Adaptive Designs in Clinical Trials

Adaptive designs in clinical trials are derivations of randomized clinical trials that modify the randomization ratio during the study. In adjusting the randomization ratio during the study, adaptive designs in clinical trials maximize the likelihood of participants experiencing positive outcomes and minimize the likelihood of participants experiencing poor outcomes. Adaptive designs in clinical trials follow a three-step procedure. In Step 1, participants are randomly allocated to one of the interventions with the probability of allocation into each intervention being specified by the randomization ratio. In Step 2, participants’ outcome and/or covariate data are collected. In Step 3, the randomization ratio is updated based on the collected outcome and/or covariate data. Steps 1 through 3 are then repeated until the desired number of participants has been ...

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