Alternative designs for randomized clinical trials

Journal article

Hip fractures present some of the biggest challenges facing patients and healthcare systems. Worldwide, there are currently 1.3 million hip fractures per year, projected to rise to more than six million by 2050. The World Hip Trauma Evaluation (WHiTE) platform trial will provide randomized evidence dealing with the clinical and cost-effectiveness of interventions to improve outcomes for patients with a fragility fracture of the hip. The previous WHiTE cohort multiple-embedded trials' model was highly successful in delivering evidence to inform national and international policy and practice guidelines. This annotation addresses two questions: why change to a platform trial design? And what are the potential advantages and disadvantages of trials which use newer methodologies?

Authors: Costa, ML; Achten, J; Appelbe, D; Griffin, XL

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: British Editorial Society of Bone and Joint Surgery
• Journal: The Bone & Joint Journal
• Volume: 107-B
• Issue: 8
• Pages: 772-776
• Publication date: 2025-08-01
• DOI: 10.1302/0301-620x.107b8.bjj-2024-1687.r1
• EISSN: 2049-4408
• ISSN: 2049-4394
• Language: English
• Keywords: Fragility fracture; Medicine; Nursing; Clinical trial; Psychological intervention; Randomized controlled trial; Physical therapy; Osteoporosis; Health care; Fragility; Hip fracture; Surgery; Political science; White paper