RT Journal Article SR Electronic T1 Balancing sensitivity and specificity in preclinical research JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.01.17.476585 DO 10.1101/2022.01.17.476585 A1 Meggie Danziger A1 Ulrich Dirnagl A1 Ulf Toelch YR 2022 UL http://biorxiv.org/content/early/2022/04/19/2022.01.17.476585.abstract AB The success of scientific discovery in preclinical drug development is based on the different roles of exploration and confirmation. Exploration requires sensitivity while confirmation needs to be specific. Based on published empirical data, we simulated two preclinical research trajectories to examine their effectiveness to detect true effects while keeping animal numbers low. We compare a conventional p-value based approach with a method based on an a priori determined smallest effect size of interest (SESOI). Using a SESOI increases transition rates from exploration to confirmation and results in higher detection rates across the trajectory. Specificity in the SESOI trajectory increases if the prior probability of true effects is low. We conclude that employing a SESOI is superior to a p-value based approach. Based on our findings, we propose a reconsideration of planning and conducting preclinical experiments, especially when the prior probability of true hypotheses is low.Competing Interest StatementThe authors have declared no competing interest.