Significance of Randomized Clinical Trials
Keywords:
Randomized Clinical Trial, Intent to treat analysis, Sample size, gold standard, Blind trials.Abstract
The most exacting and reliable research tool for determining if there is a cause-and-effect relationship between an intervention and a result is the randomized controlled trial. When assessing the efficacy and safety of an intervention, a randomized controlled trial can produce high-quality evidence. Every randomized controlled trial (RCT) ought to have predetermined primary outcomes, be registered with a clinical trials database, and possess the necessary ethical permissions. The quality of RCT design and reporting in neurosurgery is low, though of high value in cardiology, endocrinology, infectious disease and oncology . The prevalence of trial registration has increased over period of time, all regulators now insist such design for approval of the New Chemical Entity or a Biosimilar.References
Randomized Controlled Trials , Himmelfarb Health Science Library , 2011 https://smhs.gwu.edu/news/gw-researchers-launch-first-basket-phase-i-clinical-trial-two-ultra-rare-mitochondrial
Kendall JM. Designing a research project: randomised controlled trials and their principles. Emergency Medicine Journal. 2003 Mar 1;20(2):164-8.
John P. Griffin, John Posner, Geoffrey R. Barker. The Textbook of Pharmaceutical Medicine BMJ Books; 7th edition (10 May 2013)
Hariton, Eduardo, and Joseph J. Locascio. "Randomised controlled trials—the gold standard for effectiveness research." BJOG: an international journal of obstetrics and gynaecology 125, no. 13 (2018): 1716.
Janet Wittes, Sample Size Calculations for Randomized Controlled Trials, Epidemiologic Reviews, 2002 , Vol. 24, No. 1, pg 39-52
Akobeng, A.K., 2005. Understanding randomised controlled trials. Archives of disease in childhood, 90(8), pp.840-844. doi: 10.1136/adc.2005.071761
Baoliang Zhong, How to Calculate Sample Size in Randomized Controlled Trial? J Thorac Dis. 2009 Dec; 1(1): 51–54
Nancy J. Butcher, Guidelines for Reporting Outcomes in Trial Reports The CONSORT-Outcomes2022Extension, JAMA, December13,2022 Volume328,Number22, pg 2253- 2264.
CDSCO , Drugs and Cosmetic Act and Rules of 1940 and Rules 1945 https://cdsco.gov.in/opencms/export/sites/CDSCO_WEB/Pdf-documents/acts_rules/2016DrugsandCosmeticsAct1940Rules1945.pdf [10] Chan A-W, Tetzlaff JM, Altman DG, Laupacis A, Gøtzsche PC, Krleža-Jerić K, Hróbjartsson A, Mann H, Dickersin K, Berlin J, Doré C, Parulekar W, Summerskill W, Groves T, Schulz K, Sox H, Rockhold FW, Rennie D, Moher D. SPIRIT 2013 Statement: Defining standard protocol items for clinical trials. Ann Intern Med 2013;158:200-207. [11] Simon J Day, manager, clinical biometrics and Douglas G Altman , Blinding in clinical trials and other studies, BMJ. 2000 Aug 19; 321(7259): 504.
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