학술논문

Clinical development innovation in rare diseases: overcoming barriers to successful delivery of a randomised clinical trial in alkaptonuria—a mini-review.
Document Type
Article
Source
Orphanet Journal of Rare Diseases. 1/4/2023, Vol. 18 Issue 1, p1-5. 5p.
Subject
*RARE diseases
*CLINICAL trials
*PATIENT participation
*TECHNOLOGICAL innovations
*REGULATORY approval
Language
ISSN
1750-1172
Abstract
Alkaptonuria is a rare inherited disorder for which there was no disease-modifying treatment. In order to develop a successful approved therapy of AKU multiple barriers had to be overcome. These included activities before the conduct of the study including deciding on the drug therapy, the dose of the drug to be used, clarify the nature of the disease, develop outcome measures likely to yield a positive outcome, have a strategy to ensure appropriate patient participation through identification, build a consortium of investigators, obtain regulatory approval for proposed investigation plan and secure funding. Significant barriers were overcome during the conduct of the multicentre study to ensure harmonisation. Mechanisms were put in place to recruit and retain patients in the study. Barriers to patient access following completion of the study and regulatory approval were resolved. [ABSTRACT FROM AUTHOR]