A randomized controlled trial (RCT) is a scientific experimental design in which participants are randomly assigned to different intervention or control groups to evaluate the effectiveness or safety of an intervention—such as a drug, therapy, or policy. The key feature is randomization, which minimizes selection bias and the influence of confounding factors, thereby providing high-quality causal evidence. RCTs are considered the "gold standard" in modern clinical research and form a cornerstone of evidence-based medicine.