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Better alternatives to permuted block randomization for clinical trials with unequal allocation

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Meurer, Connor, and Glassberg published ‘Simulation of various randomization strategies for a clinical trial in sickle cell disease’, proposing a biased-coin adaptive randomization design for a trial with a small sample size of 45 and an unequal target allocation of 1:2 between placebo and active treatment, and compared it with the complete randomization and the permuted block randomization via computer simulation.

The authors’ effort of seeking a better alternative to the inferior permuted block randomization is laudable, and the implementation of better randomization designs in trials is important.

Full Article:
https://www.tandfonline.com/doi/full/10.1080/10245332.2016.1236996

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