External Comparator Cohort studies - clarification of terminology

Though there is only one term for the gold standard of Randomized Controlled Trials the terminology used for controlled research involving external data is diverse. Common terms include External Comparator/Control Arm study, Externally Controlled Trial, Synthetic Control study and Historical Control...

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Main Authors: Gerd Rippin, Joan Largent, Wilhelmina Elisabeth Hoogendoorn, Héctor Sanz, Jaclyn Bosco, Christina Mack
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Drug Safety and Regulation
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fdsfr.2023.1321894/full
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author Gerd Rippin
Joan Largent
Wilhelmina Elisabeth Hoogendoorn
Héctor Sanz
Jaclyn Bosco
Christina Mack
author_facet Gerd Rippin
Joan Largent
Wilhelmina Elisabeth Hoogendoorn
Héctor Sanz
Jaclyn Bosco
Christina Mack
author_sort Gerd Rippin
collection DOAJ
description Though there is only one term for the gold standard of Randomized Controlled Trials the terminology used for controlled research involving external data is diverse. Common terms include External Comparator/Control Arm study, Externally Controlled Trial, Synthetic Control study and Historical Control study. The term Externally Controlled Trial was recently selected by the U.S. Food and Drug Administration (FDA) and is in line with the use case of a pivotal trial. It entails pre-specification of the external dataset and its analysis in the trial protocol, which produces the highest amount of transparency, which is an important aspect for maximum credibility. If this pre-specification did not occur, we advocate the term External Comparator Cohort study (or short External Comparator study), which is derived by scrutinizing the paired terms study/trial, control/comparator and arm/cohort. Furthermore, we propose an overall framework of nomenclature, which is generally applicable for research projects involving external data. Only a precise and consistent use of terminology will most effectively safeguard from unintended implications, inaccurate perceptions, and misguided mindsets.
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spelling doaj.art-216f765427e34c1eb7ef3ac3d3a998cb2024-02-02T11:39:12ZengFrontiers Media S.A.Frontiers in Drug Safety and Regulation2674-08692024-01-01310.3389/fdsfr.2023.13218941321894External Comparator Cohort studies - clarification of terminologyGerd Rippin0Joan Largent1Wilhelmina Elisabeth Hoogendoorn2Héctor Sanz3Jaclyn Bosco4Christina Mack5IQVIA, Biostatistics, Frankfurt, GermanyIQVIA, Epidemiology, Boston, CA, United StatesIQVIA, Epidemiology, Amsterdam, NetherlandsIQVIA, Biostatistics, Barcelona, SpainIQVIA, Epidemiology, Boston, MA, United StatesIQVIA, Epidemiology, Research Triangle Park, NC, United StatesThough there is only one term for the gold standard of Randomized Controlled Trials the terminology used for controlled research involving external data is diverse. Common terms include External Comparator/Control Arm study, Externally Controlled Trial, Synthetic Control study and Historical Control study. The term Externally Controlled Trial was recently selected by the U.S. Food and Drug Administration (FDA) and is in line with the use case of a pivotal trial. It entails pre-specification of the external dataset and its analysis in the trial protocol, which produces the highest amount of transparency, which is an important aspect for maximum credibility. If this pre-specification did not occur, we advocate the term External Comparator Cohort study (or short External Comparator study), which is derived by scrutinizing the paired terms study/trial, control/comparator and arm/cohort. Furthermore, we propose an overall framework of nomenclature, which is generally applicable for research projects involving external data. Only a precise and consistent use of terminology will most effectively safeguard from unintended implications, inaccurate perceptions, and misguided mindsets.https://www.frontiersin.org/articles/10.3389/fdsfr.2023.1321894/fullExternal Comparator studiesExternal Comparator Cohort studiesExternal Comparator Arm studiesExternally Controlled TrialsHistorical Control studiesSynthetic Control studies
spellingShingle Gerd Rippin
Joan Largent
Wilhelmina Elisabeth Hoogendoorn
Héctor Sanz
Jaclyn Bosco
Christina Mack
External Comparator Cohort studies - clarification of terminology
Frontiers in Drug Safety and Regulation
External Comparator studies
External Comparator Cohort studies
External Comparator Arm studies
Externally Controlled Trials
Historical Control studies
Synthetic Control studies
title External Comparator Cohort studies - clarification of terminology
title_full External Comparator Cohort studies - clarification of terminology
title_fullStr External Comparator Cohort studies - clarification of terminology
title_full_unstemmed External Comparator Cohort studies - clarification of terminology
title_short External Comparator Cohort studies - clarification of terminology
title_sort external comparator cohort studies clarification of terminology
topic External Comparator studies
External Comparator Cohort studies
External Comparator Arm studies
Externally Controlled Trials
Historical Control studies
Synthetic Control studies
url https://www.frontiersin.org/articles/10.3389/fdsfr.2023.1321894/full
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