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The Staphylococcus aureus Network Adaptive Platform Trial Protocol: New Tools for an Old Foe

Tong, Steven YC; Mora, Jocelyn; Bowen, Asha C; Cheng, Matthew P; Daneman, Nick; Goodman, Anna L; Heriot, George S; ... Davis, Joshua S; + view all (2022) The Staphylococcus aureus Network Adaptive Platform Trial Protocol: New Tools for an Old Foe. Clinical Infectious Diseases , 75 (11) pp. 2027-2034. 10.1093/cid/ciac476. Green open access

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Abstract

Staphylococcus aureus bloodstream (SAB) infection is a common and severe infectious disease, with a 90-day mortality of 15%-30%. Despite this, <3000 people have been randomized into clinical trials of treatments for SAB infection. The limited evidence base partly results from clinical trials for SAB infections being difficult to complete at scale using traditional clinical trial methods. Here we provide the rationale and framework for an adaptive platform trial applied to SAB infections. We detail the design features of the Staphylococcus aureus Network Adaptive Platform (SNAP) trial that will enable multiple questions to be answered as efficiently as possible. The SNAP trial commenced enrolling patients across multiple countries in 2022 with an estimated target sample size of 7000 participants. This approach may serve as an exemplar to increase efficiency of clinical trials for other infectious disease syndromes.

Type: Article
Title: The Staphylococcus aureus Network Adaptive Platform Trial Protocol: New Tools for an Old Foe
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/cid/ciac476
Publisher version: https://doi.org/10.1093/cid/ciac476
Language: English
Additional information: © The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Staphylococcus aureus; bacteremia; bloodstream infection; randomized controlled trial; adaptive platform
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology > MRC Clinical Trials Unit at UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10184133
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