Noninferiority trials

<p>Abstract</p> <p>Noninferiority trials are intended to show that the effect of a new treatment is not worse than that of an active control by more than a specified margin. These trials have a number of inherent weaknesses that superiority trials do not: no internal demonstration...

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Main Author: Snapinn Steven M
Format: Article
Language:English
Published: BMC 2000-07-01
Series:Current Controlled Trials in Cardiovascular Medicine
Subjects:
Online Access:http://cvm.controlled-trials.com/content/1/1/019
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spelling doaj-ea964c596ff54d54851e2f048ffb58c92020-11-24T21:08:15ZengBMCCurrent Controlled Trials in Cardiovascular Medicine1468-67082000-07-0111192110.1186/cvm-1-1-019Noninferiority trialsSnapinn Steven M<p>Abstract</p> <p>Noninferiority trials are intended to show that the effect of a new treatment is not worse than that of an active control by more than a specified margin. These trials have a number of inherent weaknesses that superiority trials do not: no internal demonstration of assay sensitivity, no single conservative analysis approach, lack of protection from bias by blinding, and difficulty in specifying the noninferiority margin. Noninferiority trials may sometimes be necessary when a placebo group can not be ethically included, but it should be recognized that the results of such trials are not as credible as those from a superiority trial.</p> http://cvm.controlled-trials.com/content/1/1/019assay sensitivityblindingclinical trialsequivalenceintention-to-treat
collection DOAJ
language English
format Article
sources DOAJ
author Snapinn Steven M
spellingShingle Snapinn Steven M
Noninferiority trials
Current Controlled Trials in Cardiovascular Medicine
assay sensitivity
blinding
clinical trials
equivalence
intention-to-treat
author_facet Snapinn Steven M
author_sort Snapinn Steven M
title Noninferiority trials
title_short Noninferiority trials
title_full Noninferiority trials
title_fullStr Noninferiority trials
title_full_unstemmed Noninferiority trials
title_sort noninferiority trials
publisher BMC
series Current Controlled Trials in Cardiovascular Medicine
issn 1468-6708
publishDate 2000-07-01
description <p>Abstract</p> <p>Noninferiority trials are intended to show that the effect of a new treatment is not worse than that of an active control by more than a specified margin. These trials have a number of inherent weaknesses that superiority trials do not: no internal demonstration of assay sensitivity, no single conservative analysis approach, lack of protection from bias by blinding, and difficulty in specifying the noninferiority margin. Noninferiority trials may sometimes be necessary when a placebo group can not be ethically included, but it should be recognized that the results of such trials are not as credible as those from a superiority trial.</p>
topic assay sensitivity
blinding
clinical trials
equivalence
intention-to-treat
url http://cvm.controlled-trials.com/content/1/1/019
work_keys_str_mv AT snapinnstevenm noninferioritytrials
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