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적응형 무작위 배정 임상시험×Phase III 임상시험×
분야역학역학
계열Process / pipelineProcess / pipeline
기원 연도Late 1990s–2000s (widespread adoption post-2010)1962 (Kefauver-Harris Amendment formalised phased drug development)
창시자Donald Berry and colleagues; formalized by FDA guidance in 2010 and 2019FDA regulatory framework / ICH guidelines
유형Experimental clinical trial designConfirmatory randomised controlled trial
원전Berry, D. A. (2006). Bayesian clinical trials. Nature Reviews Drug Discovery, 5(1), 27–36. DOI ↗Friedman, L. M., Furberg, C. D., DeMets, D. L., Reboussin, D. M., & Granger, C. B. (2015). Fundamentals of Clinical Trials (5th ed.). Springer. ISBN: 978-3319185385
별칭adaptive RCT, adaptive trial design, response-adaptive randomization trial, adaptive clinical trialPhase 3 trial, confirmatory trial, pivotal trial, Phase III RCT
관련66
요약An 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.A Phase III clinical trial is a large-scale, confirmatory randomised controlled trial designed to establish the efficacy and safety of an intervention in the target patient population before regulatory submission. It builds on the signal identified in Phase II, tests the intervention at its proposed dose under controlled conditions, and provides the primary evidence base for marketing authorisation or guideline adoption.
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