Emulation of randomized clinical trials with nonrandomized database analyses: results of 32 clinical trials

SV Wang, S Schneeweiss, JM Franklin, RJ Desai… - Jama, 2023 - jamanetwork.com
Importance Nonrandomized studies using insurance claims databases can be analyzed to
produce real-world evidence on the effectiveness of medical products. Given the lack of …

Feasibility of using real-world data to replicate clinical trial evidence

VL Bartlett, SS Dhruva, ND Shah, P Ryan… - JAMA network …, 2019 - jamanetwork.com
Importance Although randomized clinical trials are considered to be the criterion standard
for generating clinical evidence, the use of real-world evidence to evaluate the efficacy and …

Emulating randomized clinical trials with nonrandomized real-world evidence studies: first results from the RCT DUPLICATE initiative

JM Franklin, E Patorno, RJ Desai, RJ Glynn, D Martin… - Circulation, 2021 - Am Heart Assoc
Background: Regulators are evaluating the use of noninterventional real-world evidence
(RWE) studies to assess the effectiveness of medical products. The RCT DUPLICATE …

Nonrandomized real‐world evidence to support regulatory decision making: process for a randomized trial replication project

JM Franklin, A Pawar, D Martin… - Clinical …, 2020 - Wiley Online Library
Recent legislation mandates that the US Food and Drug Administration issue guidance
regarding when real‐world evidence (RWE) could be used to support regulatory decision …

When and how can real world data analyses substitute for randomized controlled trials?

JM Franklin, S Schneeweiss - Clinical Pharmacology & …, 2017 - Wiley Online Library
Regulators consider randomized controlled trials (RCTs) as the gold standard for evaluating
the safety and effectiveness of medications, but their costs, duration, and limited …

Randomized trials vs real-world evidence: how can both inform decision-making?

RC Sheldrick - Jama, 2023 - jamanetwork.com
Noting that randomized clinical trials (RCTs)“generally yield the strongest inferences about
the effects of medical treatments,” 1 (p984) the AMA Manual of Style instructs that …

The magic of randomization versus the myth of real-world evidence

R Collins, L Bowman, M Landray… - New England Journal of …, 2020 - Mass Medical Soc
The Magic of Randomization Nonrandomized observational analyses have been promoted
as alternatives to randomized clinical trials. However, randomization ensures balance …

Benchmarking observational methods by comparing randomized trials and their emulations

IJ Dahabreh, JM Robins, MA Hernán - Epidemiology, 2020 - journals.lww.com
This work was supported in part by Patient-Centered Outcomes Research Institute (PCORI)
award ME-1502-27794 (IJD); Office of Naval Research award N00014-19-1-2446 and …

Interpretation and impact of real-world clinical data for the practicing clinician

L Blonde, K Khunti, SB Harris, C Meizinger… - Advances in …, 2018 - Springer
Real-world studies have become increasingly important in providing evidence of treatment
effectiveness in clinical practice. While randomized clinical trials (RCTs) are the “gold …

Association between risk-of-bias assessments and results of randomized trials in Cochrane reviews: the ROBES meta-epidemiologic study

J Savović, RM Turner, D Mawdsley… - American Journal of …, 2018 - academic.oup.com
Flaws in the design of randomized trials may bias intervention effect estimates and increase
between-trial heterogeneity. Empirical evidence suggests that these problems are greatest …