FOCUS ON NLM RESOURCES: CLINICALTRIALS.GOV. WHAT IS A CLINICAL STUDY? Research study using human subjects. Volunteers may have a certain disease or.

FOCUS ON NLM RESOURCES:

CLINICALTRIALS.GOV

WHAT IS A CLINICAL STUDY?

Research study using human subjects.Volunteers may have a certain disease or be healthy.

Purpose is to find better ways to prevent, screen, diagnose or treat a disease.

First to receive promising new treatments.Help others with the same disease, today and in the future.

TWO TYPES OF CLINICAL STUDIES

• Participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes

Interventional Study (Clinical Trial)

• Participants identified as belonging to study groups are assessed for biomedical or health outcomes

• Participants may receive diagnostic, therapeutic, or other types of interventions, but the investigator does not assign participants to specific interventions

Observational Study

ClinicalTrials.gov Glossary of Common Site Terms [Internet]. Bethesda (MD): National Library of Medicine (US); c2012. Available from:

http://clinicaltrials.gov/ct2/about-studies/glossary

WHAT IS CLINICALTRIALS.GOV?

Website for patients, family members, health care providers, researchers and the public to access human studies on diseases and conditions.

Search interventional and observational studies.

Established in 1997, the first version was released in 2000 with 5,635 studies.

Today has over 170,246 studies with results for 13,279.

Provides links to other NLM databases.

SAMPLE USES OF CLINICALTRIALS.GOV

•Access information about specific trialoFind trials for potential participantsoTrack progress and protocol changesoSee results (if available)

•Assess available evidence relevant to a specific clinical topic

•Assess nature of current and past research

•Review methodologies used in clinical trials

PATIENTS AND FAMILIES

•ClinicalTrials.gov offers a reliable and generally comprehensive list of ongoing trials in which people might consider enrolling.

•Gives patients a centralized place to search by condition, location, and other trial characteristics.

REGISTRATION REQUIREMENTS

• Applicable clinical trials must submit required clinical trial information not later than 21 days after enrollment of the first participant

U.S. Federal Law (FDAAA 801*)

• Requires trial registration as a condition for the publication of research results generated by a clinical trial

Publication Policy (ICMJE**)

*Section 801 of the Food and Drug Administration Amendments Act (FDAAA 801)

**International Committee of Medical Journal Editors (ICMJE)ClinicalTrials.gov Why Should I Register and Submit Results? [Internet].

Bethesda (MD): National Library of Medicine (US); c2012. Available from: http://clinicaltrials.gov/ct2/manage-recs/background

RESULTS SUBMISSION REQUIREMENTS

Results of an applicable clinical trial must be submitted no later than 12 months after the completion date or 30 days after device is approved by the FDA.

WHICH TRIALS MUST SUBMIT RESULTS?

• Clinical trials of FDA-approved drugs, biologics, and devices

•At least one site in the United States

• Initiated after Sept 2007 or ongoing as of Dec 2007

• (Excludes Phase I drug and small feasibility device studies)

Section 801 of the Food and Drug Administration Amendments Act (FDAAA 801)For more information: http://www.clinicaltrials.gov/

PENALTIES FOR NOT SUBMITTING RESULTS

1. Notices of noncompliance

2. Civil monetary penalties (up to $10,000/day)

3. Withholding of NIH grant funds

Section 801 of the Food and Drug Administration Amendments Act (FDAAA 801)For more information: http://www.clinicaltrials.gov/

READING A STUDY

Summary of the purpose of the study

Recruiting Status

Disease or condition and medical product under study

Research study design

Phase of the trial

Criteria for presentation

Location of the trial and contact information

READING RESULTS

Description of study participants (e.g., number enrolled, demographic data)

Overall outcomes of the study

Summary of adverse events experience by participants

Submitted in four modules Participant Flow Baseline Characteristics Outcome Measures and Statistical Analyses Adverse Events

HOW TO FIND RESULTS

Results posted in ClinicalTrials.govUse advanced search

Results published in a medical journal.

INCLUDE CLINICALTRIALS.GOV IN YOUR SYSTEMATIC REVIEWS

25 -50% of trials remain unpublished several years after completion!

Ross JS, Tse T, Zarin DA, Xu H, Zhou L, Krumholz HM. Publication of NIH funded trials registered in ClinicalTrials.gov: cross-sectional analysis. BMJ. 2012;344:d7292.

CASE STUDY

You are a pediatrician with a large number of patients with uncontrolled asthma. You want to see if there have been any studies looking at behavioral interventions to control childhood asthma.

CLINICALTRIALS.GOV

WHO CAN YOU PROMOTE CLINICALTRIALS.GOV TO IN YOUR INSTITUTION?

OTHER RESOURCES

MedlinePlus: Clinical Trials http://www.nlm.nih.gov/medlineplus/clinicaltrials.html

NIH Clinical Trials Research and You http://nih.gov/health/clinicaltrials/

Video on Results http://www.nlm.nih.gov/pubs/techbull/ma14/video/williams_ct.html

SAVE THE DATES

Data Burger: A “Good” Questionnaire Response Rate Plus Basic Quantitative Data Analysis

July 22, 2014 Noon-1pm ET

Presenter: Nikki Dettmar, Evaluation Librarian, NN/LM Outreach Evaluation Resource Center https://webmeeting.nih.gov/boost2/

Ready, Set, Go!: Easy-to-Use Online Tools to Create Effective "How-To" Tutorials

July 30, 2014 11am-Noon ET

Presenter: Andrew Youngkin, Emerging Technologies / Evaluation Coordinator, NN/LM Southeastern/Atlantic Region (SE/A)

https://webmeeting.nih.gov/techtime/

Awardee Project Reports

July 31, 2014 Noon-1pm ET

Presenters: awardees from University of Buffalo, Queens Public Library, and Capital District Library Council

https://webmeeting.nih.gov/lunch2/

NEXT FOCUS ON NLM RESOURCES

Finding Health Services ResearchPresenters: Staff from National Information Center on Health Services Research and Health Care Technology (NICHSR)

September 23, 2014 Noon-1pm

QUESTIONS AND THANK YOU!

Kate Flewelling, MLISNational Network of Libraries of Medicine, Middle Atlantic Region

[email protected]://nnlm.gov/mar/