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首页|期刊导航|中国临床药理学与治疗学|正态资料下采用α调整作为国际多中心临床试验目标区有效性研究的桥接方法

正态资料下采用α调整作为国际多中心临床试验目标区有效性研究的桥接方法

尚峰 虞成凯 杨鹏

中国临床药理学与治疗学2018,Vol.23Issue(1):59-64,6.
中国临床药理学与治疗学2018,Vol.23Issue(1):59-64,6.DOI:10.12092/j.issn.1009-2501.2018.01.012

正态资料下采用α调整作为国际多中心临床试验目标区有效性研究的桥接方法

Bridging method of adjusted significance levels α'in the target region concerning superiority design for normal data distribution in MRCT

尚峰 1虞成凯 2杨鹏3

作者信息

  • 1. 解放军第94医院,南昌330002,江西
  • 2. 解放军73867部队,九江332000,江西
  • 3. 第四军医大学卫生统计学教研室,西安710032,陕西
  • 折叠

摘要

Abstract

AIM:To explore the feasibility to adjust the significance levels α'in the target region as the basis of data in normal distribution for the primary efficacy endpoint,the reasonable value of adjusted significance levels α'and reasonable proportions of sample size in target region,and to make a reference for new drug approvals of Multi-Regional Clinical Trial (MRCT) in target region.METHODS:By using Monte Carlo simulation,we studied the conditional false positive rate (CFPR) and conditional power (CP) changing with the proportions K of the sample size in target region by adopting different significance levels given that the treatment effect was shown to be significant under the significance level α =0.05 based on different sized MRCTs.RESULTS:Simulations results showed that CFPR and CP increased with the increasing significance level α'and the bigger K,the bigger CFPR.In addition,CFPR could be well controlled under 0.5 if K was no more than 30% and α'is no more than 0.5.Though f values 1.0,CP still kept low and was no more than 0.76 when K was no more than 15%.Iff could be more than 0.8,CP would exceed 0.70 when K valued 20%.Iffcan be more than 0.8,CP will exceed 0.75 when K values 25 %.When K valued 30%,CP would exceed 0.80 as long as f≥0.7.Lastly,even though f valued only 0.5,CP would exceed 0.80 when K valued 50%.CONCLUSION:The method in this study is easy to understand and operate,and have a better performance especially when f≥0.7.

关键词

条件Ⅰ型错误/条件检验效能/国际多中心临床试验/Monte Carlo模拟

Key words

conditional false positive rate/conditional power/multi-regional clinical trial/Monte Carlo simulation

分类

医药卫生

引用本文复制引用

尚峰,虞成凯,杨鹏..正态资料下采用α调整作为国际多中心临床试验目标区有效性研究的桥接方法[J].中国临床药理学与治疗学,2018,23(1):59-64,6.

基金项目

陕西省自然科学基金青年人才项目(2014JM26125) (2014JM26125)

中国临床药理学与治疗学

OACSCDCSTPCD

1009-2501

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