Threats to validity in the design and conduct of preclinical efficacy studies: a systematic review of guidelines for in vivo animal experiments.

<h4>Background</h4>The vast majority of medical interventions introduced into clinical development prove unsafe or ineffective. One prominent explanation for the dismal success rate is flawed preclinical research. We conducted a systematic review of preclinical research guidelines and or...

Full description

Saved in:
Bibliographic Details
Main Authors: Valerie C Henderson, Jonathan Kimmelman, Dean Fergusson, Jeremy M Grimshaw, Dan G Hackam
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS Medicine
Online Access:https://doi.org/10.1371/journal.pmed.1001489
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849320740441030656
author Valerie C Henderson
Jonathan Kimmelman
Dean Fergusson
Jeremy M Grimshaw
Dan G Hackam
author_facet Valerie C Henderson
Jonathan Kimmelman
Dean Fergusson
Jeremy M Grimshaw
Dan G Hackam
author_sort Valerie C Henderson
collection DOAJ
description <h4>Background</h4>The vast majority of medical interventions introduced into clinical development prove unsafe or ineffective. One prominent explanation for the dismal success rate is flawed preclinical research. We conducted a systematic review of preclinical research guidelines and organized recommendations according to the type of validity threat (internal, construct, or external) or programmatic research activity they primarily address.<h4>Methods and findings</h4>We searched MEDLINE, Google Scholar, Google, and the EQUATOR Network website for all preclinical guideline documents published up to April 9, 2013 that addressed the design and conduct of in vivo animal experiments aimed at supporting clinical translation. To be eligible, documents had to provide guidance on the design or execution of preclinical animal experiments and represent the aggregated consensus of four or more investigators. Data from included guidelines were independently extracted by two individuals for discrete recommendations on the design and implementation of preclinical efficacy studies. These recommendations were then organized according to the type of validity threat they addressed. A total of 2,029 citations were identified through our search strategy. From these, we identified 26 guidelines that met our eligibility criteria--most of which were directed at neurological or cerebrovascular drug development. Together, these guidelines offered 55 different recommendations. Some of the most common recommendations included performance of a power calculation to determine sample size, randomized treatment allocation, and characterization of disease phenotype in the animal model prior to experimentation.<h4>Conclusions</h4>By identifying the most recurrent recommendations among preclinical guidelines, we provide a starting point for developing preclinical guidelines in other disease domains. We also provide a basis for the study and evaluation of preclinical research practice. Please see later in the article for the Editors' Summary.
format Article
id doaj-art-5a9da298f96d473892d5be3fc7ee48fe
institution Kabale University
issn 1549-1277
1549-1676
language English
publishDate 2013-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS Medicine
spelling doaj-art-5a9da298f96d473892d5be3fc7ee48fe2025-08-20T03:49:59ZengPublic Library of Science (PLoS)PLoS Medicine1549-12771549-16762013-01-01107e100148910.1371/journal.pmed.1001489Threats to validity in the design and conduct of preclinical efficacy studies: a systematic review of guidelines for in vivo animal experiments.Valerie C HendersonJonathan KimmelmanDean FergussonJeremy M GrimshawDan G Hackam<h4>Background</h4>The vast majority of medical interventions introduced into clinical development prove unsafe or ineffective. One prominent explanation for the dismal success rate is flawed preclinical research. We conducted a systematic review of preclinical research guidelines and organized recommendations according to the type of validity threat (internal, construct, or external) or programmatic research activity they primarily address.<h4>Methods and findings</h4>We searched MEDLINE, Google Scholar, Google, and the EQUATOR Network website for all preclinical guideline documents published up to April 9, 2013 that addressed the design and conduct of in vivo animal experiments aimed at supporting clinical translation. To be eligible, documents had to provide guidance on the design or execution of preclinical animal experiments and represent the aggregated consensus of four or more investigators. Data from included guidelines were independently extracted by two individuals for discrete recommendations on the design and implementation of preclinical efficacy studies. These recommendations were then organized according to the type of validity threat they addressed. A total of 2,029 citations were identified through our search strategy. From these, we identified 26 guidelines that met our eligibility criteria--most of which were directed at neurological or cerebrovascular drug development. Together, these guidelines offered 55 different recommendations. Some of the most common recommendations included performance of a power calculation to determine sample size, randomized treatment allocation, and characterization of disease phenotype in the animal model prior to experimentation.<h4>Conclusions</h4>By identifying the most recurrent recommendations among preclinical guidelines, we provide a starting point for developing preclinical guidelines in other disease domains. We also provide a basis for the study and evaluation of preclinical research practice. Please see later in the article for the Editors' Summary.https://doi.org/10.1371/journal.pmed.1001489
spellingShingle Valerie C Henderson
Jonathan Kimmelman
Dean Fergusson
Jeremy M Grimshaw
Dan G Hackam
Threats to validity in the design and conduct of preclinical efficacy studies: a systematic review of guidelines for in vivo animal experiments.
PLoS Medicine
title Threats to validity in the design and conduct of preclinical efficacy studies: a systematic review of guidelines for in vivo animal experiments.
title_full Threats to validity in the design and conduct of preclinical efficacy studies: a systematic review of guidelines for in vivo animal experiments.
title_fullStr Threats to validity in the design and conduct of preclinical efficacy studies: a systematic review of guidelines for in vivo animal experiments.
title_full_unstemmed Threats to validity in the design and conduct of preclinical efficacy studies: a systematic review of guidelines for in vivo animal experiments.
title_short Threats to validity in the design and conduct of preclinical efficacy studies: a systematic review of guidelines for in vivo animal experiments.
title_sort threats to validity in the design and conduct of preclinical efficacy studies a systematic review of guidelines for in vivo animal experiments
url https://doi.org/10.1371/journal.pmed.1001489
work_keys_str_mv AT valeriechenderson threatstovalidityinthedesignandconductofpreclinicalefficacystudiesasystematicreviewofguidelinesforinvivoanimalexperiments
AT jonathankimmelman threatstovalidityinthedesignandconductofpreclinicalefficacystudiesasystematicreviewofguidelinesforinvivoanimalexperiments
AT deanfergusson threatstovalidityinthedesignandconductofpreclinicalefficacystudiesasystematicreviewofguidelinesforinvivoanimalexperiments
AT jeremymgrimshaw threatstovalidityinthedesignandconductofpreclinicalefficacystudiesasystematicreviewofguidelinesforinvivoanimalexperiments
AT danghackam threatstovalidityinthedesignandconductofpreclinicalefficacystudiesasystematicreviewofguidelinesforinvivoanimalexperiments