Group-Sequential Strategies in Clinical Trials with Multiple Co-Primary Outcomes

被引:20
|
作者
Hamasaki, Toshimitsu [1 ]
Asakura, Koko [1 ,2 ]
Evans, Scott R. [3 ,4 ]
Sugimoto, Tomoyuki [5 ]
Sozu, Takashi [6 ]
机构
[1] Natl Cerebral & Cardiovasc Ctr, Biostat & Data Management, Suita, Osaka 5658565, Japan
[2] Osaka Univ, Grad Sch Med, Dept Innovat Clin Trials & Data Sci, Osaka, Japan
[3] Harvard Univ, TH Chan Sch Publ Hlth, Dept Biostat, Boston, MA 02115 USA
[4] Harvard Univ, TH Chan Sch Publ Hlth, Ctr Biostat AIDS Res, Boston, MA 02115 USA
[5] Hirosaki Univ, Grad Sch Sci & Technol, Dept Math Sci, Math Sci, Hirosaki, Aomori 0368561, Japan
[6] Kyoto Univ, Sch Publ Hlth, Dept Biostat, Biostat, Kyoto 6068501, Japan
来源
基金
美国国家卫生研究院;
关键词
Equally or unequally spaced increments of information; Adaptive Type I error allocation; Hierarchical testing procedure; Average sample number; Maximum sample size; PRIMARY END-POINTS; SAMPLE-SIZE DETERMINATION; DESIGN; POWER;
D O I
10.1080/19466315.2014.1003090
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
We discuss the decision-making frameworks for clinical trials with multiple co-primary endpoints in a group-sequential setting. The decision-making frameworks can account for flexibilities, such as a varying number of analyses, equally or unequally spaced increments of information, and fixed or adaptive Type I error allocation among endpoints. The frameworks can provide efficiency, that is, potentially fewer trial participants, than the fixed sample size designs. We investigate the operating characteristics of the decision-making frameworks and provide guidance on constructing efficient group-sequential strategies in clinical trials with multiple co-primary endpoints.
引用
收藏
页码:36 / 54
页数:19
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