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Leveraging Digital Health Technologies and Outpatient Sampling in Clinical Drug Development: A Phase I Exploratory Study

机译:在临床药物开发中利用数字医疗技术和门诊采样:I期探索性研究

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摘要

Merck & Co, Inc (Kenilworth, NJ) is investing in approaches to enrich clinical trial data and augment decision making through use of digital health technologies, outpatient sampling, and real‐time data access. As part of this strategy, a phase I study was conducted to explore a few technologies of interest. In this fixed‐sequence two‐period trial, 16 healthy subjects were administered 50‐mg once‐daily sitagliptin packaged in a bottle that electronically captured the date and time study medication was dispensed (period 1) and in a traditional pharmacy bottle (period 2). Dried blood spot samples were collected for sitagliptin concentration analysis on select study days, both in clinic and at home, with collection time recorded using an electronic diary in period 1 and by clinic staff in period 2. Study results demonstrated the feasibility and subject acceptance of collecting digital adherence data and outpatient dried blood spot samples in clinical trials and highlighted areas for future improvements.
机译:默克公司(新泽西州,肯尼沃思)正在投资于通过使用数字健康技术,门诊采样和实时数据访问来丰富临床试验数据和增强决策能力的方法。作为该策略的一部分,进行了第一阶段研究,以探索一些令人感兴趣的技术。在此固定序列的为期两期的试验中,对16名健康受试者进行了每日一次50 mg西格列汀的治疗,这些西他列汀包装在一个以电子方式捕获分配研究药物的日期和时间的瓶中(第1期),并在传统的药瓶中(第2期) )。在选定的研究日中,在诊所和家庭中收集干血斑样品进行西他列汀浓度分析,第1阶段使用电子日记记录记录的采集时间,第2阶段由诊所工作人员记录采集时间。研究结果证明了该方法的可行性和受试者的接受度在临床试验中收集数字依从性数据和门诊病人的干血斑样本,并着重指出需要改进的地方。

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