Considering that there are 4 groups under investigation and each group receives one of A, B, C, or D treatments 4 random blocks are formed as follows:
ABCD, ACBD, ADCB, ADBC, ACDB, ABDC,
BACD, BCAD, BDCA, BDAC, BCDA, BADC,
CBAD, CBDA, CABD, CADB, CDAB, CDBA,
DBCA, DBAC, DCBA, DCAB, DABC, DACB,
Each time and for every 4 new patients who will enter the study, one of the above blocks will be randomly selected, and based on the order in the selected block, they will receive one of the A, B, C, or D treatments.