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Table 2 IRB members’ opinions of justifications for unbalanced randomization by class of perception of unbalanced randomization

From: Heterogeneous perception of the ethical legitimacy of unbalanced randomization by institutional review board members: a clinical vignette-based survey

Justifications for unbalanced randomizationa

Total

(n = 148)

Class 1b

(n = 58)

Class 2

(n = 46)

Class 3

(n = 44)

Gaining experience with the treatment

 Justification considered acceptable

6.1 ± 3.3

3.2 ± 2.6

7.5 ± 2.6

8.2 ± 1.9

 Justification considered ethically sound

6.0 ± 3.4

4.1 ± 3.4

7.0 ± 3.0

7.5 ± 2.3

Cost issues

 Justification considered acceptable

3.2 ± 3.0

1.9 ± 1.6

4.8 ± 3.5

3.3 ± 3.2

 Justification considered ethically sound

3.1 ± 3.3

1.8 ± 2.2

3.9 ± 3.5

4.0 ± 3.6

Increasing patient acceptability

 Justification considered acceptable

5.4 ± 3.4

4.4 ± 3.2

7.5 ± 2.7

4.6 ± 3.3

 Justification considered ethically sound

5.2 ± 3.5

4.5 ± 3.5

6.7 ± 3.1

4.6 ± 3.4

Reduction in expected dropout

    

 Justification considered acceptable

5.7 ± 3.3

4.7 ± 3.4

7.0 ± 2.8

5.7 ± 3.3

 Justification considered ethically sound

6.0 ± 3.3

4.8 ± 3.4

7.6 ± 2.2

5.8 ± 3.4

Ethics issues (e.g., bad deal trial)

    

 Justification considered acceptable

3.6 ± 3.4

2.5 ± 2.5

6.4 ± 3.4

2.0 ± 2.1

 Justification considered ethically sound

2.7 ± 3.5

1.3 ± 2.2

5.8 ± 3.5

1.4 ± 2.6

Methodological reasons

 Justification considered acceptable

6.0 ± 3.3

5.1 ± 3.3

6.7 ± 3.2

6.4 ± 3.2

 Justification considered ethically sound

5.7 ± 3.4

4.9 ± 3.5

6.1 ± 3.3

6.3 ± 3.1

  1. Data are mean ± standard deviation (SD) on a visual analog scale (0–10)
  2. aThe mean score represents the opinion of IRB members from 0, totally unjustified or unethical, to 10, totally justified or ethical
  3. bClass 1 = skeptics in the ethical justification of using unbalanced randomization, whatever the reason
  4. Class 2 = believers in the ethical justification of using unbalanced randomization, whatever the reason
  5. Class 3 = circumstantial believers evoking ethical and cost issues rather than methodological ones