Table 1. Standard analyses and reporting of clinical and virological endpoints in early-phase trials of dengue therapeutics.
Variable* | Endpoint to report for each treatment arm |
Adverse events | Listings and summaries of adverse and severe adverse events with reference to standard definitions (e.g. Common Terminology Criteria for Adverse Events (CTCAE) v4.0 (Cancer Therapy Evaluation Program, NIH)). |
Fever | Fever clearance time—defined as the time from the start of treatment to the start of the first 24-h period during which the tympanic or oral temperature remains below 37.5°C (with 6-hourly measurements). |
Hemorrhage | Proportions of patients with mild, moderate, or severe bleeding according to the following definitions:MILD: petechiae and/or minor self-limiting mucosal bleeding that does not require an intervention (e.g. minor nose bleeds, gum bleeds)MODERATE: by clinical judgement, more severe skin or mucosal bleeding but not requiring a transfusion or fluid resuscitation (e.g. small haematemesis or widespread bruising/ecchymoses)SEVERE: bleeding causing haemodynamic compromise requiring fluid resuscitation or use of blood products; any intracranial bleed (regardless of need for fluids); any bleed causing death |
Virological features | Area under the log-transformed viremia curve from first dose to the end of study day 7 (AUC)aTime to resolution of viremia (<1000 copies/ml)aTime to resolution of plasma NS1 antigenemia—defined as the first time NS1 becomes undetectable in plasma |
Capillary permeability | Maximum % hemoconcentration—determined by comparison of the maximum Hct detected in the acute phase and a baseline measurement or an age/gender matched population value |
Hematology | Minimum platelet count during the critical phaseMaximum aPTT during the critical phaseMaximum INR during the critical phaseMinimum fibrinogen during the critical phase |
Biochemistry | Highest hepatic transaminase levels (AST/ALT) |
Comparisons of laboratory and virological features between study groups should be adjusted for the baseline value, the day of illness on admission, and serotype/serology (for virological features) to maximize power.
AUC calculated based on the trapezoidal rule with values below the limit of detection replaced by half of the detection limit.