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Published in: European Journal of Pediatrics 6/2016

Open Access 01-06-2016 | Original Article

Disease-specific clinical trials networks: the example of cystic fibrosis

Authors: Kris De Boeck, Veerle Bulteel, Isabelle Fajac

Published in: European Journal of Pediatrics | Issue 6/2016

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Abstract

This article describes the steps of the development and the structure of a disease-specific clinical trials network for cystic fibrosis in Europe. Activities such as reviewing study protocols, feasibility assessments, training and standardizing of procedures, and outcome measurements help to bring high-quality clinical trials to the patients. Cooperation with the pharmaceutical industry, other research networks, patient organizations, and regulatory agencies is very important throughout all activities.
Conclusion: The European Cystic Fibrosis Society—Clinical Trials Network facilitates the development of new treatments for a rare disease and could be a prototype for other diseases.
What is Known:
Clinical research has led to the first approved treatments targeting the basic Cystic Fibrosis defect.
For a rare disease like Cystic Fibrosis, multicenter international collaboration is needed to obtain solid evidence when testing possible new treatments.
What is New:
The Clinical Trials Network established by the European Cystic Fibrosis Society has grown to a fully operational network with well-defined structures, procedures and partnerships.
Standardization of outcome parameters, protocol review, feasibility assessment and other activities help to develop high quality, efficient, relevant and feasible clinical trials, with the aim to bring new treatments to the patients.
Literature
1.
go back to reference Bell SC, De Boeck K, Amaral MD (2015) New pharmacological approaches for cystic fibrosis: promises, progress, pitfalls. Pharmacol Ther 145C:19–34CrossRef Bell SC, De Boeck K, Amaral MD (2015) New pharmacological approaches for cystic fibrosis: promises, progress, pitfalls. Pharmacol Ther 145C:19–34CrossRef
2.
go back to reference Boyle MP, De Boeck K (2013) A new era in the treatment of cystic fibrosis: correction of the underlying CFTR defect. Lancet Respir Med 1(2):158–63CrossRefPubMed Boyle MP, De Boeck K (2013) A new era in the treatment of cystic fibrosis: correction of the underlying CFTR defect. Lancet Respir Med 1(2):158–63CrossRefPubMed
3.
go back to reference Briggs TA, Bryant M, Smyth RL (2006) Controlled clinical trials in cystic fibrosis—are we doing better? J Cyst Fibros 5(1):3–8CrossRefPubMed Briggs TA, Bryant M, Smyth RL (2006) Controlled clinical trials in cystic fibrosis—are we doing better? J Cyst Fibros 5(1):3–8CrossRefPubMed
4.
go back to reference Carbone PP, Tormey DC (1991) Organizing multicenter trials: lessons from the cooperative oncology groups. Prev Med 20:162–169CrossRefPubMed Carbone PP, Tormey DC (1991) Organizing multicenter trials: lessons from the cooperative oncology groups. Prev Med 20:162–169CrossRefPubMed
5.
go back to reference De Boeck K, Fajac I, Ratjen F (2014) End-points and biomarkers for clinical trials in cystic fibrosis. In: ERS monograph Cystic Fibrosis, European Respiratory Society., pp 104–115 De Boeck K, Fajac I, Ratjen F (2014) End-points and biomarkers for clinical trials in cystic fibrosis. In: ERS monograph Cystic Fibrosis, European Respiratory Society., pp 104–115
6.
go back to reference De Boeck K, Kent L, Davies J, Derichs N, Amaral M, Rowe SM, Middleton P, De Jonge H, Bronsveld I, Wilschanski M, Melotti P, Danner-Boucher I, Boerner S, Fajac I, Southern K, De Nooijer RA, Bot A, De Rijke Y, De Wachter E, Leal T, Vermeulen F, Hug MJ, Rault G, Nguyen-Khoa T, Barreto C, Proesmans M, Sermet-Gaudelus I, on behalf of the European Cystic Fibrosis Society Clinical Trial Network Standardisation Committee (2013) CFTR biomarkers: time for promotion to surrogate end-point? Eur Respir J 41:203–216CrossRefPubMed De Boeck K, Kent L, Davies J, Derichs N, Amaral M, Rowe SM, Middleton P, De Jonge H, Bronsveld I, Wilschanski M, Melotti P, Danner-Boucher I, Boerner S, Fajac I, Southern K, De Nooijer RA, Bot A, De Rijke Y, De Wachter E, Leal T, Vermeulen F, Hug MJ, Rault G, Nguyen-Khoa T, Barreto C, Proesmans M, Sermet-Gaudelus I, on behalf of the European Cystic Fibrosis Society Clinical Trial Network Standardisation Committee (2013) CFTR biomarkers: time for promotion to surrogate end-point? Eur Respir J 41:203–216CrossRefPubMed
7.
go back to reference De Boeck K, Tiddens H, Elborn S, Fajac I (2013) A new Clinical Trials Directive to boost academic trials? Lancet Respir Med 1(2):99–101CrossRefPubMed De Boeck K, Tiddens H, Elborn S, Fajac I (2013) A new Clinical Trials Directive to boost academic trials? Lancet Respir Med 1(2):99–101CrossRefPubMed
8.
9.
go back to reference Fayon M, Kent L, Bui S, Dupont L, Sermet I, European Cystic Fibrosis Society Clinical Trial Network Standardisation Committee (2014) Clinimetric properties of bronchoalveolar lavage inflammatory markers in cystic fibrosis. Eur Respir J 43(2):610–26CrossRefPubMed Fayon M, Kent L, Bui S, Dupont L, Sermet I, European Cystic Fibrosis Society Clinical Trial Network Standardisation Committee (2014) Clinimetric properties of bronchoalveolar lavage inflammatory markers in cystic fibrosis. Eur Respir J 43(2):610–26CrossRefPubMed
10.
go back to reference Kent L, Reix P, Innes JA, Zielen S, Le Bourgeois M, Braggion C, Lever S, Arets HG, Brownlee K, Bradley JM, Bayfield K, O’Neill K, Savi D, Bilton D, Lindblad A, Davies JC, Sermet I, De Boeck K, European Cystic Fibrosis Society Clinical Trial Network (ECFS-CTN) Standardisation Committee (2014) Lung clearance index: evidence for use in clinical trials in cystic fibrosis. J Cyst Fibros 13(2):123–38CrossRefPubMed Kent L, Reix P, Innes JA, Zielen S, Le Bourgeois M, Braggion C, Lever S, Arets HG, Brownlee K, Bradley JM, Bayfield K, O’Neill K, Savi D, Bilton D, Lindblad A, Davies JC, Sermet I, De Boeck K, European Cystic Fibrosis Society Clinical Trial Network (ECFS-CTN) Standardisation Committee (2014) Lung clearance index: evidence for use in clinical trials in cystic fibrosis. J Cyst Fibros 13(2):123–38CrossRefPubMed
11.
go back to reference Kerem E, Conway S, Elborn S, Heijerman H (2005) Standards of care for patients with cystic fibrosis: a European consensus. J Cyst Fibros 4(1):7–26CrossRefPubMed Kerem E, Conway S, Elborn S, Heijerman H (2005) Standards of care for patients with cystic fibrosis: a European consensus. J Cyst Fibros 4(1):7–26CrossRefPubMed
12.
go back to reference Lebecque P, Leonard A, De Boeck K, De Baets F, Malfroot A, Casimir G, Desager K, Godding V, Leal T (2009) Early referral to cystic fibrosis specialist centre impacts on respiratory outcome. J Cyst Fibros 8(1):26–30CrossRefPubMed Lebecque P, Leonard A, De Boeck K, De Baets F, Malfroot A, Casimir G, Desager K, Godding V, Leal T (2009) Early referral to cystic fibrosis specialist centre impacts on respiratory outcome. J Cyst Fibros 8(1):26–30CrossRefPubMed
13.
go back to reference McCormick J, Mehta G, Olesen HV, Viviani L, Macek M Jr, Mehta A (2010) Comparative demographics of the European cystic fibrosis population: a cross-sectional database analysis. Lancet 20(375):1007–13CrossRef McCormick J, Mehta G, Olesen HV, Viviani L, Macek M Jr, Mehta A (2010) Comparative demographics of the European cystic fibrosis population: a cross-sectional database analysis. Lancet 20(375):1007–13CrossRef
14.
go back to reference Proesmans M, Vermeulen F, De Boeck K (2008) What’s new in cystic fibrosis? From treating symptoms to correction of the basic defect. Eur J Pediatr 167(8):839–49CrossRefPubMed Proesmans M, Vermeulen F, De Boeck K (2008) What’s new in cystic fibrosis? From treating symptoms to correction of the basic defect. Eur J Pediatr 167(8):839–49CrossRefPubMed
15.
go back to reference Riordan J, Rommens JM, Kerem BS, Alon N, Rozmahel R, Grzelczack Z, Zielenski J, Lok S, Plavsic N, Chou JL, Drumm ML, Iannuzzi MC, Collins FS, Tsui LC (1989) Identification of the cystic fibrosis gene: cloning and characterization of the complementary DNA. Science 245:1066–1073CrossRefPubMed Riordan J, Rommens JM, Kerem BS, Alon N, Rozmahel R, Grzelczack Z, Zielenski J, Lok S, Plavsic N, Chou JL, Drumm ML, Iannuzzi MC, Collins FS, Tsui LC (1989) Identification of the cystic fibrosis gene: cloning and characterization of the complementary DNA. Science 245:1066–1073CrossRefPubMed
16.
go back to reference Smyth AR, Barbato A, Beydon N (2010) Respiratory medicines for children: current evidence, unlicensed use and research priorities. Eur Respir J 35(2):247–65CrossRefPubMed Smyth AR, Barbato A, Beydon N (2010) Respiratory medicines for children: current evidence, unlicensed use and research priorities. Eur Respir J 35(2):247–65CrossRefPubMed
17.
go back to reference Welsh MJ, Smith AE (1993) Molecular mechanisms of CFTR chloride channel dysfunction in cystic fibrosis. Cell 73(7):1251–4CrossRefPubMed Welsh MJ, Smith AE (1993) Molecular mechanisms of CFTR chloride channel dysfunction in cystic fibrosis. Cell 73(7):1251–4CrossRefPubMed
18.
go back to reference Zolin A, Van Rens J, Fox A, Iansa P, Preftitsi A, Pypops U, Gulmans V, Jung A, Mehta A, Viviani L, Vebert Olesen H, McKone EF (2014) ECFSPR Annual Report 2010 Zolin A, Van Rens J, Fox A, Iansa P, Preftitsi A, Pypops U, Gulmans V, Jung A, Mehta A, Viviani L, Vebert Olesen H, McKone EF (2014) ECFSPR Annual Report 2010
Metadata
Title
Disease-specific clinical trials networks: the example of cystic fibrosis
Authors
Kris De Boeck
Veerle Bulteel
Isabelle Fajac
Publication date
01-06-2016
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Pediatrics / Issue 6/2016
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-016-2712-z

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