Understanding superiority, noninferiority, and equivalence for clinical trials

Randomized control trialsare the gold standard for testing the efficacy of new interventions. Historically, superiority trials were methods of choice as reference (standard) interventions were not established for many disease conditions. However currently, reference interventions are available for m...

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Main Authors: Kamal Kishore, Rahul Mahajan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Indian Dermatology Online Journal
Subjects:
Online Access:http://www.idoj.in/article.asp?issn=2229-5178;year=2020;volume=11;issue=6;spage=890;epage=894;aulast=Kishore
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author Kamal Kishore
Rahul Mahajan
author_facet Kamal Kishore
Rahul Mahajan
author_sort Kamal Kishore
collection DOAJ
description Randomized control trialsare the gold standard for testing the efficacy of new interventions. Historically, superiority trials were methods of choice as reference (standard) interventions were not established for many disease conditions. However currently, reference interventions are available for most of adverse conditions. Despite this, many investigators are using superiority trials in comparison to more suitable noninferiority and equivalence trials. The application of noninferiority and equivalence trials is on the rise, but by and large, these trials are poorly understood, ill-conceived, inappropriately analyzed, and reported and misinterpreted.
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spelling doaj.art-7ddb6be05e5a4fe095bb5ee01d3a43512022-12-21T19:42:55ZengWolters Kluwer Medknow PublicationsIndian Dermatology Online Journal2229-51782020-01-0111689089410.4103/idoj.IDOJ_130_20Understanding superiority, noninferiority, and equivalence for clinical trialsKamal KishoreRahul MahajanRandomized control trialsare the gold standard for testing the efficacy of new interventions. Historically, superiority trials were methods of choice as reference (standard) interventions were not established for many disease conditions. However currently, reference interventions are available for most of adverse conditions. Despite this, many investigators are using superiority trials in comparison to more suitable noninferiority and equivalence trials. The application of noninferiority and equivalence trials is on the rise, but by and large, these trials are poorly understood, ill-conceived, inappropriately analyzed, and reported and misinterpreted.http://www.idoj.in/article.asp?issn=2229-5178;year=2020;volume=11;issue=6;spage=890;epage=894;aulast=Kishoreclinical trialsequivalencemethodologynoninferioritysuperiority
spellingShingle Kamal Kishore
Rahul Mahajan
Understanding superiority, noninferiority, and equivalence for clinical trials
Indian Dermatology Online Journal
clinical trials
equivalence
methodology
noninferiority
superiority
title Understanding superiority, noninferiority, and equivalence for clinical trials
title_full Understanding superiority, noninferiority, and equivalence for clinical trials
title_fullStr Understanding superiority, noninferiority, and equivalence for clinical trials
title_full_unstemmed Understanding superiority, noninferiority, and equivalence for clinical trials
title_short Understanding superiority, noninferiority, and equivalence for clinical trials
title_sort understanding superiority noninferiority and equivalence for clinical trials
topic clinical trials
equivalence
methodology
noninferiority
superiority
url http://www.idoj.in/article.asp?issn=2229-5178;year=2020;volume=11;issue=6;spage=890;epage=894;aulast=Kishore
work_keys_str_mv AT kamalkishore understandingsuperioritynoninferiorityandequivalenceforclinicaltrials
AT rahulmahajan understandingsuperioritynoninferiorityandequivalenceforclinicaltrials