Related Experiment Video
Updated: May 21, 2026

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
Sample size estimation in single-arm clinical trials with multiple testing under frequentist and Bayesian approaches
Boris G Zaslavsky1, John Scott
1Food and Drug Administration, Center for Biologics Evaluation and Research (CBER), Rockville, MD 20852-1448, USA. Boris.Zaslavsky@FDA.HHS.gov
This study introduces order statistics for one-sided multiple testing in normal and binomial distributions, unifying frequentist and Bayesian approaches. The methods offer adjustments for confidence and credible limits, enhancing clinical trial analysis.
Area of Science:
- Statistical Methods
- Biostatistics
- Hypothesis Testing
Background:
- Multiple testing problems are common in statistical analysis, particularly in clinical trials.
- Existing frequentist and Bayesian methods for multiple testing often lack a unified approach.
- Order statistics offer a potential framework for addressing these challenges.
Purpose of the Study:
- To develop a unified approach for one-sided multiple testing problems using order statistics.
- To adapt confidence and credible limits for both frequentist and Bayesian models.
- To investigate the relationship between sample size and the number of tests in clinical trials.
Main Methods:
- Utilizing order statistics to test the null hypothesis that all individual null hypotheses are true.
- Applying adjusted confidence limits in frequentist models, analogous to Bonferroni adjustments.
- Adjusting Bayesian credible limits to reconcile posterior probabilities with frequentist p-values.
- Investigating asymptotic order statistics for scenarios with a large number of tests, including dependent observations.
Main Results:
- The proposed order statistics method provides a uniform framework for frequentist and Bayesian multiple testing.
- Adjustments to confidence and credible limits ensure valid statistical inference.
- Asymptotic order statistics effectively handle a large number of tests and extend results to dependent data.
- The study quantifies the trade-off between sample size and the number of tests in clinical trials.
Conclusions:
- Order statistics offer a robust and unified methodology for one-sided multiple testing.
- The developed adjustments enhance the applicability of these methods in both frequentist and Bayesian contexts.
- The findings are particularly relevant for optimizing clinical trial design and analysis.
Related Concept Videos
Clinical Trials
There are four phases in a clinical trial. A phase one...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Sample Size Calculation
The sample size for the given experiment or sampling effort is fundamental to any study design. Sample size decides the number of...
Testing a Claim about Population Proportion
There are two methods of testing a claim about a population proportion: (1) Using the sample proportion from the data where a binomial distribution is approximated to the normal distribution and (2) Using the binomial probabilities calculated from the data.
The first method uses normal distribution as an approximation to the binomial distribution. The requirements are as follows: sample size is large...
Bioavailability Study Design: Single Versus Multiple Dose Studies
Comparing the Survival Analysis of Two or More Groups

