The use of an extended baseline period in the evaluation of treatment in a longitudinal Duchenne muscular dystrophy trial.

Abstract:

:A trial of Duchenne muscular dystrophy involved tracking boys of all ages through a one-year baseline period, followed by a one-year trial of leucine versus placebo treatment. In this paper we develop a model for a total-muscle-strength score that uses the data of the extended baseline period in the evaluation of the leucine treatment. The model is based on a polynomial growth curve in age whose coefficients can vary according to treatment or phase. Maximum likelihood estimates of the parameters of the model are obtained from use of the EM algorithm. We propose tests for the adequacy of the model as well as for treatment effects. A quadratic model appears the most parsimonious fit to the data and there is no evidence of any leucine effect on scores. We examine the asymptotic power of the test for treatment effect and compare it with that of a simpler analysis.

journal_name

Stat Med

journal_title

Statistics in medicine

authors

Madsen KS,Miller JP,Province MA

doi

10.1002/sim.4780050304

subject

Has Abstract

pub_date

1986-05-01 00:00:00

pages

231-41

issue

3

eissn

0277-6715

issn

1097-0258

journal_volume

5

pub_type

临床试验,杂志文章,随机对照试验
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