临床试验受试者出组的定义
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临床试验受试者出组的定义
英文回答:
Definition of Subject Discontinuation in Clinical Trials.
Subject discontinuation in clinical trials refers to
the premature withdrawal of a participant from the study before its scheduled completion. This can occur for a
variety of reasons, including adverse events, lack of efficacy, participant withdrawal, or administrative reasons.
Types of Subject Discontinuations.
There are several different types of subject discontinuations, including:
Voluntary discontinuation: The participant withdraws from the study of their own accord, without any medical or administrative reasons.
Involuntary discontinuation: The participant is withdrawn from the study due to an adverse event, lack of efficacy, or other medical reasons.
Administrative discontinuation: The participant is withdrawn from the study due to administrative reasons,
such as protocol violations or non-compliance.
Reasons for Subject Discontinuation.
The most common reasons for subject discontinuation are:
Adverse events: A participant may experience an
adverse event (AE) that makes it necessary to withdraw from the study. AEs can range from mild to severe, and may
include physical, psychological, or social effects.
Lack of efficacy: A participant may not experience the desired benefits from the study treatment. This can lead to withdrawal from the study in order to seek alternative treatment options.
Participant withdrawal: A participant may withdraw from the study for personal reasons, such as work, family, or health issues.
Administrative reasons: A participant may be withdrawn from the study due to administrative reasons, such as protocol violations or non-compliance.
Impact of Subject Discontinuation.
Subject discontinuation can have a significant impact on clinical trials. It can lead to:
Reduced sample size: The loss of participants can reduce the sample size of the study, which can make it difficult to draw meaningful conclusions from the data.
Bias: The loss of participants who experience adverse events or who do not benefit from the study treatment can introduce bias into the results.
Increased costs: The withdrawal of participants can lead to increased costs for the study, such as the need to recruit and screen additional participants.
Preventing Subject Discontinuation.
There are a number of strategies that can be used to prevent subject discontinuation, including:
Careful screening of participants: Selecting participants who are likely to benefit from the study and who are committed to completing the study can help to reduce the risk of discontinuation.
Providing comprehensive information to participants: Participants should be fully informed about the study, including the potential risks and benefits, before they agree to participate.
Providing support to participants: Participants should be provided with ongoing support throughout the study, including access to medical care and counseling.
Addressing participant concerns: It is important to address any concerns that participants have about the study in order to prevent them from withdrawing.
中文回答:
临床试验受试者出组的定义。
受试者出组是指受试者在临床试验预定结束时间之前过早退出研究。
造成这一现象的原因有很多,包括不良事件、疗效欠佳、受试者自行退出或管理方面的原因。
受试者出组的类型。
有多种不同的受试者出组类型,包括:
主动出组,受试者在没有医疗或管理方面的原因的情况下,主动退出研究。
被动出组,受试者因不良事件、疗效欠佳或其他医疗原因而被退出研究。
管理出组,受试者因管理方面的原因,例如违反方案或依从性
差而被退出研究。
受试者出组的原因。
受试者出组最常见的原因包括:
不良事件,受试者可能出现不良事件(AE),导致必须退出研究。
AE的范围从轻度到重度不等,可能包括身体、心理或社会影响。
疗效欠佳,受试者可能无法从研究治疗中获得预期的益处。
这
可能导致退出研究以寻求其他治疗方案。
受试者自行退出,受试者出于个人原因(例如工作、家庭或健
康问题)退出研究。
管理方面的原因,受试者可能因管理方面的。