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Influence of active versus placebo control on treatment responses in randomised controlled trials in rheumatoid arthritis.

Andreas KerschbaumerNina Maria StimakovitsJosef S SmolenTijen StefanovaEva ChwalaDaniel Aletaha
Published in: Annals of the rheumatic diseases (2023)
Placebo controlled trials lead to smaller effect sizes of active compounds in RCTs compared with the same compound in head-to-head trials. This difference may be explained by potential nocebo effects in placebo-controlled settings and needs to be considered when interpreting head-to-head and placebo-controlled trials, by patients, investigators, sponsors and regulatory agencies.
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