Certified Clinical Research Associate (CCRA) Practice Exam 2025 – Complete Preparation Guide

Question: 1 / 400

What is the objective of a non-inferiority trial?

To determine if a new treatment is superior to an existing one

To show that a new treatment is not clinically worse than a comparative agent

The objective of a non-inferiority trial is to demonstrate that a new treatment is not clinically worse than a comparative agent by a pre-specified margin. This type of trial is essential when it is believed that a new intervention may not be superior to the existing one but may offer comparable benefits with potentially better tolerability or safety profiles. The focus in a non-inferiority trial is on proving that the new treatment's effectiveness falls within an acceptable range of the standard treatment rather than outright showing superiority.

In such studies, the acceptable level of difference is defined in advance, and the trial is designed to provide sufficient evidence to support that the new therapy performs at least as well as the established treatment. This is particularly useful in cases where the new treatment may be easier to administer, have fewer side effects, or offer other advantages that are important to patients and healthcare providers.

Other options do address important aspects of clinical research but do not align with the primary goal of a non-inferiority trial. For instance, determining superiority is the focus of superiority trials, while identifying side effects pertains to safety assessments rather than effectiveness evaluation. Establishing economic benefits is related to cost-effectiveness studies but is not a central goal of non-inferiority trials.

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To identify all possible treatment-related side effects

To establish the economic benefits of a new treatment

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