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              Printable Handouts
Navigable Slide Index
- Introduction
- Inference
- 3rd great property of randomization
- The population & invoked models
- The randomization model
- Randomization tests
- Randomization tests: the p-value
- Monte Carlo randomization tests
- Preserving error rates
- Example of preserving error rates
- Trade-off between predictability and type II error
- Randomization tests for regression models (1)
- Randomization tests for regression models (2)
- Stratification (1)
- Stratification (2)
- Stratification (3)
- Some warnings
- Warnings: Senn's view
- Conclusions
- Conclusions & summary
- Guidelines for randomization in practice (1)
- Guidelines for randomization in practice (2)
Topics Covered
- Randomization as a basis for inference
- Randomization tests
- Randomization-based inference for regression models
- Stratification
Links
Series:
Categories:
Talk Citation
Rosenberger, W. (2016, September 29). An introduction to randomization for clinical trials 2 [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved October 31, 2025, from https://doi.org/10.69645/GAVC8126.Export Citation (RIS)
Publication History
- Published on September 29, 2016
Financial Disclosures
- Prof. William Rosenberger, Other: Lecture materials based on scholarly textbook published with John Wiley and Sons, accrues royalties.
An introduction to randomization for clinical trials 2
                  Published on September 29, 2016
                  
                    
                      
                        
                      
                    
                  
                  
                    20 min
                
              Other Talks in the Series: The Risk of Bias in Randomized Clinical Trials
Transcript
Please wait while the transcript is being prepared...
      
      
        
                  0:00
                
                
                  
                    My name is William F. Rosenberger.
                  
                    I'm an University Professor
                  
                    and Chairman of the Department
of Statistics
                  
                    at George Mason University.
                  
                    I also have written two books
on the subject of randomization.
                  
                    This is part two of "An introduction
to randomization
                  
                    for clinical trials"
recorded for Henry Stewart Talks.
                  
                    I recommend that you watch
the first part of "An introduction
                  
                    to randomization for clinical trials"
before proceeding to part two.
                  
                
              
                  0:28
                
                
                  
                    Now, I want to discuss another criterion
                  
                    which is randomization
as a basis for inference.
                  
                
              
                  0:36
                
                
                  
                    So the third great property
of randomization
                  
                    is that it provides
a basis for inference,
                  
                    that's assumption-free
and relies only on the way
                  
                    in which the subjects were randomized.
                  
                    The early clinical trialists
                  
                    were aware of the importance
of randomization-based inference,
                  
                    but as I mentioned earlier,
                  
                    they had limited computer resources
to implement it.
                  
                    Nowadays, we can run
a randomization test,
                  
                    or as the FDA calls it,
a "re-randomization" test in seconds,
                  
                    just by modifying the program
                  
                    that we used to generate
the initial sequence.
                  
                    Unfortunately, many students
                  
                    are not taught
randomization tests anymore,
                  
                    or even told
that the usual population model
                  
                    does not apply in clinical trials.
                  
                    Randomization tests
are particularly useful
                  
                    for small clinical trials,
                  
                    where standard large sample theory tests
may not apply.
                  
                
              
                  1:29
                
                
                  
                    So if we think about
the usual population model,
                  
                    based on random sampling
from a population,
                  
                    we can think of two populations,
populations A and B.
                  
                    And then we do random sampling.
And then presumably,
                  
                    the sample that we get
will be an "i.i.d" sample
                  
                    with the same population model
as what we sampled from
                  
                    and parameters
based on those populations.
                  
                    We call it θA and θB.
                  
                    Clinical trials
do not follow this model,
                  
                    so often what's done
is we invoke a population
                  
                    or a random sampling model
to describe a clinical trial
                  
                    in order to conduct inference.
                  
                    In this case, we have basically
an unspecified patient population
                  
                    because they really aren't
populations of patients
                  
                    taking on experimental therapy
or even taking a placebo.
                  
                    Then there's some undefined
sampling procedure from this population
                  
                    that produces "n" patients
                  
                    and then randomization is conducted.
And we get "nA" patients on treatment A,
                  
                    "nB" patients on treatment B.
                  
                    And we assume this "i.i.d" model
                  
                    with parameters θA and θB.
                  
                
               
       
     
                    
                     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
     
        
      
    