TableĀ 4

Dynamic AED Registry in context of FDA approval process for medical devices

PremarketHybridPostmarket
Dynamic AED Registry
Phase IPhase IIPhase IIIPostapprovalPostmarketClinical registry
AimSafetyEfficacySafety, efficacy and effectivenessEffectiveness
Inclusion criteriaRestrictiveEitherBroad
InterventionTight protocolEitherImplemented in usual clinical practice
CointerventionBased on protocols for many aspects of careEitherBased on local practice; monitored but minimal control
Adherence to protocolRequiredEitherExpected and considered in sample size and analysis plan
EventsRelated to biological effect (eg, conversion out of shockable rhythm)EitherRelated to patient outcome (eg, survival)
AnalysisTreatment receivedBothIntention to treat
Sample sizeUsually <1000EitherUsually > 1000
Data burdenLargeCore supplemented by study-specificMinimal and simple core
Study managementSignificant interventions and support from research staffMinimal support and interventions from research team