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The "parallel-cohort RCT": Novel design aspects and application in the Kids-DOTT trial of pediatric venous thromboembolism. Contemp Clin Trials 2010 Jan;31(1):131-3

Date

11/28/2009

Pubmed ID

19941974

DOI

10.1016/j.cct.2009.11.006

Scopus ID

2-s2.0-73249145243 (requires institutional sign-in at Scopus site)   27 Citations

Abstract

In traditional randomized controlled trial (RCT) designs, patients who are ineligible for randomization are excluded from study participation. However, these patients often constitute an important subgroup of the disease population. By extending existing RCT infrastructure, efforts to evaluate such patients in parallel cohort arms would provide an efficient means of generating multi-center prospective data on natural history, which would facilitate the development of future RCTs involving these subgroups of interest. This brief report discusses principles of the parallel-cohort RCT design, describes the few published trials in which it has been employed, and highlights novel aspects of its use in the Kids-DOTT trial-an ongoing multi-center randomized trial of the duration of anticoagulant therapy for venous thrombosis in children.

Author List

Goldenberg NA, Tripputi M, Crowther M, Abshire TC, DiMichele D, Manco-Johnson MJ, Hiatt WR

Author

Thomas Abshire MD Emeritus Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Anticoagulants
Antiphospholipid Syndrome
Child
Child, Preschool
Cohort Studies
Drug Administration Schedule
Humans
Infant
Multicenter Studies as Topic
Randomized Controlled Trials as Topic
Research Design
Secondary Prevention
Thrombophilia
Venous Thromboembolism