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Deep Dive: Moving Away From RCTs for Rare Disease Treatment Evaluations

53 min · 1 de jun de 2026
Portada del episodio Deep Dive: Moving Away From RCTs for Rare Disease Treatment Evaluations

Descripción

Join Dr. Janet Woodcock and Dr. Marshall Summer as they discuss their two review papers in Clinical and Translational Science on rare disease trial design: “Supply and Demand in the Mathematics of Rare Disease Drug Development: Why Choosing the Right Model is Crucial [https://ascpt.onlinelibrary.wiley.com/doi/10.1111/cts.70551]” and “The Placebo Effect in Rare Disease Clinical Trials: Measurement Impact and Statistical Approaches for Patient as Own Control Designs [https://ascpt.onlinelibrary.wiley.com/doi/10.1111/cts.70550].” They delve into why traditional randomized controlled trials can be infeasible for small, heterogeneous rare disease populations, how patient-as-own-control and other alternative statistical designs can add rigor while reducing false negatives, as well as practical ways to address placebo effects, bias, and endpoint selection, emphasizing natural history studies and patient-centered input. You can find more information about The Haystack Project mentioned in this episode here: https://haystackproject.org/ [https://urldefense.com/v3/__https:/haystackproject.org/__;!!N11eV2iwtfs!tZixA9DmHh63HRBj_53QVYCPA2_pXE4R2kJARDvlDSedaFmLPX-JyBADbxscnpMbg5Of9lYr7i_SLQ$].

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episode Deep Dive: Moving Away From RCTs for Rare Disease Treatment Evaluations artwork

Deep Dive: Moving Away From RCTs for Rare Disease Treatment Evaluations

Join Dr. Janet Woodcock and Dr. Marshall Summer as they discuss their two review papers in Clinical and Translational Science on rare disease trial design: “Supply and Demand in the Mathematics of Rare Disease Drug Development: Why Choosing the Right Model is Crucial [https://ascpt.onlinelibrary.wiley.com/doi/10.1111/cts.70551]” and “The Placebo Effect in Rare Disease Clinical Trials: Measurement Impact and Statistical Approaches for Patient as Own Control Designs [https://ascpt.onlinelibrary.wiley.com/doi/10.1111/cts.70550].” They delve into why traditional randomized controlled trials can be infeasible for small, heterogeneous rare disease populations, how patient-as-own-control and other alternative statistical designs can add rigor while reducing false negatives, as well as practical ways to address placebo effects, bias, and endpoint selection, emphasizing natural history studies and patient-centered input. You can find more information about The Haystack Project mentioned in this episode here: https://haystackproject.org/ [https://urldefense.com/v3/__https:/haystackproject.org/__;!!N11eV2iwtfs!tZixA9DmHh63HRBj_53QVYCPA2_pXE4R2kJARDvlDSedaFmLPX-JyBADbxscnpMbg5Of9lYr7i_SLQ$].

1 de jun de 202653 min
episode CTS Call for Papers: Celebrating 10 Years with ASCPT artwork

CTS Call for Papers: Celebrating 10 Years with ASCPT

Join Clinical and Translational Science editors Erica Woodahl and Liewei Wang and Editor-in-Training Mai-Uyen Nguyen to hear about CTS’s call for papers for a special collection [https://urldefense.com/v3/__https:/www.ascpt.org/Resources/ASCPT-News/View/ArticleId/28778/CTS-Call-for-Papers-10-Years-of-Translational-Science-Driving-Precision-Medicine__;!!N11eV2iwtfs!reGhnLo1cJbeYepw633Ebwt5DP1Z7cwGYyjfzzWOWFpeakjhHB_mNfJSc6O1E407gE5tFl6NKxDyqQ$] on how translational science can advance precision medicine, marking the 10th anniversary of CTS joining the ASCPT Journal Family. The editors highlight desired submission areas including translational approaches, new tools and technologies from preclinical models to clinical implementation, trial design and real-world evidence, regulatory/ethical/policy considerations for genomic data and testing costs, and pharmacoequity. Submissions are due October 1, 2026.

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