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Changing landscape of geriatric clinical trials: Analysis of Clinical Trials Registry of India. 不断变化的老年病临床试验:印度临床试验登记处分析。
Q2 Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.4103/picr.picr_59_24
Abissha Sargunaraj, Jerin James, P Kala, R Jamuna Rani
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引用次数: 0
Statistical tools and packages for data collection, management, and analysis - A brief guide for health and biomedical researchers. 用于数据收集、管理和分析的统计工具和软件包--健康和生物医学研究人员简明指南。
Q2 Medicine Pub Date : 2024-10-01 Epub Date: 2024-10-09 DOI: 10.4103/picr.picr_160_24
Vishal Deo, Priya Ranganathan

Previous articles in this series have looked at various aspects of planning, designing, conducting and interpreting biomedical research. In this article, we offer an overview of some tools and resources available to health and biomedical researchers, to help them with their research.

本系列的前几篇文章介绍了规划、设计、开展和解释生物医学研究的各个方面。在本文中,我们将概述一些可供卫生和生物医学研究人员使用的工具和资源,以帮助他们开展研究。
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引用次数: 0
Comparative efficacy and safety of gabapentin, pregabalin, oxcarbazepine, and duloxetine in diabetic peripheral neuropathy: A network meta-analysis. 加巴喷丁、普瑞巴林、奥卡西平和度洛西汀对糖尿病周围神经病变的疗效和安全性比较:网络荟萃分析
Q2 Medicine Pub Date : 2024-10-01 Epub Date: 2024-07-10 DOI: 10.4103/picr.picr_218_23
Karan Bhavesh Shah, Devang A Rana, Yash Dharmendra Mehta, Supriya Deepak Malhotra

Purpose: To conduct a network meta-analysis comparing the safety and efficacy of gabapentin (GBP), pregabalin (PGB), oxcarbazepine (OXC), and duloxetine (DLX) in treating diabetic peripheral neuropathy (DPN).

Materials and methods: The study's eligibility criteria includee randomized controlled trials (RCTs) with a focus on DPN patients receiving GBP, PGB, DLX, or OXC versus placebo. Noncompliant trials with incomplete information and observational studies were excluded.

Results: Twelve (RCTs) of PGB, 2 of GBP, 3 of DLX, and 1 of OXC met the inclusion criteria. When drugs were compared for efficacy (direct comparison), GBP (Odd's ratio [OR] = 3.208, P < 0.001) was most effective followed by OXC (OR = 2.4, P = 0.0248), DLX (OR = 2.346, P < 0.001), and PGB (OR = 2.161, P < 0.001). When drugs were compared for withdrawal due to adverse drug reaction (ADR) (direct comparison), GBP (OR = 1.3818, P = 0.766) was safest followed by PGB (OR = 2.16, P < 0.001), DLX (OR = 2.469, P < 0.001), and OXC (OR = 4.4967, P = 0.001). Indirect comparison was done for efficacy, DLX was statistically significant than PGB and OXC (DLX vs. PGB, P = 0.03; DLX vs. OXC, P = 0.02). When indirect comparison was done for patient withdrawal due to ADR, OXC was worst (GBP vs. OXC, P = 0.0001; PGB vs. OXC, P = 0.007; DLX vs. OXC, P = 0.015). When drugs were compared for individual ADRs (direct comparison), dizziness was most commonly seen with OXC (OR = 9.6535, P = 1.8425), headache with OXC (OR = 3.8686, P = 0.006), somnolence with PGB (OR = 5.189, P < 0.001), and nausea with DLX (OR = 3.264, P < 0.001). GBP was most effective and safest drug followed by OXC > DLX > PGB for efficacy and PGB > DLX > OXC for safety.

Conclusion: In evaluating medications for DPN against placebo, GBP and OXC demonstrated the highest effectiveness while maintaining a favorable safety profile.

目的:进行一项网络荟萃分析,比较加巴喷丁(GBP)、普瑞巴林(PGB)、奥卡西平(OXC)和度洛西汀(DLX)治疗糖尿病周围神经病变(DPN)的安全性和有效性:研究的资格标准包括随机对照试验(RCT),重点是接受 GBP、PGB、DLX 或 OXC 与安慰剂治疗的 DPN 患者。信息不完整的不合规试验和观察性研究被排除在外:有 12 项 PGB 试验、2 项 GBP 试验、3 项 DLX 试验和 1 项 OXC 试验符合纳入标准。在比较药物疗效时(直接比较),GBP(Odd's ratio [OR] = 3.208,P < 0.001)最有效,其次是 OXC(OR = 2.4,P = 0.0248)、DLX(OR = 2.346,P < 0.001)和 PGB(OR = 2.161,P < 0.001)。对因药物不良反应(ADR)而停药的药物进行比较(直接比较)时,GBP(OR = 1.3818,P = 0.766)最安全,其次是 PGB(OR = 2.16,P < 0.001)、DLX(OR = 2.469,P < 0.001)和 OXC(OR = 4.4967,P = 0.001)。对疗效进行间接比较时,DLX 比 PGB 和 OXC 有显著统计学意义(DLX 与 PGB 相比,P = 0.03;DLX 与 OXC 相比,P = 0.02)。当对患者因 ADR 而停药进行间接比较时,OXC 的情况最差(GBP vs. OXC,P = 0.0001;PGB vs. OXC,P = 0.007;DLX vs. OXC,P = 0.015)。当比较药物的单个 ADR 时(直接比较),OXC 最常见的是头晕(OR = 9.6535,P = 1.8425),OXC 最常见的是头痛(OR = 3.8686,P = 0.006),PGB 最常见的是嗜睡(OR = 5.189,P < 0.001),DLX 最常见的是恶心(OR = 3.264,P < 0.001)。GBP是最有效和最安全的药物,其次是OXC > DLX > PGB(有效性)和PGB > DLX > OXC(安全性):结论:在评估治疗 DPN 的药物与安慰剂时,GBP 和 OXC 表现出最高的有效性,同时保持良好的安全性。
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引用次数: 0
Evaluation of student-led “Association for Support and Propagation of Innovation, Research, and Education” (A.S.P.I.R.E) in empowering undergraduate medical students in research: A 2-year longitudinal study 评估学生领导的 "创新、研究和教育支持与传播协会"(A.S.P.I.R.E)在增强本科医学生研究能力方面的作用:为期两年的纵向研究
Q2 Medicine Pub Date : 2024-07-19 DOI: 10.4103/picr.picr_25_24
Shirish Rao, Yashika Yagade, Amey Ambike, Aarya Desai, Amey Kundawar, Alhad Mulkalwar, Munira Hirkani, Raakhi Tripathi
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引用次数: 0
Efficacy and safety of quick penetrating solution heparin, quick penetrating solution diclofenac, and heparin gel in the prevention of infusion-associated superficial thrombophlebitis: A randomized controlled trial 肝素快速渗透溶液、双氯芬酸快速渗透溶液和肝素凝胶在预防输液相关性浅表血栓性静脉炎方面的有效性和安全性:随机对照试验
Q2 Medicine Pub Date : 2024-07-10 DOI: 10.4103/picr.picr_305_23
Vijeta Bajpai, Tejas K. Patel, Priyanka Dwivedi, Ankita Kabi, Yashpal Singh, Richa Agarwal, Ravi Gupta, Surekha Kishore
The present study aimed to compare the efficacy, safety, and cost-effectiveness of quick penetrating solution (QPS) heparin, QPS diclofenac, and heparin gel in the prevention of superficial thrombophlebitis (ST). This randomized controlled trial was conducted after approval from the Institutional Ethics Committee and registration to Clinical Trial Registry of India. Patients of 18–60 years age, American Society of Anesthesiologists I/II, and who needed venous cannulation for at least 72 h were included in the study. Patients were randomly divided into three groups receiving study drugs (heparin gel, QPS heparin, and QPS diclofenac) every 8 hourly for a period of 72 h. Venous cannulation site was graded using the Visual Infusion Phlebitis Scale. Patients developing no ST, mean time to reach ST Grade 1 and 2, prevention of ST probability, and cost-effectiveness of interventions during the study period were assessed. Out of 219 included patients, development of no ST in the study groups at 72 h of treatment were heparin gel (11%), QPS heparin (9.6%), and QPS diclofenac (2.7%). The mean time (hours) to develop any grade ST in the study arms was heparin gel (36.2 [11.9]), QPS heparin (40.0 [13.4]), and QPS diclofenac (37.0 [13.2]). The Kaplan–Meier analysis did not reveal significant differences for the prevention of any grade ST or severe ST in three treatment arms. The average cost-effectiveness ratio for preventing thrombophlebitis was 14.2 in heparin gel-, 13.2 in QPS heparin-, and 95.6 in QPS diclofenac-treated patients. Based on efficacy, safety, and cost-effectiveness, heparin gel or QPS heparin can be used to prevent ST due to intravenous cannulation in surgical patients. QPS diclofenac is not a cost-effective option to prevent ST.
本研究旨在比较肝素快速渗透溶液(QPS)、肝素快速渗透溶液双氯芬酸和肝素凝胶在预防浅表血栓性静脉炎(ST)方面的疗效、安全性和成本效益。 这项随机对照试验是在获得机构伦理委员会批准并在印度临床试验登记处登记后进行的。研究对象包括年龄在 18-60 岁之间、美国麻醉医师协会 I/II 级、需要静脉插管至少 72 小时的患者。患者被随机分为三组,在 72 小时内每 8 小时接受一次研究药物(肝素凝胶、QPS 肝素和 QPS 双氯芬酸)。对研究期间未发生 ST 的患者、达到 ST 1 级和 2 级的平均时间、ST 概率的预防以及干预措施的成本效益进行了评估。 在纳入的 219 名患者中,治疗 72 小时后未出现 ST 的研究组分别为肝素凝胶组(11%)、QPS 肝素组(9.6%)和 QPS 双氯芬酸组(2.7%)。肝素凝胶(36.2 [11.9])、QPS 肝素(40.0 [13.4])和 QPS 双氯芬酸(37.0 [13.2])治疗组出现任何等级 ST 的平均时间(小时)为 36.2 [11.9],QPS 肝素(40.0 [13.4])和 QPS 双氯芬酸(37.0 [13.2])。卡普兰-梅耶分析显示,三种治疗组在预防任何等级 ST 或严重 ST 方面没有显著差异。肝素凝胶治疗患者预防血栓性静脉炎的平均成本效益比为 14.2,QPS 肝素治疗患者为 13.2,QPS 双氯芬酸治疗患者为 95.6。 根据疗效、安全性和成本效益,肝素凝胶或 QPS 肝素可用于预防手术患者因静脉插管导致的 ST。QPS 双氯芬酸不是一种具有成本效益的预防 ST 的选择。
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引用次数: 0
Pleiotropic effect of teneligliptin versus glimepiride add-on therapy on hs-CRP and cardiorenal parameters in Indian type 2 diabetes patients: An open-labeled randomized controlled trial 替尼利汀与格列美脲附加疗法对印度 2 型糖尿病患者 hs-CRP 和心肾功能参数的多重影响:一项开放标签随机对照试验
Q2 Medicine Pub Date : 2024-07-10 DOI: 10.4103/picr.picr_265_23
M. Kanimozhi, Manisha Bisht, Ravikant, Arkapal Bandyopadhyay, Manisha Naithani, S. Handu
The objective of the study was to estimate the pleiotropic effect of teneligliptin on high-sensitivity C-reactive protein (hs-CRP) levels and some cardiorenal parameters in comparison to glimepiride, both as add-on therapy to metformin. This 12-week open-label, parallel-group, randomized controlled trial was conducted among Indian people with type 2 diabetes mellitus and on metformin monotherapy with poor glycemic control (glycated hemoglobin >7% or 53 mmol/mol). The endpoints were mean change in hs-CRP levels, systolic blood pressure (SBP), diastolic blood pressure (DBP), serum creatinine, blood urea, estimated glomerular filtration rate (eGFR), and change in cardiovascular (CV) risk categories from baseline to end of 12 weeks. Seventy participants were randomized (1:1) to receive either teneligliptin 20 mg once daily (n = 35) or glimepiride 1 mg twice daily (BD) (n = 35) as an add-on to metformin 500 mg BD. The mean age of the participants was 50.65 and 50.7 years in arms 1 and 2, respectively. At 12-weeks end, teneligliptin add-on caused a statistically significant reduction in hs-CRP compared to glimepiride in both per-protocol (PP) and intention-to-treat (ITT) sets. No significant difference was observed for changes in SBP and DBP, creatinine, urea, eGFR levels, and CV risk category in both PP and ITT sets. Teneligliptin add-on resulted in favorable effects on hs-CRP levels and comparable effects on cardiorenal parameters compared to glimepiride add-on therapy at 12-weeks end. This trial has been prospectively registered in CTRI (Clinical Trials Registry of India). Registration number: CTRI/2021/08/035342.
该研究的目的是评估替尼利汀与格列美脲相比,作为二甲双胍的附加疗法,对高敏C反应蛋白(hs-CRP)水平和一些心肾参数的多效应。 这项为期 12 周的开放标签、平行分组、随机对照试验在二甲双胍单药治疗且血糖控制不佳(糖化血红蛋白大于 7% 或 53 mmol/mol)的印度 2 型糖尿病患者中进行。研究终点是 hs-CRP、收缩压 (SBP)、舒张压 (DBP)、血清肌酐、血尿素、估计肾小球滤过率 (eGFR) 的平均变化,以及心血管 (CV) 风险类别从基线到 12 周结束的变化。 70名参与者被随机分配(1:1)接受泰利列汀20毫克,每天一次(35人)或格列美脲1毫克,每天两次(35人),作为二甲双胍500毫克,每天两次的附加治疗。第一组和第二组参与者的平均年龄分别为 50.65 岁和 50.7 岁。在12周结束时,与格列美脲相比,在每方案(PP)和意向治疗(ITT)组中,添加替格列汀可显著降低hs-CRP。在PP组和ITT组中,SBP和DBP、肌酐、尿素、eGFR水平以及CV风险类别的变化均无明显差异。 与格列美脲附加疗法相比,替尼列汀附加疗法在12周后对hs-CRP水平产生了有利影响,对心肾功能参数的影响也相当。该试验已在印度临床试验注册中心(CTRI)进行了前瞻性注册。注册号CTRI/2021/08/035342.
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引用次数: 0
Experience of participating in community-based clinical trials from rural Maharashtra: Analysis of over 4000 participant feedback forms 马哈拉施特拉邦农村地区参与社区临床试验的经验:对 4000 多份参与者反馈表的分析
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.4103/picr.picr_289_23
Arunkumar Gondhali, Rakesh Patil, Manoj Dagwar, Ravikant Vishwakarma, H. Lubree, G. Dayma, A. Kawade, Aditi Apte
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引用次数: 0
Clinical trial footprint in BRICS: Improvements seen but needs further affirmative action 金砖国家的临床试验足迹:有所改善,但仍需进一步采取积极行动
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.4103/picr.picr_109_24
Sanish Davis
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引用次数: 0
Bio-entrepreneurs’ bugbear: Regulatory rigmarole 生物企业家的烦恼:繁琐的监管
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.4103/picr.picr_103_24
Arun Bhatt
Indian biotech startup sector – a rapidly growing business segment focused on the development of innovative products has the potential to make significant contributions to the country’s economy. Indian bio-entrepreneurs’ optimistic expectation of rapidly moving product development from bench to bedside faces tremendous challenges of the complex Indian regulatory system, which is shaped by a diversity of regulatory authorities, rules, guidelines, and processes. This brief review discusses specific regulatory issues faced by bio-entrepreneurs investing in a variety of innovative products – new drugs, vaccines, medical devices, cell, and gene therapy and suggests approaches which can ease Indian entrepreneur’s endeavors.
印度生物技术初创企业部门--一个以开发创新产品为重点的快速增长的企业部门--有可能为印度经济做出重大贡献。印度生物企业家对产品开发迅速从实验室走向临床的乐观期望面临着复杂的印度监管体系的巨大挑战,该体系由多种多样的监管机构、规则、指导方针和程序组成。这篇简短的评论讨论了投资各种创新产品--新药、疫苗、医疗器械、细胞和基因疗法--的生物企业家所面临的具体监管问题,并提出了可减轻印度企业家工作压力的方法。
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引用次数: 0
Sample size calculation in clinical research 临床研究中的样本量计算
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.4103/picr.picr_100_24
P. Ranganathan, Vishal Deo, C. Pramesh
Calculation of sample size is an essential part of research study design since it affects the reliability and feasibility of the research study. In this article, we look at the principles of sample size calculation for different types of research studies.
样本量的计算是研究设计的重要组成部分,因为它影响着研究的可靠性和可行性。本文将介绍不同类型研究的样本量计算原则。
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引用次数: 1
期刊
Perspectives in Clinical Research
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