Evidence map›Paper›PMID 36184621›Full record

ArticleNature communications2022

The design and evaluation of hybrid controlled trials that leverage external data and randomization.

Steffen Ventz, Sean Khozin, Bill Louv, Jacob Sands, Patrick Y Wen, Rifaquat Rahman, Leah Comment, Brian M Alexander, Lorenzo Trippa

Abstract readClinical Trial Protocol
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. An E-value-Informed Sensitivity Analysis Framework for Hybrid Controlled Trials.medRxiv : the preprint server for health sciences · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. A causal roadmap for generating high-quality real-world evidence.Journal of clinical and translational science · 2023
    Review
  20. Novel Clinical Trial Designs in Neuro-Oncology.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Review
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

9 authors.

Steffen VentzDivision of Biostatistics, University of Minnesota, Minneapolis, MN, USA. steffen.ventz.81@gmail.com.ORCID 0000-0003-2229-9560
Sean KhozinCancerLinQ, New York, NY, USA.
Bill LouvProject Data Sphere, Morrisville, NC, USA.
Jacob SandsDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Patrick Y WenCenter for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Rifaquat RahmanDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Leah CommentFoundation Medicine, Inc, Cambridge, MA, USA.
Brian M Alexander *Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Lorenzo Trippa *Department of Data Science, Dana-Farber Cancer Institute, Boston, MA, USA.

Funding

Statistical Methods and Validation Analyses for the Integration of External Data in Clinical TrialsR01LM013352 · NLM · DANA-FARBER CANCER INST · PI TRIPPA, LORENZO · 2021 to 2024
$1.5M
NLM NIH HHS R01 LM013352
6 · The paper itself

Abstract

Patient-level data from completed clinical studies or electronic health records can be used in the design and analysis of clinical trials. However, these external data can bias the evaluation of the experimental treatment when the statistical design does not appropriately account for potential confounders. In this work, we introduce a hybrid clinical trial design that combines the use of external control datasets and randomization to experimental and control arms, with the aim of producing efficient inference on the experimental treatment effects. Our analysis of the hybrid trial design includes scenarios where the distributions of measured and unmeasured prognostic patient characteristics differ across studies. Using simulations and datasets from clinical studies in extensive-stage small cell lung cancer and glioblastoma, we illustrate the potential advantages of hybrid trial designs compared to externally controlled trials and randomized trial designs.

Indexed as

Electronic Health RecordsResearch DesignBiasHumansRandom AllocationRandomized Controlled Trials as Topic

Identifiers

PMID36184621
PMCPMC9527257

What OpenQuestion holds

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Registered trials

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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.