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While our study does not answer the etiology behind mutations present in NAF, our findings suggest that this paradigm may be useful for screening NAF for mtDNA mutations analogous to recent clinical proposals [ 25].
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Clinical proposal following assessment (continued treatment, dose reduction or treatment discontinuation) was recorded, together with the reasons of treatment discontinuation (toxicity, evolution, death or other).
NIH today also announced new guidance for clinical trial proposals, such as a suggested protocol template and training requirements.
The National Institutes of Health (NIH) in Bethesda, Maryland, also laid out a new plan for submitting clinical trial proposals that aims to beef up the rigor of the studies.
Only two countries (Ethiopia and Mozambique) reported that they had hospitals with ethics review committees to review clinical research proposals.
COMREC and hospital ethical review committees appraise all clinical research proposals to protect the integrity and safety of persons participating in research [ 22].
As observed in the CTEP/NCI review process of early clinical trial proposals, robust preclinical data generally provide strong rationale and are considered to be of high priority for clinical evaluation.
On the other hand, 43 (91%%) countries had a functional national ethics review committee and 23 (49 %) had hospitals with an ethical review committee for clearing all clinical research proposals.
We hope these recommendations will be incorporated within new clinical trial proposals, help to develop future research collaborations to ensure standardisation of outcome measures that can facilitate future meta-analyses and secondary outcome syntheses, lead to an increase in the use of more innovative trial designs and encourage the publishing of clinical trial protocols in this field.
Because MVP was a partnership between the World Health Organization (WHO) and PATH, all MVP clinical trial proposals were reviewed by the WHO Research Ethics Review Committee, Switzerland (WHO-ERC), and by the PATH Research Ethics Committee (PATH-REC) or the Western Institutional Review Board (WIRB), an independent ethics committee (EC) based in the United States.
Third, at the moment only the validity of the clinical research proposal is a prerequisite for research to take place.
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