Authors
Harry P Selker, Theodora Cohen, Ralph B D’Agostino, Willard H Dere, S Nassir Ghaemi, Peter K Honig, Kenneth I Kaitin, Heather C Kaplan, Richard L Kravitz, Kay Larholt, Newell E McElwee, Kenneth A Oye, Marisha E Palm, Eleanor Perfetto, Chandra Ramanathan, Christopher H Schmid, Vicki Seyfert‐Margolis, Mark Trusheim, Hans‐Georg Eichler
Publication date
2022/8
Source
Clinical Pharmacology & Therapeutics
Volume
112
Issue
2
Pages
224-232
Description
Clinicians and patients often try a treatment for an initial period to inform longer‐term therapeutic decisions. A more rigorous approach involves N‐of‐1 trials. In these single‐patient crossover trials, typically conducted in patients with chronic conditions, individual patients are given candidate treatments in a double‐blinded, random sequence of alternating periods to determine the most effective treatment for that patient. However, to date, these trials are rarely done outside of research settings and have not been integrated into general care where they could offer substantial benefit. Designating this classical, N‐of‐1 trial design as type 1, there also are new and evolving uses of N‐of‐1 trials that we designate as type 2. In these, rather than focusing on optimizing treatment for chronic diseases when multiple approved choices are available, as is typical of type 1, a type 2 N‐of‐1 trial tests treatments designed …
Total citations
2022202320246116
Scholar articles
HP Selker, T Cohen, RB D'Agostino, WH Dere… - Clinical Pharmacology & Therapeutics, 2022