Evidence map›Paper›PMID 31933253›Full record

ReviewPharmaceutical medicine2019

Providing Patients with Critical or Life-Threatening Illnesses Access to Experimental Drug Therapy: A Guide to Clinical Trials and the US FDA Expanded Access Program.

Marjorie A Speers

Erratum issuedAbstract readReview
PubMed Publisher
In one paragraph

Review in Pharmaceutical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Multicenter Analysis of Genomically Targeted Single Patient Use Requests for Pediatric Neoplasms.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Marjorie A SpeersClinical Research Pathways, 245 N Highland Ave, Suite 230, Atlanta, GA, 30307, USA. mspeers@clinicalresearchpathways.org.ORCID http://orcid.org/0000-0003-4246-9133
Pathways Behavioral Services · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review article considers two alternative options to standard treatment for desperately ill patients when standard treatments are no longer working: clinical trials and the Food and Drug Administration's (FDA's) expanded access program. The article describes the history of drug regulation in the United States, pointing out that the clinical research process to demonstrate safety and efficacy has lengthened the time to market approval. The author describes the advantages and disadvantages of clinical trials and of expanded access primarily for patients, with a discussion of the FDA's expanded access program, including descriptions of single patient, intermediate-size patient populations and widespread treatment uses. The advantages of the FDA's expanded access program over the new federal right-to-try law are also discussed. Alternative clinical designs are introduced into consideration as a way to improve the clinical trial process, reduce the time to market approval and perhaps interest more patients in enrolling in trials.

Indexed as

Clinical Trials as TopicCompassionate Use TrialsDrug ApprovalDrugs, InvestigationalHumansPatient SafetyTherapies, InvestigationalTreatment OutcomeUnited StatesUnited States Food and Drug AdministrationDrugs, Investigational

Identifiers

PMID31933253
OpenAlexW2923890311

What OpenQuestion holds

Textmetadata
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.