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      Disease-specific clinical trials networks: the example of cystic fibrosis

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          Abstract

          This article describes the steps of the development and the structure of a disease-specific clinical trials network for cystic fibrosis in Europe. Activities such as reviewing study protocols, feasibility assessments, training and standardizing of procedures, and outcome measurements help to bring high-quality clinical trials to the patients. Cooperation with the pharmaceutical industry, other research networks, patient organizations, and regulatory agencies is very important throughout all activities.

          Conclusion: The European Cystic Fibrosis Society—Clinical Trials Network facilitates the development of new treatments for a rare disease and could be a prototype for other diseases.

          What is Known:

          Clinical research has led to the first approved treatments targeting the basic Cystic Fibrosis defect .

          For a rare disease like Cystic Fibrosis, multicenter international collaboration is needed to obtain solid evidence when testing possible new treatments .
          What is New:

          The Clinical Trials Network established by the European Cystic Fibrosis Society has grown to a fully operational network with well-defined structures, procedures and partnerships .

          Standardization of outcome parameters, protocol review, feasibility assessment and other activities help to develop high quality, efficient, relevant and feasible clinical trials, with the aim to bring new treatments to the patients .

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          Most cited references15

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          Identification of the cystic fibrosis gene: cloning and characterization of complementary DNA.

          Overlapping complementary DNA clones were isolated from epithelial cell libraries with a genomic DNA segment containing a portion of the putative cystic fibrosis (CF) locus, which is on chromosome 7. Transcripts, approximately 6500 nucleotides in size, were detectable in the tissues affected in patients with CF. The predicted protein consists of two similar motifs, each with (i) a domain having properties consistent with membrane association and (ii) a domain believed to be involved in ATP (adenosine triphosphate) binding. A deletion of three base pairs that results in the omission of a phenylalanine residue at the center of the first predicted nucleotide-binding domain was detected in CF patients.
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            Standards of care for patients with cystic fibrosis: a European consensus.

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              Lung clearance index: evidence for use in clinical trials in cystic fibrosis.

              The ECFS-CTN Standardisation Committee has undertaken this review of lung clearance index as part of the group's work on evaluation of clinical endpoints with regard to their use in multicentre clinical trials in CF. The aims were 1) to review the literature on reliability, validity and responsiveness of LCI in patients with CF, 2) to gain consensus of the group on feasibility of LCI and 3) to gain consensus on answers to key questions regarding the promotion of LCI to surrogate endpoint status. It was concluded that LCI has an attractive feasibility and clinimetric properties profile and is particularly indicated for multicentre trials in young children with CF and patients with early or mild CF lung disease. This is the first article to collate the literature in this manner and support the use of LCI in clinical trials in CF. © 2013. Published by Elsevier B.V. on behalf of European Cystic Fibrosis Society. All rights reserved.
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                Author and article information

                Contributors
                +32-16-343831 , christiane.deboeck@uzleuven.be
                veerle.bulteel@uzleuven.be
                isabelle.fajac@parisdescartes.fr
                Journal
                Eur J Pediatr
                Eur. J. Pediatr
                European Journal of Pediatrics
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0340-6199
                1432-1076
                15 March 2016
                15 March 2016
                2016
                : 175
                : 817-824
                Affiliations
                [ ]Department of Pediatric Pulmonology, University Hospital Leuven, Herestraat 49, 3000 Leuven, Belgium
                [ ]Department of Development and Regeneration, KU Leuven – University of Leuven, Herestraat 49, 3000 Leuven, Belgium
                [ ]Université Paris Descartes, Sorbonne Paris Cité, Paris, France
                [ ]Service de Physiologie et Explorations Fonctionnelles, Hôpital Cochin, AP-HP, 27, rue du fg St Jacques, 75014 Paris, France
                Author notes

                Communicated by Peter de Winter

                Article
                2712
                10.1007/s00431-016-2712-z
                4868863
                26979528
                20bcf47a-3d30-46f1-b496-543e1cdf19d3
                © Springer-Verlag Berlin Heidelberg 2016
                History
                : 17 December 2015
                : 22 February 2016
                : 25 February 2016
                Categories
                Original Article
                Custom metadata
                © Springer-Verlag Berlin Heidelberg 2016

                Pediatrics
                rare diseases,cystic fibrosis,clinical trials,research network
                Pediatrics
                rare diseases, cystic fibrosis, clinical trials, research network

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