Are placebo and drug-specific effects additive? Questioning basic assumptions of double-blinded randomized clinical trials and presenting novel study designs
Drug Discovery Today. Bd. 22. H. 4. Elsevier BV 2017 S. 729 - 735
Erscheinungsjahr: 2017
ISBN/ISSN: 1359-6446
Publikationstyp: Zeitschriftenaufsatz
Sprache: Englisch
Doi/URN: 10.1016/j.drudis.2016.11.022
Geprüft | Bibliothek |
Inhaltszusammenfassung
Double-blinded randomized clinical trials (RCTs) assume that pharmacological interventions have drug-specific and unspecific components. Traditional RCTs postulate an additivity of these two components. In this review, we provide evidence from both clinical trials and experimental studies that questions this ‘additive model’. Given that the evaluation of drug treatments in RCTs is based on the assumption of additivity, its violation has far-reaching consequences. Therefore, we discuss an inte...Double-blinded randomized clinical trials (RCTs) assume that pharmacological interventions have drug-specific and unspecific components. Traditional RCTs postulate an additivity of these two components. In this review, we provide evidence from both clinical trials and experimental studies that questions this ‘additive model’. Given that the evaluation of drug treatments in RCTs is based on the assumption of additivity, its violation has far-reaching consequences. Therefore, we discuss an interactive model that, in contrast to the additive model, considers interactions between placebo and drug-specific effects. Moreover, we discuss implications for future clinical trials and present novel study designs enabling researchers to consider the complex interplay of drug-specific and unspecific effects.» weiterlesen» einklappen
Klassifikation
DFG Fachgebiet:
Psychologie
DDC Sachgruppe:
Psychologie
Verknüpfte Personen
- Tobias Kube
- Mitarbeiter/in
(Biopsychologie, Klinische Psychologie und Psychotherapie)