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적응형 중첩 사례-대조 연구×적응형 무작위 배정 임상시험×
분야역학역학
계열Process / pipelineProcess / pipeline
기원 연도Base design 1977; adaptive extensions from 1990s onwardLate 1990s–2000s (widespread adoption post-2010)
창시자Nested case-control: D. C. Thomas (1977); adaptive design framework: Peter Bauer & Klaus Kohne (1994)Donald Berry and colleagues; formalized by FDA guidance in 2010 and 2019
유형Observational epidemiological study with adaptive design elementsExperimental clinical trial design
원전Thomas, D. C. (1977). Addendum to: Methods of cohort analysis: Appraisal by application to asbestos mining. Journal of the Royal Statistical Society, Series A, 140(4), 469–491. DOI ↗Berry, D. A. (2006). Bayesian clinical trials. Nature Reviews Drug Discovery, 5(1), 27–36. DOI ↗
별칭adaptive NCC, adaptive nested case-referent study, dynamic nested case-control, sequential nested case-controladaptive RCT, adaptive trial design, response-adaptive randomization trial, adaptive clinical trial
관련66
요약An adaptive nested case-control study embeds a case-control comparison within a defined cohort and incorporates pre-specified interim decision rules that allow modifications — such as control-to-case ratio adjustment or biomarker sub-sampling revision — based on accumulating data, without compromising the study's validity or inflating type I error. The design combines the efficiency of the nested case-control framework with the flexibility of adaptive methodology to optimise resource use when exposure assessment is costly.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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