Evidence map›Paper›PMID 32724866›Full record

ArticleContemporary clinical trials communications2020

Pragmatic, adaptive clinical trials: Is 2020 the dawning of a new age?

Westyn Branch-Elliman, Lisa Soleymani Lehmann, William E Boden, Ryan Ferguson, Paul Monach

Registry-linked trialAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04359901 (Sarilumab for Patients With Moderate COVID-19 Disease), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04359901 phase2completednot on this map

Sarilumab for Patients With Moderate COVID-19 Disease: A Randomized Controlled Trial With a Play-The-Winner Design

TypeinterventionalSponsorWestyn Branch-EllimanRan2020 to 2021Enrolled50ConditionsCOVIDArmsSARILUMAB
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Digital health-high tech or high touch?Wiener medizinische Wochenschrift (1946) · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Westyn Branch-EllimanVA Boston Healthcare System, Department of Medicine, Boston, MA, USA.
Lisa Soleymani LehmannVA Boston Healthcare System, Department of Medicine, Boston, MA, USA.
William E BodenVA Boston Healthcare System, Department of Medicine, Boston, MA, USA.
Ryan FergusonBoston University School of Medicine, Boston, MA, USA.
Paul MonachVA Boston Healthcare System, Department of Medicine, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Given the high case fatality rate of SARS-CoV-2, for which there is no cure and no vaccine, clinicians are forced to make decisions about how best to manage patients with limited high-quality evidence to guide treatment. Traditional randomized controlled trials provide strong experimental evidence, however, tend to be slow, inflexible, and have limited generalizability. Adaptive and pragmatic designs are an attractive alternative, which meet our ethical obligation during the SARS-CoV-2 pandemic to balance speed, agility, and generalizability with both prospective study and scientific rigor.

Identifiers

PMID32724866
PMCPMC7366075

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.