The GetReal Trial Tool: design, assess and discuss clinical drug trials in light of Real World Evidence generation

Mira G.P. Zuidgeest*, Iris Goetz, Anna Katharina Meinecke, Daniel Boateng, Elaine A. Irving, Ghislaine J.M. van Thiel, Paco M.J. Welsing, Katrien Oude-Rengerink, Diederick E. Grobbee

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Methodologies incorporating Real World Elements into clinical trial design (also called pragmatic trials) offer an attractive opportunity to assess the effect of a treatment strategy in routine care and as such guide decision making in practice. Uptake of these methods is slow for several reasons, including uncertainty about acceptability of trial results, lack of experience with the methodology and operational challenges. We developed the “GetReal Trial Tool,” an easy-to-use online interface, which allows users to assess the impact of design choices on generalizability to routine clinical practice, while taking into account risk of bias, precision, acceptability and operational feasibility. The tool is grounded in the scientific literature combined with knowledge of experts from academia, pharmaceutical companies, HTA bodies, patient organizations, and regulators. The aim is to help researchers optimize trial design and facilitate translation of evidence from pragmatic trials to clinical practice. In this paper we describe the development, structure and application of the GetReal Trial Tool.

Original languageEnglish
Pages (from-to)244-253
Number of pages10
JournalJournal of Clinical Epidemiology
Volume149
Early online date17 Dec 2021
DOIs
Publication statusPublished - Sept 2022

Keywords

  • Clinical trial
  • Epidemiology
  • Medical ethics
  • Pragmatic trial
  • Real world evidence
  • Research design

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