Evidence map›Paper›PMID 31485015›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2019

Issues, challenges, and the way forward in conducting clinical trials among neonates: investigators' perspective.

Sindhu Sivanandan, Kajal Jain, Nishad Plakkal, Monika Bahl, Tanushree Sahoo, Shirshendu Mukherjee, Yogendra Kumar Gupta, Ramesh Agarwal

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Design,Current drug discovery technologies · 2024
    Article
  7. Antibiotics needed to treat multidrug-resistant infections in neonates.Bulletin of the World Health Organization · 2022
    Review
  8. 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

8 authors.

Sindhu SivanandanJawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Kajal JainAll India Institute of Medical Sciences (AIIMS), New Delhi, India.
Nishad PlakkalJawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Monika BahlClinical Development Services Agency, Faridabad, India.
Tanushree SahooAll India Institute of Medical Sciences (AIIMS), New Delhi, India.
Shirshendu MukherjeeGrand Challenges India, Biotechnology Industry Research Assistance Council, New Delhi, India.
Yogendra Kumar GuptaTranslational Health Sciences and Technology Institute, Faridabad, India.
Ramesh AgarwalAll India Institute of Medical Sciences (AIIMS), New Delhi, India. ra.aiims@gmail.com.

Funding

Wellcome TrustWellcome Trust 103386/Z/13/Z
6 · The paper itself

Abstract

Clinical trials are essential to test the safety and efficacy of new treatments in any population. The paucity of drug trials especially in the neonatal population has led to the widespread use of unlicensed or off-label medications, exposing them to the risks of drug toxicity and ineffective treatment. Ethical and operational challenges are no longer considered valid excuses for not conducting drug trials in neonates. We recently participated in a combined phase-2 and phase-3 trial investigating a new indigenous goat lung surfactant extract (GLSE) for the treatment of respiratory distress syndrome (RDS) in preterm neonates. In this article, we share pertinent challenges faced by us during the trial to better inform and foster-positive discussion among drug developers, administrators, regulatory authorities, patient advocacy groups, and researchers. Also, we provide many tools developed for the GLSE trial that can be modified and used by prospective trialists.

Indexed as

Drug-Related Side Effects and Adverse ReactionsInfant, NewbornRandomized Controlled Trials as TopicAnimalsBiological ProductsDrug ApprovalFemaleGoatsGovernment RegulationHumansInfant, PrematureMalePulmonary SurfactantsResearch DesignResearch Support as TopicRespiratory Distress Syndrome, NewbornberactantBiological ProductsPulmonary Surfactants

Identifiers

PMID31485015
PMCPMC8075906

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.