The methodological framework of INCEPT is developed with the overall purpose of developing a modular core protocol describing the following:
- The overaching design (a Bayesian, adaptive platform trial)
- Processes for adding interventions (principles for stakeholder involvement and prioritization)
- Processess for participant stratification, enrichment and adaptive allocation
- Processess for testing intervantions between multiple interventions tested
- Stopping criteria for interventions nested in different domains (based on regular adaptive analyses providing post-randomisation probabilities using Bayesian inference models and pre-defined criteria for superiority, inferiority, practical equivalence, futility, and/or at maximum pre-defined sample sizes for each domain)
- A framework for planning and simulation adaptive trials (and adaptation within different domains, allowing selection of “optimal” design characteristics based on multiple metrics)
- Subgroup analyses and assessment of heterogeneous intervention effects in multiple groups in the trial
- Outcome selection and priorisation (a core outcome set is developed with appropriate stakeholder-involvement)
The core protocol will describe the overall platform trial design and the different options that may be selected for individual domains on the platform (sets of related interventions tested). Domain-specific appendices will be written, describing the exact interventions assessed and methodological choices specific for each domain.