Table 2

Key features of REMAP trials

Key featuresDescription
RRandomisedPatients are randomised to all interventions for which they are eligible and consent to.
EEmbeddedThe study protocol is embedded within routine clinical care, reflecting standard practice,and minimising additional study procedures.
MMultifactorialMultiple interventions (factors) are tested concurrently, with patients randomised to multiple treatment domains, increasing the probability of receiving at least one active treatment rather than control.
AAdaptiveInformation acquired during the trial is used to adaptively determine how the study should progress based on prespecified procedures in the protocol, such as a randomisation algorithm to determine randomisation weights to factors and stopping rules defining early success or futility.
PPlatformA perennial infrastructure is developed with the objective to generate a continuous learning system.