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Lopes Renato D. - Understanding Clinical Research

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Complete how-to guidance on conducting clinical research, this book addresses the operational challenges of clinical trials and provides a clear explanation of the methodologies necessary to interpret results. The book addresses all aspects of clinical trials, from design and implementation to statistics to regulatory scrutiny. A resource for students, residents, and clinicians who need a working knowledge of clinical research principles. The chapter authors are all leaders in the field and engaged in cutting edge clinical research. Use as a textbook, as a reference, and as a course guide for mandated clinical research training courses.

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Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.

Copyright 2013 by McGraw-Hill Education All rights reserved Except as - photo 1

Copyright 2013 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.

ISBN: 978-0-07-179265-3
MHID: 0-07-179265-1

The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-174678-6, MHID: 0-07-174678-1.

All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps.

McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use in corporate training programs. To contact a representative please e-mail us at bulksales@mheducation.com.

Drs. Lopes and Harrington receive no royalties from the sales of this book. In addition, they donate their portion of the sales proceeds to the Duke Clinical Research Institutes Fellowship Program, to enhance the education and support of future generations of clinical researchers

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THE WORK IS PROVIDED AS IS. McGRAW-HILL EDUCATION AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill Education and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free. Neither McGraw-Hill Education nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw-Hill Education has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill Education and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise.

Contents

Renato D. Lopes, editor

CHAPTER ONE
A Brief History of Clinical Trials, Drug Regulations, and the Food and Drug Administration

Nidhi Tripathi, Kate Davis, Catherine Bodine, and Daniel K. Benjamin Jr.

CHAPTER TWO
Information Technology, Access, ClinicalTrials.gov

Anjan K. Chakrabarti and C. Michael Gibson

CHAPTER THREE
The Role of Academic Research Organizations in Clinical Research

Craig J. Reist, Tyrus L. Rorick, Lisa G. Berdan, and Renato D. Lopes

CHAPTER FOUR
Ethics of Clinical Research: An Overview and Emerging Issues

Yee Weng Wong and Kevin A. Schulman

Daniel K. Benjamin Jr. and Karen S. Pieper, editors

CHAPTER FIVE
Introduction to Clinical Experimentation

Robert Bigelow

CHAPTER SIX
Phase I Trials: First in Human

Kevin M. Watt, Karen Chiswell, and Michael Cohen-Wolkowiez

CHAPTER SEVEN
Phase II Clinical Trials

Jeffrey T. Guptill and Karen Chiswell

CHAPTER EIGHT
Phase III and IV Clinical Trials

Gail E. Hafley, Sergio Leonardi, and Karen S. Pieper

CHAPTER NINE
Challenges of Clinical Trials in Pediatrics

Kevin N. Turner and P. Brian Smith

Lesley H. Curtis and Laine E. Thomas, editors

CHAPTER TEN
Observational Research

Michaela A. Dinan

CHAPTER ELEVEN
Data Resources

Ying Xian

CHAPTER TWELVE
Observational Study Designs

Bradley G. Hammill

CHAPTER THIRTEEN
Challenges of Observational Designs

David M. Vock

CHAPTER FOURTEEN
Specific Regression Techniques

Phillip J. Schulte and Laine E. Thomas

CHAPTER FIFTEEN
Analytical Methods of Addressing Confounding

Eric M. Reyes and Laine E. Thomas

CHAPTER SIXTEEN
Lessons from Notable Examples in Observational Research

Zubin J. Eapen

Contributors

Daniel K. Benjamin Jr., MD, PhD

Professor of Pediatrics

Duke University School of Medicine

Faculty Associate Director

Duke Clinical Research Institute

Durham, North Carolina

Lisa G. Berdan, MHS, PA-C

Associate Director, Cardiovascular Megatrials

Duke Clinical Research Institute

Durham, North Carolina

Robert Bigelow, PhD

Associate Director

Duke Clinical Research Institute

Durham, North Carolina

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