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Trial Design: Pain Sections
Author Bio
Introduction
Placebo Effects
Single Dose Trials
Repeated Dose Trials
Explanatory Versus Pragmatic
Dose-Response
Currently selected section: Parallel Group Versus Crossover
Conclusion
 

 

Chapter 1: Clinical Trials of Pain Treatment: Parallel Group Versus Crossover Designs

 
          


Question 7.2.1

Without having done the second study, could one have drawn the same conclusion? That is, could one just display the 12/40 patients in the first trial with clonidine response surpassing placebo and infer that there is a clonidine-response subset?

Yes                   No

Question 7.2.2

Based on the prospectively gathered data from the enriched second trial (Figure 7.2), the researcher concluded that there is a subset of patients with diabetic neuropathy pain who are true clonidine responders. Which of the following critiques are valid?

Selection AIt is not statistically appropriate to pick responders and then enter them in another trial.
Selection BA limitation of the second trial is that one cannot generalize to the overall population of patients with diabetic neuropathy pain.
Selection CRepeated exposures to a drug with side effects (like clonidine) make it more likely that patients will become unblinded, and give rise to a false-positive result.

A alone A and B B and C C alone A,B and C

Answer

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