首页|临床试验期中分析中不同样本空间排序方法矫正效应高估的比较

临床试验期中分析中不同样本空间排序方法矫正效应高估的比较

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目的:比较逐段(SW)排序法、似然比(LR)排序法和极大似然估计值(MLE)排序法对临床试验中成组序贯设计期中分析效应高估的矫正效果.方法:使用SAS 9.4 生成正态分布资料模拟数据集,模拟期中分析,采用中位无偏估计值(MUE)及其95%CI下限评估3 种样本空间排序法的矫正效果.采用一项已上市的随机对照临床试验进行验证.结果:与SW排序法相比,LR排序法和MLE排序法的MUE及其 95%CI下限更接近真实值.结论:对于正态分布数据,LR和MLE排序法能更好地矫正临床试验期中分析的效应高估.
Comparison of different sample space ordering method in overestimation of efficacy correction during clinical trial interim analysis
Aim:To compare the performance of stagewise(SW)ordering,likelihood ratio(LR)ordering,and maxi-mum likelihood estimator(MLE)ordering in correcting overestimation of efficacy in different scenarios in group sequential design interim analysis.Methods:Normal distributed quantitative simulation datasets were generated using SAS 9.4.After the simulated interim analysis,the median unbiased estimator(MUE)and its lower limit of 95%confidence interval(CI)were used to assess the performance of SW ordering,LR ordering and MLE ordering.Finally,a randomized controlled trial was used as a validation.Results:Compared with SW ordering,the MUE and its lower limit of 95%CI of LR ordering and MLE ordering were closer to the true intergroup effect.Conclusion:LR ordering and MLE ordering could obtain better cor-rection efficacy than SW ordering during clinical trial interim analysis in normally distributed data.

clinical trialinterim analysissample space orderingoverestimation of efficacy correction

李恒、杨永利、贾晓灿、杨超君、施学忠

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郑州大学公共卫生学院计算机与卫生统计学教研室 郑州 450001

临床试验 期中分析 样本空间排序 效应高估矫正

郑州大学青年人才企业合作创新团队支持计划校级教育教学改革研究与实践重点项目

323104102022ZZUJG063

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(2)
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