Intention to treat and per protocol analysis in clinical trials

Giovanni Tripepi, Nicholas C. Chesnaye, Friedo W. Dekker, Carmine Zoccali, Kitty J. Jager

Research output: Contribution to journalReview articleAcademicpeer-review

101 Citations (Scopus)

Abstract

In clinical epidemiology, experimental studies usually take the form of randomized controlled clinical trials (RCTs). The data analysis of an RCT can be performed by using two complementary strategies, that is according to the intention to treat (ITT) principle and the per protocol (PP) analysis. By using the ITT approach, investigators aim to assess the effect of assigning a drug whereas by adopting the PP analysis, researchers investigate the effect of receiving the assigned treatment, as specified in the protocol. Both ITT and PP analyses are essentially valid but they have different scopes and interpretations dependent on the context.
Original languageEnglish
Pages (from-to)513-517
Number of pages5
JournalNephrology (Carlton, Vic.)
Volume25
Issue number7
DOIs
Publication statusPublished - 1 Jul 2020

Keywords

  • intention to treat analysis
  • per protocol analysis
  • randomized clinical trials

Cite this