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Table 1 Main characteristics of conventional two-arm and alternative multi-arm duration trial designs

From: Optimising trial designs to identify appropriate antibiotic treatment durations

 

Two-arm duration design

Bayesian multi-arm, response-adaptive randomisation design

Multi-arm, play-the-winner design

Multi-arm, fixed duration design

Multi-arm, drop-the-loser duration design

Obtain information on treatment durations

Only two considered durations

Can model the entire duration–response curve, including estimates for durations that were not used

Can model the entire duration–response curve, including estimates for durations that were not used

Can model the entire duration–response curve, including estimates for durations that were not used

Can model the entire duration–response curve, including estimates for durations that were not used

Randomisation probabilities

Fixed

Variable and possibility to drop arms

Fixed, but with possibility to select shortest duration with high probability of being non-inferior for comparison with standard duration

Fixed

Fixed, but with possibility to drop arms

Higher chance for patients to be randomised to better-performing treatment arm

No

Yes

Yes

No

No, but poor performing arms can be dropped