[[Randomized block design|Block randomization]], sometimes called permuted block randomization, applies blocks to allocate subjects from the same strata equally to each group in the study. In block randomization, allocation ratio (ratio of the number of one specific group over other groups) and group sizes are specified. The block size must be the multiples of the number of treatments so that samples in each stratum can be assigned to treatment groups with the intended ratio.<ref name=":0" /> For instance, there should be 4 or 8 strata in a clinical trial concerning breast cancer where age and nodal statuses are two prognostic factors and each factor is split into two-level. The different blocks can be assigned to samples in multiple ways including random list and computer programming.<ref>{{Cite web|url=https://www.sealedenvelope.com/help/redpill/latest/block/|title=Sealed Envelope {{!}} Random permuted blocks|date=Feb 25, 2020|website=www.sealedenvelope.com|access-date=2020-04-07}}</ref><ref>{{Citation|last1=Friedman|first1=Lawrence M.|title=Introduction to Clinical Trials|date=2010|work=Fundamentals of Clinical Trials|pages=1–18|publisher=Springer New York|isbn=978-1-4419-1585-6|last2=Furberg|first2=Curt D.|last3=DeMets|first3=David L.|doi=10.1007/978-1-4419-1586-3_1}}</ref> | [[Randomized block design|Block randomization]], sometimes called permuted block randomization, applies blocks to allocate subjects from the same strata equally to each group in the study. In block randomization, allocation ratio (ratio of the number of one specific group over other groups) and group sizes are specified. The block size must be the multiples of the number of treatments so that samples in each stratum can be assigned to treatment groups with the intended ratio.<ref name=":0" /> For instance, there should be 4 or 8 strata in a clinical trial concerning breast cancer where age and nodal statuses are two prognostic factors and each factor is split into two-level. The different blocks can be assigned to samples in multiple ways including random list and computer programming.<ref>{{Cite web|url=https://www.sealedenvelope.com/help/redpill/latest/block/|title=Sealed Envelope {{!}} Random permuted blocks|date=Feb 25, 2020|website=www.sealedenvelope.com|access-date=2020-04-07}}</ref><ref>{{Citation|last1=Friedman|first1=Lawrence M.|title=Introduction to Clinical Trials|date=2010|work=Fundamentals of Clinical Trials|pages=1–18|publisher=Springer New York|isbn=978-1-4419-1585-6|last2=Furberg|first2=Curt D.|last3=DeMets|first3=David L.|doi=10.1007/978-1-4419-1586-3_1}}</ref> |