Centralizing ECGs for efficient, accurate cardiac safety assessments in clinical trials
ثبت نشده
چکیده
Regulatory Overview Recent concerns over the cardiac effects of new pharmaceutical products have triggered greater regulatory scrutiny for all new compounds and final drugs prior to reaching the marketplace. While there is no legislative mandate in relation to ECG assessment across clinical trials, the requirement to conduct a Thorough ECG Trial (TET) for new compounds has been mandated by the US Food and Drug Administration (FDA) with limited exceptions. Centralizing the process of collection and standardization of quality ECG data and employing digital ECG systems and a core laboratory, not only reduces inconsistencies that may occur from site to site, but in addition helps to alleviate laboratory and site workloads.
منابع مشابه
Prospective Surveillance for Cardiac Adverse Events in Healthy Adults Receiving Modified Vaccinia Ankara Vaccines: A Systematic Review
BACKGROUND Vaccinia-associated myo/pericarditis was observed during the US smallpox vaccination (DryVax) campaign initiated in 2002. A highly-attenuated vaccinia strain, modified vaccinia Ankara (MVA) has been evaluated in clinical trials as a safer alternative to DryVax and as a vector for recombinant vaccines. Due to the lack of prospectively collected cardiac safety data, the US Food and Dru...
متن کاملCardiac infarction injury score: an electrocardiographic coding scheme for ischemic heart disease.
A multivariate decision-theoretic electrocardiogram (ECG) classification scheme called Cardiac Infarction Injury Score (CIIS) was developed using ECGs of 387 patients with myocardial infarction (MI) and 320 subjects without infarction. The most accurate and stable classification was achieved by using a combination of eight binary (single threshold), three ternary (two thresholds), and four ECG ...
متن کاملClinical and Biochemical Assessments of Circulating B-Type Natriuretic Peptide as a Useful Marker in Pediatric Cardiac Patients
Background Although the left ventricle is the major site of BNP secretion in response to cardiac pressure or volume overload, the myocytes of both atria and ventricles secrete B- type natriuretic peptide (BNP). This study aimed to assess and compare the plasma levels of BNP in common pediatric cardiac diseases to clarify its pathophysiological role and evaluate its po...
متن کاملProbabilistic Models for Automated ECG Interval Analysis in Phase 1 Studies
The accurate measurement and assessment of the various ECG intervals, and in particular the QT interval, is currently the gold standard for evaluating the cardiac safety of new drugs. Automated methods for ECG interval analysis offer the potential for a more extensive evaluation of ECG data from clinical trials, and hence a more robust assessment of drug safety. In this paper we consider the us...
متن کاملCardiac safety of tiotropium in patients with COPD: a combined analysis of Holter-ECG data from four randomised clinical trials
BACKGROUND Tiotropium is generally well tolerated; however, there has been debate whether antimuscarinics, particularly tiotropium administered via Respimat(®) Soft Mist(™) Inhaler, may induce cardiac arrhythmias in a vulnerable subpopulation with cardiovascular comorbidity. The aim of this study was to provide evidence of the cardiac safety of tiotropium maintenance therapy. METHODS Combined...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2012