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中国临床药理学与治疗学 ›› 2023, Vol. 28 ›› Issue (3): 283-289.doi: 10.12092/j.issn.1009-2501.2023.03.006

• 定量药理学 • 上一篇    下一篇

临床试验三组等比例随机分配的BSD方法

许敏怡1,2,刘雅琦1,2,刘玉秀1,2,3,熊殷1,2,巩浩雯2,3,张曼婷1,2,虞茜惠2,3,赵杨1   

  1. 1南京医科大学公共卫生学院生物统计学系,南京 211166,江苏; 2东部战区总医院重症医学科数据与统计室,南京 210002,江苏; 3南方医科大学公共卫生学院生物统计学系,广州 510515,广东 
  • 收稿日期:2022-08-01 修回日期:2022-12-05 出版日期:2023-03-26 发布日期:2023-04-19
  • 通讯作者: 赵杨,男,教授,研究方向:临床试验统计方法与规范化研究。 E-mail:yzhao@njmu.edu.cn 刘玉秀,男,教授,主任医师,研究方向:临床试验统计方法与规范化研究。 E-mail:liu_yuxiu@163.com
  • 作者简介:许敏怡,女,硕士研究生,研究方向:临床试验统计方法与规范化研究。 E-mail:minyixu@stu.njmu.edu.cn 刘雅琦,女,共同第一作者,硕士研究生,研究方向:临床试验统计方法与规范化研究。 E-mail:liuyaqi@njmu.edu.cn
  • 基金资助:
    国家自然科学基金面上项目(81473066)

BSD method for three treatments randomly allocated with equal proportion in clinical trials 

XU Minyi1,2, LIU Yaqi1,2, LIU Yuxiu1,2,3, XIONG Yin1,2, GONG Haowen2,3, ZHANG Manting1,2, YU Xi-hui2,3, ZHAO Yang1    

  1. 1 Department of Biostatistics, School of Public Health, Nanjing Medical University, Nanjing 211166, Jiangsu, China; 2 Data and Statistics Unit of Department of Critical Care Medicine, General Hospital of Eastern Theater Command, Nanjing 210002, Jiangsu, China; 3 Department of Biostatistics, School of Public Health, Southern Medical University, Guangzhou 510515, Guangdong, China 
  • Received:2022-08-01 Revised:2022-12-05 Online:2023-03-26 Published:2023-04-19

摘要: 目的:既往研究认为大棒法(BSD)仅能用于两组等比例分配临床试验,具有很好的统计性能,成为随机化方法的推荐选择。本研究对 BSD法进行拓展,应用于三组的情况,为三组等比例临床试验随机化提供更多选择。方法:在两组等比例分配 BSD法基础上,进行条件分配概率推导,拓展建立三组等比例分配的 BSD法。并从均衡性、随机性两个维度,借助 Monte-Carlo模拟技术对 BSD法和传统应用的简单随机化法(SR)、区组随机化法(PBD)以及区组瓮法(BUD)进行性能比较。结果:四种随机化方法中,PBD法均衡性最好,其次为 BUD法、BSD法,最差为 SR法;SR法随机性最强,其次为 BSD法、BUD法和 PBD法;综合性能表明,BSD法性能最优,其次为 BUD法、 PBD法及 SR法。结论:拓展的三组等比例随机分配 BSD法具有较好的综合性能,推荐作为三组等比例临床试验随机分配方法的优先选择。

关键词: 随机化, 简单随机化, 区组随机化, 大棒法, 区组瓮法

Abstract: AIM: Previous studies have suggested that big stick design (BSD) method can only be used in clinical trials of two treatments with equal proportion, which has good statistical performance and has become the recommended choice of randomized methods. This study expands BSD meth-od, so that it can be applied to three groups, and provides more randomized methods for clinical trials. METHODS: On the basis of BSD method used in two treatments with equal proportion, the derivation conditional allocation probability of BSD meth-od used in three treatments with equal proportion was carried out. BSD method was compared with simple randomization (SR) method, permuted block design (PBD) method and block urn design (BUD) method by Monte-Carlo simulation in balance and randomness. RESULTS: In terms of balance, PBD method was the best, followed by BUD method, BSD method, and SR method was the worst. In terms of randomness, SR method was the best, followed by BSD method, BUD method and PBD method. The comprehensive performance showed that BSD method was better than BUD method, PBD method and SR method. CONCLUSION: The expanded BSD method used in three treatments with equal proportion has good comprehensive performance, and it can be the recommended randomization method for clinical trials of three treatments with equal proportion.

Key words: randomization, simple randomization, permuted block design, big stick design, block urn design

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