定义临床试验估值:研究小组的实用指南,以基于精神疾病的例子为例
Elena Polverejan1, Michael O'Kelly2, Nanco Hefting3
1Statistics and Decision Sciences, Janssen Pharmaceuticals - Johnson & Johnson, 1125 Trenton-Harbourton Rd, Titusville, NJ, 08560, USA. epolvere@its.jnj.com.
Therapeutic innovation & regulatory science
|May 27, 2023
概括
实施估计和框架需要跨学科的合作. 本文详细介绍了在临床试验中定义估值的过程,使用主要抑郁症的例子来指导利益相关者.
科学领域:
- 临床试验方法论 临床试验方法论
- 药学研究 药学研究
- 监管科学 监管科学
背景情况:
- 关于估计和敏感性分析的ICH E9 (R1) 附录于2019年发布.
- 广泛实施和利益相关者的参与仍在发展.
- 需要有临床和监管反的案例研究.
研究的目的:
- 描述一个跨学科的过程来实施估计和框架.
- 为了说明这一过程,用对主要抑郁障碍的假设临床试验示例来说明这一过程.
- 应对定义和报告估算的挑战.
主要方法:
- 由估计和缺失数据工作组设计了一个跨学科的过程.
- 使用了一个估计和示例模板,涵盖利益相关者识别,决策和关键问题.
- 整合了多种不同的终点 (连续,二进制,时间到事件) 和处理间流事件的策略.
主要成果:
- 为假设试验提供了详细的估计和规范示例.
- 包括试验设计,实施要素和估计器规格.
- 在各种场景中展示了估计和框架的应用.
结论:
- 强调需要多学科合作,以有效实施ICH E9 (R1) 框架.
- 突出了临床试验设计中的估计和框架的实际应用.
- 提供了一个结构化的方法来定义和报告复杂试验中的估计值.
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