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220-Dictionary of Pharmaceutical Medicine, 2nd Edition-Gerhard Nahler Annette Mollet-3211898352-S

220-Dictionary of Pharmaceutical Medicine, 2nd Edition-Gerhard Nahler Annette Mollet-3211898352-S

220-Dictionary of Pharmaceutical Medicine, 2nd Edition-Gerhard Nahler Annette Mollet-3211898352-S

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95first glance – suitable for inclusion in a trial (although, in fact, onlypart <strong>of</strong> the subjects will give their consent or meet all inclusionand exclusion criteria); comments, why they were not eligibleshould be included in such a list; helpful for judgments concerninggeneralization <strong>of</strong> results (= external validity – degree to whichthe results valid in one patient population can be generalized toanother) and for adjusting selection criteria in case recruitment istoo slow; → see also enrolment log, sampling error.interaction <strong>of</strong> drugs If two or more drugs are given at the same timethe resulting effect(s) can either be the sum <strong>of</strong> the individual effects(additive e., no interaction), greater than the expected sum(multiplicative e., positive e., synergism) or less then expected(negative e., antagonism); designs suitable to detect interactionsor to study two or more treatments simultaneously are e.g. factorialdesigns, cross-over designs, a.s.o.interaction study Clinical (pharmacokinetic) study exploring theeffects <strong>of</strong> one drug on the activity or properties <strong>of</strong> another drug.Interactive (or Integrated) Voice Response System.interactive voice response system (IVRS) Computerised method<strong>of</strong> randomisation, tracking drug assignment to patients, drug use,and maintenance <strong>of</strong> drug inventory at clinical sites as well as atdistribution centres; when a site needs to enroll a patient, the IVRSis contacted by public phone; the IVRS (which has a record <strong>of</strong> drugpackages at the site) instructs the site to assign pack number NNand patient number MM to the patient; → see also computerisedsystems, electronic data capture, remote data entry,source data.interfering variable → see confounder.interim analysis Statistical analysis which is performed before theplanned, total number <strong>of</strong> patients is recruited; for practical reasonsi.a. should not be done before at least 50 (–75)% <strong>of</strong> the total number<strong>of</strong> planned cases are available; i.a. should always be planned inadvance, since the likelihood <strong>of</strong> a false positive result (alpha error)increases with the number <strong>of</strong> repeated tests (e.g. 10 repeatedtests on accumulating data at the 1% level <strong>of</strong> significance during atrial will be about the same as an overall test for the trial at the 5%level or 3 tests at the 5% level will change the overall significancelevel to 11%); i.a. demands therefore higher numbers <strong>of</strong> subjects;→ see also bonferroni correction, multiple comparisons.inter-individual comparison → see between-patient comparison.intermediate product EC (IV): “partly processed material which mustundergo further manufacturing steps before it becomes a bulkproduct”; → see also finished product, medicinal product.int

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