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

Group-Sequential Strategies in Clinical Trials with Multiple Co-Primary Outcomes.
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DOI:
10.1080/19466315.2014.1003090
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发表时间:
2015
影响因子:
1.8
通讯作者:
Sozu T
Sozu T
中科院分区:
医学4区
文献类型:
--
作者:
Hamasaki T;Asakura K;Evans SR;Sugimoto T;Sozu T

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我们讨论了在组序贯设置中具有多个共同主要终点的临床试验的决策框架。决策框架可以考虑灵活性,例如不同数量的分析,等间隔或不等间隔的信息增量以及端点之间固定或自适应的I类错误分配。框架可以提供效率,即,潜在的更少的试验参与者,比固定样本量设计。我们调查的决策框架的操作特点,并提供指导,在临床试验中构建有效的组序贯策略与多个共同的主要终点。
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, i.e., 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.
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