论文标题

在多个复合群体设计中重新计算的盲型样本量,具有正常数据和基线调整

Blinded sample size re-calculation in multiple composite population designs with normal data and baseline adjustments

论文作者

Gera, Roland Gerard, Friede, Tim

论文摘要

对亚种群分析的兴趣日益增加,导致在个性化医学和有针对性疗法领域的各种新试验设计和分析方法的发展。在本文中,亚群是根据不相交种群子集的积累来定义的,因此称为综合种群。拟议的试验设计适用于任何一组综合种群,考虑到正态分布的终点和随机基线协变量。通过使用倒数正常组合函数将$ p $值组合在子集水平上计算的$ p $值来测试复合群体的治疗效果,从而为这些复合群体生成测试统计数据。通过应用封闭测试程序的应用,以强大的意义控制了同时测试的家庭类型错误率。相交假设检验的临界值是使用多元正常分布得出的,这反映了零假设下的复合种群测试统计数据的联合分布。对于样本量计算和样本量重计算多变量正常分布,该分布描述了在假定的替代假设下的复合种群测试统计数据的联合分布。模拟证明了固定设计和重新计算设计中对家庭的I型错误率的强大控制,并以盲目的样本重新计算。样本量重新计算后的目标功率通常达到或接近满足。

The increasing interest in subpopulation analysis has led to the development of various new trial designs and analysis methods in the fields of personalized medicine and targeted therapies. In this paper, subpopulations are defined in terms of an accumulation of disjoint population subsets and will therefore be called composite populations. The proposed trial design is applicable to any set of composite populations, considering normally distributed endpoints and random baseline covariates. Treatment effects for composite populations are tested by combining $p$-values, calculated on the subset levels, using the inverse normal combination function to generate test statistics for those composite populations. The family-wise type I error rate for simultaneous testing is controlled in the strong sense by the application of the closed testing procedure. Critical values for intersection hypothesis tests are derived using multivariate normal distributions, reflecting the joint distribution of composite population test statistics under the null hypothesis. For sample size calculation and sample size re-calculation multivariate normal distributions are derived which describe the joint distribution of composite population test statistics under an assumed alternative hypothesis. Simulations demonstrate the strong control of the family-wise type I error rate in fixed designs and re-calculation designs with blinded sample size re-calculation. The target power after sample size re-calculation is typically met or close to being met.

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