Abstract
One cannot address the question of when to stop a trial without first having dealt with the more basic design questions such as those involved in sample size calculations. But such considerations represent only one aspect of the question. One must also consider the process that must be established in the trial to provide a mechanism that permits one to decide when to stop.... The idea that stopping rules can be devised that can be used in deciding when to stop is appealing but it rarely works in practice. Most trials involve observations for various events. It is virtually impossible to prespecify the constellation of data that would be required to terminate the trial.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Bibliography
Anonymous: 1983, ‘No Need for Panic about AIDS’, Nature 302(28), 749.
Armitage, P.: 1975, Sequential Medical Trials, 2nd ed., Wiley, New York.
Endicott, K. M.: 1957, ‘The Chemotherapy Program’, J. National Cancer Institute 19, 275–93.
Giere, R.: 1979, Understanding Scientific Reasoning, Holt, Rinehart and Winston, New York.
Hill, A. B.: 1963, ‘Medical Ethics and Controlled Trials’, British Medical Journal 1, 1043–1049.
Jonas, H.: 1970, ‘Philosophical Reflections on Experimenting with Human Subjects’, in P. A. Freund (ed.), Experimentation with Human Subjects, George Braziller, New York.
Katz, J.: 1972, Experimentation with Human Beings, Russell Sage Foundation, New York.
Medical Research Council: 1948, ‘Streptomycin Treatment of Pulmonary Tuberculosis’, British Medical Journal 2, 769–782.
Medical Research Council: 1955, ‘Various Combinations of Isoniazid with Streptomycin or with P.A.S. in the Treatment of Pulmonary Tuberculosis’, British Medical Journal 1, 435–445.
Medical Research Council: 1956, ‘B.C.G. and Vole Bacillus Vaccines in the Prevention of Tuberculosis in Adolescents’, British Medical Journal 1, 413–427.
Medical Research Council: 1959, ‘Vaccination Against Whooping Cough’, British Medical Journal 1, 994–1000.
Meier, P.: 1979, ‘Terminating a Trial — The Ethical Problem’, Clinical Pharmacology and Therapeutics 25, 633–640.
Meinert, C. L.: 1979, ‘When and How to Stop a Clinical Trial’, Clinical Pharmacology and Therapeutics 25, 632.
Mill, J. S.: 1859, On Liberty (Reprinted 1910), Dent, London.
Poliomyelitis Vaccine Evaluation Center: 1955, Evaluation of 1954 Field Trial of Poliomyelitis Vaccine, The National Foundation for Infantile Paralysis, Ann Arbor, Michigan.
Popper, K: 1962, Conjectures and Refutations, Basic Books, New York.
Rawls, J.: 1971, A Theory of Justice, Harvard University Press, Cambridge, Massachusetts.
Snell, E. S., and Armitage, P.: 1957, ‘Clinical Comparison of Diamorphine and Pholcodine as Cough Suppressants by a New Method of Sequential Analysis’, Lancet 1, 860–862.
Thulbourne, T., and Young, M. H.: 1962, ‘Prophylactic Penicillin and Postoperative Chest Infections’, Lancet 2, 907–909.
Weatherall, M.: 1982, ‘An End to the Search for New Drugs?’ Nature 301, 387–390.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1988 Kluwer Academic Publishers
About this chapter
Cite this chapter
Ruse, M. (1988). At What Level of Statistical Certainty Ought a Random Clinical Trial to Be Interrupted?1 . In: Spicker, S.F., Alon, I., de Vries, A., Engelhardt, H.T. (eds) The Use of Human Beings in Research. Philosophy and Medicine, vol 28. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-2705-6_10
Download citation
DOI: https://doi.org/10.1007/978-94-009-2705-6_10
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-7719-4
Online ISBN: 978-94-009-2705-6
eBook Packages: Springer Book Archive