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Table 5 Adaptations planned at the time of scientific advice (SA) letter versus the adaptations implemented in the protocol after SA. A given trial can include several and possibly different types of adaptive elements

From: Adaptive designs in clinical trials: from scientific advice to marketing authorisation to the European Medicine Agency

Adaptations

Planned at the time of SA opinion letter

Implemented

Not implemented

No adaptations mentioned

Not retrieved

Dose selection (phase II/III)

16

6

0

2

8

Sample size reassessment

43

6

4

9

24

Stopping for futility

31

7

2

8

14

Stopping for early efficacy

19

1

2

5

11