Page 33 - Terminology-Clinical-Research
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past 2 years, the study’s Recruitment status is shown as   Lure of initial value: What we observe [in clinical trials]
        Unknown.                                               is not so much a placebo response, but a so- called lure
                                                               of initial value, where extreme symptoms tend to get
        Legal  authentication:  A completion  status  in  which  a   spontaneously better. To get a handle on this problem, it
        document has been signed manually or electronically by the   would be useful to identify genes that are predictive of
        individual who is legally responsible for that document.  rapid disease remission, because many of our problems
                                                               in terms of testing drugs are driven by the placebo group.
        Legal acceptable representative: An individual or juridical   One needs very large groups to detect that small difference.
        or other body authorized under applicable law to consent, on   Obtaining genes predictive of response might also lead to
        behalf of a prospective subject, to the subject’s participation   defining the group of people who, because they are likely to
        in the clinical trial.
                                                               get better spontaneously, are going to get minimal benefit
        Legal representative of sponsor: An individual, company,   from the drug.
        institution, or organisation authorised to act on behalf of the
        sponsor of a clinical trial. Must be based in the EU or the
        EEA, which includes Iceland, Norway, and Liechtenstein.                         M
        Leiter der klinischen Prüfung: Under the German Drug
        Law, the physician who is head of the clinical investigation.

        Life threatening adverse event/experience: Any adverse
        drug experience that places the patient or subject, in the   MAH: See Marketing Authorisation Holder.
        view of the investigator, at immediate risk of death from   Main objective of the trial: A description of the main
        the reaction as it occurred (i.e., it does not include a   objectives of the trial.
        reaction that, had it occurred in a more severe form, might
        have caused death).                                    Mapping: In the context of representing or exchanging
                                                               data, connecting an item or symbol to a code or concept.
        Ligand: A molecule that binds to another. Often a soluble   Compare with translation.
        molecule such as a hormone or neurotransmitter, that binds
        to a receptor.                                         Marketing Authorization Application (AMM): An
                                                               application submitted by a sponsor to the EMEA for
        Listed location countries: Countries in which research   approval to market a new drug (a new, non-biological
        facilities for a study are located. A country is listed only   molecular entity) for human use in Europe.
        once, even if there is more than one facility in the country.
        The list includes all countries as of the Last Updated date;   Marketing Authorization Holder (MAH): The Company
        any country for which all facilities were removed from the   named on the Marketing Authorisation for a specific
        study record are listed under Removed location countries.  product in a particular country.

        Logarithmic scale: A scale in which the logarithm of a   Marketing Authorisation: The approval granted by the
        value is used instead of the value. In a logarithmic scale on   Regulatory Authority to market a specific product in a
        a RevMan forest plot, the distance between 1 and 10 is the   particular country.
        same as the distance between 10 and 100, or between 100
        and 1000. A logarithmic scale may be used when the range   Marketing support trials: Clinical studies that are
        of numbers being represented is large, or to represent ratios.  designed to clarify therapeutic benefits of a marketed
                                                               product or to show potential decision makers the rationale
        Logistic regression: A form of regression analysis that   for preferring one therapy over another.
        models an individual’s odds of disease or some other
        outcome as a function of a risk factor or intervention. It is   Markup: Computer-processable annotations within a
        widely used for dichotomous outcomes, in particular, to   multimedia document. Note: In the context of the HL7
        carry out adjusted analysis.                           specification, markup syntax is according to the XML
                                                               Specification.
        Longitudinal study: Investigation in which data are
        collected from a number of subjects over a long period of   Masking (or blinding): A clinical trial design strategy in
        time (a well-known example is the Framingham Study).   which one or more parties involved in the trial, such as the
                                                               investigator or participants, do not know which participants


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