An N-of-1 Trial in a Progressive Rare Disease: A Case Report on Design, Consent and Interpretation

Authors

  • Jure Kosmac Department of Rare Disease Medicine, Posavje Institute of Translational Medicine, Krsko, Slovenia Author
  • Veerle Ballegeer Centre for Clinical Trials Methodology, Borinage Centre for Experimental Therapeutics, Boussu, Belgium Author
  • Rihards Purvina Centre for Research Ethics, Sela Centre for Experimental Therapeutics, Bauska, Latvia Author

DOI:

https://doi.org/10.5281/zenodo.22649050

Keywords:

An N-of-1 Trial in a Progressive Rare Disease, Translational medicine; Evidence synthesis;, Clinical implementation; Health services research

Abstract

An N-of-1 Trial in a Progressive Rare Disease is an area of active development in translational medicine, with evidence that has
accumulated unevenly across its component questions. We review the current evidence base for an n-of-1 trial in a progressive
rare disease, spanning analytical, clinical, implementation, governance, and economic dimensions, focusing on where practice
has converged and where it continues to vary, and set out the practical considerations relevant to a service considering its
adoption. We conclude that selective, context-specific use is best supported by the evidence currently available, rather than
uniform adoption or avoidance.

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Hendriksen W, Wojcik H, et al. "An N-of-1 Trial in a Progressive Rare Disease: a validation study". N Engl J Med 42(2017): 487-494. DOI: 10.3390/diagnostics15162117

Ionescu F, Foscarini I, et al. "An N-of-1 Trial in a Progressive Rare Disease: a scoping review". JAMA 44(2020): 498-506. DOI: 10.4103/jrpp.jrpp_20_65

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Published

2023-05-11

How to Cite

An N-of-1 Trial in a Progressive Rare Disease: A Case Report on Design, Consent and Interpretation. (2023). Translational Medicine & Therapeutics Journal, 2(1), 37-45. https://doi.org/10.5281/zenodo.22649050