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Outcomes and related issues of clinical trials for COVID-19
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DOI   10.11656/j.issn.1672-1519.2020.10.08
Key Words   coronavirus disease 2019;clinical trial;outcome;core outcome set
Author NameAffiliationE-mail
JIN Xinyao Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
PANG Bo Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
WANG Hui Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
WANG Keyi Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
PANG Wentai Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
ZHENG Wenke Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LIU Chunxiang Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
YANG Fengwen Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
ZHANG Yonggang Chinese Evidence-based Medicine Center, West China Hospital of Sichuan University, Chengdu 610041, China  
YU Chunquan Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China ycq-4@163.com。 
ZHANG Junhua Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China zjhtcm@foxmail.com 
Abstract
    [Objective] To analyze the outcomes in registered clinical trial protocols for coronavirus disease 2019 (COVID-19),in order to provide information for improving the rationality of outcomes of relative research as well as for developing core outcome set.[Methods] The website of the Clinical Trial Registry www.chictr.org.cn and clinicaltrials.gov were searched with the key words of novel coronavirus pneumonia,2019-nCOV,COVID-19. Research protocols of all kinds of interventions for COVID-19 were screened,and data were extracted in regard to basic information as well as outcomes. Descriptive analysis was conducted.[Results] A total of 78 research protocols on COVID-19 were included. 259 outcomes were reported with a frequency of 596,including 104 primary outcomes with 184 times and 205 secondary outcomes with 412 times. The number of outcomes adopted by a single research ranged from 1 to 15,with an average of 8. After standardization,132 outcomes were finally concluded from the 259,covering 8 domains of clinical symptoms,laboratory examination,etiology test,important clinical events,quality of life,prognosis,traditional Chinese medicine indicators and safety index.[Conclusion] There were several problems in the outcomes adopted in clinical study protocols of COVID-19,such as irregular expression,unclear timing of measurement,significant outcomes difference among similar researches and mismatch of target and research purpose as well. It is necessary to establish a core outcome set for clinical trials of COVID-19 (COS-COVID),so as to provide references for the optimization of relevant protocols and the development of new researches.

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