Evidence map›Paper›PMID 37313374›Full record

ReviewJournal of clinical and translational science2023

Guidance on interim analysis methods in clinical trials.

Jody D Ciolino, Alexander M Kaizer, Lauren Balmert Bonner

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Journal of clinical and translational science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing 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.

NCT07439315 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Effect of a Novel Joint Distraction Knee Orthosis for Treating Medial Knee Osteoarthritis

TypeinterventionalSponsorIcarus Medical InnovationsRan2026 to 2026Enrolled150ConditionsMedial Compartment Knee OsteoarthritisArmsMedial joint distraction brace
NCT07453914 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Clinical Assessment of Respiratory Events for Kids: Integrating Diagnostics and Stewardship

TypeinterventionalSponsorBioMérieuxRan2026 to 2026Enrolled720ConditionsRespiratory Tract Infections (RTI), Influenza-like Illness, ChildrenArmsSPOTFIRE R
3 · Its place in the literature

Who cites it

39 citing papers in PubMed.

  1. A remote intervention to improve medication nonadherence guided by a marker of risk derived from the electronic health records of adolescent transplant recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
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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

3 authors.

Jody D CiolinoDepartment of Preventive Medicine (Biostatistics), Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-9060-5657
Alexander M KaizerDepartment of Biostatistics & Informatics, Colorado School of Public Health, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0003-2334-5514
Lauren Balmert BonnerDepartment of Preventive Medicine (Biostatistics), Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Funding

Statistical Methods and Adaptive Trial Designs for Cardiovascular Outcomes with Information SharingK01HL151754 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI KAIZER, ALEXANDER MARK · 2021 to 2025
$742k
NHLBI NIH HHS K01 HL151754
6 · The paper itself

Abstract

Interim analyses in clinical trials can take on a multitude of forms. They are often used to guide Data and Safety Monitoring Board (DSMB) recommendations to study teams regarding recruitment targets for large, later-phase clinical trials. As collaborative biostatisticians working and teaching in multiple fields of research and across a broad array of trial phases, we note the large heterogeneity and confusion surrounding interim analyses in clinical trials. Thus, in this paper, we aim to provide a general overview and guidance on interim analyses for a nonstatistical audience. We explain each of the following types of interim analyses: efficacy, futility, safety, and sample size re-estimation, and we provide the reader with reasoning, examples, and implications for each. We emphasize that while the types of interim analyses employed may differ depending on the nature of the study, we would always recommend prespecification of the interim analytic plan to the extent possible with risk mitigation and trial integrity remaining a priority. Finally, we posit that interim analyses should be used as tools to help the DSMB make informed decisions in the context of the overarching study. They should generally not be deemed binding, and they should not be reviewed in isolation.

Indexed as

clinical trialsefficacyfutilityguidanceInterim analysisrandomized controlled trial

Identifiers

PMID37313374
PMCPMC10260346

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.