A Framework for Managing the Minimal Clinically Important Difference in Clinical Trials.

Abstract:

:There is a long history of discussions about what is a minimal clinically important difference (MCID) and how this term applies to clinical research. This paper deals with a practical framework for MCID and its applicability to clinical trials. A literature review on the topic confirmed the fundamental role of MCID for the clinical research, although no guide on how to best use the MCID in clinical trials was identified. We propose a framework that takes into account (1) the definition of MCID as a term when random variable is discussed, (2) a 4-level approach for classifying the MCID evidence to be considered in a clinical development program, and (3) a method of MCID evaluation, defined in a scientifically sound protocol. The proposed framework can prompt and steer stakeholders to improve the methodological sense of clinical trials based on the definition of MCID at the level of efficacy or safety, increase the quality of data derived from clinical trials and reporting of results, and allow effective planning of drug development programs.

journal_name

Ther Innov Regul Sci

authors

Koynova D,Lühmann R,Fischer R

doi

10.1177/2168479013487541

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

447-454

issue

4

eissn

2168-4790

issn

2168-4804

journal_volume

47

pub_type

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