通过对实验和对照组的动态信息借用来提高临床试验的概括性和效率:一个模拟研究
1Department of Public Health, School of Medicine & Holistic Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
临床试验中的外部信息提高了效率. 我们的研究比较了两只手臂借用信息的方法,找到适合低异质性和高异质性测试-然后-池的特定先验.
科学领域:
- 生物统计学 生物统计学
- 临床试验设计 临床试验设计
- 药学研究 药学研究
背景情况:
- 外部信息提高了临床试验的有效性和效率.
- 在实验和控制武器中借用信息带来了独特的挑战.
- 现有的研究往往只关注控制臂的信息借用.
研究的目的:
- 在双臂临床试验中评估信息借用方法.
- 为了比较测试-然后-池,正常化前功率,校准前功率和弹性前功率方法的操作特性.
- 为不同级别的数据异质性确定最佳方法.
主要方法:
- 应用了四种不同的信息借用方法:测试-然后-池,正常化功率预先,校准功率预先和弹性预先.
- 使用了双臂信息借贷框架.
- 在信息借贷的最多和最不理想场景下进行模拟研究.
主要成果:
- 所有的方法都控制了I型错误率,在理想情况下,错误率在5%以内.
- 在理想的场景中,正常化前功率,校准前功率和弹性前功率增加到95%.
- 在最不理想的场景中,I型错误率超过了这些先验的20%,功率降至80%左右.
结论:
- 规范功率先验,校准功率先验和弹性先验在最小的数据异质性下有效.
- 在历史数据和当前数据之间存在重大差异时,测试然后汇集方法是更强大的选择.
- 结果指导在临床试验中选择适当的信息借贷策略.
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