A Decision-Making Grid for Coenrollment in Multiple Clinical Trials.

Background: Although subject coenrollment into multiple trials is desirable, thoughtful consideration is required to avoid compromising each trial's scientific integrity. Objective: We developed a Decision-Making Grid (GRID) to help investigators determine whether a clinical trial is compatible with...

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Publicado en:Nursing Research Vol. 74; no. 3; pp. 241 - 246
Autores principales: Curley, Martha A.Q., Kalvas, Laura Beth, Perry-Eaddy, Mallory A., Asaro, Lisa A., Wypij, David
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins May/Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2025
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      pub: Lippincott Williams & Wilkins
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        atl: A Decision-Making Grid for Coenrollment in Multiple Clinical Trials.
      aug:
        au:
          Curley, Martha A.Q.
          Kalvas, Laura Beth
          Perry-Eaddy, Mallory A.
          Asaro, Lisa A.
          Wypij, David
        affil: Martha A.Q. Curley, PhD, RN, FAAN, is Ruth M. Colket Endowed Chair in Pediatric Nursing, University of Pennsylvania School of Nursing, The Children's Hospital of Philadelphia.
      sug:
        subj:
          Decision Support Techniques
          Randomized Controlled Trials
          Research Personnel
          Decision Making
          Patient Selection
          Research Subject Recruitment
          Human
          Pediatric Care
          Critical Care
          Funding Source
          Study Design
          Critically Ill Patients In Infancy and Childhood
          Child
          Child: 6-12 years
      ab: Background: Although subject coenrollment into multiple trials is desirable, thoughtful consideration is required to avoid compromising each trial's scientific integrity. Objective: We developed a Decision-Making Grid (GRID) to help investigators determine whether a clinical trial is compatible with a second clinical trial, thus allowing coenrollment, or if it should be considered competing, prohibiting coenrollment. Methods: The GRID evaluates 21 elements across four domains: scientific integrity, data interpretation, feasibility/burden, and additional considerations. Optimally, each principal investigator shares their protocol, completes the GRID independently, and then meets to compare their perspectives, seeking a mutually acceptable agreement. Results: The GRID has facilitated coenrollment decision-making for the RESTORE and PROSpect pediatric critical care clinical trials. In RESTORE , five trials were reviewed; one was approved for coenrollment, and four were deemed competing. In PROSpect , 26 trials have been reviewed; 20 are approved for coenrollment, and six were deemed competing. In both RESTORE and PROSpect , the principal investigators of multiple trials arranged a mutually acceptable sharing agreement. Discussion: The GRID provides a systematic process to help investigators evaluate the effect of coenrollment in multiple clinical trials.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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