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Study design <p>Methodological commentary.</p> Objectives <p>To summarise key methodological and operational principles for designing and conducting large, international, investigator-driven clinical trials involving physical interventions for people with recent spinal cord injuries (SCI). This paper draws on our experience designing and conducting The Early and Intensive Motor Training&#xa0;for&#xa0;SCI Trial (SCI-MT&#xa0;Trial).</p> Setting <p>15 spinal injury units across Australia, Scotland, England, Italy, the Netherlands, Norway, and Belgium.</p> Methods <p>We reviewed the SCI-MT Trial&#xa0;protocol, documentation, and procedures to identify key methodological and operational issues relevant to large, international trials involving physical interventions for people with recent SCI. Guidance was developed based on both our practical experience and current recommendations from clinical trial experts, with the aim of informing and supporting future trialists.</p> Results <p>We identified key principles that should be considered when designing and conducting trials of physical interventions for people with recent SCI. These included principles related to trial design (Methodological Principles) and trial conduct (Operational Principles).</p> Conclusions <p>This paper provides guidance on the principles and practicalities of designing and implementing large, international, investigator-driven clinical trials. It is intended to assist future trialists in planning trials that are methodologically rigorous, operationally feasible, and ethically robust.</p> Trial registration <p>ACTRN12621000091808 (1.2.2021).</p> Trial identifier no <p>U1111-1264-1689.</p> Protocol no <p>Version 1.3, 22nd Oct 2021.</p>

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The Early and Intensive Motor Training for Spinal Cord Injury Trial: key principles to consider when undertaking large international investigator-driven clinical trials

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月30日

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  • Lisa A. Harvey,
  • Joanne V. Glinsky,
  • Jackie Chu,
  • Marsha Ben,
  • Chris Bell,
  • Lydia W. Chen,
  • Sophia Denis,
  • Fernanda Di Natal,
  • Emilie J. Gollan,
  • Vivien Jørgensen,
  • Charlotte C. M. Van Laake-Geelen,
  • Jessica van der Lede,
  • Claire Lincoln,
  • Mark McDonald,
  • Kristine Oostra,
  • Sue Paddison,
  • Donna Rainey,
  • Christine Rimmer,
  • Sharon Roberts,
  • Lot Van Roey,
  • Giorgio Scivoletto,
  • Annemie I. Spooren,
  • Janneke M. Stolwijk,
  • Federica Tamburella,
  • Keira E. Tranter

摘要

Study design

Methodological commentary.

Objectives

To summarise key methodological and operational principles for designing and conducting large, international, investigator-driven clinical trials involving physical interventions for people with recent spinal cord injuries (SCI). This paper draws on our experience designing and conducting The Early and Intensive Motor Training for SCI Trial (SCI-MT Trial).

Setting

15 spinal injury units across Australia, Scotland, England, Italy, the Netherlands, Norway, and Belgium.

Methods

We reviewed the SCI-MT Trial protocol, documentation, and procedures to identify key methodological and operational issues relevant to large, international trials involving physical interventions for people with recent SCI. Guidance was developed based on both our practical experience and current recommendations from clinical trial experts, with the aim of informing and supporting future trialists.

Results

We identified key principles that should be considered when designing and conducting trials of physical interventions for people with recent SCI. These included principles related to trial design (Methodological Principles) and trial conduct (Operational Principles).

Conclusions

This paper provides guidance on the principles and practicalities of designing and implementing large, international, investigator-driven clinical trials. It is intended to assist future trialists in planning trials that are methodologically rigorous, operationally feasible, and ethically robust.

Trial registration

ACTRN12621000091808 (1.2.2021).

Trial identifier no

U1111-1264-1689.

Protocol no

Version 1.3, 22nd Oct 2021.