Non-adherence in non-inferiority trials: pitfalls and recommendations.

BMJ

Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.

Published: July 2020

Non-adherence in non-inferiority trials can affect treatment effect estimates and often increases the chance of claiming non-inferiority under the standard intention-to-treat analysis. This article discusses the implications of different patterns of non-adherence in non-inferiority trials and offers practical recommendations for trial design, alternative analysis strategies, and outcome reporting to reduce bias in treatment estimates and improve transparency in reporting.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327542PMC
http://dx.doi.org/10.1136/bmj.m2215DOI Listing

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