Randomisation in a clinical trial: is it feasible in the Ebola crisis? If it is, then which method is suitable?

Randomisation is an integral component of any sensible clinical trial. Randomisation is the only way we can be sure that the patients have been allocated into the treatment arms with as minimum bias as possible, and that the treatment arms are similar before the start of the trial. The randomisation...

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Main Author: Jesca M. Batidzirai
Format: Article
Language:English
Published: AOSIS 2016-07-01
Series:Southern African Journal of Infectious Diseases
Subjects:
Online Access:https://sajid.co.za/index.php/sajid/article/view/87
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author Jesca M. Batidzirai
author_facet Jesca M. Batidzirai
author_sort Jesca M. Batidzirai
collection DOAJ
description Randomisation is an integral component of any sensible clinical trial. Randomisation is the only way we can be sure that the patients have been allocated into the treatment arms with as minimum bias as possible, and that the treatment arms are similar before the start of the trial. The randomisation schemes used to allocate patients into the treatment arms play a role in achieving this goal. This study is motivated by the outbreak of Ebola in West Africa. Scientists claim to have developed some cure for the deadly disease. The question is: ‘Ethically, can the trials be non-randomised due to the crisis? If the trials are to be randomised, which randomisation method is suitable?’ An overview of the randomisation methods was done and recommended stratified randomisation of Ebola patients between any new treatment and the conventional care is provided. Each of the involved countries or centres was treated as the strata and, within each stratum, simple randomisation was then performed.
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spelling doaj.art-fe178deec50f44a2a1204f2a3378c9c62022-12-21T21:18:13ZengAOSISSouthern African Journal of Infectious Diseases2312-00532313-18102016-07-01312353710.4102/sajid.v31i2.8779Randomisation in a clinical trial: is it feasible in the Ebola crisis? If it is, then which method is suitable?Jesca M. Batidzirai0School of Mathematics, Statistics and Computer Science, University of KwaZulu-Natal, PietermaritzburgRandomisation is an integral component of any sensible clinical trial. Randomisation is the only way we can be sure that the patients have been allocated into the treatment arms with as minimum bias as possible, and that the treatment arms are similar before the start of the trial. The randomisation schemes used to allocate patients into the treatment arms play a role in achieving this goal. This study is motivated by the outbreak of Ebola in West Africa. Scientists claim to have developed some cure for the deadly disease. The question is: ‘Ethically, can the trials be non-randomised due to the crisis? If the trials are to be randomised, which randomisation method is suitable?’ An overview of the randomisation methods was done and recommended stratified randomisation of Ebola patients between any new treatment and the conventional care is provided. Each of the involved countries or centres was treated as the strata and, within each stratum, simple randomisation was then performed.https://sajid.co.za/index.php/sajid/article/view/87ebolaplaceboprognostic factorsrandomisationstatistical power
spellingShingle Jesca M. Batidzirai
Randomisation in a clinical trial: is it feasible in the Ebola crisis? If it is, then which method is suitable?
Southern African Journal of Infectious Diseases
ebola
placebo
prognostic factors
randomisation
statistical power
title Randomisation in a clinical trial: is it feasible in the Ebola crisis? If it is, then which method is suitable?
title_full Randomisation in a clinical trial: is it feasible in the Ebola crisis? If it is, then which method is suitable?
title_fullStr Randomisation in a clinical trial: is it feasible in the Ebola crisis? If it is, then which method is suitable?
title_full_unstemmed Randomisation in a clinical trial: is it feasible in the Ebola crisis? If it is, then which method is suitable?
title_short Randomisation in a clinical trial: is it feasible in the Ebola crisis? If it is, then which method is suitable?
title_sort randomisation in a clinical trial is it feasible in the ebola crisis if it is then which method is suitable
topic ebola
placebo
prognostic factors
randomisation
statistical power
url https://sajid.co.za/index.php/sajid/article/view/87
work_keys_str_mv AT jescambatidzirai randomisationinaclinicaltrialisitfeasibleintheebolacrisisifitisthenwhichmethodissuitable