22 May 2017 - The majority of randomised oncology trials are two-arm studies that test the efficacy of new therapies against a standard of care, thereby assigning a large proportion of patients to non-experimental therapies.
In contrast, multi-arm studies efficiently share a common control arm while evaluating multiple experimental therapies. A major bottleneck for traditional multi-arm trials is the requirement that all therapies—often drugs from different companies—have to be available at the same time when the trial starts.
We evaluate the potential gains of a platform design—the rolling-arms design—that adds and removes arms on a rolling basis.