Innovative approaches for vaccine trials as a key component of pandemic preparedness – a white paper.
Background: WHO postulates the application of adaptive design features in the global clinical trial ecosystem. However, the adaptive platform trial (APT) methodology has not been widely adopted in clinical research on vaccines. Methods: The VACCELERATE Consortium organized a two-day workshop to disc...
| Publicado en: | Infection Vol. 52; no. 6; pp. 2135 - 2145 |
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| Autores principales: | , , , , , , , , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181463227&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181463227 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03008126 NXO jtl: Infection issn: 03008126 maglogo: N pubinfo: dt: Dec2024 vid: 52 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 181463227 178475796 181463227 181463227 10.1007/s15010-024-02347-1 181463227 ppf: 2135 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Innovative approaches for vaccine trials as a key component of pandemic preparedness – a white paper. aug: au: Bethe, Ullrich Pana, Zoi D. Drosten, Christian Goossens, Herman König, Franz Marchant, Arnaud Molenberghs, Geert Posch, Martin Van Damme, Pierre Cornely, Oliver A. affil: Institute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine and University Hospital Cologne, University of Cologne, Herderstrasse 52, 50931, Cologne, Germany sug: subj: Diffusion of Innovation Clinical Trials Vaccines Pandemic Preparedness Clinical Research Seminars and Workshops Research Methodology Research Protocols Randomized Controlled Trials Stakeholder Participation Research Question ab: Background: WHO postulates the application of adaptive design features in the global clinical trial ecosystem. However, the adaptive platform trial (APT) methodology has not been widely adopted in clinical research on vaccines. Methods: The VACCELERATE Consortium organized a two-day workshop to discuss the applicability of APT methodology in vaccine trials under non-pandemic as well as pandemic conditions. Core aspects of the discussions are summarized in this article. Results: An "ever-warm" APT appears ideally suited to improve efficiency and speed of vaccine research. Continuous learning based on accumulating APT trial data allows for pre-planned adaptations during its course. Given the relative design complexity, alignment of all stakeholders at all stages of an APT is central. Vaccine trial modelling is crucial, both before and in a pandemic emergency. Various inferential paradigms are possible (frequentist, likelihood, or Bayesian). The focus in the interpandemic interval may be on research gaps left by industry trials. For activation in emergency, template Disease X protocols of syndromal design for pathogens yet unknown need to be stockpiled and updated regularly. Governance of a vaccine APT should be fully integrated into supranational pandemic response mechanisms. Discussion: A broad range of adaptive features can be applied in platform trials on vaccines. Faster knowledge generation comes with increased complexity of trial design. Design complexity should not preclude simple execution at trial sites. Continuously generated evidence represents a return on investment that will garner societal support for sustainable funding. Adaptive design features will naturally find their way into platform trials on vaccines. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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