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Learn about clinical trials, phases, study structure, ethics, informed consent, and benefits. Discover how trials help HIV patients.
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Clinical Trials and Research A Guide for Community Advisory Board Members Participant Manual
PACTG Global Training Initiative This teaching tool was developed by the François-Xavier Bagnoud Center at the University of Medicine and Dentistry of New Jersey, with the support of the Pediatric AIDS Clinical Trials Group. Excerpts from this publication may be freely reproduced or adapted with acknowledgement of the source, provided the material reproduced is for non-profit distribution. Clinical Trials & Research
Glossary • Clinical Trial: A way to test new medications • Eligibility: Deciding if a person is qualified to join a clinical trial • Phases: Stages • Placebo: Dummy tablet • Protocol: A written plan for the clinical trial • Study sample: People to be studied in the clinical trial • Volunteers: People willing to join the trial Clinical Trials & Research
What is a Clinical Trial? Identify a health question. Develop a plan. Enroll volunteers and follow the plan. Study the information collected. Share the results with others. Improve treatment. Clinical Trials & Research
Medicine “A” Medicine “B” Example of a Research Question • Is Medicine A more effective for preventing mother-to-child transmission thanMedicine B? Clinical Trials & Research
Phases of Clinical Trials Clinical Trials & Research
Structure of a Simple Trial Comparing Two Treatments Medicine “A” Result “A” Study Sample R Result “B” Medicine “B” Clinical Trials & Research R= Random assignment of patients to a treatment arm
Randomisation Control Group Investigational Group Clinical Trials & Research
Ethics Committees • The ethics committee reviews a protocol before the study is allowed to start. Their job is to ensure that the risks of being in the study are not greater than the potential benefit. Clinical Trials & Research
Informed Consent • To make informed decisions, patients need to hear and understand specific information about the research. Clinical Trials & Research
Purpose Medicine to be studied Procedures and schedule Risks Potential benefits Alternatives to participation Confidentiality Informed Consent Clinical Trials & Research
Informed Consent • Participation in clinical trials is always voluntary. Yes, I would like to participate. No, thank you, I’d rather not participate. Clinical Trials & Research
Research Protocol Clinical Trials & Research
Medicine “A” Medicine “B” Objectives: Clear and Specific Statements • Which medicine is more effective in reducing mother-to-child transmission of HIV—Medicine “A” or Medicine “B”? Clinical Trials & Research
X X X Eligibility • Who may participate in this study • Who may not (X) participate in this study X Clinical Trials & Research
Data Safety and Monitoring Boards (DSMB) • The job of the DSMB is to monitor the study for any problems with the safety or effectiveness of the medicines. Clinical Trials & Research
Safety • A protocol must describe known risks or side effects and exactly what will be done to protect and monitor patients. Clinical Trials & Research
Schedule of Events • To evaluate the effect of the medicine on their health, all patients in a trial have certain tests or procedures at regularly scheduled intervals. Clinical Trials & Research
+ + + + + Endpoints • An endpoint is what researchers will measure to evaluate the results of a new medicine. + Clinical Trials & Research
CAB: Part of the Research Team Clinical Trials & Research
The Research Team • CAB members and volunteers who join clinical trials are part of the team dedicated to finding better ways to prevent and treat HIV. Clinical Trials & Research
How Have Clinical Trials Helped People with HIV? • Clinical trials are critical in the effort to find better ways to treat HIV and AIDS. Clinical Trials & Research
How Have Clinical Trials Helped People with HIV? • Antiretroviral medicines can greatly reduce the chance an infant will be HIV-infected during or after birth. Clinical Trials & Research
How Have Clinical Trials Helped People with HIV? • They have greatly decreased sickness and death among patients who receive antiretroviral medicine. Clinical Trials & Research