2.10:

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

JoVE Core
Pharmacokinetics and Pharmacodynamics
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JoVE Core Pharmacokinetics and Pharmacodynamics
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

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01:23 min

October 10, 2024

Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.

Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled studies adopt various techniques, including placebo, historical, crossover, or standard treatment controls, to mitigate biases effectively. These control mechanisms provide a structured framework for evaluating the true impact of a treatment or intervention.

To further bolster the integrity of research outcomes, blinding techniques are implemented. Blinding ensures that participants or investigators remain unaware of the assigned treatment, reducing the potential for biased observations. Studies employ different levels of blinding, such as single-blind, double-blind, and double-dummy designs, based on the specific research requirements.

In a single-blind design, only the participants are unaware of the treatment they are receiving, while the researchers know the treatment assignments. In a double-blind design, both the participants and the investigators are unaware of the treatment allocations, minimizing bias even further. A double-dummy design is used when two treatments (e.g., a pill and an injection) are being compared; participants receive a placebo for one treatment and the active form of the other, ensuring that blinding is maintained across different treatment forms.

Confounding variables, originating from external factors, can affect study outcomes and challenge researchers. Proper study design, meticulous methodology, and advanced statistical analyses are crucial in addressing confounding issues. The study's validity, a pivotal aspect, determines how effectively researchers mitigate the influence of these confounding factors.

Internal validity assesses the quality of study execution, examining the extent to which the experimental design and methodology impact the results. On the other hand, external validity gauges the applicability of the study's findings to broader populations and real-world scenarios, ensuring that the research outcomes hold relevance beyond the immediate study group.

In clinical studies, risk calculation plays a fundamental role in estimating the association between exposure and outcome. Various measures, including absolute and relative risks, absolute and relative risk reduction, treatment numbers, and hazard and odds ratios, quantify the risks associated with specific interventions. These calculations provide invaluable insights into the potential benefits and drawbacks of treatments, aiding clinicians and researchers in making informed decisions regarding patient care and future research directions.