Evidence map›Paper›PMID 39251907›Full record

ArticleBMC medical research methodology2024

Evaluation of the Fill-it-up-design to use historical control data in randomized clinical trials with two arm parallel group design.

Stephanie Wied, Martin Posch, Ralf-Dieter Hilgers

Abstract read
In one paragraph

Article in BMC medical research methodology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Stephanie WiedInstitute of Medical Statistics, RWTH Aachen University, Aachen, Germany. swied@ukaachen.de.
Martin PoschMedical University of Vienna, Centre for Medical Data Science, Institute of Medical Statistic, Vienna, Austria.
Ralf-Dieter HilgersInstitute of Medical Statistics, RWTH Aachen University, Aachen, Germany.

Funding

Horizon 2020 825575Seventh Framework Programme 602552
6 · The paper itself

Abstract

purposeIn the context of clinical research, there is an increasing need for new study designs that help to incorporate already available data. With the help of historical controls, the existing information can be utilized to support the new study design, but of course, inclusion also carries the risk of bias in the study results.

methodsTo combine historical and randomized controls we investigate the Fill-it-up-design, which in the first step checks the comparability of the historical and randomized controls performing an equivalence pre-test. If equivalence is confirmed, the historical control data will be included in the new RCT. If equivalence cannot be confirmed, the historical controls will not be considered at all and the randomization of the original study will be extended. We are investigating the performance of this study design in terms of type I error rate and power.

resultsWe demonstrate how many patients need to be recruited in each of the two steps in the Fill-it-up-design and show that the family wise error rate of the design is kept at 5

conclusionThe two-stage Fill-it-up-design represents a frequentist method for including historical control data for various study designs. As the maximum sample size of the design is larger, a robust prior belief is essential for its use. The design should therefore be seen as a way out in exceptional situations where a hybrid design is considered necessary.

Indexed as

Randomized Controlled Trials as TopicResearch DesignControl GroupsHistorically Controlled StudyHumansSample SizeEquivalenceExternal controlsHistorical controlPowerRandomized clinical trialSample sizeType I error probability

Identifiers

PMID39251907
PMCPMC11382532

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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.