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Public perspective on potential treatment intervention harm in clinical trials—terminology and communication

Rachel Phillips, Dongquan Bi, Beatriz Goulão, Marie Miller, Malak El-Askary, Oluyemi Fagbemi, Curie Freeborn, Maria Giammetta, Noura El Masri, Peter Flockhart, Manos Kumar, Mike Melvin, Dianne Murray, Anthony Myhill, Laila Saeid, Shanice Thomas, Graeme MacLennan and Victoria Cornelius

This work provides a starting point on preferred terminology by patients and the public to describe potential harmful intervention effects. Whilst researchers have tried to seek agreement, public partners endorsed use of different terms for different situations. We highlight some key areas for improvement in public facing materials that are necessary to avoid miscommunication and incorrect perception of harm.

Trials

Publication Date:

Aug 31, 2024

User engagement in clinical trials of digital mental health interventions: a systematic review

Jack Elkes, Suzie Cro, Rachel Batchelor, Siobhan O’Connor, Ly-Mee Yu, Lauren Bell, Victoria Harris, Jacqueline Sin & Victoria Cornelius

A systematic review to evaluate how user engagement data is reported and considered in the efficacy analysis of digital mental health interventions during randomised controlled trials.

BMC Medical Research Methodology

Publication Date:

Aug 24, 2024

Development and Evaluation of a Framework for Identifying and Addressing Spin for Harms in Systematic Reviews of Interventions

Qureshi R, Naaman K, Quan NG, Mayo-Wilson E, Page MJ, Cornelius V, Chou R, Boutron I, Golder S, Bero L, Doshi P, Vassar M, Reynders RM, Li T

The objectives of this research were threefold: first, to develop a framework for identifying spin associated with harms in systematic reviews of interventions; second, to apply the framework to a set of reviews, thereby pinpointing instances where spin may be present; and finally, to revise the spin examples, offering guidance on how spin can be rectified.

Annals of Internal Medicine

Publication Date:

Jul 16, 2024

Handling Partially Observed Trial Data After Treatment Withdrawal: Introducing Retrieved Dropout Reference-Base Centred Multiple Imputation

Cro S, Roger J, Carpenter J

This paper introduces a novel multiple imputation method for estimating a treatment policy estimand with missing data, referred to as retrieved dropout reference-base centred multiple imputation.

Pharmaceutical Statistics

Publication Date:

Jul 16, 2024

A proposal for using benefit-risk methods to improve the prominence of adverse event results when reporting trials

Totton N, Waddingham E, Owen R, Julious S, Hughes D, Cook J

This article uses case studies to demonstrate the practical utility of benefit-risk methods to present adverse events results alongside effectiveness results.

Trials

Publication Date:

Jun 22, 2024

Comments on ‘standard and reference-based conditional mean imputation’: Regulators and trial statisticians be aware!

Cro S, Morris TP, Roger JH, Carpenter JR

This paper describes how reference-based conditional mean imputation, with variance estimation justified solely by its frequentist performance, has the surprising and undesirable property that the estimated variance becomes smaller the greater the number of missing observations; as explained under jump-to-reference it effectively forces the true treatment effect to be exactly zero for patients with missing data.

Pharmaceutical Statistics

Publication Date:

Apr 17, 2024

How inclusive were UK-based randomised controlled trials of COVID-19 vaccines? A systematic review investigating enrolment of Black adults and adult ethnic minorities

Hibba Herieka, Daphne Babalis, Evangelia Tzala, Shyam Budhathoki and Nicholas A. Johnson

This is a systematic review designed to establish if Black adults and adult ethnic minorities, defined as any group except White British, were represented in UK-based COVID-19 vaccination randomised controlled trials (RCTs) when compared to corresponding UK population proportions, based on 2011 census data.

Trials

Publication Date:

Apr 12, 2024

The Rise of Adaptive Platform Trials in Critical Care

The PRACTICAL, PANTHER, TRAITS, INCEPT, and REMAP-CAP investigators

This Perspective provides a brief introduction to the concept of adaptive platform trials, describes several established and emerging platforms in critical care, and surveys some opportunities and challenges for their implementation and impact.

American Journal of Respiratory and Critical Care Medicine

Publication Date:

Mar 1, 2024

The ICH E9 estimands framework: a primer

Kahan B, Hindley J, Edwards M, Cro S, Morris T

This paper provides an overview of the estimands framework, as outlined in the addendum, with the aim of explaining why estimands are beneficial; clarifying the terminology being used; and providing practical guidance on using estimands to decide the appropriate study design, data collection, and estimation methods.

BMJ

Publication Date:

Jan 23, 2024

We must let the research question drive study methods

Kahan B, Morris T, Cro S

This article described how estimands help researchers to pinpoint their exact research question.

BMJ

Publication Date:

Jan 23, 2024

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