Trials studying rare diseases, including immune-mediated inflammatory diseases such as Castleman disease, hyper IgD syndrome and undifferentiated vasculitis, frequently end in noncompletion and nonpublication. A new cross-sectional analysis identifies underlying reasons, but also calls for action to establish international networks that might facilitate recruitment of patients into trials and to ensure timely publication of research findings to advance the field.
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References
Rees, C. A. et al. Noncompletion and nonpublication of trials studying rare diseases: a cross-sectional analysis. PLoS Med. 16, e1002966 (2019).
Tatsioni, A. et al. Lost evidence from registered large long-unpublished randomized controlled trials: a survey. Ann. Intern. Med. 171, 300–301 (2019).
Cold Spring Harbor Laboratory medRxiv https://www.medrxiv.org/ (2019).
Musters, A. et al. Discovery of innovative therapies for rare immune-mediated inflammatory diseases via off-label prescription of biologics: the case of IL-6 receptor blockade in Castleman’s disease. Front. Immunol. 6, 625 (2015).
Fajgenbaum, D. C. et al. Identifying and targeting pathogenic PI3K/AKT/mTOR signaling in IL-6-blockade-refractory idiopathic multicentric Castleman disease. J. Clin. Invest. 130, 4451–4463 (2019).
van der Velden, D. L. et al. The Drug Rediscovery protocol facilitates the expanded use of existing anticancer drugs. Nature 574, 127–131 (2019).
Musters, A. & Tas, S. W. How to monitor safety and efficacy of biologic treatment in rare, therapy-refractory immune-mediated inflammatory diseases? Rheumatology (Oxford) 57, 591–593 (2018).
Rubricregister. Rational Use of Biologics in rare Refractory Immune mediated inflammatory diseases (IMIDs) Consortium https://www.rubricregister.nl/ (2019).
Stunnenberg, B. C. et al. Effect of mexiletine on muscle stiffness in patients with nondystrophic myotonia evaluated using aggregated N-of-1 trials. JAMA 320, 2344–2353 (2018).
European Reference Networks. European network on rare primary immunodeficiency, autoimmunity and autoimmune diseases. http://rita.ern-net.eu/ (2019).
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Musters, A., Tas, S.W. Room for improvement in clinical trials for rare diseases. Nat Rev Rheumatol 16, 131–132 (2020). https://doi.org/10.1038/s41584-020-0376-6
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DOI: https://doi.org/10.1038/s41584-020-0376-6
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