Evidence map›Paper›PMID 32460828›Full record

ArticleTrials2020

Core outcome set measurement for future clinical trials in acute myeloid leukemia: the HARMONY study protocol using a multi-stakeholder consensus-based Delphi process and a final consensus meeting.

Katharina M Lang, Kathryn L Harrison, Paula R Williamson, Brian J P Huntly, Gert Ossenkoppele, Jan Geissler, Tamàs Bereczky, Jesús M Hernández-Rivas, Hélène Chevrou-Séverac, Rory Goodbody and 2 more

Abstract read
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

12 authors.

Katharina M LangCharité University Medicine, Chariteplatz 1, Berlin, 10117, Germany. katy.harrison@nice.org.uk.ORCID http://orcid.org/0000-0001-8855-884X
Kathryn L HarrisonNICE, National Institute for Health and Care Excellence, 10 Spring Gardens, London, SW1A 2BU, UK.
Paula R WilliamsonMRC North West Hub for Trials Methodology Research, University of Liverpool, Brownlow Hill, Liverpool, L69 7ZX, UK.
Brian J P HuntlyUniversity of Cambridge, Trinity Lane, Cambridge, CB2 1TN, UK.
Gert OssenkoppeleVU University Medical Center, De Boelelaan 1105, Amsterdam, 1081 HV, Netherlands.
Jan GeisslerPatvocates, Am Rothenanger 1b, Riemerling, 85521, Germany.
Tamàs BereczkyPatvocates, Am Rothenanger 1b, Riemerling, 85521, Germany.
Jesús M Hernández-RivasUniversidad de Salamanca, Patio de Escuelas, 1, Salamanca, 37008, Spain.
Hélène Chevrou-SéveracCelgene International, Route de Perreux 1, Boudry, CH-2017, Switzerland.
Rory GoodbodyAbbVie, 14 Riverwalk, Dublin, D24 XN32, Ireland.
Renate Schulze-RathBayer AG, Müllerstraße 178, Berlin, 13353, Germany.
Lars BullingerCharité University Medicine, Chariteplatz 1, Berlin, 10117, Germany.

Funding

Bayer AG Cash Grant - HARMONY projectInnovative Medicine Initiative (IMI) 2 116026Medical Research Council MC_PC_12009Medical Research Council MC_PC_17230
6 · The paper itself

Abstract

backgroundAcute myeloid leukemia (AML) is the most common acute leukemia in adults and has an unacceptably low cure rate. In recent years, a number of new treatment strategies and compounds were developed for the treatment of AML. There were several randomized controlled clinical trials with the objective to improve patients' management and patients' outcome in AML. Unfortunately, these trials are not always directly comparable since they do not measure the same outcomes, and currently there are no core outcome sets that can be used to guide outcome selection and harmonization in this disease area. The HARMONY (Healthcare Alliance for Resourceful Medicine Offensive against Neoplasms in Hematology) Alliance is a public-private European network established in 2017 and currently includes 53 partners and 32 associated members from 22 countries. Amongst many other goals of the HARMONY Alliance, Work Package 2 focuses on defining outcomes that are relevant to each hematological malignancy. Accordingly, this pilot study will be performed to define a core outcome set in AML.

methodsThe pilot study will use a three-round Delphi survey and a final consensus meeting to define a core outcome set. Participants will be recruited from different stakeholder groups, including patients, clinicians, regulators and members of the European Federation of Pharmaceutical Industries and Associations. At the pre-Delphi stage, a literature research was conducted followed by several semi-structured interviews of clinical public and private key opinion leaders. Subsequently, the preliminary outcome list was discussed in several multi-stakeholder face-to-face meetings. The Delphi survey will reduce the preliminary outcome list to essential core outcomes. After completion of the last Delphi round, a final face-to-face meeting is planned to achieve consensus about the core outcome set in AML. DISCUSSION: As part of the HARMONY Alliance, the pilot Delphi aims to define a core outcome set in AML on the basis of a multi-stakeholder consensus. Such a core outcome set will help to allow consistent comparison of future clinical trials and real-world evidence research and ensures that appropriate outcomes valued by a range of stakeholders are measured within future trials.

Indexed as

Delphi TechniqueBiomedical ResearchConsensusEndpoint DeterminationHumansLeukemia, Myeloid, AcuteOutcome Assessment, Health CarePilot ProjectsResearch DesignAcute myeloid leukemiaCore outcome setDelphi process

Identifiers

PMID32460828
PMCPMC7251906

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Registered trials

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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.