Straight talk with...Ken Getz. [Interviewed by Cassandra Willyard].

Abstract:

:How should clinical trials be improved? Ken Getz, a senior fellow at the Tufts Center for the Study of Drug Development, has been thinking up answers to this question for two decades. In 2003, Getz took on a new challenge when he launched the Center for Information & Study on Clinical Research, a nonprofit focused on providing education and outreach on clinical research to the public. Cassandra Willyard asked Getz for his thoughts on trial recruitment, financial conflicts of interest and keeping trial participants safe.

journal_name

Nat Med

journal_title

Nature medicine

authors

Getz K

doi

10.1038/nm0210-154

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

154

issue

2

eissn

1078-8956

issn

1546-170X

pii

nm0210-154

journal_volume

16

pub_type

面试
  • Restoration of immunity in lymphopenic individuals with cancer by vaccination and adoptive T-cell transfer.

    abstract::Immunodeficiency is a barrier to successful vaccination in individuals with cancer and chronic infection. We performed a randomized phase 1/2 study in lymphopenic individuals after high-dose chemotherapy and autologous hematopoietic stem cell transplantation for myeloma. Combination immunotherapy consisting of a singl...

    journal_title:Nature medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1038/nm1310

    authors: Rapoport AP,Stadtmauer EA,Aqui N,Badros A,Cotte J,Chrisley L,Veloso E,Zheng Z,Westphal S,Mair R,Chi N,Ratterree B,Pochran MF,Natt S,Hinkle J,Sickles C,Sohal A,Ruehle K,Lynch C,Zhang L,Porter DL,Luger S,Guo C,

    更新日期:2005-11-01 00:00:00

  • Vaccines: past, present and future.

    abstract::The vaccines developed over the first two hundred years since Jenner's lifetime have accomplished striking reductions of infection and disease wherever applied. Pasteur's early approaches to vaccine development, attenuation and inactivation, are even now the two poles of vaccine technology. Today, purification of micr...

    journal_title:Nature medicine

    pub_type: 历史文章,杂志文章

    doi:10.1038/nm1209

    authors: Plotkin SA

    更新日期:2005-04-01 00:00:00

  • Novel role of human CD4 molecule identified in neurodegeneration.

    abstract::The human CD4 molecule (hCD4) is expressed on T lymphocytes and macrophages and acts as a key component of the cellular receptor for HIV. At baseline, hCD4 transgenic mice expressed hCD4 on microglia, the resident mononuclear phagocytes of the brain, and showed no neuronal damage. Activation of brain microglia by peri...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0498-441

    authors: Buttini M,Westland CE,Masliah E,Yafeh AM,Wyss-Coray T,Mucke L

    更新日期:1998-04-01 00:00:00

  • Failure of T-cell homeostasis preceding AIDS in HIV-1 infection. The Multicenter AIDS Cohort Study.

    abstract::We and others have postulated that a constant number of T lymphocytes is normally maintained without regard to CD4+ or CD8+ phenotype ('blind' T-cell homeostasis). Here we confirm essentially constant T-cell levels (despite marked decline in CD4+ T cells and increase in CD8+ T cells) in homosexual men with incident hu...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0795-674

    authors: Margolick JB,Muñoz A,Donnenberg AD,Park LP,Galai N,Giorgi JV,O'Gorman MR,Ferbas J

    更新日期:1995-07-01 00:00:00

  • Targeting sphingosine-1-phosphate lyase as an anabolic therapy for bone loss.

    abstract::Sphingosine-1-phosphate (S1P) signaling influences bone metabolism, but its therapeutic potential in bone disorders has remained unexplored. We show that raising S1P levels in adult mice through conditionally deleting or pharmacologically inhibiting S1P lyase, the sole enzyme responsible for irreversibly degrading S1P...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-018-0005-y

    authors: Weske S,Vaidya M,Reese A,von Wnuck Lipinski K,Keul P,Bayer JK,Fischer JW,Flögel U,Nelsen J,Epple M,Scatena M,Schwedhelm E,Dörr M,Völzke H,Moritz E,Hannemann A,Rauch BH,Gräler MH,Heusch G,Levkau B

    更新日期:2018-05-01 00:00:00

  • Deciphering the genomic, epigenomic, and transcriptomic landscapes of pre-invasive lung cancer lesions.

    abstract::The molecular alterations that occur in cells before cancer is manifest are largely uncharted. Lung carcinoma in situ (CIS) lesions are the pre-invasive precursor to squamous cell carcinoma. Although microscopically identical, their future is in equipoise, with half progressing to invasive cancer and half regressing o...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-018-0323-0

    authors: Teixeira VH,Pipinikas CP,Pennycuick A,Lee-Six H,Chandrasekharan D,Beane J,Morris TJ,Karpathakis A,Feber A,Breeze CE,Ntolios P,Hynds RE,Falzon M,Capitanio A,Carroll B,Durrenberger PF,Hardavella G,Brown JM,Lynch AG,Fa

    更新日期:2019-03-01 00:00:00

  • HIV-specific mucosal and cellular immunity in HIV-seronegative partners of HIV-seropositive individuals.

    abstract::HIV-specific mucosal and cellular immunity was analyzed in heterosexual couples discordant for HIV status in serum and in HIV-unexposed controls. HIV-specific IgA but not IgG was present in urine and vaginal wash samples from HIV-exposed seronegative individuals (ESN), whereas both IgA and IgG were observed in their H...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm1197-1250

    authors: Mazzoli S,Trabattoni D,Lo Caputo S,Piconi S,Blé C,Meacci F,Ruzzante S,Salvi A,Semplici F,Longhi R,Fusi ML,Tofani N,Biasin M,Villa ML,Mazzotta F,Clerici M

    更新日期:1997-11-01 00:00:00

  • Neoadjuvant nivolumab modifies the tumor immune microenvironment in resectable glioblastoma.

    abstract::Glioblastoma is the most common primary central nervous system malignancy and has a poor prognosis. Standard first-line treatment, which includes surgery followed by adjuvant radio-chemotherapy, produces only modest benefits to survival1,2. Here, to explore the feasibility, safety and immunobiological effects of PD-1 ...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-018-0339-5

    authors: Schalper KA,Rodriguez-Ruiz ME,Diez-Valle R,López-Janeiro A,Porciuncula A,Idoate MA,Inogés S,de Andrea C,López-Diaz de Cerio A,Tejada S,Berraondo P,Villarroel-Espindola F,Choi J,Gúrpide A,Giraldez M,Goicoechea I,Gallego Pe

    更新日期:2019-03-01 00:00:00

  • Bovine beta-lactoglobulin modified by 3-hydroxyphthalic anhydride blocks the CD4 cell receptor for HIV.

    abstract::Sexual transmission is the most frequent (86%) route of adult HIV-1 transmission worldwide. In the absence of a prophylactic anti-HIV vaccine, other methods of preventing infection should be implemented. Virucidal spermicides have been considered for this purpose, but their application is contraindicated by adverse ef...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0296-230

    authors: Neurath AR,Jiang S,Strick N,Lin K,Li YY,Debnath AK

    更新日期:1996-02-01 00:00:00

  • Marked amelioration of established collagen-induced arthritis by treatment with antibodies to CD23 in vivo.

    abstract::CD23 is a low-affinity receptor for immunoglobulin E (IgE) expressed by a variety of haematopoietic cells. Proteolytic cleavage of the transmembrane receptor generates soluble forms, which can be detected in biological fluids. CD23 regulates many functional aspects of immune cells, both in its cell-associated and solu...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0895-781

    authors: Plater-Zyberk C,Bonnefoy JY

    更新日期:1995-08-01 00:00:00

  • Regulatory role for macrophage migration inhibitory factor in acute respiratory distress syndrome.

    abstract::Migration inhibitory factor (MIF) is known to exert significant pro-inflammatory effects and has the potential to override the anti-inflammatory action of glucocorticoids. In this study we have identified significant quantities of MIF in the alveolar airspaces of patients with acute respiratory distress syndrome (ARDS...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0397-320

    authors: Donnelly SC,Haslett C,Reid PT,Grant IS,Wallace WA,Metz CN,Bruce LJ,Bucala R

    更新日期:1997-03-01 00:00:00

  • Translational control of tumor immune escape via the eIF4F-STAT1-PD-L1 axis in melanoma.

    abstract::Preventing the immune escape of tumor cells by blocking inhibitory checkpoints, such as the interaction between programmed death ligand-1 (PD-L1) and programmed death-1 (PD-1) receptor, is a powerful anticancer approach. However, many patients do not respond to checkpoint blockade. Tumor PD-L1 expression is a potentia...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-018-0217-1

    authors: Cerezo M,Guemiri R,Druillennec S,Girault I,Malka-Mahieu H,Shen S,Allard D,Martineau S,Welsch C,Agoussi S,Estrada C,Adam J,Libenciuc C,Routier E,Roy S,Désaubry L,Eggermont AM,Sonenberg N,Scoazec JY,Eychène A,Vagner

    更新日期:2018-12-01 00:00:00

  • GLUT4 heterozygous knockout mice develop muscle insulin resistance and diabetes.

    abstract::GLUT4, the insulin-responsive glucose transporter, plays an important role in postprandial glucose disposal. Altered GLUT4 activity is suggested to be one of the factors responsible for decreased glucose uptake in muscle and adipose tissue in obesity and diabetes. To assess the effect of GLUT4 expression on whole-body...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm1097-1096

    authors: Stenbit AE,Tsao TS,Li J,Burcelin R,Geenen DL,Factor SM,Houseknecht K,Katz EB,Charron MJ

    更新日期:1997-10-01 00:00:00

  • Beta-catenin stabilization extends regulatory T cell survival and induces anergy in nonregulatory T cells.

    abstract::Beta-catenin is a central molecule in the Wnt pathway. Expression of a stable form of beta-catenin on CD4+CD25+ regulatory T (T(reg)) cells resulted in a marked enhancement of survival of these cells in vitro. Furthermore, stable beta-catenin-expressing CD4+CD25+ T(reg) cells outcompeted control T(reg) cells in vivo, ...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm1707

    authors: Ding Y,Shen S,Lino AC,Curotto de Lafaille MA,Lafaille JJ

    更新日期:2008-02-01 00:00:00

  • Uncoupling protein-2 prevents neuronal death and diminishes brain dysfunction after stroke and brain trauma.

    abstract::Whereas uncoupling protein 1 (UCP-1) is clearly involved in thermogenesis, the role of UCP-2 is less clear. Using hybridization, cloning techniques and cDNA array analysis to identify inducible neuroprotective genes, we found that neuronal survival correlates with increased expression of Ucp2. In mice overexpressing h...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm903

    authors: Mattiasson G,Shamloo M,Gido G,Mathi K,Tomasevic G,Yi S,Warden CH,Castilho RF,Melcher T,Gonzalez-Zulueta M,Nikolich K,Wieloch T

    更新日期:2003-08-01 00:00:00

  • Siglec-15 as an immune suppressor and potential target for normalization cancer immunotherapy.

    abstract::Overexpression of the B7-H1 (PD-L1) molecule in the tumor microenvironment (TME) is a major immune evasion mechanism in some patients with cancer, and antibody blockade of the B7-H1/PD-1 interaction can normalize compromised immunity without excessive side-effects. Using a genome-scale T cell activity array, we identi...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-019-0374-x

    authors: Wang J,Sun J,Liu LN,Flies DB,Nie X,Toki M,Zhang J,Song C,Zarr M,Zhou X,Han X,Archer KA,O'Neill T,Herbst RS,Boto AN,Sanmamed MF,Langermann S,Rimm DL,Chen L

    更新日期:2019-04-01 00:00:00

  • A cannabinoid mechanism in relapse to cocaine seeking.

    abstract::Treatment of cocaine addiction is hampered by high rates of relapse even after prolonged drug abstinence. This relapse to compulsive cocaine use can be triggered by re-exposure to cocaine, by re-exposure to stimuli previously associated with cocaine or by exposure to stress. In laboratory rats, similar events reinstat...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm1001-1151

    authors: De Vries TJ,Shaham Y,Homberg JR,Crombag H,Schuurman K,Dieben J,Vanderschuren LJ,Schoffelmeer AN

    更新日期:2001-10-01 00:00:00

  • Epigenetic modulation of the renal β-adrenergic-WNK4 pathway in salt-sensitive hypertension.

    abstract::How high salt intake increases blood pressure is a key question in the study of hypertension. Salt intake induces increased renal sympathetic activity resulting in sodium retention. However, the mechanisms underlying the sympathetic control of renal sodium excretion remain unclear. In this study, we found that β(2)-ad...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.2337

    authors: Mu S,Shimosawa T,Ogura S,Wang H,Uetake Y,Kawakami-Mori F,Marumo T,Yatomi Y,Geller DS,Tanaka H,Fujita T

    更新日期:2011-05-01 00:00:00

  • Alternate replication in B cells and epithelial cells switches tropism of Epstein-Barr virus.

    abstract::Epstein-Barr virus is ubiquitous and is causally implicated in lymphoid and epithelial malignancies. Virus invades oropharyngeal mucosa and establishes latency in B lymphocytes. Reactivating lymphocytes shed virus into saliva for spread to new hosts. A complex of three virus glycoproteins, gH, gL and gp42, is essentia...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0602-594

    authors: Borza CM,Hutt-Fletcher LM

    更新日期:2002-06-01 00:00:00

  • Studying clonal dynamics in response to cancer therapy using high-complexity barcoding.

    abstract::Resistance to cancer therapies presents a significant clinical challenge. Recent studies have revealed intratumoral heterogeneity as a source of therapeutic resistance. However, it is unclear whether resistance is driven predominantly by pre-existing or de novo alterations, in part because of the resolution limits of ...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.3841

    authors: Bhang HE,Ruddy DA,Krishnamurthy Radhakrishna V,Caushi JX,Zhao R,Hims MM,Singh AP,Kao I,Rakiec D,Shaw P,Balak M,Raza A,Ackley E,Keen N,Schlabach MR,Palmer M,Leary RJ,Chiang DY,Sellers WR,Michor F,Cooke VG,Korn JM

    更新日期:2015-05-01 00:00:00

  • The histone lysine methyltransferase KMT2D sustains a gene expression program that represses B cell lymphoma development.

    abstract::The gene encoding the lysine-specific histone methyltransferase KMT2D has emerged as one of the most frequently mutated genes in follicular lymphoma and diffuse large B cell lymphoma; however, the biological consequences of KMT2D mutations on lymphoma development are not known. Here we show that KMT2D functions as a b...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm.3943

    authors: Ortega-Molina A,Boss IW,Canela A,Pan H,Jiang Y,Zhao C,Jiang M,Hu D,Agirre X,Niesvizky I,Lee JE,Chen HT,Ennishi D,Scott DW,Mottok A,Hother C,Liu S,Cao XJ,Tam W,Shaknovich R,Garcia BA,Gascoyne RD,Ge K,Shilatif

    更新日期:2015-10-01 00:00:00

  • Delay of HIV-1 rebound after cessation of antiretroviral therapy through passive transfer of human neutralizing antibodies.

    abstract::To determine the protective potential of the humoral immune response against HIV-1 in vivo we evaluated the potency of three neutralizing antibodies (2G12, 2F5 and 4E10) in suppressing viral rebound in six acutely and eight chronically HIV-1-infected individuals undergoing interruption of antiretroviral treatment (ART...

    journal_title:Nature medicine

    pub_type: 临床试验,杂志文章

    doi:10.1038/nm1244

    authors: Trkola A,Kuster H,Rusert P,Joos B,Fischer M,Leemann C,Manrique A,Huber M,Rehr M,Oxenius A,Weber R,Stiegler G,Vcelar B,Katinger H,Aceto L,Günthard HF

    更新日期:2005-06-01 00:00:00

  • CCL27-CCR10 interactions regulate T cell-mediated skin inflammation.

    abstract::The skin-associated chemokine CCL27 (also called CTACK, ALP and ESkine) and its receptor CCR10 (GPR-2) mediate chemotactic responses of skin-homing T cells in vitro. Here we report that most skin-infiltrating lymphocytes in patients suffering from psoriasis, atopic or allergic-contact dermatitis express CCR10. Epiderm...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0202-157

    authors: Homey B,Alenius H,Müller A,Soto H,Bowman EP,Yuan W,McEvoy L,Lauerma AI,Assmann T,Bünemann E,Lehto M,Wolff H,Yen D,Marxhausen H,To W,Sedgwick J,Ruzicka T,Lehmann P,Zlotnik A

    更新日期:2002-02-01 00:00:00

  • Immunophilins and the nervous system.

    abstract::The search for immunosuppressant drugs to increase the success of organ transplantation led to the discovery of the immunophilins, proteins that interface with a range of signal transduction systems inside cells, especially in the nervous and immune systems. Here we review how these interesting molecules work and cons...

    journal_title:Nature medicine

    pub_type: 杂志文章,评审

    doi:10.1038/nm0195-32

    authors: Snyder SH,Sabatini DM

    更新日期:1995-01-01 00:00:00

  • Human immunodeficiency virus type 1 neutralizing antibodies accelerate clearance of cell-free virions from blood plasma.

    abstract::The concentration of human immunodeficiency virus type 1 (HIV-1) particles in blood plasma is very predictive of the subsequent disease course in an infected individual; its measurement has become one of the most important parameters for monitoring clinical status. Steady-state virus levels in plasma reflect a balance...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/5576

    authors: Igarashi T,Brown C,Azadegan A,Haigwood N,Dimitrov D,Martin MA,Shibata R

    更新日期:1999-02-01 00:00:00

  • Senolytics improve physical function and increase lifespan in old age.

    abstract::Physical function declines in old age, portending disability, increased health expenditures, and mortality. Cellular senescence, leading to tissue dysfunction, may contribute to these consequences of aging, but whether senescence can directly drive age-related pathology and be therapeutically targeted is still unclear...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-018-0092-9

    authors: Xu M,Pirtskhalava T,Farr JN,Weigand BM,Palmer AK,Weivoda MM,Inman CL,Ogrodnik MB,Hachfeld CM,Fraser DG,Onken JL,Johnson KO,Verzosa GC,Langhi LGP,Weigl M,Giorgadze N,LeBrasseur NK,Miller JD,Jurk D,Singh RJ,Allison

    更新日期:2018-08-01 00:00:00

  • DNA repair processes are critical mediators of p53-dependent tumor suppression.

    abstract::It has long been assumed that p53 suppresses tumor development through induction of apoptosis, possibly with contributions by cell cycle arrest and cell senescence1,2. However, combined deficiency in these three processes does not result in spontaneous tumor formation as observed upon loss of p53, suggesting the exist...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-018-0043-5

    authors: Janic A,Valente LJ,Wakefield MJ,Di Stefano L,Milla L,Wilcox S,Yang H,Tai L,Vandenberg CJ,Kueh AJ,Mizutani S,Brennan MS,Schenk RL,Lindqvist LM,Papenfuss AT,O'Connor L,Strasser A,Herold MJ

    更新日期:2018-07-01 00:00:00

  • External stenting reduces long-term medial and neointimal thickening and platelet derived growth factor expression in a pig model of arteriovenous bypass grafting.

    abstract::Bypass of stenotic coronary arteries with autologous saphenous vein is an established treatment for ischemic heart disease. However, its long-term clinical success is limited. Late vein graft failure is the result of medial and intimal thickening consequent upon medial vascular smooth muscle cell migration, proliferat...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/nm0298-235

    authors: Mehta D,George SJ,Jeremy JY,Izzat MB,Southgate KM,Bryan AJ,Newby AC,Angelini GD

    更新日期:1998-02-01 00:00:00

  • Publisher Correction: Gut microbiota-bile acid-interleukin-22 axis orchestrates polycystic ovary syndrome.

    abstract::An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...

    journal_title:Nature medicine

    pub_type: 已发布勘误

    doi:10.1038/s41591-019-0562-8

    authors: Qi X,Yun C,Sun L,Xia J,Wu Q,Wang Y,Wang L,Zhang Y,Liang X,Wang L,Gonzalez FJ,Patterson AD,Liu H,Mu L,Zhou Z,Zhao Y,Li R,Liu P,Zhong C,Pang Y,Jiang C,Qiao J

    更新日期:2019-09-01 00:00:00

  • Preventing dysbiosis of the neonatal mouse intestinal microbiome protects against late-onset sepsis.

    abstract::Late-onset sepsis (LOS) is thought to result from systemic spread of commensal microbes from the intestines of premature infants. Clinical use of probiotics for LOS prophylaxis has varied owing to limited efficacy, reflecting an incomplete understanding of relationships between development of the intestinal microbiome...

    journal_title:Nature medicine

    pub_type: 杂志文章

    doi:10.1038/s41591-019-0640-y

    authors: Singer JR,Blosser EG,Zindl CL,Silberger DJ,Conlan S,Laufer VA,DiToro D,Deming C,Kumar R,Morrow CD,Segre JA,Gray MJ,Randolph DA,Weaver CT

    更新日期:2019-11-01 00:00:00