Academic Journal

Sequential allocation to balance prognostic factors in a psychiatric clinical trial

التفاصيل البيبلوغرافية
العنوان: Sequential allocation to balance prognostic factors in a psychiatric clinical trial
المؤلفون: Fossaluza, Victor, Diniz, Juliana Belo, Pereira, Basilio de Bragança, Miguel, Eurípedes Constantino, Pereira, Carlos Alberto de Bragança
المصدر: Clinics. June 2009 64(6)
بيانات النشر: Faculdade de Medicina / USP, 2009.
سنة النشر: 2009
مصطلحات موضوعية: Clinical research, Randomization, Aitchison's compositional distance
الوصف: OBJECTIVE: This paper aims to describe and discuss a minimization procedure specifically designed for a clinical trial that evaluates treatment efficacy for OCD patients. METHOD: Aitchison's compositional distance was used to calculate vectors for each possibility of allocation in a covariate adaptive method. Two different procedures were designed to allocate patients in small blocks or sequentially one-by-one. RESULTS: We present partial results of this allocation procedure as well as simulated data. In the clinical trial for which this procedure was developed, successful balancing between treatment arms was achieved. Separately, in an exploratory analysis, we found that if the arrival order of patients was altered, most patients were allocated to a different treatment arm than their original assignment. CONCLUSION: Our results show that the random arrival order of patients determine different assignments and therefore maintains the unpredictability of the allocation method. We conclude that our proposed procedure allows for the use of a large number of prognostic factors in a given allocation decision. Our method seems adequate for the design of the psychiatric trials used as models. Trial registrations are available at clinicaltrials.gov NCT00466609 and NCT00680602.
نوع الوثيقة: article
وصف الملف: text/html
اللغة: English
تدمد: 1807-5932
DOI: 10.1590/S1807-59322009000600005
URL الوصول: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322009000600005
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edssci.S1807.59322009000600005
قاعدة البيانات: SciELO
الوصف
تدمد:18075932
DOI:10.1590/S1807-59322009000600005