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Determining the sample size in a clinical trial

Adrienne Kirby, Val Gebski and Anthony C Keech
Med J Aust 2002; 177 (5): . || doi: 10.5694/j.1326-5377.2002.tb04759.x
Published online: 2 September 2002

Sample size must be planned carefully to ensure that the research time, patient effort and support costs invested in any clinical trial are not wasted. Item 7 of the CONSORT statement relates to the sample size and stopping rules of studies (see Box 1); it states that the choice of sample size needs to be justified.1


  • NHMRC Clinical Trials Centre, University of Sydney, Camperdown, NSW.


Correspondence: enquiry@ctc.usyd.edu.au

Acknowledgements: 

The authors thank Rhana Pike, publications officer, for her assistance in preparing this article.

  • 1. Altman DG, Schulz KF, Moher D, et al, for the CONSORT group. The revised CONSORT statement for reporting randomised trials: explanation and elaboration. Ann Intern Med 2001; 134: 663-694.
  • 2. Frieman JA, Chalmers TC, Smith H Jr, Kuebler RR. The importance of beta, the type II error and sample size in the design and interpretation of the randomised control trial: survey of 71 "negative" trials. N Engl J Med 1978; 299: 690-694.
  • 3. Altman DG. Statistics and ethics in medical research: III. How large a sample? BMJ 1980; 281: 1336-1338.
  • 4. Gore SM. Assessing clinical trials — trial size. BMJ 1981; 282: 1687-1689.
  • 5. Friedman L, Furberg C, DeMets D. Fundamentals of clinical trials. 3rd ed. New York: Springer-Verlag; 1998.
  • 6. Gebski V, Marschner I, Keech AC. Specifying objectives and outcomes for clinical trials. Med J Aust 2002; 176: 491-492. <eMJA full text>

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