Journal of biopharmaceutical statistics
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Manufacturers of pharmaceuticals and biopharmaceuticals are facing increased regulatory pressure to understand how their manufacturing processes work and to be able to quantify the reliability and robustness of their manufacturing processes. In particular, the ICH Q8 guidance has introduced the concept of design space. ⋯ This study presents a Bayesian approach to design space based upon a type of credible region first appearing in Peterson's work. This study considers the issues of constructing a Bayesian design space, design space reliability, the inclusion of process noise variables, and utilization of prior information, as well as an outline for organizing information about a design space so that manufacturing engineers can make informed changes as may be needed within the design space.
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In this article we study sample size calculation methods for the asymptotic van Elteren test. Because the existing methods are only applicable to continuous data without ties, in this article we develop a new method that can be used on ordinal data. The new method has a closed form formula and is very easy to calculate. The new sample size formula performs very well because our simulations show that the corresponding actual powers are close to the nominal powers.
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Two stage switching between testing for superiority (SUP) and noninferiority (NI) has been an important statistical issue in the design and analysis of the active-controlled clinical trials. Tsong and Zhang (2005) has shown that the Type I error rates do not change when switching between SUP and NI with the traditional generalized historical control (GHC) approach, however, they may change when switching with the cross-trial comparison (X-trial) approach. Tsong and Zhang (2005) further proposed a simultaneous test for both hypotheses to avoid the problem. ⋯ Since with the X-trial approach, using the simultaneous test, superiority is tested using all four treatment arms (current test and active control arms, active control and placebo arms in historical trials), the Type I error rate and power are expected to be somewhat different from the conventional superiority test (using the current test and active control arms only). Through a simulation study, we demonstrate that the Type I error rate and power between simultaneous test and the conventional superiority test are compatible. We also examine the impact of the assumption of equal variances of the current trial and the historical trial.
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In an active controlled noninferiority trial without a placebo arm, one of the major considerations is the selection of the noninferiority margin. Although the ICH E10 guideline provides general principles for the selection of appropriate noninferiority margins, there are no established rules or gold standards for the selection of noninferiority margins in active control trials. Hung et al. (2003) proposed a margin selection based on relative risk. ⋯ Statistical tests for mixed noninferiority margin are also derived. An example concerning the efficacy of a test therapy to an active control on a clinical adverse event in the target patient population with cardiovascular disease is presented to illustrate the proposed method. Simulation studies were also conducted to assess the type I error rate and the power.