ACTIV trials: Cross-trial lessons learned for master protocol implementation

Maryam Keshtkar-Jahromi, Stacey J. Adam, Indira Brar, Lucy K. Chung, Judith S. Currier, Eric S. Daar, Victoria J. Davey, Eileen T. Denning, Annetine C. Gelijns, Elizabeth S. Higgs, Prasanna Jagannathan, Arzhang Cyrus Javan, Tomas O. Jensen, Nikolaus Jilg, Ioannis Kalomenidis, Peter Kim, Seema U. Nayak, Matthew Newell, Babafemi O. Taiwo, Tammy YokumYvette Delph

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

The United States Government (USG) public-private partnership Accelerating COVID-19 Treatment Interventions and Vaccines (ACTIV) was launched to identify safe, effective therapeutics to treat patients with Coronavirus Disease 2019 (COVID-19) and prevent hospitalization, progression of disease, and death. Eleven original master protocols were developed by ACTIV, and thirty-seven therapeutic agents entered evaluation for treatment benefit. Challenges encountered during trial implementation led to innovations enabling initiation and enrollment of over 26,000 participants in the trials. While only two ACTIV trials continue to enroll, the recommendations here reflect information from all the trials as of May 2023. We review clinical trial implementation challenges and corresponding lessons learned to inform future therapeutic clinical trials implemented in response to a public health emergency and the conduct of complex clinical trials during peacetime, as well.

Original languageEnglish
Article numbere152
JournalJournal of Clinical and Translational Science
Volume8
Issue number1
DOIs
StatePublished - 15 Oct 2024
Externally publishedYes

Keywords

  • Accelerating COVID-19 Treatment Interventions and Vaccines
  • COVID-19
  • clinical trial implementation
  • master protocol
  • preparedness
  • trial platform

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