Statistics of clinical trials Flashcards
experimental study types
uncontrolled trials
controlled trials
Observational study types
case report case series cross sectional study case control study cohort study
purpose of descriptive study
develop hypothesis
purpose of case control study
investigate it’s relationship to outcomes
purpose of cohort study
define it’s meaning with exposures
purpose of clinical trials
test link experimentally
phase I of clinical trials
establish safety, dose finding
phase II of clinical trials
establish biological activity or potential efficacy
phase III of clinical trials
randomized comparison of treatment
phase IV of clinical trials
long-term surveillance in broader population
MTD
Maximum tolerated dose of new drug. part of phase I
Two types of experimental comparative clinical trials
Fixed Sample - # of patients allocated to treatment group fixed before study begins
Sequential trial - add more patients as time goes on
Bias
systematic (non-random) error in an estimate
Treatment allocation bias
those receiving one treatment or more likely to do (better or worse) than an alternative.
How to control bias
randomization