A framework: make it useful to guide and improve practice of clinical trial design in smaller populations.

BMC Med · 2016

other · Level V

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Abstract

The increased attention to design and analysis of randomised clinical trials in small populations has triggered thinking regarding the most appropriate design methods for a particular clinical research question. Decision schemes and algorithms have been proposed, with varying starting points and foci. Parmar et al. (BMC Medicine 14:183, 2016) proposed a framework designed to assist the clinical trial team in design choices during protocol preparation. Herein, further stimulus is given regarding the extent to which a framework may help change practice for the better, the careful considerations for changing the usual error levels applied and the room for innovation in clinical trial design.Please see related article: http://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-016-0722-3 .