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| Thiết kế thử nghiệm thích ứng× | Nghiên cứu đối chứng ngẫu nhiên (RCT)× | |
|---|---|---|
| Lĩnh vực≠ | Nghiên cứu lâm sàng | Thiết kế thí nghiệm |
| Họ≠ | Process / pipeline | Hypothesis test |
| Năm ra đời≠ | 1990s-2000s | 1948 |
| Người khởi xướng≠ | Stephen Pocock, Christopher Jennison, and statistical methodologists; FDA formalized guidance 2019 | James Lind (early precursor, 1747); modern formulation: Austin Bradford Hill & Medical Research Council (1948) |
| Loại≠ | Research Design | Interventional comparative study |
| Công trình gốc≠ | Pocock, S. J. (2005). Current issues in the design and interpretation of clinical trials. BMJ, 330(7500), 1118–1121. link ↗ | Schulz, K.F., Altman, D.G., Moher, D., for the CONSORT Group (2010). CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials. BMJ, 340, c332. DOI ↗ |
| Tên gọi khác≠ | adaptive trial, adaptive design, response-adaptive randomization, RAR | RCT, randomised controlled trial, clinical trial, Randomize Kontrollü Çalışma (RCT) Tasarımı |
| Liên quan≠ | 1 | 7 |
| Tóm tắt≠ | An adaptive trial design allows pre-specified modifications to the trial based on interim data—such as sample size re-estimation, stopping for futility or efficacy, dropping ineffective arms, or shifting randomization ratios toward better-performing treatments. Developed systematically in the 1990s–2000s by statisticians like Pocock and Jennison, and formalized by the FDA in 2019, adaptive designs accelerate drug development, reduce exposure to ineffective treatments, and improve efficiency without inflating false-positive rates when properly executed. | A randomized controlled trial (RCT) is the gold standard experimental design in clinical and health research, in which participants are randomly allocated to a treatment group or a control group so that the effect of an intervention can be measured with the highest possible degree of internal validity. The modern parallel-group RCT was formalized by Austin Bradford Hill and the Medical Research Council in their landmark streptomycin trial of 1948, and its reporting is governed today by the CONSORT 2010 guidelines (Schulz et al., 2010). |
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