Table 1 A framework of fundamental elements in rare disease N-of-1 trials

From: A framework for N-of-1 trials of individualized gene-targeted therapies for genetic diseases

Introduction

Background Information

Nonclinical and clinical data

Rationale

Risk-Benefit Assessment

Objectives and Endpoints

Primary

Secondary

Exploratory

Study Design and Dose Rationale

Overall design

Treatment goals

Dose rationale

End of study definition

Study Population

Inclusion criteria

Exclusion criteria

Treatment

Study drug information

Route of administration

Dose escalation

Dose modifications

Stopping rules

Study drug

Preparation, handling, storage, accountability

Product storage and stability

Preparation of study drug

Study Procedures

Procedures for screening and enrollment - Study assessments and procedures (include all assessments with description)

Safety

Definition of adverse events and serious adverse events

Assessment of severity of adverse events Assessment of AE relationship to study drug

Reporting responsibilities

Statistical considerations

Pre-specify frequency of outcomes measures and select appropriate time-series methods

Pre-design any composite outcome measures

Consider combining data across similar N-of-1 trials

Data handling and record keeping

Source documents/case reports forms

Study records retention

Data sharing

  1. No datasets were generated during the construction of the fundamental elements framework.