TY - JOUR PY - 1999// TI - Evaluation of designs for clinical trials of neuroprotective agents in head injury. European Brain Injury Consortium JO - Journal of neurotrauma A1 - Machado, S. G. A1 - Murray, G. D. A1 - Teasdale, G. M. SP - 1131 EP - 1138 VL - 16 IS - 12 N2 - In a study involving the statistical modeling of potential head injury trials, we explore approaches to trial design that could enhance their power to detect treatment-related effects on clinical outcome. The study uses a survey organized by the European Brain Injury Consortium of over 1,000 head-injured patients to characterize the population from which trial participants can be selected. A variety of models are postulated for the effects of "neuroprotective" treatment on outcome, and their interaction with a range of strategies for targeting patients for inclusion in the trial is evaluated. A very simple strategy of targeting patients with an intermediate prognosis was found to allow a reduction in sample size by 30%, with no reduction in statistical power. This paper illustrates an important methodology for studying the characteristics of competing trial designs.
Language: en
LA - en SN - 0897-7151 UR - http://dx.doi.org/ ID - ref1 ER -