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Clinical Trial Registration and Reporting: Drug Therapy and Prevention of Cardiac-Related Infections
- Source :
- Frontiers in Pharmacology, Frontiers in Pharmacology, Vol 10 (2019)
- Publication Year :
- 2019
-
Abstract
- Objective: Clinical trials are the source of evidence. ClinicalTrials.gov is valuable for analyzing current conditions. Until now, the state of drug interventions for heart infections is unknown. The purpose of this study was to comprehensively assess the characteristics of trials on cardiac-related infections and the status of drug interventions. Methods: The website ClinicalTrials.gov was used to obtain all registered clinical trials on drug interventions for cardiac-related infections as of February 16, 2019. All registration studies were collected, regardless of their recruitment status, research results, and research type. Registration information, results, and weblink-publications of those trials were analyzed. Results: A total of 45 eligible trials were evaluated and 86.7% of them began from or after 2008 while 91.1% of them adopted interventional study design. Of all trials, 35.6% were completed and 15.6% terminated. Besides, 62.2% of interventional clinical trials recruited more than 100 subjects. Meanwhile, 86.7% of the eligible trials included adult subjects only. Of intervention trials, 65.8% were in the third or fourth phase; 78.1% adopted randomized parallel assignment, containing two groups; 53.6% were masking, and 61.0% described treatment. Moreover, 41.5% of the trials were conducted in North America while 29.3% in Europe. Sponsors for 40.0% of the studies were from the industry. Furthermore, 48.9% of the trials mentioned information on monitoring committees, 24.4% have been published online, and 13.3% have uploaded their results. Drugs for treatments mainly contained antibiotics, among which glycopeptides, β-lactams, and lipopeptides were the most commonly studied ones in experimental group, with the former ones more common. Additionally, 16.2% of the trials evaluated new antimicrobials. Conclusions: Most clinical trials on cardiac-related infections registered at ClinicalTrials.gov were interventional randomized controlled trials (RCTs) for treatment. Most drugs focused in trials were old antibiotics, and few trials reported valid results. It is necessary to strengthen supervision over improvements in results, and to combine antibacterial activity with drug delivery regimens to achieve optimal clinical outcomes.
- Subjects :
- 0301 basic medicine
Drug
cardiac-related infections
medicine.medical_specialty
Intervention trials
medicine.drug_class
media_common.quotation_subject
Antibiotics
Psychological intervention
antibiotics
law.invention
03 medical and health sciences
0302 clinical medicine
Pharmacotherapy
Clinicaltrials.gov
Randomized controlled trial
law
Internal medicine
Medicine
Pharmacology (medical)
Trial registration
media_common
Original Research
Pharmacology
clinical trials
business.industry
lcsh:RM1-950
trial registration
Clinical trial
lcsh:Therapeutics. Pharmacology
030104 developmental biology
030220 oncology & carcinogenesis
business
Subjects
Details
- ISSN :
- 16639812
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Frontiers in pharmacology
- Accession number :
- edsair.doi.dedup.....01bddca03be0e710f073dcb19721fc8c