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Table 3 Responses for the ethical considerations of 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

Ethical considerations of unbalanced randomizationa

Total

(n = 148)

Class 1b

(n = 58)

Class 2

(n = 46)

Class 3

(n = 44)

Increase in sample size is ethically acceptable

6.1 ± 3.1

5.2 ± 2.8

7.2 ± 2.7

5.9 ± 3.4*

Non-inferiority trials raise distinct issues regarding unbalanced randomization

5.6 ± 3.0

5.4 ± 2.9

5.6 ± 3.0

5.8 ± 3.0

Unbalanced randomization respects equipoise

4.5 ± 3.3

3.6 ± 2.9

5.5 ± 3.5

4.8 ± 3.2*

Beginning a trial with previous negative and positive trial results in equal proportion is ethical

6.2 ± 2.8

6.2 ± 2.6

6.8 ± 3.1

5.4 ± 2.8

Equipoise exists with an equal proportion of negative and positive trials before beginning a new trial

6.0 ± 3.2

5.5 ± 3.3

6.9 ± 3.2

5.8 ± 3.0

  1. Data are mean ± standard deviation (SD) by visual analog scale (0–10)
  2. *P < 0.05
  3. aThe mean score represents the opinion of IRB members from 0, total disagreement, to 10, total agreement
  4. bClass 1 = skeptics in the ethical justification of using unbalanced randomization, whatever the reason
  5. Class 2 = believers in the ethical justification of using unbalanced randomization, whatever the reason
  6. Class 3 = circumstantial believers evoking ethical and cost issues rather than methodological ones