Episode 66, “Response-Adaptive Randomization in Clinical Trials”
In Episode 66 of "In the Interim...", Dr. Scott Berry and Dr. Kert Viele tackle one of clinical trial design's most controversial topics: Response-Adaptive Randomization (RAR).
When does RAR strengthen trials, and when does it fall short? The team breaks down:
● Why two-arm trials rarely benefit from RAR
● How multi-arm dose-finding studies gain power through adaptive allocation
● Real-world examples including lecanemab's Alzheimer's trial and the ICECAP cardiac arrest study
● The operational challenges of implementation
RAR may not be a universal solution, but rather a precise tool for specific scenarios. When used correctly in multi-arm trials, it treats patients better while generating stronger evidence. When misapplied, it reduces statistical power and introduces bias.
Listen today to the full episode: https://www.berryconsultants.com/resource/66-response-adaptive-randomization-in-clinical-trials