Design and Interpretation of Clinical Trials

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课程主页: https://www.coursera.org/archive/clinical-trials

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Johns Hopkins University

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Clinical trials are experiments designed to evaluate new interventions to prevent or treat disease in humans. The interventions evaluated can be drugs, devices (e.g., hearing aid), surgeries, behavioral interventions (e.g., smoking cessation program), community health programs (e.g. cancer screening programs) or health delivery systems (e.g., special care units for hospital admissions). We consider clinical trials experiments because the investigators rather than the patients or their doctors select the treatment the patients receive. Results from randomized clinical trials are usually considered the highest level of evidence for determining whether a treatment is effective because trials incorporates features to ensure that evaluation of the benefits and risks of treatments are objective and unbiased. The FDA requires that drugs or biologics (e.g., vaccines) are shown to be effective in clinical trials before they can be sold in the US. The course will explain the basic principles for design of randomized clinical trials and how they should be reported. In the first part of the course, students will be introduced to terminology used in clinical trials and the several common designs used for clinical trials, such as parallel and cross-over designs. We will also explain some of the mechanics of clinical trials, like randomization and blinding of treatment. In the second half of the course, we will explain how clinical trials are analyzed and interpreted. Finally, we will review the essential ethical consideration involved in conducting experiments on people.

临床试验的设计和解释:临床试验是旨在评估预防或治疗人类疾病的新干预措施的实验。评估的干预措施可以是药物,设备(例如助听器),手术,行为干预措施(例如戒烟计划),社区健康计划(例如癌症筛查程序)或健康提供系统(例如住院的特殊护理单位) 。我们考虑进行临床试验实验,因为研究人员而不是患者或其医生选择患者接受的治疗。随机临床试验的结果通常被认为是确定治疗是否有效的最高证据,因为试验具有确保对治疗的益处和风险进行客观且公正的评估的功能。 FDA要求药物或生物制剂(例如疫苗)在临床试验中被证明是有效的,然后才能在美国销售。 本课程将解释随机临床试验设计的基本原理以及应如何报告。在课程的第一部分中,将向学生介绍临床试验中使用的术语以及临床试验中使用的几种常见设计,例如并行和交叉设计。我们还将解释一些临床试验的机制,例如随机化和盲法治疗。在课程的下半部分,我们将说明如何分析和解释临床试验。最后,我们将回顾对人进行实验所涉及的基本道德考量。

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