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Data and Safety Monitoring in the Beta-Blocker Heart Attack Trial: Early Experience in Formal Monitoring Methods

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Data Monitoring in Clinical Trials

Abstract

The Beta-Blocker Heart Attack Trial (BHAT) compared the beta-blocker propranolol against placebo in 3,837 people who had recently had a myocardial infarction. The primary outcome was total mortality. The trial ended nine months ahead of schedule because of clear benefit from propranolol. The independent monitoring committee considered several newly developed statistical approaches in recommending early stopping, as well as other factors, including what had been communicated in the consent form to the participants.

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References

  1. Norris RM, Clarke ED, Sammel NL, et al. 1978. Protective effect of propranolol in threatened myocardial infarction, Lancet 2:907–909.

    Article  Google Scholar 

  2. Sloman G, Stannard M. 1967. Beta-adrenergic blockade and cardiac arrhythmias. BMJ 4:508–512.

    Article  Google Scholar 

  3. Waagstein F, Hjalmarson AC. 1976. Double-blind study of the effect of cardioselective beta-blockade on chest pain the acute myocardial infarction. Acta Med Scand (suppl) 587:201–208.

    Google Scholar 

  4. Andersen MP, Bechgaard P, Frederiksen J, et al. 1979. Effect of alprenolol on mortality among patients with definite or suspected acute myocardial infarction: Preliminary results. Lancet 2:865–868.

    Article  Google Scholar 

  5. Ahlmark G, Saetre H, Korsgren M. 1974. Reduction of sudden deaths after myocardial infarction, Lancet 2:1563.

    Article  Google Scholar 

  6. Multicentre International Study. 1977. Supplementary report: Reduction in mortality after myocardial infarction with long-term beta-adrenoceptor blockade. BMJ 2:419–421.

    Article  Google Scholar 

  7. Wilhelmsson C, Vedin JA, Wilhelmsen L, et al. 1974. Reduction of sudden deaths after myocardial infarction by treatment with alprenolol. Preliminary results. Lancet 2:1157–1160.

    Article  Google Scholar 

  8. Furberg CD, Friedewald WT. The effects of chronic administration of beta-blockade on long-term survival following myocardial infarction. 1978. In Braunwald E (ed.): Beta-Adrenergic Blockade: A New Era in Cardiovascular Medicine, Excerpta Medica, Amsterdam.

    Google Scholar 

  9. Byington RP for the Beta-Blocker Heart Attack Trial Research Group: Beta Blocker Heart Attack Trial. 1984. design, methods, and baseline results. Control Clin Trials 5:382–437.

    Google Scholar 

  10. The Norwegian Multicenter Study Group. 1981. Timolol-induced reduction in mortality and reinfarction in patients surviving acute myocardial infarction. N Engl J Med 304:801–807.

    Article  Google Scholar 

  11. ß-Blocker Heart Attack Trial Research Group. 1982. A randomized trial of propranolol in patients with acute myocardial infarction. 1. Mortality results. JAMA 247:1707–1714.

    Article  Google Scholar 

  12. Pocock SJ. 1977. Group sequential methods in the design and analysis of clinical trials. Biometrika 64:191–199.

    Article  Google Scholar 

  13. Peto R, Pike MC, Armitage P, et al. 1976. Design and analysis of randomized clinical trials requiring prolonged observations of each patient. I. Introduction and design, Br J Cancer 34:585–612.

    Article  Google Scholar 

  14. O’Brien PC, Fleming TR. 1979. A multiple testing procedure for clinical trials, Biometrics 35:549–556.

    Article  Google Scholar 

  15. DeMets DL, Hardy R, Friedman LM, Lan KKG. 1984. Statistical aspects of early termination in the Beta-Blocker Heart Attack Trial. Control Clin Trials 5:362–372.

    Article  Google Scholar 

  16. Lan KKG, Simon R, Halperin M. 1982. Stochastically curtailed tests in long-term clinical trials. Comm Stat C1:207–219.

    MathSciNet  Google Scholar 

  17. Halperin M, Lan KKG, Ware JH, Johnson NJ, DeMets DL. 1982. An aid to data monitoring in long-term clinical trials. Control Clin Trials 3:311–323.

    Article  Google Scholar 

  18. Canner PL. 1983. Monitoring of the data for evidence of adverse or beneficial treatment effects. Control Clin Trials 4:467–483.

    Article  Google Scholar 

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© 2006 Springer Science+Business Media, Inc.

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Friedman, L.M., DeMets, D.L., Hardy, R. (2006). Data and Safety Monitoring in the Beta-Blocker Heart Attack Trial: Early Experience in Formal Monitoring Methods. In: DeMets, D.L., Furberg, C.D., Friedman, L.M. (eds) Data Monitoring in Clinical Trials. Springer, New York, NY. https://doi.org/10.1007/0-387-30107-0_6

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