News
A Statement from the Global Coordination, Federation and Support of Platform Trials in Acute Care Research Workshop
co-led by the InFACT, ISARIC and ICC-CTN networks
On the 16th and 17th of September 2024, representatives from large platform trials in acute care, research teams associated with investigator-led clinical trials groups and networks globally, public patient representatives and funders met in Dublin, Ireland to discuss the principles, needs and future of platform trials and their operation, coordination, collaboration, governance and funding in acute care research.
In contrast to a conventional randomized clinical trial that evaluates a single treatment, a platform trial studies a population of patients with a disease using a common protocol and statistical model which enables the assessment of multiple therapies simultaneously and
sequentially, more accurately considered a platform upon which multiple individual trials can be run. Platform trials were first introduced in oncology, and the model proliferated in acute care during the COVID-19 pandemic providing the rapid assessment of interventions. As the sense of urgency wanes post COVID-19, the appeal of the platform trial endures – as a mechanism both to meet the research challenges of the next public health crisis and to integrate research into clinical practice to address the myriad questions inherent in providing clinical care. The model creates new opportunities, but also new challenges for trialists, research teams, patients and public, funders, and policy-makers. It is timely and appropriate to enumerate and address these, building on discussions started in Toronto, 2023 at the InFACT/ISARIC/Unity Health Colloquium on the Lessons of COVID-19 for Clinical Research.
The VISION of our collaboration (aspirational, defining a direction for our efforts):
A world where patient outcomes are continuously improved through global research collaboration within a learning health system.
Our MISSION (defines purpose and actionable objectives):
To build a collaborative, equitable and efficient global research ecosystem based on maximizing innovation amongst federated platform and other clinical trials in acute care and health emergencies.
Six working groups were created to facilitate this vision and mission with focussed outputs to guide existing and new platform trials and their collaboration including; Key Components and Taxonomy, Data and Outcomes, Governance, Patient Public partners, Knowledge users and Capacity-Building, Operationalisation, Design, Sustainability and Communications
This group believes that:
- Research plays a pivotal role in the provision and advancement of healthcare.
Research should be embedded and funded within the healthcare system - We can successfully collaborate across platform trials, share resources, data and knowledge to answer questions of clinical care more rapidly and efficiently for patients, clinicians and the public, where appropriate, and particularly during public health threats such as pandemics. We need to communicate to funders, policymakers and regulatory/ethics committees the potential gains of creating such a framework so that shared processes, Core Outcome sets (COS) and shared datasets are established to facilitate and provide this opportunity.
- Research needs to be equitable with increased capacity-building and conduct in low resourced settings with the highest disease burden
- The patients and public voice should be embedded within the research process.
- The value of platform trials versus conventional trials needs to be communicated and recognised with sustainable funding mechanisms applied.
- Mechanisms need to be established for early career researcher development.
- The importance of multi-disciplinary collaboration between clinicians, allied health practitioners, researchers, academics, scientists, as well as with funders, policymakers and patients and the public.
We issue a call to action for trialists, research teams, networks and trial groups, patient and public representatives, clinicians, allied health, and funders to work together in a collaborative approach. By improving the efficiency and sustainability of platform trials, particularly in terms of funding, operationalisation, and translation of outcomes, we aim to revolutionise the way clinical trials are conducted. This unified and embedded learning healthcare approach will transform clinical care globally and ensure that research continually contributes to the betterment of patient outcomes in the face of future public health challenges.
Media Post
Healthcare Innovations and Clinical Trials Campaign 2025
Previous Post on Health News
The ICC-CTN also featured in 2024 on an article on advancing innovation for ICU lung failure patients requiring mechanical ventilation by enhancing biological insights, conducting adaptive trials and involving patients and the public.
Research Co-Ordinator Post
Tallaght University Hospital
This full-time post is advertised on a temporary basis but will very likely continue to be funded on a permanent basis after this year.
The post is open to either nursing graduates, HSCPs or science post-graduates.
Experience with clinical research is essential.
Please pass this information onto any colleagues who may be interested.
WHO Symposium, Toronto
The ICC-CTN formed part of a global representation of respiratory research networks at the WHO Symposium in Toronto in October 2023.
The symposium addressed meeting global needs for oxygen and respiratory care. The preliminary results of the O2Cov2 study, on understanding oxygen use for patients with acute respiratory infection due to COVID-19 in LMICs, were presented and identified the need for optimising respiratory support for critically ill patients. The ICC-CTN and global respiratory research networks collaborated to formulate future directions and develop opportunities and insights for the WHO for global research in this area.
We are delighted to announce the publication of these collaborative discussions.
The initiative reconvenes this May.
Early Career Researcher Seed Funding Award
This year, there will be 3 awardees,:
- 1 ECR (Clinical Research)- 1 Nursing / Allied Health- 1 Trials Methodology
Please see attached the guidance document and application forms. There is a single application for both Nurses/AHPs and Trials Methodology awards.
The call will close on the 23rd of April, when applications will undergo eligibility checks and will be reviewed by independent expert panelists.
The 3 awardees will present their work at the annual ICC-CTN meeting on the 11th of June 2024 in Belfast. Applicants must be available to present on this day.
If you have any questions, please email
TAME Trial Results
TAME Trial Results Presentation at CCR23
TAME Trial Summary from Alistair Nichol & Glenn Eastwood
The TAME (Targeted Therapeutic Mild Hypercapnia after Resuscitated Cardiac Arrest) trial represents a pivotal exploration into the potential benefits of controlled mild hypercapnia in patients who have been resuscitated from out-of-hospital cardiac arrest. This landmark study was conducted across multiple centers, with a significant contribution from the Irish Critical Care Clinical Trial Network, underscoring Ireland's commitment to advancing critical care research on a global scale. The trial's findings were published in the prestigious New England Journal of Medicine (NEJM) and presented at the Critical Care Reviews Meeting 2023 (CCR23), highlighting its importance in the field of critical care medicine.
The background of the TAME trial centers on the hypothesis that targeted mild hypercapnia could improve neurological outcomes in patients after cardiac arrest. Traditionally, the management of carbon dioxide levels post-resuscitation has focused on normocapnia. However, preclinical studies suggested that slightly elevated carbon dioxide levels might confer neuroprotective benefits. The trial aimed to investigate whether this approach could translate into improved clinical outcomes.
Designed as a randomized, controlled trial, TAME meticulously evaluated the impact of inducing mild hypercapnia (targeting a PaCO2 of 45-50 mm Hg) compared to normocapnia (PaCO2 of 35-45 mm Hg) in the critical post-resuscitation period. This intervention was applied for 24 hours, with outcomes measured through a composite of death and neurological function at 90 days post-event, employing the modified Rankin Scale to assess neurological outcomes.
The results of the TAME trial were eagerly anticipated by the critical care community. They provided concrete evidence on the efficacy and safety of targeted therapeutic mild hypercapnia. While the detailed outcomes and implications for practice are encapsulated in its NEJM publication, the presentation at CCR23 facilitated a broader discussion on its potential to reshape post-resuscitation care protocols. Through its rigorous design and execution, the TAME trial not only contributed valuable evidence to critical care medicine but also showcased the vital role of collaborative research networks like the Irish Critical Care Clinical Trial Network in advancing patient care on an international level.

