13 articles

Articles prepublished February 07, 2012

Sample Size Reassessment in Non-inferiority Trials

Journal:Methods of Information in Medicine
ISSN:0026-1270
DOI:http://dx.doi.org/10.3414/ME09-01-0063
Issue:2011 (Vol. 50): Issue 3 2011
Pages:237-243

Sample Size Reassessment in Non-inferiority Trials

Internal Pilot Study Designs with ANCOVA

Original Article

T. Friede (1), M. Kieser (2)

(1) Department of Medical Statistics, University of Göttingen, Göttingen, Germany; (2) Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany

Summary

Objectives: Analysis of covariance (ANCOVA) is widely applied in practice and its use is recommended by regulatory guidelines. However, the required sample size for ANCOVA depends on parameters that are usually uncertain in the planning phase of a study. Sample size recalculation within the internal pilot study design allows to cope with this problem. From a regulatory viewpoint it is preferable that the treatment group allocation remains masked and that the type I error is controlled at the specified significance level. The characteristics of blinded sample size reassessment for ANCOVA in non-inferiority studies have not been investigated yet. We propose an appropriate method and evaluate its performance. Methods: In a simulation study, the characteristics of the proposed method with respect to type I error rate, power and sample size are investigated. It is illustrated by a clinical trial example how strict control of the significance level can be achieved. Results: A slight excess of the type I error rate beyond the nominal significance level was observed. The extent of exceedance increases with increasing non-inferiority margin and increasing correlation between outcome and covariate. The procedure assures the desired power over a wide range of scenarios even if nuisance parameters affecting the sample size are initially mis-specified. Conclusions: The proposed blinded sample size recalculation procedure protects from insufficient sample sizes due to incorrect assumptions about nuisance parameters in the planning phase. The original procedure may lead to an elevated type I error rate, but methods are available to control the nominal significance level.

Keywords

Clinical trials, Analysis of covariance, baseline adjustment, non-inferiority test, sample size recalculation

DOI

http://dx.doi.org/10.3414/ME09-01-0063

You may also be interested in...

1.

D. A. B. Lindberg, B. L. Humphreys

IMIA Yearbook 2008 2008 3 1: 165-172

2.

C. Normann

Die Psychiatrie 2008 5 2: 127-133

3.

Andreas E. May, Tobias Geisler, Meinrad Gawaz

Thrombosis and Haemostasis 2008 99 3: 487-493

http://dx.doi.org/10.1160/TH07-11-0680


Preprint Online November 21, 2011

Sample Size Reassessment in Non-inferiority Trials

Journal:Methods of Information in Medicine
ISSN:0026-1270
DOI:http://dx.doi.org/10.3414/ME09-01-0063
Issue:2011 (Vol. 50): Issue 3 2011
Pages:237-243

Sample Size Reassessment in Non-inferiority Trials

Internal Pilot Study Designs with ANCOVA

Original Article

T. Friede (1), M. Kieser (2)

(1) Department of Medical Statistics, University of Göttingen, Göttingen, Germany; (2) Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany

Summary

Objectives: Analysis of covariance (ANCOVA) is widely applied in practice and its use is recommended by regulatory guidelines. However, the required sample size for ANCOVA depends on parameters that are usually uncertain in the planning phase of a study. Sample size recalculation within the internal pilot study design allows to cope with this problem. From a regulatory viewpoint it is preferable that the treatment group allocation remains masked and that the type I error is controlled at the specified significance level. The characteristics of blinded sample size reassessment for ANCOVA in non-inferiority studies have not been investigated yet. We propose an appropriate method and evaluate its performance. Methods: In a simulation study, the characteristics of the proposed method with respect to type I error rate, power and sample size are investigated. It is illustrated by a clinical trial example how strict control of the significance level can be achieved. Results: A slight excess of the type I error rate beyond the nominal significance level was observed. The extent of exceedance increases with increasing non-inferiority margin and increasing correlation between outcome and covariate. The procedure assures the desired power over a wide range of scenarios even if nuisance parameters affecting the sample size are initially mis-specified. Conclusions: The proposed blinded sample size recalculation procedure protects from insufficient sample sizes due to incorrect assumptions about nuisance parameters in the planning phase. The original procedure may lead to an elevated type I error rate, but methods are available to control the nominal significance level.

Keywords

Clinical trials, Analysis of covariance, baseline adjustment, non-inferiority test, sample size recalculation

DOI

http://dx.doi.org/10.3414/ME09-01-0063

You may also be interested in...

1.

D. A. B. Lindberg, B. L. Humphreys

IMIA Yearbook 2008 2008 3 1: 165-172

2.

C. Normann

Die Psychiatrie 2008 5 2: 127-133

3.

Andreas E. May, Tobias Geisler, Meinrad Gawaz

Thrombosis and Haemostasis 2008 99 3: 487-493

http://dx.doi.org/10.1160/TH07-11-0680


Articles prepublished September 14, 2010

Sample Size Reassessment in Non-inferiority Trials

Journal:Methods of Information in Medicine
ISSN:0026-1270
DOI:http://dx.doi.org/10.3414/ME09-01-0063
Issue:2011 (Vol. 50): Issue 3 2011
Pages:237-243

Sample Size Reassessment in Non-inferiority Trials

Internal Pilot Study Designs with ANCOVA

Original Article

T. Friede (1), M. Kieser (2)

(1) Department of Medical Statistics, University of Göttingen, Göttingen, Germany; (2) Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany

Summary

Objectives: Analysis of covariance (ANCOVA) is widely applied in practice and its use is recommended by regulatory guidelines. However, the required sample size for ANCOVA depends on parameters that are usually uncertain in the planning phase of a study. Sample size recalculation within the internal pilot study design allows to cope with this problem. From a regulatory viewpoint it is preferable that the treatment group allocation remains masked and that the type I error is controlled at the specified significance level. The characteristics of blinded sample size reassessment for ANCOVA in non-inferiority studies have not been investigated yet. We propose an appropriate method and evaluate its performance. Methods: In a simulation study, the characteristics of the proposed method with respect to type I error rate, power and sample size are investigated. It is illustrated by a clinical trial example how strict control of the significance level can be achieved. Results: A slight excess of the type I error rate beyond the nominal significance level was observed. The extent of exceedance increases with increasing non-inferiority margin and increasing correlation between outcome and covariate. The procedure assures the desired power over a wide range of scenarios even if nuisance parameters affecting the sample size are initially mis-specified. Conclusions: The proposed blinded sample size recalculation procedure protects from insufficient sample sizes due to incorrect assumptions about nuisance parameters in the planning phase. The original procedure may lead to an elevated type I error rate, but methods are available to control the nominal significance level.

Keywords

Clinical trials, Analysis of covariance, baseline adjustment, non-inferiority test, sample size recalculation

DOI

http://dx.doi.org/10.3414/ME09-01-0063

You may also be interested in...

1.

D. A. B. Lindberg, B. L. Humphreys

IMIA Yearbook 2008 2008 3 1: 165-172

2.

C. Normann

Die Psychiatrie 2008 5 2: 127-133

3.

Andreas E. May, Tobias Geisler, Meinrad Gawaz

Thrombosis and Haemostasis 2008 99 3: 487-493

http://dx.doi.org/10.1160/TH07-11-0680


Preprint Online August 05, 2011

Sample Size Reassessment in Non-inferiority Trials

Journal:Methods of Information in Medicine
ISSN:0026-1270
DOI:http://dx.doi.org/10.3414/ME09-01-0063
Issue:2011 (Vol. 50): Issue 3 2011
Pages:237-243

Sample Size Reassessment in Non-inferiority Trials

Internal Pilot Study Designs with ANCOVA

Original Article

T. Friede (1), M. Kieser (2)

(1) Department of Medical Statistics, University of Göttingen, Göttingen, Germany; (2) Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany

Summary

Objectives: Analysis of covariance (ANCOVA) is widely applied in practice and its use is recommended by regulatory guidelines. However, the required sample size for ANCOVA depends on parameters that are usually uncertain in the planning phase of a study. Sample size recalculation within the internal pilot study design allows to cope with this problem. From a regulatory viewpoint it is preferable that the treatment group allocation remains masked and that the type I error is controlled at the specified significance level. The characteristics of blinded sample size reassessment for ANCOVA in non-inferiority studies have not been investigated yet. We propose an appropriate method and evaluate its performance. Methods: In a simulation study, the characteristics of the proposed method with respect to type I error rate, power and sample size are investigated. It is illustrated by a clinical trial example how strict control of the significance level can be achieved. Results: A slight excess of the type I error rate beyond the nominal significance level was observed. The extent of exceedance increases with increasing non-inferiority margin and increasing correlation between outcome and covariate. The procedure assures the desired power over a wide range of scenarios even if nuisance parameters affecting the sample size are initially mis-specified. Conclusions: The proposed blinded sample size recalculation procedure protects from insufficient sample sizes due to incorrect assumptions about nuisance parameters in the planning phase. The original procedure may lead to an elevated type I error rate, but methods are available to control the nominal significance level.

Keywords

Clinical trials, Analysis of covariance, baseline adjustment, non-inferiority test, sample size recalculation

DOI

http://dx.doi.org/10.3414/ME09-01-0063

You may also be interested in...

1.

D. A. B. Lindberg, B. L. Humphreys

IMIA Yearbook 2008 2008 3 1: 165-172

2.

C. Normann

Die Psychiatrie 2008 5 2: 127-133

3.

Andreas E. May, Tobias Geisler, Meinrad Gawaz

Thrombosis and Haemostasis 2008 99 3: 487-493

http://dx.doi.org/10.1160/TH07-11-0680


Preprint Online July 26, 2011

Sample Size Reassessment in Non-inferiority Trials

Journal:Methods of Information in Medicine
ISSN:0026-1270
DOI:http://dx.doi.org/10.3414/ME09-01-0063
Issue:2011 (Vol. 50): Issue 3 2011
Pages:237-243

Sample Size Reassessment in Non-inferiority Trials

Internal Pilot Study Designs with ANCOVA

Original Article

T. Friede (1), M. Kieser (2)

(1) Department of Medical Statistics, University of Göttingen, Göttingen, Germany; (2) Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany

Summary

Objectives: Analysis of covariance (ANCOVA) is widely applied in practice and its use is recommended by regulatory guidelines. However, the required sample size for ANCOVA depends on parameters that are usually uncertain in the planning phase of a study. Sample size recalculation within the internal pilot study design allows to cope with this problem. From a regulatory viewpoint it is preferable that the treatment group allocation remains masked and that the type I error is controlled at the specified significance level. The characteristics of blinded sample size reassessment for ANCOVA in non-inferiority studies have not been investigated yet. We propose an appropriate method and evaluate its performance. Methods: In a simulation study, the characteristics of the proposed method with respect to type I error rate, power and sample size are investigated. It is illustrated by a clinical trial example how strict control of the significance level can be achieved. Results: A slight excess of the type I error rate beyond the nominal significance level was observed. The extent of exceedance increases with increasing non-inferiority margin and increasing correlation between outcome and covariate. The procedure assures the desired power over a wide range of scenarios even if nuisance parameters affecting the sample size are initially mis-specified. Conclusions: The proposed blinded sample size recalculation procedure protects from insufficient sample sizes due to incorrect assumptions about nuisance parameters in the planning phase. The original procedure may lead to an elevated type I error rate, but methods are available to control the nominal significance level.

Keywords

Clinical trials, Analysis of covariance, baseline adjustment, non-inferiority test, sample size recalculation

DOI

http://dx.doi.org/10.3414/ME09-01-0063

You may also be interested in...

1.

D. A. B. Lindberg, B. L. Humphreys

IMIA Yearbook 2008 2008 3 1: 165-172

2.

C. Normann

Die Psychiatrie 2008 5 2: 127-133

3.

Andreas E. May, Tobias Geisler, Meinrad Gawaz

Thrombosis and Haemostasis 2008 99 3: 487-493

http://dx.doi.org/10.1160/TH07-11-0680


Preprint Online March 21, 2011

Sample Size Reassessment in Non-inferiority Trials

Journal:Methods of Information in Medicine
ISSN:0026-1270
DOI:http://dx.doi.org/10.3414/ME09-01-0063
Issue:2011 (Vol. 50): Issue 3 2011
Pages:237-243

Sample Size Reassessment in Non-inferiority Trials

Internal Pilot Study Designs with ANCOVA

Original Article

T. Friede (1), M. Kieser (2)

(1) Department of Medical Statistics, University of Göttingen, Göttingen, Germany; (2) Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany

Summary

Objectives: Analysis of covariance (ANCOVA) is widely applied in practice and its use is recommended by regulatory guidelines. However, the required sample size for ANCOVA depends on parameters that are usually uncertain in the planning phase of a study. Sample size recalculation within the internal pilot study design allows to cope with this problem. From a regulatory viewpoint it is preferable that the treatment group allocation remains masked and that the type I error is controlled at the specified significance level. The characteristics of blinded sample size reassessment for ANCOVA in non-inferiority studies have not been investigated yet. We propose an appropriate method and evaluate its performance. Methods: In a simulation study, the characteristics of the proposed method with respect to type I error rate, power and sample size are investigated. It is illustrated by a clinical trial example how strict control of the significance level can be achieved. Results: A slight excess of the type I error rate beyond the nominal significance level was observed. The extent of exceedance increases with increasing non-inferiority margin and increasing correlation between outcome and covariate. The procedure assures the desired power over a wide range of scenarios even if nuisance parameters affecting the sample size are initially mis-specified. Conclusions: The proposed blinded sample size recalculation procedure protects from insufficient sample sizes due to incorrect assumptions about nuisance parameters in the planning phase. The original procedure may lead to an elevated type I error rate, but methods are available to control the nominal significance level.

Keywords

Clinical trials, Analysis of covariance, baseline adjustment, non-inferiority test, sample size recalculation

DOI

http://dx.doi.org/10.3414/ME09-01-0063

You may also be interested in...

1.

D. A. B. Lindberg, B. L. Humphreys

IMIA Yearbook 2008 2008 3 1: 165-172

2.

C. Normann

Die Psychiatrie 2008 5 2: 127-133

3.

Andreas E. May, Tobias Geisler, Meinrad Gawaz

Thrombosis and Haemostasis 2008 99 3: 487-493

http://dx.doi.org/10.1160/TH07-11-0680


Preprint Online March 04, 2011

Sample Size Reassessment in Non-inferiority Trials

Journal:Methods of Information in Medicine
ISSN:0026-1270
DOI:http://dx.doi.org/10.3414/ME09-01-0063
Issue:2011 (Vol. 50): Issue 3 2011
Pages:237-243

Sample Size Reassessment in Non-inferiority Trials

Internal Pilot Study Designs with ANCOVA

Original Article

T. Friede (1), M. Kieser (2)

(1) Department of Medical Statistics, University of Göttingen, Göttingen, Germany; (2) Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany

Summary

Objectives: Analysis of covariance (ANCOVA) is widely applied in practice and its use is recommended by regulatory guidelines. However, the required sample size for ANCOVA depends on parameters that are usually uncertain in the planning phase of a study. Sample size recalculation within the internal pilot study design allows to cope with this problem. From a regulatory viewpoint it is preferable that the treatment group allocation remains masked and that the type I error is controlled at the specified significance level. The characteristics of blinded sample size reassessment for ANCOVA in non-inferiority studies have not been investigated yet. We propose an appropriate method and evaluate its performance. Methods: In a simulation study, the characteristics of the proposed method with respect to type I error rate, power and sample size are investigated. It is illustrated by a clinical trial example how strict control of the significance level can be achieved. Results: A slight excess of the type I error rate beyond the nominal significance level was observed. The extent of exceedance increases with increasing non-inferiority margin and increasing correlation between outcome and covariate. The procedure assures the desired power over a wide range of scenarios even if nuisance parameters affecting the sample size are initially mis-specified. Conclusions: The proposed blinded sample size recalculation procedure protects from insufficient sample sizes due to incorrect assumptions about nuisance parameters in the planning phase. The original procedure may lead to an elevated type I error rate, but methods are available to control the nominal significance level.

Keywords

Clinical trials, Analysis of covariance, baseline adjustment, non-inferiority test, sample size recalculation

DOI

http://dx.doi.org/10.3414/ME09-01-0063

You may also be interested in...

1.

D. A. B. Lindberg, B. L. Humphreys

IMIA Yearbook 2008 2008 3 1: 165-172

2.

C. Normann

Die Psychiatrie 2008 5 2: 127-133

3.

Andreas E. May, Tobias Geisler, Meinrad Gawaz

Thrombosis and Haemostasis 2008 99 3: 487-493

http://dx.doi.org/10.1160/TH07-11-0680



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