Study design

Non-inferiority trial

A trial designed to test whether a new intervention is not unacceptably worse than a comparator.

What it means

Definition

Non-inferiority trial. Non-inferiority trials are useful when a new option may be cheaper, safer or easier. Interpretation depends on the pre-specified margin and whether the comparator was effective and used properly.

What it can tell you

It can show how close the evidence is to a real human health outcome.

What it cannot tell you

It cannot prove that a treatment works in people unless human outcome data are available.

Headline trap

Why this matters in headlines

A “just as good” headline needs scrutiny of the non-inferiority margin.