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Clinical Trial Design Principles and Outcomes Definitions for Device-Based Therapies for Hypertension: A Consensus Document From the Hypertension Academic Research Consortium

2022· article· en· W4220851619 on OpenAlexaff

Bibliographic record

VenueCirculation · 2022
Typearticle
Languageen
FieldMedicine
TopicBlood Pressure and Hypertension Studies
Canadian institutionsSt. Michael's HospitalSunnybrook Health Science Centre
FundersIdorsia PharmaceuticalsServierDeutsche Gesellschaft für Kardiologie-Herz und Kreislaufforschung.Istituto Auxologico ItalianoInstitut National de la Santé et de la Recherche MédicaleUniversität des SaarlandesUniversity of PennsylvaniaUniversità degli Studi di Milano-BicoccaDeutsche ForschungsgemeinschaftOmron HealthcareQueen Mary University of LondonNational Institute for Health and Care ResearchReCor MedicalPerelman School of Medicine, University of PennsylvaniaMedicines CompanyBiosensors International GroupNIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust/Institute of Cancer ResearchRegeneron PharmaceuticalsBoston Scientific CorporationMassachusetts Institute of TechnologyAlnylam PharmaceuticalsCytokineticsAbbott VascularBrigham and Women's HospitalUniversity of ExeterAmgenPfizerEli Lilly and CompanyNational Health and Medical Research CouncilAstraZeneca
KeywordsClinical trialAlternative medicineConsistency (knowledge bases)Clinical researchResearch designMEDLINEBlood pressureClinical study design

Abstract

fetched live from OpenAlex

The clinical implications of hypertension in addition to a high prevalence of both uncontrolled blood pressure and medication nonadherence promote interest in developing device-based approaches to hypertension treatment. The expansion of device-based therapies and ongoing clinical trials underscores the need for consistency in trial design, conduct, and definitions of clinical study elements to permit trial comparability and data poolability. Standardizing methods of blood pressure assessment, effectiveness measures beyond blood pressure alone, and safety outcomes are paramount. The Hypertension Academic Research Consortium (HARC) document represents an integration of evolving evidence and consensus opinion among leading experts in cardiovascular medicine and hypertension research with regulatory perspectives on clinical trial design and methodology. The HARC document integrates the collective information among device-based therapies for hypertension to better address existing challenges and identify unmet needs for technologies proposed to treat the world's leading cause of death and disability. Consistent with the Academic Research Consortium charter, this document proposes pragmatic consensus clinical design principles and outcomes definitions for studies aimed at evaluating device-based hypertension therapies.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.705
metaresearch head score (Gemma)0.601
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: Methods · Consensus signal: Methods
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: none
Teacher disagreement score0.295
Threshold uncertainty score0.363

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.7050.601
Meta-epidemiology (narrow)0.0040.005
Meta-epidemiology (broad)0.0100.014
Bibliometrics0.0110.010
Science and technology studies0.0080.017
Scholarly communication0.0260.009
Open science0.0150.014
Research integrity0.0380.056
Insufficient payload (model declined to judge)0.0030.005

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.558
GPT teacher head0.442
Teacher spread0.116 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; the direct Gemma label and the distilled Codex classifier agree on what is shown here.

Study designTheoretical or conceptual
DomainMethods
GenreMethods

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations74
Published2022
Admission routes1
Has abstractyes

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