Current development in clinical trials: issues old and new.

Abstract:

:Clinical trials, especially the randomized clinical trial, have been and will remain the gold standard for the evaluation of new interventions, including pharmaceuticals, biologics, medical devices, procedures, or behavioral modifications. Despite more than five decades of experience, there are still challenges in their design, conduct, monitoring, and analyses. Some of these challenges remain and some are emerging, in part due to the progress in genomics and proteomics. These issues may be statistical, logistical, or a combination. Included are follow-up of subjects who withdraw from intervention, the proposed use of recent adaptive designs, implementing noninferiority designs, reliance on surrogate markers, and gene transfer studies. Comparative effectiveness studies are of increasing interest but present major design and analysis issues. Forces external to the trial are also becoming more common.

journal_name

Stat Med

journal_title

Statistics in medicine

authors

DeMets DL

doi

10.1002/sim.5405

subject

Has Abstract

pub_date

2012-11-10 00:00:00

pages

2944-54

issue

25

eissn

0277-6715

issn

1097-0258

journal_volume

31

pub_type

杂志文章
  • Using mark-recapture methodology to estimate the size of a population at risk for sexually transmitted diseases.

    abstract::To study the spread of sexually transmitted diseases (STDs) using social/sexual mixing models, one must have quantitative information about sexual mixing. An unavoidable complication in gathering such information by survey is that members of the surveyed population will almost certainly have sexual contacts outside th...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.4780111202

    authors: Rubin G,Umbach D,Shyu SF,Castillo-Chavez C

    更新日期:1992-09-15 00:00:00

  • A boundary-optimized rejection region test for the two-sample binomial problem.

    abstract::Testing the equality of 2 proportions for a control group versus a treatment group is a well-researched statistical problem. In some settings, there may be strong historical data that allow one to reliably expect that the control proportion is one, or nearly so. While one-sample tests or comparisons to historical cont...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.7579

    authors: Gabriel EE,Nason M,Fay MP,Follmann DA

    更新日期:2018-03-30 00:00:00

  • Some extensions and applications of a Bayesian strategy for monitoring multiple outcomes in clinical trials.

    abstract::We present some practical extensions and applications of a strategy proposed by Thall, Simon and Estey for designing and monitoring single-arm clinical trials with multiple outcomes. We show by application how the strategy may be applied to construct designs for phase IIA activity trials and phase II equivalence trial...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0258(19980730)17:14<1563::aid-s

    authors: Thall PF,Sung HG

    更新日期:1998-07-30 00:00:00

  • Bounding the bias of unmeasured factors with confounding and effect-modifying potentials.

    abstract::Confounding is a major concern in observational studies. To adjust for confounding bias, the potential confounder(s) for a study must first be identified and measured. But this is not always possible. The unmeasured factors may also exhibit effect modification, and this further complicates the situation. In this paper...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.4151

    authors: Lee WC

    更新日期:2011-04-30 00:00:00

  • The use of baselines in clinical trials of bronchodilators.

    abstract::Two important qualities of controlled clinical trials are that they reduce dependence on historical standards for evaluating therapy and separate the effect of treatment from the confounding influence of time. Whatever the theory of the clinical trial, however, time has not easily been banished from the analysis of me...

    journal_title:Statistics in medicine

    pub_type: 杂志文章,评审

    doi:10.1002/sim.4780081106

    authors: Senn SJ

    更新日期:1989-11-01 00:00:00

  • Inference for cumulative incidence functions with informatively coarsened discrete event-time data.

    abstract::We consider the problem of comparing cumulative incidence functions of non-mortality events in the presence of informative coarsening and the competing risk of death. We extend frequentist-based hypothesis tests previously developed for non-informative coarsening and propose a novel Bayesian method based on comparing ...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.3397

    authors: Shardell M,Scharfstein DO,Vlahov D,Galai N

    更新日期:2008-12-10 00:00:00

  • A random effects model for ordinal responses from a crossover trial.

    abstract::Crossover studies have been successfully conducted in the case of continuous responses. Existing procedures of analysis for ordinal responses, on the other hand, are rarely satisfactory unless strict, usually unrealistic, assumptions are made. In this paper we investigate a random effects model and show that the model...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.4780100611

    authors: Ezzet F,Whitehead J

    更新日期:1991-06-01 00:00:00

  • Measurement in clinical trials: a neglected issue for statisticians?

    abstract::Biostatisticians have frequently uncritically accepted the measurements provided by their medical colleagues engaged in clinical research. Such measures often involve considerable loss of information. Particularly, unfortunate is the widespread use of the so-called 'responder analysis', which may involve not only a lo...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.3603

    authors: Senn S,Julious S

    更新日期:2009-11-20 00:00:00

  • Estimating the stenosis probabilities in arteriosclerosis obliterans using generalized estimating equations.

    abstract::For each of 211 arteriosclerosis obliterans patients, the degree of stenosis of arteries at four sites were examined at Hiroshima University Hospital to analyse the relationship between the degree of stenosis and age, sex and site. The generalized estimating equations using a proportional odds model for the stenosis p...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.1363

    authors: Nakashima E,Tsuji S,Fukuoka H,Ohtaki M,Ito K

    更新日期:2003-07-15 00:00:00

  • Tests for individual and population bioequivalence based on generalized p-values.

    abstract::The U.S. Food and Drug Administration (FDA) has proposed new regulations that address the 'prescribability' and 'switchability' of new formulations of already-approved drugs. These new criteria are known, respectively, as population and individual bioequivalence. Two methods have been proposed in the bioequivalence li...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.1346

    authors: McNally RJ,Iyer H,Mathew T

    更新日期:2003-01-15 00:00:00

  • Random models for margins of a 2 x 2 contingency table and application to pharmacovigilance.

    abstract::The identification of new adverse drug reactions is often tricky. For a given case, the relationship between drug exposure and symptom occurrence is usually questionable. It could be investigated statistically from a series of drug-event association cases with an independence test between the two variables. Analysing ...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.4780100621

    authors: Tubert P,Begaud B

    更新日期:1991-06-01 00:00:00

  • The analysis of continuous outcomes in multi-centre trials with small centre sizes.

    abstract::The standard analysis of clinical trials stratified by centre is to include centres as fixed effects, but if many centres contribute small numbers of patients, this approach results in a loss of power. Assuming no treatment by centre interaction, we used simulation to examine power and coverage of confidence intervals...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.3068

    authors: Pickering RM,Weatherall M

    更新日期:2007-12-30 00:00:00

  • Latent transition analysis: inference and estimation.

    abstract::Parameters for latent transition analysis (LTA) are easily estimated by maximum likelihood (ML) or Bayesian method via Markov chain Monte Carlo (MCMC). However, unusual features in the likelihood can cause difficulties in ML and Bayesian inference and estimation, especially with small samples. In this study we explore...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.3130

    authors: Chung H,Lanza ST,Loken E

    更新日期:2008-05-20 00:00:00

  • Correcting for the dependent competing risk of treatment using inverse probability of censoring weighting and copulas in the estimation of natural conception chances.

    abstract::When estimating the probability of natural conception from observational data on couples with an unfulfilled child wish, the start of assisted reproductive therapy (ART) is a competing event that cannot be assumed to be independent of natural conception. In clinical practice, interest lies in the probability of natura...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.6280

    authors: van Geloven N,Geskus RB,Mol BW,Zwinderman AH

    更新日期:2014-11-20 00:00:00

  • Comparison of methods for estimating the effect of salvage therapy in prostate cancer when treatment is given by indication.

    abstract::For patients who were previously treated for prostate cancer, salvage hormone therapy is frequently given when the longitudinal marker prostate-specific antigen begins to rise during follow-up. Because the treatment is given by indication, estimating the effect of the hormone therapy is challenging. In a previous pape...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.5890

    authors: Taylor JM,Shen J,Kennedy EH,Wang L,Schaubel DE

    更新日期:2014-01-30 00:00:00

  • There is no impact of exposure measurement error on latency estimation in linear models.

    abstract::Identification of the latency period for the effect of a time-varying exposure is key when assessing many environmental, nutritional, and behavioral risk factors. A pre-specified exposure metric involving an unknown latency parameter is often used in the statistical model for the exposure-disease relationship. Likelih...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.8038

    authors: Peskoe SB,Spiegelman D,Wang M

    更新日期:2019-03-30 00:00:00

  • Model averaging for robust assessment of QT prolongation by concentration-response analysis.

    abstract::Assessing the QT prolongation potential of a drug is typically done based on pivotal safety studies called thorough QT studies. Model-based estimation of the drug-induced QT prolongation at the estimated mean maximum drug concentration could increase efficiency over the currently used intersection-union test. However,...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.7395

    authors: Dosne AG,Bergstrand M,Karlsson MO,Renard D,Heimann G

    更新日期:2017-10-30 00:00:00

  • Exact and asymptotic inference in clinical trials with small event rates under inverse sampling.

    abstract::In this paper, we discuss statistical inference for a 2 × 2 table under inverse sampling, where the total number of cases is fixed by design. We demonstrate that the exact unconditional distributions of some relevant statistics differ from the distributions under conventional sampling, where the sample size is fixed b...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.6511

    authors: Heimann G,Von Tress M,Gasparini M

    更新日期:2015-08-30 00:00:00

  • Mixture distributions in multi-state modelling: some considerations in a study of psoriatic arthritis.

    abstract::In many studies, interest lies in determining whether members of the study population will undergo a particular event of interest. Such scenarios are often termed 'mover-stayer' scenarios, and interest lies in modelling two sub-populations of 'movers' (those who have a propensity to undergo the event of interest) and ...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.5529

    authors: O'Keeffe AG,Tom BD,Farewell VT

    更新日期:2013-02-20 00:00:00

  • Assessing local influence in principal component analysis with application to haematology study data.

    abstract::In many medical and health studies, high-dimensional data are often encountered. Principal component analysis (PCA) is a commonly used technique to reduce such data to a few components that includes most of the information provided by the original data. However, PCA is known to be very sensitive to some abnormal obser...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.2747

    authors: Fung WK,Gu H,Xiang L,Yau KK

    更新日期:2007-06-15 00:00:00

  • Four-fold table cell frequencies imputation in meta analysis.

    abstract::Meta analysis is a collection of quantitative methods devoted to combine summary information from related but independent studies. Because research reports usually present only data reductions and summary statistics rather than detailed data, the reviewer must often resort to rather crude methods for constructing summ...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.2287

    authors: Di Pietrantonj C

    更新日期:2006-07-15 00:00:00

  • Cutoff designs for community-based intervention studies.

    abstract::Public health interventions are often designed to target communities defined either geographically (e.g. cities, counties) or socially (e.g. schools or workplaces). The group randomized trial (GRT) is regarded as the gold standard for evaluating these interventions. However, community leaders may object to randomizati...

    journal_title:Statistics in medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/sim.4237

    authors: Pennell ML,Hade EM,Murray DM,Rhoda DA

    更新日期:2011-07-10 00:00:00

  • Emergence of childhood psychiatric disorders: a multivariate probit analysis.

    abstract::We applied a computationally practical form of probit analysis for multiple response variables to data on early childhood development of four psychiatric disorders: disruptive disorders (DD-attention deficit disorders, oppositional defiant disorder, conduct disorder); adjustment disorders (ADJ); emotional disorders (E...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0258(19981115)17:21<2487::aid-s

    authors: Gibbons RD,Lavigne JV

    更新日期:1998-11-15 00:00:00

  • Adjusting for misclassification in a stratified biomarker clinical trial.

    abstract::Clinical trials utilizing predictive biomarkers have become a research focus in personalized medicine. We investigate the effects of biomarker misclassification on the design and analysis of stratified biomarker clinical trials. For a variety of inference problems including marker-treatment interaction in particular, ...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.6164

    authors: Liu C,Liu A,Hu J,Yuan V,Halabi S

    更新日期:2014-08-15 00:00:00

  • The Wilcoxon-Mann-Whitney test under scrutiny.

    abstract::The Wilcoxon-Mann-Whitney (WMW) test is often used to compare the means or medians of two independent, possibly nonnormal distributions. For this problem, the true significance level of the large sample approximate version of the WMW test is known to be sensitive to differences in the shapes of the distributions. Base...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.3561

    authors: Fagerland MW,Sandvik L

    更新日期:2009-05-01 00:00:00

  • A joint modeling and estimation method for multivariate longitudinal data with mixed types of responses to analyze physical activity data generated by accelerometers.

    abstract::A mixed effect model is proposed to jointly analyze multivariate longitudinal data with continuous, proportion, count, and binary responses. The association of the variables is modeled through the correlation of random effects. We use a quasi-likelihood type approximation for nonlinear variables and transform the prop...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.7401

    authors: Li H,Zhang Y,Carroll RJ,Keadle SK,Sampson JN,Matthews CE

    更新日期:2017-11-10 00:00:00

  • Long-term survivor mixture model with random effects: application to a multi-centre clinical trial of carcinoma.

    abstract::A mixture model incorporating long-term survivors has been adopted in the field of biostatistics where some individuals may never experience the failure event under study. The surviving fractions may be considered as cured. In most applications, the survival times are assumed to be independent. However, when the survi...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.932

    authors: Yau KK,Ng AS

    更新日期:2001-06-15 00:00:00

  • Variable selection in covariate dependent random partition models: an application to urinary tract infection.

    abstract::Lower urinary tract symptoms can indicate the presence of urinary tract infection (UTI), a condition that if it becomes chronic requires expensive and time consuming care as well as leading to reduced quality of life. Detecting the presence and gravity of an infection from the earliest symptoms is then highly valuable...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.6786

    authors: Barcella W,Iorio MD,Baio G,Malone-Lee J

    更新日期:2016-04-15 00:00:00

  • Joint estimation of multiple disease-specific sensitivities and specificities via crossed random effects models for correlated reader-based diagnostic data: application of data cloning.

    abstract::We present a model for describing correlated binocular data from reader-based diagnostic studies, where the same group of readers evaluates the presence or absence of certain diseases on binocular organs (e.g., fellow eyes) of patients. Multiple random effects are incorporated to meaningfully delineate various associa...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.6584

    authors: Withanage N,de Leon AR,Rudnisky CJ

    更新日期:2015-12-20 00:00:00

  • Sample size calculations for evaluating a diagnostic test when the gold standard is missing at random.

    abstract::Performance of a diagnostic test is ideally evaluated by a comparison of the test results to a gold standard for all the patients in a study. In practice, however, it is common for a subset of study patients to have the gold standard not verified (missing) due to ethical or expense considerations. Sensitivity and spec...

    journal_title:Statistics in medicine

    pub_type: 杂志文章

    doi:10.1002/sim.3899

    authors: Kosinski AS,Chen Y,Lyles RH

    更新日期:2010-07-10 00:00:00