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This skill provides a specialized framework for clinical researchers and statisticians to execute rigorous statistical workflows within R. It streamlines complex tasks such as power analysis for various endpoints, implementation of advanced randomization strategies (including stratified block and minimization), and the design of group sequential trials with alpha spending functions. Additionally, it offers robust patterns for handling missing data via MMRM and multiple imputation, as well as multiplicity adjustments and CONSORT diagram generation, ensuring that trial analyses meet ICH E9 regulatory standards.