Synthetic and external controls in clinical trials–a primer for researchers

K Thorlund, L Dron, JJH Park, EJ Mills - Clinical epidemiology, 2020 - Taylor & Francis
There has been a rapid expansion in the use of non-randomized evidence in the regulatory
approval of treatments globally. An emerging set of methodologies have been utilized to …

[HTML][HTML] External control arms in oncology: current use and future directions

PS Mishra-Kalyani, LA Kordestani, DR Rivera… - Annals of …, 2022 - Elsevier
Highlights•Considerations for the use of external controls in oncology clinical trials are
multifaceted and depend on the intended use.•Review of recent research and some …

How to use and interpret the results of a platform trial: users' guide to the medical literature

JJH Park, MA Detry, S Murthy, G Guyatt, EJ Mills - Jama, 2022 - jamanetwork.com
Platform trials are a type of randomized clinical trial that allow simultaneous comparison of
multiple intervention groups against a single control group that serves as a common control …

Predictable clinical benefits without evidence of synergy in trials of combination therapies with immune-checkpoint inhibitors

AC Palmer, B Izar, H Hwangbo, PK Sorger - Clinical Cancer Research, 2022 - AACR
Purpose: Combinations of immune-checkpoint inhibitors (ICI) with other cancer therapies
have been approved for advanced cancers in multiple indications, and numerous trials are …

Application of Bayesian approaches in drug development: starting a virtuous cycle

SJ Ruberg, F Beckers, R Hemmings, P Honig… - Nature Reviews Drug …, 2023 - nature.com
The pharmaceutical industry and its global regulators have routinely used frequentist
statistical methods, such as null hypothesis significance testing and p values, for evaluation …

Challenges for clinical drug development in pulmonary fibrosis

ES White, M Thomas, S Stowasser… - Frontiers in …, 2022 - frontiersin.org
Pulmonary fibrosis is a pathologic process associated with scarring of the lung interstitium.
Interstitial lung diseases (ILDs) encompass a large and heterogenous group of disorders, a …

Enriching single-arm clinical trials with external controls: possibilities and pitfalls

J Lambert, E Lengliné, R Porcher, R Thiébaut… - Blood …, 2023 - ashpublications.org
For the past decade, it has become commonplace to provide rapid answers and early
patient access to innovative treatments in the absence of randomized clinical trials (RCT) …

Externally derived control arms—An opportunity for clinical trials in inflammatory bowel disease?

S Honap, L Peyrin‐Biroulet - Alimentary Pharmacology & …, 2023 - Wiley Online Library
Background One of the greatest challenges in the current IBD clinical trial landscape is,
perhaps, the recruitment and retention of eligible participants. Seamless testing of promising …

A review of causal inference for external comparator arm studies

G Rippin, N Ballarini, H Sanz, J Largent, C Quinten… - Drug Safety, 2022 - Springer
Randomized controlled trials (RCTs) are the gold standard design to establish the efficacy of
new drugs and to support regulatory decision making. However, a marked increase in the …

Use of external control arms in immune-mediated inflammatory diseases: a systematic review

A Zayadi, R Edge, CE Parker, JK Macdonald… - BMJ open, 2023 - bmjopen.bmj.com
Objectives External control arms (ECAs) provide useful comparisons in clinical trials when
randomised control arms are limited or not feasible. We conducted a systematic review to …