Comparison of Manual and Automated Measurements of the QT Interval in Healthy Volunteers: An Analysis of Five Thorough QT Studies

被引:24
作者
Fosser, C. [2 ]
Duczynski, G. [2 ]
Agin, M. [3 ]
Wicker, P. [1 ,4 ]
Darpo, B. [5 ]
机构
[1] PW Consulting LLC, Mystic, CT USA
[2] Pfizer Inc, Pfizer Global Res & Dev, New London, CT USA
[3] MM&T Associates LLC, Ann Arbor, MI USA
[4] Spacelabs Clin Trial Serv, Seattle, WA USA
[5] Karolinska Inst, Dept Med, Stockholm & Cardiol Unit, Stockholm, Sweden
关键词
ECG; REPRODUCIBILITY;
D O I
10.1038/clpt.2009.34
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
We analyzed five crossover, thorough QT (TQT) studies to compare automated, manual, and computer-assisted (CA) measurement methods. All the methods detected moxifloxacin-induced, baseline-adjusted, placebo-subtracted mean changes in Fridericia-corrected QT interval (QTcF), with peak effect ranging from 10 to 21 ms. The variability associated with manual and CA measurements was generally 5-28% greater than that associated with automated methods. The performances of automated, manual, and CA measurements were comparable for the purpose of demonstrating assay sensitivity in TQT studies with healthy volunteers.
引用
收藏
页码:503 / 506
页数:4
相关论文
共 14 条
[1]   Comparing methods of measurement for detecting drug-induced changes in the QT interval: Implications for thoroughly conducted ECG studies [J].
Azie, NE ;
Adams, G ;
Darpo, B ;
Francom, SF ;
Polasek, EC ;
Wisser, JM ;
Fleishaker, JC .
ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, 2004, 9 (02) :166-174
[2]   COMPARING METHODS OF MEASUREMENT - WHY PLOTTING DIFFERENCE AGAINST STANDARD METHOD IS MISLEADING [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1995, 346 (8982) :1085-1087
[3]   Man versus machine: Is there an optimal method for QT measurements in thorough QT studies? [J].
Darpo, Borje ;
Agin, Marilyn ;
Kazierad, Dawd J. ;
Layton, Gary ;
Muirhead, Gary ;
Gray, Peter ;
Jorkasky, Diane K. .
JOURNAL OF CLINICAL PHARMACOLOGY, 2006, 46 (06) :598-612
[4]   Precision of QT interval measurement by advanced electrocardiographic equipment [J].
Hnatkova, Katerina ;
Gang, Yi ;
Batchvarov, Velislav N. ;
Malik, Marek .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2006, 29 (11) :1277-1284
[5]  
*INT C HARM, 2008, E14 IMPL WORK GROUP
[6]  
International Conference on Harmonisation, 2005, ICH HARM TRIP GUID E
[7]   Magnitude, mechanism, and reproducibility of QT interval differences between superimposed global and individual lead ECG complexes [J].
Kligfield, Paul ;
Tyl, Benoit ;
Maarek, Martine ;
Maison-Blanche, Pierre .
ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, 2007, 12 (02) :145-152
[8]   Relation of QT interval measurements to evolving automated algorithms from different manufacturers of electrocardiographs [J].
Kligfield, Paul ;
Hancock, E. William ;
Helfenbein, Eric D. ;
Dawson, Emilie J. ;
Cook, Melynda A. ;
Lindauer, James M. ;
Zhou, Sophia H. ;
Xue, Joel .
AMERICAN JOURNAL OF CARDIOLOGY, 2006, 98 (01) :88-92
[9]   Accuracy of four automatic QT measurement techniques in cardiac patients and healthy subjects [J].
McLaughlin, NB ;
Campbell, RWF ;
Murray, A .
HEART, 1996, 76 (05) :422-426
[10]  
Moody G., 2006, PHYSIONET COMPUTERS