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Understanding Clinical Trial Design - Research Advocacy Network

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46<br />

UNDERSTANDING CLINICAL TRIAL DESIGN: A TUTORIAL FOR RESEARCH ADVOCATES<br />

Pivotal <strong>Trial</strong> A controlled trial to evaluate the safety and efficacy of a<br />

drug in patients who have the disease or condition to be<br />

treated.<br />

Placebo An inactive substance or treatment that looks the same<br />

as, and is given the same way as, an active drug or<br />

treatment being tested. The effects of the active drug or<br />

treatment are compared to the effects of the placebo.<br />

Population The entire collection of people (current and future) who<br />

are the focus of interest (e.g., all people with a specific<br />

type of cancer).<br />

Population A value of some quantitative characteristic in a<br />

Parameter population. Population parameters are estimated by<br />

sample statistics calculated from sample data (e.g.,<br />

sample mean).<br />

Posterior Probability The posterior probability is the conditional probability<br />

of a variable, taking the evidence into account. The<br />

posterior probability is computed from the prior<br />

probability and the likelihood function via Bayes’<br />

theorem.<br />

Power Power is the probability of rejecting the null hypothesis<br />

if it is really false. It is mathematically equal to 1 - b and<br />

is dependent upon the sample size, sample variance, the<br />

effect size and type II error rate.<br />

Prevalence The total number of existing cases of a disorder as a pro<br />

portion of a population (usually per 100,000 people) at<br />

a specific time.<br />

Primary Endpoint The main result that is measured to see if a given<br />

treatment worked (e.g., the number of deaths or the<br />

difference in survival between the treatment group and<br />

the control group). The primary endpoint is determined<br />

by the primary study objective, and is defined prior to<br />

the start of the trial.<br />

Prior Probability A prior probability is a base rate, interpreted as a<br />

description of what is known about a variable in the<br />

absence of some evidence.<br />

Probability The likelihood that a given event will occur. Probability<br />

is expressed as values between 0 (complete certainty that<br />

an event will not occur) to 1 (complete certainty that an<br />

event will occur), or percentage values between 0 and<br />

100%.

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