The Age-Related Eye Disease Study (AREDS): Design implications AREDS report no. 1

Authors
Kassoff, A Kieval, S Mehu, M Buehler, J Eglow, M Kaufman, F Margherio, RR Cox, MS Garretson, B Hassan, T Ruby, A Trese, MT Werner, JC Williams, GA Regan, V Manatrey, P Cumming, K Zajechowski, M Falk, R Streasick, P Szydlowski, L Dreyer, RF Ma, C Beardsley, C Crider, H Capone, A Aaberg, TM Martin, D Saperstein, D Sternberg, P Curtis, L Stribling, B Gilman, J Myles, B Swords, R Orth, DH Flood, TP Civantos, J deBustros, S Packo, KH MacLeod, C Morrison, C Bryant, DA Doherty, D Sandoval, S Seddon, JM Pinnolis, MK Jones-Devonish, DA Crouse, VD Snow, KK Evans, C Davis, N Callahan, C Walsh, D Dubois, J Burton, I Ferris, FL Chew, EY Csaky, K McCarthy, SA Dabas, KH Goodman, L Kim, YJ Lopez, P Mercer, R Ayres, LM LaRean, T Randall, A Chicca, M Ciatto, PF Kuehl, E Kivitz, I Koutsandreas, D Friberg, TR Eller, A Gorin, MB Alexander, J Mack, B Bressler, SB Bressler, NM Cassel, G Goldberg, M Haller, JA Ratner, L Schachat, AP Sherman, SH Sunness, JS Schenning, S Sackett, C Cain, D Emmert, D George, T Wheeler, S Elman, MJ Ballinger, R Betancourt, A Glasser, D Lammlein, J Seff, R Shuman, M Starr, J Carrigan, A Ringrose, C Mathews, T Sotirakos, P Cain, T Chandra, SR Myers, FL Nork, TM Stevens, T Blodi, B Gottlieb, J Perkins, T Blatz, M Walker, W Harrison, B Knutson, G Krolnik, D Somers, G Davis, MD Klein, BEK Klein, R Hubbard, L Magli, YL Brickbauer, J Ansay, S Armstrong, J Neider, M Wabers, H Baliker, J Kastorff, L Laher, K Badal, D Geithman, PL Miner, KD King, WN Osterly, KR Dohm, KL Onofrey, JA Esser, B Hurtenback, C Fisher, MR Robinson, NL Reimers, J Miller, D Bowman, B Gunter, E Sowell, A Lindblad, AS Ederer, F Milton, RC Gensler, G Anand, R Entler, G Stine, E Berlin, SH Scholl, PR Mengers, SA Ferris, FL Chew, EY Sperduto, R Kurinij, N
Citation
A. Kassoff et al., The Age-Related Eye Disease Study (AREDS): Design implications AREDS report no. 1, CONTR CL TR, 20(6), 1999, pp. 573-600
Citations number
54
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Pharmacology,"Medical Research General Topics
Journal title
CONTROLLED CLINICAL TRIALS
ISSN journal
0197-2456 → ACNP
Volume
20
Issue
6
Year of publication
1999
Pages
573 - 600
Database
ISI
SICI code
0197-2456(199912)20:6<573:TAEDS(>2.0.ZU;2-B
Abstract
The Age-Related Eye Disease Study (AREDS) was initially conceived as a long -term multicenter, prospective study of the clinical course of age-related macular degeneration (AMD) and age-related cataract. Data on progression ra tes and risk factors from the study will increase understanding of the clin ical course of both conditions, generate hypotheses about etiology, and aid in the design of clinical trials of potential interventions. In addition t o collecting natural history data, AREDS includes a clinical trial of high- dose vitamin and mineral supplements for AMD and a clinical trial of high-d ose vitamin supplements for cataract. The clinical trials were initiated la rgely because of the widespread public use in the United States of commerci ally available pharmacologic doses of vitamins and minerals to treat these two eye conditions and the absence of definitive studies on the safety and efficacy of their use. Important design issues for the clinical trials incl ude: defining cataract and AMD, estimating event rates, determining the typ e and dosage of vitamins and minerals to be tested for each condition, and identifying the parameters necessary for monitoring safety and efficacy. Th is paper describes the AREDS design, including the study rationale and oper ational structure, and the approach adopted to combine, for two diseases, c linical trials with a natural history study. (C) Elsevier Science Inc. 1999 .