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Updated: Feb 4, 2026

The Use of the Puzzle Box as a Means of Assessing the Efficacy of Environmental Enrichment
Published on: December 29, 2014
Adaptive enrichment designs for confirmatory trials
Tze Leung Lai1,2,3, Philip W Lavori1,2, Ka Wai Tsang3
1Department of Statistics, Stanford University, Stanford, California.
Abstract:
After an overview of the Food and Drugs Administration's 2012 draft guidance on enrichment strategies for clinical trials to support drug/biologic approval, we describe subsequent advances in adaptive enrichment designs in this direction. We also provide a concrete application in the enrichment design of the Diffusion and Perfusion Imaging Evaluation for Understanding Stroke Evolution 3 trial comparing a new endovascular treatment with standard of care for ischemic stroke patients.
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