Abstract
Randomized clinical trials are essential to the advancement of clinical care by providing an unbiased estimate of the efficacy of new therapies compared to current standards of care. The protocol document plays a key role during the life cycle of a trial and guides all aspects of trial organization and conduct, data collection, analysis, and publication of results.
Several guidance documents are available to assist with protocol generation. The SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) Statement comprises a checklist of essential items for inclusion in a protocol document. Other essential references include those generated by the International Conference on Harmonization and the Declaration of Helsinki which inform the design and conduct of trials that meet the highest scientific, ethical, and safety standards.
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Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, Filiberti A, Flechtner H, Fleishman SB, de Haes JC, Klee M, Osoba D, Razavi D, Rofe PB, Schraub S, Sneeuw K, Sullivan M, Takeda F (1993) The European Organization for Research and Treatment of Cancer QLQ-C30; a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85:365–376
Altman DG, Bland JM (1999) How to randomise. BMJ 319:703–704
Calvert M, Kyte D, Mercieca-Bebber R, Slade A, Chan AW, King MT, The SPIRIT-PRO Group, Hunn A, Bottomley A, Regnault A, Chan AW, Ells C, O’Connor D, Revicki D, Patrick D, Altman D, Basch E, Velikova G, Price G, Draper H, Blazeby J, Scott J, Coast J, Norquist J, Brown J, Haywood K, Johnson LL, Campbell L, Frank L, von Hildebrand M, Brundage M, Palmer M, Kluetz P, Stephens R, Golub RM, Mitchell S, Groves T (2018) Guidelines for inclusion of patient-reported outcomes in clinical trial protocols: the SPIRIT-PRO extension. JAMA 319(5):483–494
Chan AW, Tetzlaff JM, Altman DG (2013a) SPIRIT 2013 statement: defining standard protocol items for clinical trials. Ann Intern Med 158:200–207
Chan AW, Tetzlaff JM, Gotzsche PC (2013b) SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ 346:e7586. https://doi.org/10.1136/bmj.e7586
Cox DR (1972) Regression models and life tables (with discussion). J R Statist Soc Ser B34:187–220
Geller NL, Pocock SJ (1987) Biometrics 43(1):213–223
Gore L, Ivy SP, Balis FM, Rubin E, Thornton K, Donoghue M, Roberts S, Bruinooge S, Ersek J, Goodman N, Schenkel C, Reaman G (2017) Modernizing clinical trial eligibility: recommendations of the American Society of Clinical Oncology–friends of Cancer research minimum age working group. J Clin Oncol 35:3781–3787
Kernan WN, Viscoli CM, Makuch RW, Brass LM, Horwitz RI (1999) Stratified randomization for clinical trials. J Clin Epidemiol 52(1):19–26
Kim ES, Bruinooge SS, Roberts S, Ison G, Lin NU, Gore L, Uldrick TS, Lictman SM, Roach N, Beavre JA, Sridhara R, Hesketh PJ, Denicoff AM, Garrett-Mayer E, Rubin E, Multani P, Prowell TM, Schenkel C, Kozak M, Allen J, Sigal E, Schilsky RL (2017) Broadening eligibility criteria to make clinical trials more representative: American society of clinical oncology and friends of cancer research joint research statement. J Clin Oncol 35:3737–3744
Lancaster GA, Dodd S, Williamson PR (2004) Design and analysis of pilot studies: recommendations for good practice. J Eval Clin Pract 10:307–312
Lichtman SM, Harvey RD, Smit MAD, Rahman A, Thompson MA, Roach N, Schenkel C, Bruinooge SS, Cortazar P, Walker D, Fehrenbacher L (2017) Modernizing clinical trial eligibility criteria: recommendations of the American Society of Clinical Oncology–friends of Cancer research organ dysfunction, prior or concurrent malignancy, and comorbidities working group. J Clin Oncol 35:3753–3759
Pocock SJ, Richard S (1975) Sequential treatment assignment with balancing for prognostic factors in the controlled clinical trial. Biometrics Int Biometric Soc 31(1):103–115
Resnick DB (2009) Do Informed Consent Documents Matter?. Contemp Clin Trials 30(2):114–115
Rosner B (1990) Fundamentals of biostatistics, 3rd edn. PWS-Kent, Boston
Whitehead AL, Sully BG, Campbell MJ (2014) Pilot and feasibility studies: is there a difference from each other and from a randomised controlled trial? Contemp Clin Trials 38(1):130–133
Xie W, Regan MM, Buyse M, Halabi S, Kantoff PW, Sartor O, Soule H, Clarke NW, Collette L, Dignam JJ, Fizazi K, Paruleker WP, Sandler HM, Sydes MR, Tombal B, Williams SG, Sweeney CJ (2017) J Clin Oncol 35(27):3097–3104
Zelen M (1974) J Chronic Dis 27:365–375
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Chen, B.E., Urton, A., Sadura, A., Parulekar, W.R. (2020). Principles of Protocol Development. In: Piantadosi, S., Meinert, C. (eds) Principles and Practice of Clinical Trials. Springer, Cham. https://doi.org/10.1007/978-3-319-52677-5_32-1
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DOI: https://doi.org/10.1007/978-3-319-52677-5_32-1
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