Kert Viele

@kertviele.bsky.social

Director of Research, Berry Consultants. Clinical trial designer specializing in Bayesian adaptive trials. Fellow of the American Statistical Association.

CHIPS trial (Cold Platelets) published in JAMA jamanetwork.com/journals/jam... Adaptive trial to assess how long platelets can be stored cold while maintaining noninferiority to warm stored platelets (the trial gradually extended the duration as noninferior data came in).

Cold and Room-Temperature Platelets in Cardiac Surgery

This noninferiority randomized clinical trial determines the maximum cold-storage duration and hemostatic efficacy of cold-stored vs room-temperature platelets in patients undergoing transfusion for a...

jamanetwork.com

Great post @apsmunro.bsky.social! Doing more is such a natural reaction. But even 'benign' interventions may likely be harmful when tested properly. I'm yet to know of a trial for sepsis where adding antibiotics has been beneficial (outside of TB where we do it to prevent emergence of resistance).

Alasdair Munro@apsmunro.bsky.social · 4mo ago

My new post looks at two antimicrobials which have been routinely used and even recommended in guidelines despite a lack of RCT evidence In the last few weeks they’ve both been shown to have no benefit, and worse, high probability of harm - killing patients A lesson we keep failing to learn

This workplace has had 0 days since we were told the ICMJE guidelines for authorship are...optional...with respect to our employees, and they may not be included in a paper regardless of their level of involvement.

Why why why why do people cut and paste huge amounts of information between the Protocol, SAP, and assorted other documents. This is essentially expressing a huge preference toward inconsistent documentation and a desire to triple the workload of anyone working on any change to any document.

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Saw the animal farm argument of statistical inference presented this morning. “When Bayes and frequentist are equal use frequentist” because apparently some are more equal than others.

For all clinical trialists who don’t believe in bringing in historical information or hierarchical borrowing across subgroups….a question…Aaron Judge is currently batting about 0.400. Do you take 0.400 as the best estimate of his 2025 average, or something lower? 🧵

The most important thing in any job is that your boss and administration has your back. If you're looking for an academic job in the US...start with this list.

James Fallows@jfallows.bsky.social · last yr.

When this statement from university prez came out ten days ago, it has ~ 180 signatures. Today it is nearing 600. www.aacu.org/newsroom/a-c... A hard choice for many of these institutions. Especially earliest signers, who had no idea how much company they'd have. But people keep standing up.

List of signatures for a letter from university presidents and other academic leaders opposing political and governmental interference. As of the morning of May 2, it has 597 signatures.

Response adaptive randomization adjusts allocation probabilities over the course of a trial, based on accumulating data. RAR increases allocation to arms performing well, and decreases allocation to arms performing poorly. In multiple arm trials, this has advantages over fixed randomization.

Antibiotic Steward 🅱️C🆔🅿️🌟@absteward.bsky.social · 2y ago

Not gonna lie, I’m still wrapping my head around RAR (Response-Adaptive Randomization). Anyone have a simple breakdown? #idsky

RA Fisher on factorial trials. An ongoing missed opportunity in medical research. "No aphorism is more frequently repeated in connection with field trials, than that we must ask Nature few questions, or, ideally, one question at a time. The writer is convinced this view is wholly mistaken... (1/2)

Interesting experimental idea. Curious if the result indicates a prior distribution on “coins are fair” as much as a statement on likelihoods. Would have been interesting to also investigate a “novel” source of randomness.

Nick Byrd, Ph.D.@byrdnick.com · 2y ago

"Is p < 0.05 a reasonable threshold?" Over 500 students and survey workers flipped a coin that never landed on tails. They recorded how many flips it took to realize the coin was unfair. On average, it corresponded to p = 0.005. doi.org/10.4473/TPM2... #stats #philSci #xPhi

Study 1

As best I can tell they can grab me or my kids off the street, move us around fast enough we don’t know where to file a claim, intimidate our potential lawyers to not represent us, and then once we are outside the US claim “oops nothing anyone can do”. How is anyone ok with this?

I believe virtually all trial results should be public. Sponsors pay for trials but participants give precious resources. Society benefits from full transparency. Deidentified of course, likely with delays, but if you experimented on a human you owe humanity the results.

Marion Campbell@marionkcampbell.bsky.social · 2y ago

Clinical trials are nothing without their participants and it is key that the results of trials are shared with them. But this is still not routinely done. 1/7 #MethodologyMonday #115