Prospective Clinical Trials

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Authors
Davis, Robert P. (Pat)
Issue Date
2004
Type
Thesis
Language
en_US
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Research Projects
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Abstract
Properly designed and executed clinical trials are the best-known mechanism by which the safety and efficacy of new treatments and competing strategies can be evaluated. In the United States, numerous individuals and institutions are involved in the design and implementation of clinical trials. Although much of clinical research is performed in traditional academic settings, a significant amount of research is now being conducted through community-based medical centers. Carolina Neurosurgery and Spine Associates (CNSA) is one of the nation's largest community-based neurosurgical groups. The physicians of CNSA conduct a variety of clinical trials related to neurosurgical diseases and a number of those trials were active during a ten week internship under the guidance of Anthony L. Asher MD F.A.C.S. One of the group's most complex trials involves the administration of a recombinant immunotoxin known as hIL13-PE38QQR (IL-13 PE) to brain tumor patients. IL13-PE has been shown to possess specific anti-tumor activity against a variety of cell lines, including malignant primary brain tumors. This protocol, like other research studies involving human subjects, is conducted according strict moral and ethical principles defined over the last 60 years by international convention. While working under Dr. Asher, an intimate understanding of the basic aspects of clinical research was established. The following composition is intended to provide a summary of the most essential concepts assimilated during this internship. Specifically, an outline of the basic scientific, regulatory and ethical principles that currently guide clinical research efforts is presented here. Additionally, a summary of the IL-13 protocol is offered as a practical example of how research studies are implemented.
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ii, 50 p.
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U.S. copyright laws protect this material. Commercial use or distribution of this material is not permitted without prior written permission of the copyright holder. All rights reserved.
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