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Reflections on the Adaptive Designs Accelerating Promising Trials Into Treatments (ADAPT-IT) Process-Findings from a

Timothy C Guetterman1, Michael D Fetters1, Laurie J Legocki1

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|December 2, 2015
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Summary
This summary is machine-generated.

Stakeholders found adaptive clinical trial designs valuable but require more education. Enhanced understanding and articulation of adaptive methodologies are crucial for future trial planning.

Keywords:
adaptive clinical trialsemergency medicineneurological emergenciesqualitative research

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Area of Science:

  • Clinical Trials Methodology
  • Adaptive Trial Design
  • Translational Research

Background:

  • The Adaptive Designs Advancing Promising Treatments Into Trials (ADAPT-IT) project focused on integrating flexible adaptive designs into pivotal clinical trials.
  • There is a lack of guidance for academic institutions in planning adaptive trials.
  • This study assessed the trial development process within the ADAPT-IT project.

Purpose of the Study:

  • To explore stakeholder perspectives on the ADAPT-IT adaptive design development process.
  • To understand lessons learned regarding adaptive trial design and development.
  • To gather insights from key stakeholders involved in adaptive trial implementation.

Main Methods:

  • Qualitative study utilizing semi-structured interviews with ten key stakeholders.
  • Incorporated observations of the adaptive trial development process.
  • Employed qualitative thematic text data analysis for theme identification.

Main Results:

  • Four key themes emerged: participant education, process evolution through feedback, procedures for enhancing future trials, and broader community education.
  • Participants showed increased consideration of flexible adaptive designs.
  • The process highlighted the iterative nature of adaptive trial development.

Conclusions:

  • Additional education is necessary for understanding and articulating adaptive trial methodologies.
  • Stakeholders recognized the benefits of adaptive designs but need further training.
  • Improved educational resources are needed for the research community to facilitate adaptive trial planning.