Cited by 236Animal testing and alternativesStatistical Methods in Clinical TrialsMethodologies in Health Research and Practice

Distinguishing between exploratory and confirmatory preclinical research will improve translation

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Kimmelman, Jonathan, Mogil, Jeffrey S., Dirnagl, Ulrich·2014·PLoS Biology

Abstract

Preclinical researchers confront two overarching agendas related to drug development: selecting interventions amid a vast field of candidates, and producing rigorous evidence of clinical promise for a small number of interventions. We suggest that each challenge is best met by two different, complementary modes of investigation. In the first (exploratory investigation), researchers should aim at generating robust pathophysiological theories of disease. In the second (confirmatory investigation), researchers should aim at demonstrating strong and reproducible treatment effects in relevant animal models. Each mode entails different study designs, confronts different validity threats, and supports different kinds of inferences. Research policies should seek to disentangle the two modes and leverage their complementarity. In particular, policies should discourage the common use of exploratory studies to support confirmatory inferences, promote a greater volume of confirmatory investigation, and customize design and reporting guidelines for each mode.

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Authors
Kimmelman, J., Mogil, J. S., & Dirnagl, U.
Affiliations
  • McGill University (CA)
  • German Center for Neurodegenerative Diseases (DE)
Corresponding author
Kimmelman, Jonathan
Venue
PLoS Biology
Published
2014-05-20
Volume
12
Issue
5
Pages
e1001863
ISSN
  • 1544-9173 (ISSN-L)
  • 1545-7885
OpenAlex
W2026025998
Cited by
236
References
16
Citations by year
2026: 18 · 2025: 14 · 2024: 10 · 2023: 17 · 2022: 20 · 2021: 29 · 2020: 24 · 2019: 23 · 2018: 25 · 2017: 20 · 2016: 18 · 2015: 14 · 2014: 4
FWCI
27.35
Type
journal article
Language
en
Open access
Locations
  • PLoS Biology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • DZNE Pub (submittedVersion, other-oa)
Funders
Canadian Institutes of Health Research (111391_1)
Topics
  • Health Sciences › Veterinary › Small Animals › Animal testing and alternatives
  • Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
  • Health Sciences › Health Professions › Health Information Management › Methodologies in Health Research and Practice
Keywords
exploratory research, confirmatory research, preclinical research, drug development, translational research, animal models, research design, reproducibility, science policy, reporting guidelines
MeSH terms
Animals, Drug Evaluation, Preclinical, Humans, Research Design, Practice Guidelines as Topic, Translational Research, Biomedical

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