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Conducting Clinical Trials in Twin Populations: A Review of Design, Analysis, Recruitment and Ethical Issues for Twin-Only Trials

Yelland, LN, Scurrah, KJ, Ferreira, P, Calais-Ferreira, L, Rankin, M, Denton, J, Harvey, M, Lee, KJ, Kendal, E and Craig, Jeffrey 2022, Conducting Clinical Trials in Twin Populations: A Review of Design, Analysis, Recruitment and Ethical Issues for Twin-Only Trials, Twin Research and Human Genetics, vol. 24, no. 6, pp. 359-364, doi: 10.1017/thg.2021.52.

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Title Conducting Clinical Trials in Twin Populations: A Review of Design, Analysis, Recruitment and Ethical Issues for Twin-Only Trials
Author(s) Yelland, LN
Scurrah, KJ
Ferreira, P
Calais-Ferreira, L
Rankin, M
Denton, J
Harvey, M
Lee, KJ
Kendal, E
Craig, JeffreyORCID iD for Craig, Jeffrey orcid.org/0000-0003-3979-7849
Journal name Twin Research and Human Genetics
Volume number 24
Issue number 6
Start page 359
End page 364
Total pages 6
Publisher Cambridge University Press
Place of publication Cambridge, Eng.
Publication date 2022
ISSN 1832-4274
1839-2628
Keyword(s) Analysis
clinical trials
design
ethics
Genetics & Heredity
HEALTH
INTERVENTION
Life Sciences & Biomedicine
MODELS
Obstetrics & Gynecology
RANDOMIZATION
recruitment
SAMPLE-SIZE
Science & Technology
twins
Summary AbstractAlthough twins often participate in medical research, few clinical trials are conducted entirely in twin populations. The purpose of this review is to demonstrate the substantial benefits and address the key challenges of conducting clinical trials in twin populations, or ‘twin-only trials’. We consider the unique design, analysis, recruitment and ethical issues that arise in such trials. In particular, we describe the different approaches available for randomizing twin pairs, highlight the similarity or correlation that exists between outcomes of twins, and discuss the impact of this correlation on sample size calculations and statistical analysis methods for estimating treatment effects. We also consider the role of both monozygotic and dizygotic twins for studying variation in outcomes, the factors that may affect recruitment of twins, and the ethics of conducting trials entirely in twin populations. The advantages and disadvantages of conducting twin-only trials are also discussed. Finally, we recommend that twin-only trials should be considered more often.
Language eng
DOI 10.1017/thg.2021.52
Field of Research 1103 Clinical Sciences
1114 Paediatrics and Reproductive Medicine
1702 Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30162410

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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Created: Fri, 11 Feb 2022, 07:49:56 EST

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