Development of new TB regimens: Harmonizing trial design, product registration requirements, and public health guidance - PubMed (original) (raw)

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Development of new TB regimens: Harmonizing trial design, product registration requirements, and public health guidance

Christian Lienhardt et al. PLoS Med. 2019.

Abstract

Christian Lienhardt and colleagues discuss the importance of communication and coordination between regulators, researchers, and policy makers to ensure tuberculosis trials provide high-quality evidence for policy decisions.

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Conflict of interest statement

I have read the journal's policy and the authors of this manuscript have the following competing interests: At the CDC, AAV serves as part of a research group doing clinical trials in tuberculosis. His group (TBTC) works often in collaboration with pharmaceutical companies, who may provide modest support, such as drug supplies or funding for PK sub-studies. One company, Sanofi, has provided 6 unrestricted grants to the CDC Foundation over the years 2007–2015 totaling ~$2.8 million to facilitate or support TBTC work related to rifapentine. These funds have supported several PK sub-studies, supported 3 contract research staff, have funded travel to TBTC scientific meetings for invited speakers (all in coach class), and have supported expenses related to fulfillment of company requests for data and data formats as part of their efforts to use TBTC data to support regulatory filings. None of these funds have otherwise benefited members of his research group.

References

    1. Ginsberg AM, Spigelman M. Challenges in tuberculosis drug research and development. Nat Med. 2007;13:290–4. 10.1038/nm0307-290 -DOI -PubMed
    1. Lienhardt C, Nahid P. Advances in clinical trial design for development of new TB treatments: A call for innovation. PLoS Med. 2019; 16(3):e1002769 10.1371/journal.pmed.1002769 -DOI -PMC -PubMed
    1. Phillips PPJ, Mitnick CD, Neaton JD, Nahid P, Lienhardt C, Nunn AJ. Keeping phase III tuberculosis trials relevant: Adapting to a rapidly changing landscape. PLoS Med. 2019;16(3): e1002767 10.1371/journal.pmed.1002767 -DOI -PMC -PubMed
    1. Davies G, Hoelscher M, Boeree M, Hermann D. Accelerating the transition of new tuberculosis drug combinations from Phase II to Phase III trials: New technologies and innovative designs. PLoS Med. 2019;16(7): e1002851 10.1371/journal.pmed.1002851 -DOI -PMC -PubMed
    1. Lienhardt C, Nahid P, Rich ML, Bansbach C, Kendall EA, Churchyard G, et al. Target regimen profiles for treatment of tuberculosis: a WHO document. Eur Respir J 2017;49: 1602352 10.1183/13993003.02352-2016 -DOI -PMC -PubMed

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