Designs that change while they run
Choosing n after looking
Re-estimating the sample size from an interim is the one adaptation with a defence, and the defence is exactly what it costs: an analyst kept blind to the arms measures a spread that contains the effect, so the design overshoots by 1 + Δ²/4σ². Re-estimating the effect instead breaks the error rate.
Randomising towards the winner
Allocating more patients to the arm that is doing better is the humane thing to want and it buys nothing statistically: at a fixed total it costs thirty points of power. And because the allocation is a function of the outcomes, the ordinary test on it rejects a true null 7.8% of the time before any time trend is applied — and 58% after one.
Dropping the losers
Carrying the best of eight arms forward and testing it at 1.96 rejects a true null 10.3% of the time — the hypothesis was chosen by looking at the data, so the statistic is a maximum wearing a single comparison's clothes. The value that holds the rate is 2.313, and it has to be solved for.
The estimate after the choice
An arm chosen for being ahead is ahead by more than it should be, and the trial then publishes the average of the stage that chose it and the stage that did not. The unbiased estimate is the one built from a third of the data — and it is the least accurate of the three.