Challenging Issues in Clinical Trial Design Part 4 of a 4-Part Series on Statistics for Clinical Trials

被引:45
作者
Pocock, Stuart J. [1 ]
Clayton, Tim C. [1 ]
Stone, Gregg W. [2 ,3 ]
机构
[1] Univ London London Sch Hyg & Trop Med, Dept Med Stat, London WC1E 7HT, England
[2] Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY USA
[3] Columbia Univ, Med Ctr, Cardiovasc Res Fdn, New York, NY USA
关键词
adaptive designs; Data Monitoring Committees; factorial designs; noninferiority trials; randomized controlled trials as topic; statistical stopping guidelines; strategy trials; AORTIC-VALVE-REPLACEMENT; BARE-METAL STENTS; RANDOMIZED-TRIALS; DOUBLE-BLIND; HIGH-RISK; ANTIPLATELET THERAPY; PLATELET INHIBITION; MEDICAL THERAPY; ELUTING STENTS; INTERVENTION;
D O I
10.1016/j.jacc.2015.10.051
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
As a sequel to last week's paper on the fundamentals of clinical trial design, this paper tackles related controversial issues: noninferiority trials, the value of factorial designs, the importance and challenges of strategy trials, Data Monitoring Committees (including when to stop a trial early), and the role of adaptive designs. All topics are illustrated by relevant examples from cardiology trials. (C) 2015 by the American College of Cardiology Foundation.
引用
收藏
页码:2886 / 2898
页数:13
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