: Clinical trials are the source of evidence. ClinicalTrials.gov is valuable for analyzing current conditions. Until now, the state of drug interventions for heart infections is unknown. The purpose of this study was to comprehensively assess the characteristics of trials on cardiac-related...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-07-01
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| Series: | Frontiers in Pharmacology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fphar.2019.00757/full |
| _version_ | 1818842633033744384 |
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| author | Lin-Lu Ma Lin-Lu Ma Yang Qiu Mei-Na Song Yun Chen Yun Chen Jian-Xin Qu Jian-Xin Qu Bing-Hui Li Ming-Juan Zhao Ming-Juan Zhao Xin-Can Liu Xin-Can Liu |
| author_facet | Lin-Lu Ma Lin-Lu Ma Yang Qiu Mei-Na Song Yun Chen Yun Chen Jian-Xin Qu Jian-Xin Qu Bing-Hui Li Ming-Juan Zhao Ming-Juan Zhao Xin-Can Liu Xin-Can Liu |
| author_sort | Lin-Lu Ma |
| collection | DOAJ |
| description | Objective: Clinical trials are the source of evidence. ClinicalTrials.gov is valuable for analyzing current conditions. Until now, the state of drug interventions for heart infections is unknown. The purpose of this study was to comprehensively assess the characteristics of trials on cardiac-related infections and the status of drug interventions.Methods: The website ClinicalTrials.gov was used to obtain all registered clinical trials on drug interventions for cardiac-related infections as of February 16, 2019. All registration studies were collected, regardless of their recruitment status, research results, and research type. Registration information, results, and weblink-publications of those trials were analyzed.Results: A total of 45 eligible trials were evaluated and 86.7% of them began from or after 2008 while 91.1% of them adopted interventional study design. Of all trials, 35.6% were completed and 15.6% terminated. Besides, 62.2% of interventional clinical trials recruited more than 100 subjects. Meanwhile, 86.7% of the eligible trials included adult subjects only. Of intervention trials, 65.8% were in the third or fourth phase; 78.1% adopted randomized parallel assignment, containing two groups; 53.6% were masking, and 61.0% described treatment. Moreover, 41.5% of the trials were conducted in North America while 29.3% in Europe. Sponsors for 40.0% of the studies were from the industry. Furthermore, 48.9% of the trials mentioned information on monitoring committees, 24.4% have been published online, and 13.3% have uploaded their results. Drugs for treatments mainly contained antibiotics, among which glycopeptides, β-lactams, and lipopeptides were the most commonly studied ones in experimental group, with the former ones more common. Additionally, 16.2% of the trials evaluated new antimicrobials.Conclusions: Most clinical trials on cardiac-related infections registered at ClinicalTrials.gov were interventional randomized controlled trials (RCTs) for treatment. Most drugs focused in trials were old antibiotics, and few trials reported valid results. It is necessary to strengthen supervision over improvements in results, and to combine antibacterial activity with drug delivery regimens to achieve optimal clinical outcomes. |
| first_indexed | 2024-12-19T04:45:04Z |
| format | Article |
| id | doaj.art-d2630cf0e4144eff812c86f94f30ecf4 |
| institution | Directory Open Access Journal |
| issn | 1663-9812 |
| language | English |
| last_indexed | 2024-12-19T04:45:04Z |
| publishDate | 2019-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pharmacology |
| spelling | doaj.art-d2630cf0e4144eff812c86f94f30ecf42022-12-21T20:35:31ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122019-07-011010.3389/fphar.2019.00757463977Clinical Trial Registration and Reporting: Drug Therapy and Prevention of Cardiac-Related InfectionsLin-Lu Ma0Lin-Lu Ma1Yang Qiu2Mei-Na Song3Yun Chen4Yun Chen5Jian-Xin Qu6Jian-Xin Qu7Bing-Hui Li8Ming-Juan Zhao9Ming-Juan Zhao10Xin-Can Liu11Xin-Can Liu12Department of Cardiology, First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaCenter for Evidence-Based and Translational Medicine, Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaCardiovascular Department, Kaifeng Central Hospital, Kaifeng, ChinaDepartment of Nursing, Beijing Tsinghua Changgung Hospital, Beijing, ChinaDepartment of Cardiology, First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaCenter for Evidence-Based and Translational Medicine, Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaDepartment of Cardiology, First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaCenter for Evidence-Based and Translational Medicine, Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaCenter for Evidence-Based Medicine, Institute of Evidence-Based Medicine and Knowledge Translation, Henan University, Kaifeng, ChinaCenter for Evidence-Based Medicine, Institute of Evidence-Based Medicine and Knowledge Translation, Henan University, Kaifeng, ChinaDepartment of Cardiology, The First Affiliated Hospital of Henan University, Kaifeng, ChinaDepartment of Cardiology, First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaCenter for Evidence-Based and Translational Medicine, Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaObjective: Clinical trials are the source of evidence. ClinicalTrials.gov is valuable for analyzing current conditions. Until now, the state of drug interventions for heart infections is unknown. The purpose of this study was to comprehensively assess the characteristics of trials on cardiac-related infections and the status of drug interventions.Methods: The website ClinicalTrials.gov was used to obtain all registered clinical trials on drug interventions for cardiac-related infections as of February 16, 2019. All registration studies were collected, regardless of their recruitment status, research results, and research type. Registration information, results, and weblink-publications of those trials were analyzed.Results: A total of 45 eligible trials were evaluated and 86.7% of them began from or after 2008 while 91.1% of them adopted interventional study design. Of all trials, 35.6% were completed and 15.6% terminated. Besides, 62.2% of interventional clinical trials recruited more than 100 subjects. Meanwhile, 86.7% of the eligible trials included adult subjects only. Of intervention trials, 65.8% were in the third or fourth phase; 78.1% adopted randomized parallel assignment, containing two groups; 53.6% were masking, and 61.0% described treatment. Moreover, 41.5% of the trials were conducted in North America while 29.3% in Europe. Sponsors for 40.0% of the studies were from the industry. Furthermore, 48.9% of the trials mentioned information on monitoring committees, 24.4% have been published online, and 13.3% have uploaded their results. Drugs for treatments mainly contained antibiotics, among which glycopeptides, β-lactams, and lipopeptides were the most commonly studied ones in experimental group, with the former ones more common. Additionally, 16.2% of the trials evaluated new antimicrobials.Conclusions: Most clinical trials on cardiac-related infections registered at ClinicalTrials.gov were interventional randomized controlled trials (RCTs) for treatment. Most drugs focused in trials were old antibiotics, and few trials reported valid results. It is necessary to strengthen supervision over improvements in results, and to combine antibacterial activity with drug delivery regimens to achieve optimal clinical outcomes.https://www.frontiersin.org/article/10.3389/fphar.2019.00757/fullcardiac-related infectionsClinicaltrials.govclinical trialstrial registrationantibiotics |
| spellingShingle | Lin-Lu Ma Lin-Lu Ma Yang Qiu Mei-Na Song Yun Chen Yun Chen Jian-Xin Qu Jian-Xin Qu Bing-Hui Li Ming-Juan Zhao Ming-Juan Zhao Xin-Can Liu Xin-Can Liu Clinical Trial Registration and Reporting: Drug Therapy and Prevention of Cardiac-Related Infections Frontiers in Pharmacology cardiac-related infections Clinicaltrials.gov clinical trials trial registration antibiotics |
| title | Clinical Trial Registration and Reporting: Drug Therapy and Prevention of Cardiac-Related Infections |
| title_full | Clinical Trial Registration and Reporting: Drug Therapy and Prevention of Cardiac-Related Infections |
| title_fullStr | Clinical Trial Registration and Reporting: Drug Therapy and Prevention of Cardiac-Related Infections |
| title_full_unstemmed | Clinical Trial Registration and Reporting: Drug Therapy and Prevention of Cardiac-Related Infections |
| title_short | Clinical Trial Registration and Reporting: Drug Therapy and Prevention of Cardiac-Related Infections |
| title_sort | clinical trial registration and reporting drug therapy and prevention of cardiac related infections |
| topic | cardiac-related infections Clinicaltrials.gov clinical trials trial registration antibiotics |
| url | https://www.frontiersin.org/article/10.3389/fphar.2019.00757/full |
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