将estimand框架应用于临床药理学试验,其中包括生物等效的案例研究
Helle Lynggaard1, Sue McKendrick2, Mark Baird3
1Biostatistics, Novo Nordisk A/S, Denmark.
British journal of clinical pharmacology
|November 26, 2024
概括
本研究介绍了在临床试验中定义治疗效果的框架,以提高生物等价性和临床药理学研究的清晰度. 它为应用估计方法提供了实际指导,提高了试验透明度和对齐.
科学领域:
- 临床药理学 临床药理学
- 生物统计学 生物统计学
- 监管科学 监管科学
背景情况:
- 国际协调委员会 (ICH) 已经引入了评估标准,以准确定义临床试验中的治疗效果.
- 美国食品和药物管理局 (FDA) 的指导草案建议在生物等价性试验协议中指定估计值.
- 在临床药理学试验中应用estimands的经验有限.
研究的目的:
- 引入临床药理学试验的估计和框架.
- 在此背景下,提供关于估计和思考过程的逐步指导.
- 为了说明估计的应用,使用生物等价试验案例研究.
主要方法:
- 描述估计和概念及其与临床试验的相关性.
- 实施估计和思考过程的逐步考虑.
- 应用estimand框架的生物等价性试验的案例研究分析.
- 讨论如何识别和处理影响终点解释的间流事件.
主要成果:
- 该评估框架提高了试验设计,进行和分析的透明度和一致性.
- 该案例研究展示了估计在生物等价试验中的实际应用.
- 间流动事件需要仔细考虑,以准确解释终点.
结论:
- 估计和框架为临床药理学试验提供了显著的好处,特别是在生物等价性研究中.
- 关于在临床药理学监管指南中更广泛地采用估计和框架,需要进一步讨论.
- 实施estimand可以提高临床试验结果的准确性和可解释性.
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