Revised Airlie House consensus guidelines for design and implementation of ALS clinical trials

<br/><strong>Objective: </strong>To revise the 1999 Airlie House consensus guidelines for the design and implementation of preclinical therapeutic studies and clinical trials in amyotrophic lateral sclerosis (ALS).<br/><strong>Methods: </strong>A consensus committ...

Celý popis

Podrobná bibliografie
Hlavní autoři: Van Den Berg, L, Sorenson, E, Gronseth, G, Macklin, E, Andrews, J, Baloh, R, Benatar, M, Berry, J, Chio, A, Corcia, P, Genge, A, Gubitz, A, Lomen-Hoerth, C, McDermott, C, Pioro, E, Rosenfeld, J, Silani, V, Turner, M, Weber, M, Brooks, B, Miller, R, Mitsumoto, H
Médium: Journal article
Jazyk:English
Vydáno: Wolters Kluwer Health 2019
_version_ 1826275277024526336
author Van Den Berg, L
Sorenson, E
Gronseth, G
Macklin, E
Andrews, J
Baloh, R
Benatar, M
Berry, J
Chio, A
Corcia, P
Genge, A
Gubitz, A
Lomen-Hoerth, C
McDermott, C
Pioro, E
Rosenfeld, J
Silani, V
Turner, M
Weber, M
Brooks, B
Miller, R
Mitsumoto, H
author_facet Van Den Berg, L
Sorenson, E
Gronseth, G
Macklin, E
Andrews, J
Baloh, R
Benatar, M
Berry, J
Chio, A
Corcia, P
Genge, A
Gubitz, A
Lomen-Hoerth, C
McDermott, C
Pioro, E
Rosenfeld, J
Silani, V
Turner, M
Weber, M
Brooks, B
Miller, R
Mitsumoto, H
author_sort Van Den Berg, L
collection OXFORD
description <br/><strong>Objective: </strong>To revise the 1999 Airlie House consensus guidelines for the design and implementation of preclinical therapeutic studies and clinical trials in amyotrophic lateral sclerosis (ALS).<br/><strong>Methods: </strong>A consensus committee comprising 140 key members of the international ALS community (ALS researchers, clinicians, patient representatives, research funding representatives, industry, and regulatory agencies) addressed 9 areas of need within ALS research: (1) preclinical studies; (2) biological and phenotypic heterogeneity; (3) outcome measures; (4) disease-modifying and symptomatic interventions; (5) recruitment and retention; (6) biomarkers; (7) clinical trial phases; (8) beyond traditional trial designs; and (9) statistical considerations. Assigned to 1 of 8 sections, committee members generated a draft set of guidelines based on a “background” of developing a (pre)clinical question and a “rationale” outlining the evidence and expert opinion. Following a 2-day, face-to-face workshop at the Airlie House Conference Center, a modified Delphi process was used to develop draft consensus research guidelines, which were subsequently reviewed and modified based on comments from the public. Statistical experts drafted a separate document of statistical considerations (section 9).<br/><strong>Results: </strong>In this report, we summarize 112 guidelines and their associated backgrounds and rationales. The full list of guidelines, the statistical considerations, and a glossary of terms can be found in data available from Dryad (appendices e-3–e-5, doi.org/10.5061/dryad.32q9q5d). The authors prioritized 15 guidelines with the greatest potential to improve ALS clinical research.<br/><strong>Conclusion: </strong>The revised Airlie House ALS Clinical Trials Consensus Guidelines should serve to improve clinical trial design and accelerate the development of effective treatments for patients with ALS.
first_indexed 2024-03-06T22:56:15Z
format Journal article
id oxford-uuid:607db8d4-7c06-4dd1-8bb4-c06539baaca3
institution University of Oxford
language English
last_indexed 2024-03-06T22:56:15Z
publishDate 2019
publisher Wolters Kluwer Health
record_format dspace
spelling oxford-uuid:607db8d4-7c06-4dd1-8bb4-c06539baaca32022-03-26T17:53:43ZRevised Airlie House consensus guidelines for design and implementation of ALS clinical trialsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:607db8d4-7c06-4dd1-8bb4-c06539baaca3EnglishSymplectic Elements at OxfordWolters Kluwer Health2019Van Den Berg, LSorenson, EGronseth, GMacklin, EAndrews, JBaloh, RBenatar, MBerry, JChio, ACorcia, PGenge, AGubitz, ALomen-Hoerth, CMcDermott, CPioro, ERosenfeld, JSilani, VTurner, MWeber, MBrooks, BMiller, RMitsumoto, H<br/><strong>Objective: </strong>To revise the 1999 Airlie House consensus guidelines for the design and implementation of preclinical therapeutic studies and clinical trials in amyotrophic lateral sclerosis (ALS).<br/><strong>Methods: </strong>A consensus committee comprising 140 key members of the international ALS community (ALS researchers, clinicians, patient representatives, research funding representatives, industry, and regulatory agencies) addressed 9 areas of need within ALS research: (1) preclinical studies; (2) biological and phenotypic heterogeneity; (3) outcome measures; (4) disease-modifying and symptomatic interventions; (5) recruitment and retention; (6) biomarkers; (7) clinical trial phases; (8) beyond traditional trial designs; and (9) statistical considerations. Assigned to 1 of 8 sections, committee members generated a draft set of guidelines based on a “background” of developing a (pre)clinical question and a “rationale” outlining the evidence and expert opinion. Following a 2-day, face-to-face workshop at the Airlie House Conference Center, a modified Delphi process was used to develop draft consensus research guidelines, which were subsequently reviewed and modified based on comments from the public. Statistical experts drafted a separate document of statistical considerations (section 9).<br/><strong>Results: </strong>In this report, we summarize 112 guidelines and their associated backgrounds and rationales. The full list of guidelines, the statistical considerations, and a glossary of terms can be found in data available from Dryad (appendices e-3–e-5, doi.org/10.5061/dryad.32q9q5d). The authors prioritized 15 guidelines with the greatest potential to improve ALS clinical research.<br/><strong>Conclusion: </strong>The revised Airlie House ALS Clinical Trials Consensus Guidelines should serve to improve clinical trial design and accelerate the development of effective treatments for patients with ALS.
spellingShingle Van Den Berg, L
Sorenson, E
Gronseth, G
Macklin, E
Andrews, J
Baloh, R
Benatar, M
Berry, J
Chio, A
Corcia, P
Genge, A
Gubitz, A
Lomen-Hoerth, C
McDermott, C
Pioro, E
Rosenfeld, J
Silani, V
Turner, M
Weber, M
Brooks, B
Miller, R
Mitsumoto, H
Revised Airlie House consensus guidelines for design and implementation of ALS clinical trials
title Revised Airlie House consensus guidelines for design and implementation of ALS clinical trials
title_full Revised Airlie House consensus guidelines for design and implementation of ALS clinical trials
title_fullStr Revised Airlie House consensus guidelines for design and implementation of ALS clinical trials
title_full_unstemmed Revised Airlie House consensus guidelines for design and implementation of ALS clinical trials
title_short Revised Airlie House consensus guidelines for design and implementation of ALS clinical trials
title_sort revised airlie house consensus guidelines for design and implementation of als clinical trials
work_keys_str_mv AT vandenbergl revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT sorensone revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT gronsethg revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT mackline revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT andrewsj revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT balohr revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT benatarm revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT berryj revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT chioa revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT corciap revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT gengea revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT gubitza revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT lomenhoerthc revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT mcdermottc revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT pioroe revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT rosenfeldj revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT silaniv revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT turnerm revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT weberm revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT brooksb revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT millerr revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials
AT mitsumotoh revisedairliehouseconsensusguidelinesfordesignandimplementationofalsclinicaltrials