Randomized controlled trial - PowerPoint PPT Presentation


OCTIVUS Randomized Clinical Trial: OCT-Guided vs IVUS-Guided PCI

The OCTIVUS Randomized Clinical Trial compared the clinical efficacy and safety of Optical Coherence Tomography (OCT)-guided and Intravascular Ultrasound (IVUS)-guided strategies in patients undergoing PCI for significant CAD. The study aimed to determine if OCT-guided PCI is noninferior to IVUS-gui

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ARREST Trial: Expedited Transfer for Non-ST Elevation OHCA

This prospective, multicentre, randomised clinical trial led by Dr. Tiffany Patterson aims to determine whether direct delivery to a cardiac arrest centre following non-ST elevation out-of-hospital cardiac arrest reduces deaths compared to delivery to the nearest emergency department. Funded by the

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Efficacy and Safety of Ferric Carboxymaltose for Heart Failure with Iron Deficiency

Iron deficiency is prevalent in heart failure patients with reduced ejection fraction and is linked to poor outcomes. The HEART-FID trial investigates the impact of intravenous ferric carboxymaltose (FCM) on all-cause mortality, heart failure hospitalizations, and exercise capacity in chronic HFrEF

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Early Vasopressors in Sepsis Clinical Trial: Improving Patient Outcomes

This UK-wide clinical trial aims to assess the effectiveness of early peripheral norepinephrine infusion in adult patients with septic shock. The study will compare the impact on mortality and other outcomes of targeting a mean arterial pressure (MAP) above 65mmHg within the first 48 hours of admiss

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Pragmatic Urinary Sodium-Based Treatment Algorithm in Acute Heart Failure (PUSH-AHF) Trial Overview

The PUSH-AHF trial, conducted at the University Medical Center Groningen, aimed to evaluate the effectiveness and safety of natriuresis-guided diuretic therapy in acute heart failure. The study design was pragmatic, prospective, single-center, open-label, randomized, and controlled. Key outcomes inc

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Double-blind, Randomized Trial of Interatrial Shunt in HF Patients

This study details the principal results of the RELIEVE-HF trial, investigating the safety and effectiveness of the V-Wave Ventura interatrial shunt device in patients with heart failure with reduced and preserved ejection fraction. Key inclusion and exclusion criteria are outlined, emphasizing the

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POSNOC & ATNEC Trials Update by Amit Goyal: Investigating Axillary Treatment in Breast Cancer

POSNOC (Positive Sentinel Node) and ATNEC trials are investigating the effectiveness of axillary treatment in women with early-stage breast cancer having metastases in one or two sentinel nodes. Led by Chief Investigator Amit Goyal in the UK, this randomized controlled trial compares adjuvant therap

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5th Childhood Diabetes Prevention Symposium: The Early Start Study by Dr. Tess Brigitte I. Frohnert

The 5th Childhood Diabetes Prevention Symposium discusses the Trial of Early Initiation of CGM-Guided Insulin Therapy in Stage 2 T1D, focusing on the background, goals, and protocol of the study. The symposium aims to minimize dysglycemia, avoid adverse outcomes, and optimize education through early

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Empagliflozin Effects on Heart Failure with Reduced Ejection Fraction: EMPEROR-Reduced Trial Overview

Empagliflozin's impact on cardiovascular and renal events in heart failure with reduced ejection fraction was assessed in the EMPEROR-Reduced trial led by Milton Packer, MD, and Faiez Zannad, MD. The trial, enriched for patients with severe left ventricular dysfunction, randomized participants to em

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Comparison of FFR-guided PCI vs Angiography-guided PCI in AMI with Multivessel Disease: FRAME-AMI Trial

In patients with acute myocardial infarction (AMI) and multivessel coronary artery disease, this study aims to compare fractional flow reserve (FFR)-guided PCI with angiography-guided PCI for non-infarct-related artery lesions. The hypothesis is that selective PCI guided by FFR is superior to routin

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Polymeric Controlled Drug Delivery Systems

Polymeric controlled drug delivery systems play a crucial role in regulating drug release through diffusion, solvent penetration, and chemical mechanisms. These systems include diffusion-controlled, solvent-controlled, and chemically-controlled devices, each operating based on specific principles. S

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Simulation Techniques in Clinical Trial Design

Explore the process of simulating clinical trial designs, including traditional and adaptive approaches. Learn how to generate data, conduct analysis, make within-trial decisions, and summarize results using fixed-sample two-arm parallel group trials and group-sequential designs. Dive into methods l

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Analysis of Variance in Completely Randomized Design

This content covers the analysis of variance in a completely randomized design, focusing on comparing more than two groups with numeric responses. It explains the statistical methods used to compare groups in controlled experiments and observational studies. The content includes information on 1-way

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Understanding Different Types of Hearings in the Court Management System

Explore the various types of hearings available in the Court Management System, such as Motion Calendar, Special Sets, Calendar Call/Trial, Pre-Trial Conference, and Case Management. Learn how to set up new hearings/events and understand the process of generating trial orders and pre-trial conferenc

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Understanding Clinical Trials: Types and Designs

Clinical trials are essential research studies that evaluate new tests and treatments to improve human health outcomes. They involve various phases, designs, and purposes, such as treatment trials, prevention trials, and observational studies. Different types of clinical trial designs include experi

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The CLEAR Trial: Investigating Hypertonic Saline and Carbocisteine in Bronchiectasis

The CLEAR Trial is a 2x2 factorial randomized trial evaluating the effectiveness of hypertonic saline and carbocisteine for airway clearance in bronchiectasis over 52 weeks. Led by Professor Stuart Elborn and Professor Judy Bradley from Queen's University Belfast, the trial focuses on clinical and c

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ACST-2 Trial: Stenting vs. Surgery for Carotid Artery Stenosis

ACST-2 is a randomized trial comparing carotid artery stenting (CAS) versus carotid artery surgery (CEA) in asymptomatic patients with severe carotid stenosis. The trial, published in The Lancet in August 2021, involved 3625 patients. While surgery has been shown to reduce stroke rates, modern medic

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Low-Dose Tricyclic Antidepressants (TCA) for IBS: ATLANTIS Study Overview

The ATLANTIS study evaluated the efficacy of low-dose amitriptyline (10-30 mg) in improving Irritable Bowel Syndrome (IBS) symptoms compared to placebo in a 6-month randomized controlled trial in a primary care setting. This important research aims to address the lack of definitive treatment guideli

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Biomarker-Guided Antibiotic Duration in Sepsis Patients

This research focuses on evaluating the safety and efficacy of a biomarker-guided approach to determine the duration of antibiotic treatment in hospitalized adult patients with sepsis. The study involves a multi-centre randomized controlled trial to assess if a treatment protocol based on monitoring

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Understanding Randomized Algorithms: Types and Examples

Explore the world of randomized algorithms through types like Las Vegas and Monte Carlo, with a focus on classic examples such as Quick Sort. Learn how randomness plays a crucial role in computation and discover the principles behind these algorithms. Dive into the applications of randomized algorit

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Understanding Randomized Algorithms: A Deep Dive into Las Vegas and Monte Carlo Algorithms

Randomized algorithms incorporate randomness into computations, with Las Vegas algorithms always providing the correct answer but varying in time, while Monte Carlo algorithms occasionally give wrong answers. Quick Sort is a classic Las Vegas algorithm that involves pivoting elements for sorting. Ch

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Cluster Randomised Controlled Trial for Cardiovascular Disease Risk in Severe Mental Illness

A cluster randomised controlled trial is being conducted to test an intervention aimed at reducing cardiovascular disease risk for individuals with severe mental illnesses in primary care settings. Led by Professor David Osborn at UCL Division of Psychiatry, the study is funded by the National Insti

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The CLEAR Trial: Investigating Hypertonic Saline and Carbocisteine in Bronchiectasis

The CLEAR Trial is a 2x2 factorial randomized trial examining the effectiveness of hypertonic saline and carbocisteine for airway clearance in bronchiectasis over 52 weeks. Led by Professor Stuart Elborn and Professor Judy Bradley from Queen's University Belfast, the study focuses on exacerbation ma

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Electronic Case Report Form (eCRF) for Randomized Trial of Enteral Glutamine to Minimize Thermal Injury

Development of case report form worksheets for data collection in a randomized trial focusing on enteral glutamine use to minimize thermal injury. The document provides detailed instructions for research coordinators on data recording from medical charts to be entered into the electronic data captur

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E-Cigarettes for Smoking Cessation: E3 Trial Summary

A randomized controlled trial led by Dr. Mark J. Eisenberg at McGill University evaluated the efficacy and safety of E-Cigarettes (ECs) for smoking cessation. The study aimed to compare the effectiveness of nicotine and non-nicotine ECs with individual counseling against counseling alone. The trial

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Essential Elements of Clinical Trial Protocols

Understanding the key components of a clinical trial research protocol is essential for conducting successful studies. This includes identifying session objectives, discussing trial protocol contents, exploring observational study elements, and learning about reporting guidelines. Study objectives f

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Family Law Trial Skills Workshop: Evidence Collection and Trial Techniques

Enhance your trial skills in family law with a focus on evidence collection, trial strategies, and client examination. Learn best practices for preserving evidence, drafting persuasive statements, and navigating trials confidently. This workshop covers important aspects of evidence collection, such

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Enhancing Clinical Trial Milestone Predictions with nQuery Predict

Explore the innovative tool nQuery Predict for accurate clinical trial milestone predictions, demonstrated in a webinar hosted by industry experts. Learn about key milestones, adaptive design considerations, enrollment predictions, and the significance of statistical approaches in optimizing trial d

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Participating in a Mock Criminal Jury Trial Competition

In this competition, students simulate a criminal jury trial where they take on roles as attorneys and witnesses in a fictitious jurisdiction called Midlands. This year's case involves State v. Sinclair, focusing on the murder trial of Skyler Sinclair, a suspect in the death of an undercover officer

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AIRWAYS-3 Trial: Advanced Airway Management in In-Hospital Cardiac Arrest

AIRWAYS-3 is a multi-centre, open-label, randomized trial evaluating the clinical and cost effectiveness of a supraglottic airway (SGA) versus tracheal intubation during in-hospital cardiac arrest (IHCA). The trial aims to determine the functional status and health-related quality of life outcomes o

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The CLEAR Trial: Investigating Hypertonic Saline and Carbocisteine for Bronchiectasis

The CLEAR Trial is a 2x2 factorial randomized trial led by Professor Stuart Elborn and Professor Judy Bradley to assess the effectiveness of hypertonic saline and carbocisteine for airway clearance in bronchiectasis patients over 52 weeks. The trial involves various study sites and potential new sit

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Statistical Issues in Clinical Trials: Insights from 13th Annual Conference

The 13th annual conference on Statistical Issues in Clinical Trials covered topics such as penalties for extra variation and limited degrees of freedom, the Diet-Heart Hypothesis, controlled trials, unit of randomization, and causal inference. Speakers highlighted the importance of addressing cluste

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AMTA Criminal Jury Trial Competition Overview

Simulation of a criminal jury trial where students act as attorneys and witnesses in a fictitious jurisdiction called Midlands. This year's case involves the attempted murder of Kerry Bell-Leon, with witness selection varying in each round. Judges play crucial roles in presiding over the trial, scor

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Standardized Heated Hatha Yoga for Depression Treatment Study

A randomized controlled trial was conducted to investigate the effects of heated Hatha yoga on depressive symptoms compared to a waitlist control group. The study involved 80 patients aged 21 to 60, with completion rates of 55% and 65% for the immediate yoga group and waitlist group, respectively. R

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The CLEAR Trial: Investigating Hypertonic Saline and Carbocisteine for Bronchiectasis Treatment

The CLEAR Trial is a 2x2 factorial randomized trial assessing the clinical and cost-effectiveness of hypertonic saline and carbocisteine for airway clearance in bronchiectasis patients over 52 weeks. Led by Professor Stuart Elborn and Professor Judy Bradley, the trial involves randomization, sealed

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Pharmacovigilance Guidelines for Clinical Trials in Bronchiectasis Research

The CLEAR Trial is a 2x2 factorial randomized trial evaluating the effectiveness of hypertonic saline and carbocisteine for airway clearance in bronchiectasis patients. The trial, led by Professor Stuart Elborn and Professor Judy Bradley, focuses on pharmacovigilance activities, adverse event defini

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A Journey to Reduce Missed Abusive Head Trauma: From Index Case to Cluster Randomized Trial

Abusive head trauma (AHT) is a significant cause of trauma-related death and disability in young children. The journey to address missed cases of AHT began with the index case in 1995, leading to a cluster randomized trial aiming to improve recognition and prevention. The consequences of missed AHT

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Randomized Algorithms for Approximate Median with Elementary Probability

This content covers a lecture on a randomized algorithm for finding an approximate median element using elementary probability theory. It discusses the importance of insight and basic probability in designing and analyzing such algorithms. The lecture presents a simple probability exercise involving

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Forty-eight-Week Outcomes of a Site-Randomized Trial for Depression Among Youth with HIV

This study explores the outcomes of a site-randomized trial utilizing a combined cognitive behavioral therapy and medication management algorithm for treating depression among youth with HIV in the U.S. The team involved includes medical officers, data managers, statisticians, clinical trial special

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Methods for Quantifying Efficacy-Effectiveness Gap in Randomized Controlled Trials

This research discusses the quantification of the efficacy-effectiveness gap in randomized controlled trials (RCTs), particularly focusing on examples in Acute Respiratory Distress Syndrome (ARDS). It explores the challenges of RCTs, ethical considerations, and the use of observational data for caus

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