■目前开发罕见疾病治疗方法的道路通常很缓慢,贵,充满了风险.需要改变来改进过程,无论是我们如何看待罕见疾病治疗的发展,还是我们为支持正在进行的科学而建立的基础设施。美国国立卫生研究院(NIH)支持的罕见疾病临床研究网络(RDCRN)的建立是为了推进诊断,管理,和罕见疾病的治疗,促进高度协作,多站点,以病人为中心,翻译,和临床研究。RDCRN的当前迭代旨在建立并增强网络内的成功方法,同时确定创新方法,以通过创新填补罕见疾病治疗开发过程中的空白并满足需求。合作,和临床试验准备。
■本文的目的是概述RDCRN自20年前首次成立以来的生产力和影响力。
■使用一套可供NIH工作人员使用的工具,策划,广泛关联的全球赠款数据集,专利,出版物,临床试验,和FDA批准的药物,执行了一系列进行文献计量的查询,合著者,和共现分析。
■结果表明,整个RDCRN联盟和网络自成立以来一直具有很高的生产率。他们制作了2763份高质量出版物,被引用超过10万次,扩大国际网络,并为FDA批准的八种罕见疾病治疗做出了科学贡献。
■RDCRN计划在开发罕见疾病治疗方法的同时,成功解决了一些重大挑战。然而,展望未来,敏捷面对随着科学进步而出现的新挑战是很重要的。
美国国立卫生研究院资助的研究网络致力于为罕见疾病患者提供更好的治疗罕见疾病临床研究网络(RDCRN)是一个联邦指导的研究网络,旨在帮助研究人员更接近罕见疾病的治疗方法。该网络支持20个不同的研究罕见疾病的小组。每个小组专注于三种或更多种罕见疾病,研究在多个地点进行。每个小组都与美国国立卫生研究院(NIH)和患者倡导小组密切合作。该网络的主要焦点是临床试验准备情况,这仅仅意味着知道该治疗谁,什么时候治疗,以及如何治疗,从而从临床试验中承担了一些风险。这些知识是通过自然历史研究获得的。网络,在赠款的支持下,每五年举行一次比赛,选择参加网络的团体。RDCRN由NIH的十个不同机构提供支持。迄今为止,RDCRN已经发表了许多手稿,主题从自然史研究和案例报告到实践指南和临床试验。迄今为止,RDCRN已经参与了导致食品和药物管理局(FDA)批准的八种治疗方法的工作。
UNASSIGNED: The current road to developing treatments for rare diseases is often slow, expensive, and riddled with risk. Change is needed to improve the process, both in how we think about rare disease treatment development and the infrastructure we build to support ongoing science. The National Institutes of Health (NIH)-supported Rare Diseases Clinical Research
Network (RDCRN) was established to advance the diagnosis, management, and treatment of rare diseases and to promote highly collaborative, multi-site, patient-centric, translational, and clinical research. The current iteration of the RDCRN intends to build upon and enhance successful approaches within the network while identifying innovative methods to fill gaps and address needs in the approach to the rare disease treatment development process through innovation, collaboration, and clinical
trial readiness.
UNASSIGNED: The objective of this paper is to provide an overview of the productivity and influence of the RDCRN since it was first established 20 years ago.
UNASSIGNED: Using a suite of tools available to NIH staff that provides access to a comprehensive, curated, extensively linked data set of global grants, patents, publications, clinical trials, and FDA-approved drugs, a series of queries were executed that conducted bibliometric, co-author, and co-occurrence analysis.
UNASSIGNED: The results demonstrate that the entire RDCRN consortia and network has been highly productive since its inception. They have produced 2763 high-quality publications that have been cited more than 100,000 times, expanded international networks, and contributed scientifically to eight FDA-approved treatments for rare diseases.
UNASSIGNED: The RDCRN program has successfully addressed some significant challenges while developing treatments for rare diseases. However, looking to the future and being agile in facing new challenges that arise as science progresses is important.
A National Institute of Health-funded research network working toward better treatments for people with rare diseases The Rare Diseases Clinical Research Network (RDCRN) is a Federally directed research
network that targets research to help investigators move closer to treatments for rare diseases. The
network supports 20 different groups that
study rare diseases. Each group focuses on three or more rare diseases and the research is conducted at multiple sites. Each group works closely with both the National Institutes of Health (NIH) and patient advocacy groups. The primary focus of the network is clinical trials readiness, which simply means knowing who to treat, when to treat, and how to treat, thus taking some of the risk out of clinical trials. This knowledge is gained through natural history studies. The network, supported by grants, holds a competition every five years to select groups to participate in the
network. The RDCRN is supported by ten different institutes at the NIH. To date the RDCRN has published numerous manuscripts in topics ranging from findings from natural history studies and case reports to practice guidelines and clinical trials. To date the RDCRN has been involved in work that has led to eight treatments being approved by the Food and Drug Administration (FDA).