Evidence map›Paper›PMID 21073691›Full record

ArticleTrials2010

Compassionate use of interventions: results of a European Clinical Research Infrastructures Network (ECRIN) survey of ten European countries.

Kate Whitfield, Karl-Heinz Huemer, Diana Winter, Steffen Thirstrup, Christian Libersa, Béatrice Barraud, Christine Kubiak, Lea Stankovski, Xina Grählert, Gabriele Dreier and 21 more

Abstract read
In one paragraph

Article in Trials, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Long-term survival analysis of masitinib in amyotrophic lateral sclerosis.Therapeutic advances in neurological disorders · 2021
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Ethics of trial drug use: to give or not to give?BEOnline : journal of the West African bioethics training program · 2016
    Article
  16. Review
  17. Review
  18. Article
  19. Compassionate use of orphan drugs.Orphanet journal of rare diseases · 2015
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Kate WhitfieldCopenhagen Trial Unit, Centre for Clinical Intervention Research, Copenhagen University Hospital (DCRIN), Copenhagen, DK-2100, Denmark. kate.whitfield@ctu.rh.dk
Karl-Heinz Huemer
Diana Winter
Steffen Thirstrup
Christian Libersa
Béatrice Barraud
Christine Kubiak
Lea Stankovski
Xina Grählert
Gabriele Dreier
Sebastian Geismann
Wolfgang Kuchinke
Anke Strenge-Hesse
Zsuza Temesvari
Gyorgy Blasko
Gabriella Kardos
Timothy O'Brien
Margaret Cooney
Siobhan Gaynor
Arrigo Schieppati
Mariantonia Serrano
Fernando de Andres
Nuria Sanz
Raquel Hernández
Germán Kreis
Charlotte Asker-Hagelberg
Hanna Johansson
Adeeba Asghar
Jean-Marc Husson
Jacques Demotes
Christian Gluud

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background'Compassionate use' programmes allow medicinal products that are not authorised, but are in the development process, to be made available to patients with a severe disease who have no other satisfactory treatment available to them. We sought to understand how such programmes are regulated in ten European Union countries.

methodsThe European Clinical Research Infrastructures Network (ECRIN) conducted a comprehensive survey on clinical research regulatory requirements, including questions on regulations of 'compassionate use' programmes. Ten European countries, covering approximately 70% of the EU population, were included in the survey (Austria, Denmark, France, Germany, Hungary, Ireland, Italy, Spain, Sweden, and the UK).

resultsEuropean Regulation 726/2004/EC is clear on the intentions of 'compassionate use' programmes and aimed to harmonise them in the European Union. The survey reveals that different countries have adopted different requirements and that 'compassionate use' is not interpreted in the same way across Europe. Four of the ten countries surveyed have no formal regulatory system for the programmes. We discuss the need for 'compassionate use' programmes and their regulation where protection of patients is paramount.

conclusions'Compassionate use' is a misleading term and should be replaced with 'expanded access'. There is a need for expanded access programmes in order to serve the interests of seriously ill patients who have no other treatment options. To protect these patients, European legislation needs to be more explicit and informative with regard to the regulatory requirements, restrictions, and responsibilities in expanded access programmes.

Indexed as

Biomedical ResearchCompassionate Use TrialsClinical Trials as TopicEuropeHumans

Identifiers

PMID21073691
PMCPMC2997627

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.