The primary outcomes of both trials are safety (adverse events) tolerability, and a wide array of pharmacokinetic outcomes (which are curiously designated as safety issues).
Not exact matches
Because the
trial found no differences in the effect
of type
of care on any
primary clinical
outcome, the economic analysis compares only the costs
of care rather than their cost - effectiveness.
We searched PubMed, Embase, and Cochrane databases for randomised controlled
trials of maintenance tocolysis therapy with nifedipine in preterm labour.We selected
trials including pregnant women between 24 and 36 (6/7) weeks
of gestation (gestational age, GA) with imminent preterm labour who had not delivered after 48hours
of initial tocolysis, and compared maintenance nifedipine tocolysis with placebo / no treatment.The
primary outcome was perinatal mortality.
The protective effects
of breast feeding have been shown to be dose responsive16 17 18 and minimal breast feeding may not be protective.17 Researchers in lactation have advocated that research on promotion
of breast feeding must target exclusive breast feeding, 19 and ours is one
of the larger randomised controlled
trials with this
primary outcome.
No statement
of the original prespecified
primary and secondary
outcomes for the
trial.
The
primary outcome with the largest difference in this sensitivity analysis was preterm birth, where an analysis restricted to
trials with lower risk
of bias suggested a larger treatment effect: RR 0.64, (95 % CI 0.51 to 0.81) compared with RR 0.77, (95 % CI 0.62 to 0.94) in the overall analysis.
A randomised controlled
trial of caseload midwifery for women at low risk
of medical complications (COSMOS)-
primary and secondary
outcomes
A late - breaking clinical
trial, known as the Treatment
of Preserved Cardiac Function Heart Failure with an Aldosterone Antagonist (TOPCAT)
trial, to be presented at the American Heart Association (AHA) Scientific Sessions, November 18, 2013, demonstrates that spironolactone did not reduce the
primary outcome of cardiovascular death, heart failure hospitalization, nor surviving a cardiac arrest in patients with heart failure and preserved ejection fraction (pump function).
Although POISE - 2 is a large
trial by perioperative standards, the lower (0.86) and upper (1.15) boundary
of the hazard ratio for the
primary outcome identifies that the possibility
of appreciable benefit or harm has not been excluded, Devereaux said.
The study is investigator led and has therefore focused on clinical need, targeting patients with progressive multiple sclerosis in whom most disability is incurred... The study also reports a predominant effect on neurodegenerative rather than inflammatory
outcomes, suggesting a novel mechanism
of action that might be suitable as combination treatment with immunomodulatory treatments... Further phase 3 studies to measure the effect
of simvastatin on sustained disability, particularly in patients with non-relapsing secondary progressive and
primary progressive multiple sclerosis, are clearly needed, but this
trial represents a promising point from which to develop
trials of progressive disease.»
However, the authors stress that «further clinical investigations will be essential to establish the optimal dose, duration and safety, and whether vitamin D2 or D3 have different effects on mortality risk, since the available
trials are based on elderly populations in general (an age group with high competing risk
of death often due to multiple co-existing disease conditions) and they do not typically include cause - specific deaths as the
primary outcomes.»
The researchers report long - term
outcomes from the Qidong Hepatitis B intervention Study (QHBIS), a randomized controlled
trial of neonatal HBV vaccination that was conducted between 1983 and 1990 in Qidong County, a rural area in China with a high incidence
of HBV - related
primary liver cancer (PLC) and other liver diseases.
We recruited 11 glaucoma patients and
of course our
primary outcomes through that first
trial with safety.
Potential cardioprotection was based on generally supportive data on lipid levels in intermediate
outcome clinical
trials,
trials in nonhuman primates, and a large body
of observational studies suggesting a 40 % to 50 % reduction in risk among users
of either estrogen alone or, less frequently, combined estrogen and progestin.2 - 5 Hip fracture was designated as a secondary
outcome, supported by observational data as well as clinical
trials showing benefit for bone mineral density.6, 7 Invasive breast cancer was designated as a
primary adverse
outcome based on observational data.3, 8 Additional clinical
outcomes chosen as secondary
outcomes that may plausibly be affected by hormone therapy include other cardiovascular diseases; endometrial, colorectal, and other cancers; and other fractures.3, 6,9
We also performed subgroup meta - analyses by type
of prevention (
primary v secondary: in this study,
trials involving healthy populations or patients with any specific disease except for cardiovascular disease were classified as
primary prevention
trials, and
trials involving patients with cardiovascular disease were classified as secondary prevention
trials), type
of supplement by quality and dose (each supplement, vitamins only, antioxidants only, or antioxidants excluding vitamins), type
of outcome (cardiovascular death, angina, fatal or non-fatal myocardial infarction, stroke, or transient ischaemic attack), type
of outcome in each supplement, type
of study design (randomised, double blind, placebo controlled
trial v open label, randomised controlled
trial), methodological quality (high v low), duration
of treatment (< 5 years v ≥ 5 years), funding source (pharmaceutical industry v independent organisation), provider
of supplements (pharmaceutical industry v not pharmaceutical industry), type
of control (placebo v no placebo), number
of participants (≥ 10000 v < 10000), and supplements given singly or in combination with other vitamin or antioxidant supplements by quality.
If simply learning that one is biomarker positive causes a person to perform worse on cognitive testing, then
primary outcomes data
of AD
trials may not be valid.
A
primary objective
of the program is to start at the clinic, analyzing patient samples from clinical
trials testing novel cancer immunotherapies and correlating these results with clinical
outcomes.
They suggest that age at onset
of ambulation could be a
primary outcome measure in clinical
trials involving treatment in early infancy.
While many
trials have reported reliability regarding their methods as part
of the study protocol, few investigations have made reliability the
primary outcome.
CAD indicates coronary artery disease; CHF, congestive heart failure; CSM, clinically standardized meditation (a mantra meditation program); MA, meta - analysis; PA,
primary analysis; PO, number
of trials in which this was a
primary outcome for the
trial; and TM, transcendental meditation (a mantra meditation program).
The other 4 reports
of randomized controlled
trials of fasting provide information for
primary outcomes other than weight.
In a recent randomised controlled
trial (RCT), 32 we showed that an intervention in the form
of a culturally tailored parenting support programme was effective in reducing children's behaviour problems 2 months after the intervention, which was our
primary outcome measure
of the study.
From a range
of disciplines the review determined that, to be successful, programmes must involve a partnership between the family and nurse, focus on goals that parents prioritise, build competencies, be non-stigmatising and maintain continuity
of care.48 The third review went on to investigate specific evidence - based interventions that focused on this
trial's
primary outcome areas and had the potential to enhance the effectiveness
of SNHV programmes.
Given the
primary objectives
of the
trial and measures collected in existing RCTs, 18, 49 we chose to anchor our sample size calculation around detection
of a minimum effect size
of 0.3 for the responsivity subscale
of the Home Observation Measurement
of the Environment (HOME) Inventory (see table 2), to allow comparisons with the original MECSH
trial and other international SNHV programmes.60 The sample size applies across all
of the subscales
of the HOME Inventory and other continuous
outcomes as based on number
of SDs rather than the actual
outcome distributions.
Assuming a drop - out rate from the
trial of approximately 20 %; this sample size was sufficient to detect a standardised effect size
of 0.4 at 85 % power and α
of 0.05 in the
primary outcome measure if there was no clustering and a standardised effect size
of 0.6 allowing for clustering by course with an intraclass correlation coefficient
of 0.178 or less; for this sample size calculation, we conservatively imagined clustering within control families as well as intervention families.
Clinical
Outcomes in Measurement based Treatment (COMET): a
trial of depression monitoring and feedback to
primary care physicians
Using a randomized control
trial in more than 90
primary schools in Rio de Janeiro, the evaluation objective is to understand the impact
of Programa Compasso in terms
of improving teacher
outcomes, student social - emotional well - being, and student academic performance.
Calculation
of sample size — We designed the
trial to detect a minimum important difference in effect size
of 0.6 SD on the
primary outcome measure.
During this seminar,
outcome data from this federally - funded
trial will be presented, suggesting that CATCH - IT may be efficacious in preventing depressive episodes in
primary care for adolescents and parents willing to engage the program at a modest level, and may be particularly beneficial for adolescents with elevated levels
of depressive symptoms.
During this seminar, Dr. Gladstone will present
outcome data from this federally - funded
trial that suggests CATCH - IT may be efficacious in preventing depressive episodes in
primary care for adolescents and parents willing to engage the program at a modest level; this intervention may be particularly beneficial for adolescents with elevated levels
of depressive symptoms.
The
primary outcome for the
trial is the Strengths and Difficulties Questionnaire (SDQ) at 2.5 years: a sample size
of 462 will have 90 % power to detect an effect size
of 0.35, allowing for 25 % loss to follow - up in this intention - to - treat analysis.12
In the present
trial, a wide array
of both parent and infant development measures are used, hopefully aiding future researchers to identify appropriate
primary and secondary
outcomes for
trials on infants.
The following data describes treatment
outcome maintenance results from a randomized clinical
trial investigating the impact
of a cognitive behavioral intervention
Primary and Secondary Control Enhancement Therapy - Physical Illness (PASCET - PI) as compared to treatment as usual (TAU) on youths with inflammatory bowel disease (IBD).