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적응형 사례 시리즈×적응형 무작위 배정 임상시험×
분야역학역학
계열Process / pipelineProcess / pipeline
기원 연도Late 20th–early 21st centuryLate 1990s–2000s (widespread adoption post-2010)
창시자Evolved from classical case series methodology combined with adaptive design principles (Chow & Chang, 2008; FDA adaptive design guidance)Donald Berry and colleagues; formalized by FDA guidance in 2010 and 2019
유형Observational study with adaptive monitoringExperimental clinical trial design
원전Chow, S.-C., & Chang, M. (2008). Adaptive Design Methods in Clinical Trials. Chapman & Hall/CRC. ISBN: 978-1584887775Berry, D. A. (2006). Bayesian clinical trials. Nature Reviews Drug Discovery, 5(1), 27–36. DOI ↗
별칭adaptive case-series design, sequential adaptive case series, adaptive observational case seriesadaptive RCT, adaptive trial design, response-adaptive randomization trial, adaptive clinical trial
관련56
요약An adaptive case series is an observational study design that documents a consecutive group of patients with a shared condition or exposure while incorporating pre-specified rules for modifying data collection, monitoring, or stopping criteria as accumulating evidence warrants. It combines the descriptive richness of traditional case series with the prospective flexibility of adaptive design principles, enabling structured mid-course adjustments without compromising the integrity of the recorded clinical observations.An adaptive randomized clinical trial (adaptive RCT) is a prospective experimental study that uses pre-specified rules to modify one or more trial aspects — such as sample size, allocation ratios, or treatment arms — based on accumulating data collected during the trial itself, while maintaining statistical validity and integrity of the study.
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