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ACTIV trials: Lessons learned in trial design in the setting of an emergent pandemic
Accelerating COVID-19 Treatment Interventions and Vaccines (ACTIV) was initiated by the US government to rapidly develop and test vaccines and therapeutics against COVID-19 in 2020. The ACTIV Therapeutics-Clinical Working Group selected ACTIV trial teams and clinical networks to expeditiously develo...
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Published in: | Journal of clinical and translational science 2024, Vol.8 (1), p.e151, Article e151 |
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creator | Keshtkar-Jahromi, Maryam Anstrom, Kevin J Barkauskas, Christina Brown, Samuel M Daar, Eric S Fischer, William Gibbs, Kevin W Higgs, Elizabeth S Hughes, Michael D Jagannathan, Prasanna LaVange, Lisa Lindsell, Christopher J Nayak, Seema U Paredes, Roger Parmar, Mahesh Peltan, Ithan D Proschan, Michael Shotwell, Matthew S Vock, David M Yokum, Tammy Adam, Stacey J |
description | Accelerating COVID-19 Treatment Interventions and Vaccines (ACTIV) was initiated by the US government to rapidly develop and test vaccines and therapeutics against COVID-19 in 2020. The ACTIV Therapeutics-Clinical Working Group selected ACTIV trial teams and clinical networks to expeditiously develop and launch master protocols based on therapeutic targets and patient populations. The suite of clinical trials was designed to collectively inform therapeutic care for COVID-19 outpatient, inpatient, and intensive care populations globally. In this report, we highlight challenges, strategies, and solutions around clinical protocol development and regulatory approval to document our experience and propose plans for future similar healthcare emergencies. |
doi_str_mv | 10.1017/cts.2024.1 |
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The ACTIV Therapeutics-Clinical Working Group selected ACTIV trial teams and clinical networks to expeditiously develop and launch master protocols based on therapeutic targets and patient populations. The suite of clinical trials was designed to collectively inform therapeutic care for COVID-19 outpatient, inpatient, and intensive care populations globally. In this report, we highlight challenges, strategies, and solutions around clinical protocol development and regulatory approval to document our experience and propose plans for future similar healthcare emergencies.</description><identifier>ISSN: 2059-8661</identifier><identifier>EISSN: 2059-8661</identifier><identifier>DOI: 10.1017/cts.2024.1</identifier><identifier>PMID: 39478775</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>ACTIV ; Antiviral drugs ; clinical trial ; Clinical trials ; COVID-19 ; COVID-19 Therapeutic Platform Trials Lessons Learned ; COVID-19 vaccines ; design ; Enrollments ; Hospitalization ; Hospitals ; lessons ; Mortality ; Pandemics ; Pathogenesis ; Patient safety ; Review ; Severe acute respiratory syndrome coronavirus 2 ; Therapeutic targets ; Thrombosis ; Vaccines</subject><ispartof>Journal of clinical and translational science, 2024, Vol.8 (1), p.e151, Article e151</ispartof><rights>The Author(s) 2024.</rights><rights>The Author(s), 2024. Published by Cambridge University Press on behalf of Association for Clinical and Translational Science. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c362t-42a4c368249c950c74086c3418d3f4860f6cc16b755171c62e3f1e57464c51b53</cites><orcidid>0000-0002-4590-5175 ; 0000-0002-3297-2811</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523015/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523015/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39478775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keshtkar-Jahromi, Maryam</creatorcontrib><creatorcontrib>Anstrom, Kevin J</creatorcontrib><creatorcontrib>Barkauskas, Christina</creatorcontrib><creatorcontrib>Brown, Samuel M</creatorcontrib><creatorcontrib>Daar, Eric S</creatorcontrib><creatorcontrib>Fischer, William</creatorcontrib><creatorcontrib>Gibbs, Kevin W</creatorcontrib><creatorcontrib>Higgs, Elizabeth S</creatorcontrib><creatorcontrib>Hughes, Michael D</creatorcontrib><creatorcontrib>Jagannathan, Prasanna</creatorcontrib><creatorcontrib>LaVange, Lisa</creatorcontrib><creatorcontrib>Lindsell, Christopher J</creatorcontrib><creatorcontrib>Nayak, Seema U</creatorcontrib><creatorcontrib>Paredes, Roger</creatorcontrib><creatorcontrib>Parmar, Mahesh</creatorcontrib><creatorcontrib>Peltan, Ithan D</creatorcontrib><creatorcontrib>Proschan, Michael</creatorcontrib><creatorcontrib>Shotwell, Matthew S</creatorcontrib><creatorcontrib>Vock, David M</creatorcontrib><creatorcontrib>Yokum, Tammy</creatorcontrib><creatorcontrib>Adam, Stacey J</creatorcontrib><title>ACTIV trials: Lessons learned in trial design in the setting of an emergent pandemic</title><title>Journal of clinical and translational science</title><addtitle>J Clin Transl Sci</addtitle><description>Accelerating COVID-19 Treatment Interventions and Vaccines (ACTIV) was initiated by the US government to rapidly develop and test vaccines and therapeutics against COVID-19 in 2020. 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subjects | ACTIV Antiviral drugs clinical trial Clinical trials COVID-19 COVID-19 Therapeutic Platform Trials Lessons Learned COVID-19 vaccines design Enrollments Hospitalization Hospitals lessons Mortality Pandemics Pathogenesis Patient safety Review Severe acute respiratory syndrome coronavirus 2 Therapeutic targets Thrombosis Vaccines |
title | ACTIV trials: Lessons learned in trial design in the setting of an emergent pandemic |
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