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Trial Design: Pain Sections
Author Bio
Introduction
Placebo Effects
Single Dose Trials
Repeated Dose Trials
Explanatory Versus Pragmatic
Currently selected section: Dose-Response
Parallel Group Versus Crossover
Conclusion
 

 

Chapter 1: Clinical Trials of Pain Treatment: Dose-Response; Relative Potency; Combinations

 
         

What can one say about the comparison of the likely usefulness of Drug R and morphine from the above two graphs?

You answered:

Selection ADrug R probably has a superior therapeutic ratio (that is, ratio of analgesia to sedation) compared to morphine.


INCORRECT

The data shows that Drug R, 10 mg, produces moderately more pain relief and sedation than morphine 7.5 mg. Although this creates a visual impression that they have similar therapeutic ratios, we cannot conclude that. With only one dose tested, there is no information about the shape of the dose-response curve for either analgesia or sedation for either drug. If the dose response curves for the two effects have different shapes or slopes, it may be that a lower dose of Drug R that matches the analgesia of morphine 7.5 mg is still more sedating.

For this reason, comparisons involving only a single dose of each of two treatments are unlikely to provide convincing evidence about their relative merits.

Figure 6.3.4:  Drug R, 10 mg, produced significantly more pain relief and significantly more sedation than morphine 7.5 mg.

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