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무작위 임상시험 (RCT)×Phase III 임상시험×
분야역학역학
계열Process / pipelineProcess / pipeline
기원 연도1948 (first rigorously conducted RCT — MRC streptomycin trial)1962 (Kefauver-Harris Amendment formalised phased drug development)
창시자Austin Bradford Hill; MRC Streptomycin Trial teamFDA regulatory framework / ICH guidelines
유형Interventional experimental studyConfirmatory randomised controlled trial
원전Friedman, L. M., Furberg, C. D., DeMets, D. L., Reboussin, D. M., & Granger, C. B. (2015). Fundamentals of Clinical Trials (5th ed.). Springer. ISBN: 978-3319185385Friedman, 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
별칭RCT, randomized controlled trial, randomised controlled trial, clinical randomized trialPhase 3 trial, confirmatory trial, pivotal trial, Phase III RCT
관련66
요약A randomized clinical trial (RCT) is an experimental study design in which participants are randomly assigned to an intervention group or a control group, then followed prospectively to compare outcomes. Random allocation is the defining feature: it distributes known and unknown confounders across groups by chance, making the RCT the strongest individual study design for establishing causal efficacy of a treatment or intervention under controlled conditions.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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