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Data Safety and Monitoring Boards (DSMBs)

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Essentials of Clinical Research

Abstract

Data Safety and Monitoring Boards were introduced as a mechanism for monitoring interim data in clinical trials as a way to ensure the safety of participating subjects. Procedures for and experience with DSMBs has expanded considerably over recent years and they are now required by the NIH for almost any interventional and for some observational trials. A DSMB’s primary role is to evaluate adverse events and to determine the relationship of the adverse event to the therapy (or device). Interim analyses and early termination of studies are two aspects of DSMBs that are particularly difficult challenges. This chapter will discuss the role of DSMBs and address the aforementioned issues.

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References

  1. Organization, review, and administration of cooperative studies (Greenberg Report): a report from Heart Special Project Committee to the National Advisory Heart Council. Control Clin Trials. 1967;9:137–48.

    Google Scholar 

  2. DeMets D, Furberg C, Friedman L. Data monitoring in clinical trials. A case studies approach. New York: Springer; 2006.

    Book  Google Scholar 

  3. Ellenberg SS, Fleming TR. Data monitoring committees in clinical trials. A practical perspective. West Sussex: Wiley; 2002.

    Book  Google Scholar 

  4. Friedman L, Furberg C, DeMets D. Fundamentals of clinical trials. 3rd ed. New York: Springer; 1998.

    Book  Google Scholar 

  5. Connolly SJ. Use and misuse of surrogate outcomes in arrhythmia trials. Circulation. 2006;113:764–6.

    Article  PubMed  Google Scholar 

  6. NIH policy and guidelines on the inclusion of women and minorities as subjects in clinical research. http://grants1.nih.gov/grants/funding/women_min/guidelines_amended_10_2001.htm. Accessed 16 July 2013

  7. Schulz KF, Grimes DA. Unequal group sizes in randomised trials: guarding against guessing. Lancet. 2002;359:966–70.

    Article  PubMed  Google Scholar 

  8. Williams OD. Fundamentals of clinical research (Power Point Lecture). 2005.

    Google Scholar 

  9. Practical aspects of decision making in clinical trials: the coronary drug project as a case study. The Coronary Drug Project Research Group. Control Clin Trials 1981;1:363–76.

    Google Scholar 

  10. DeMets DL, Lan KK. Interim analysis: the alpha spending function approach. Stat Med. 1994;13:1341–52; discussion 53–6.

    Article  CAS  PubMed  Google Scholar 

  11. DeMets DL, Pocock SJ, Julian DG. The agonising negative trend in monitoring of clinical trials. Lancet. 1999;354:1983–8.

    Article  CAS  PubMed  Google Scholar 

  12. Peto R, Pike MC, Armitage P, Breslow NE, Cox DR, Howard SV, et al. Design and analysis of randomized clinical trials requiring prolonged observation of each patient. I. Introduction and design. Br J Cancer. 1976;34:585–612. PMC2025229.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  13. Hulley S, Cummings S, Browner W. Designing clinical research. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2000.

    Google Scholar 

  14. Haybittle JL. Repeated assessment of results in clinical trials of cancer treatment. Br J Radiol. 1971;44:793–7.

    Article  CAS  PubMed  Google Scholar 

  15. Pocock SJ. When to stop a clinical trial. BMJ. 1992;305:235–40.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  16. O’Brien PC, Fleming TR. A multiple testing procedure for clinical trials. Biometrics. 1979;35:549–56.

    Article  PubMed  Google Scholar 

  17. Cornfield J. Sequential trials, sequential analysis and the likelihood principle. Am Stat. 1966;20:18–23. doi:10.1080/00031305.1966.10479786.

    Google Scholar 

  18. Jennison C, Turnbull BW. Group sequential methods with applications to clinical trials. Boca Raton: Chapman and Hall; 2000.

    Google Scholar 

  19. Armitage P, McPherson CK, Rowe BC. Repeated significance tests on accumulating data. J R Stat Soc Ser A Stat Soc. 1969;132:235–44.

    Article  Google Scholar 

  20. McPherson K. The problem of examining accumulating data more than once. N Engl J Med. 1974;290:501–2.

    Article  CAS  PubMed  Google Scholar 

  21. Caiff RM, Ellenberg SS. Statistical approaches and policies for the operations of Data and Safety Monitoring Committees. Am Heart J. 2000;141:301–5.

    Article  Google Scholar 

  22. Montori VM, Devereaux PJ, Adhikari NK, Burns KE, Eggert CH, Briel M, et al. Randomized trials stopped early for benefit: a systematic review. JAMA. 2005;294:2203–9.

    Article  CAS  PubMed  Google Scholar 

  23. Monitoring Boards for Data and Safety. http://public.nhibi.nih.gov/ocr/home/GetPolicy.aspx?id=8. Accessed 14 June 2007.

  24. Tharmananathan P, Calvert M, Hampton J, Freemantle N. The use of interim data and data monitoring committee recommendations in randomized controlled trial reports: frequency, implications and potential sources of bias. BMC Med Res Methodol. 2008;8:12.

    Article  Google Scholar 

  25. Probstfield JL, Frye RL. Strategies for recruitment and retention of participants in clinical trials. JAMA. 2011;306:1798–9. doi:10.1001/jama.2011.1544.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Stephen P. Glasser M.D. .

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© 2014 Springer International Publishing Switzerland

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Glasser, S.P., Williams, O.D. (2014). Data Safety and Monitoring Boards (DSMBs). In: Glasser, S. (eds) Essentials of Clinical Research. Springer, Cham. https://doi.org/10.1007/978-3-319-05470-4_9

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  • DOI: https://doi.org/10.1007/978-3-319-05470-4_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-05469-8

  • Online ISBN: 978-3-319-05470-4

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