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WHEN AND HOW SHOULD NEW THERAPIES BECOME ROUTINE CLINICAL PRACTICE? Rob Herbert, Senior Research Fellow
Background ,[object Object],[object Object],[object Object]
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Stages in the career of a medical innovation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],McKinlay JB (1981)  Millbank Mem Fund Quart
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A case study ,[object Object],[object Object]
A case study Sapsford R (2001)  APMR  82: 1081-8 ,[object Object]
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A case study ,[object Object],[object Object],Dumoulin C (2004)  Obs & Gyn  104: 504-10
Recommendations ,[object Object],[object Object],DISSEMINATION ,[object Object],TESTING ,[object Object],[object Object],[object Object],DEVELOPMENT ,[object Object]
Anticipation of objections ,[object Object],[object Object],[object Object]
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www.pedro.fhs.org.au
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Anticipation of objections ,[object Object],[object Object]
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A Herbert

  • 1. WHEN AND HOW SHOULD NEW THERAPIES BECOME ROUTINE CLINICAL PRACTICE? Rob Herbert, Senior Research Fellow
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Editor's Notes

  1. The National Institutes of Health is funding the international “Esprit” study of IL-2 for people with more than 350 T-cells. This $43 million study is the most expensive clinical trial in history. It will enroll 4,000 participants at 210 research sites in 18 countries and follow them for up to 6 years. Again, all participants will receive antiviral therapy, and the treatment group will also receive IL-2.
  2. … however implementation of randomised trials is inconsistent. Sometimes trials are conducted early in the process of introducing a new therapy, but sometimes new therapies become well established before they are subject to randomised trials.