在现实世界证据时代的分散的临床试验:统计学视角
Jie Chen1, Junrui Di2, Nadia Daizadeh3
1Data Science, ECR Global, Shanghai, China.
Clinical and translational science
|February 19, 2025
概括
分散临床试验 (DCT) 提供了好处,但也带来了统计方面的挑战. 本文提供了设计,进行和分析DCT的统计考虑,以支持监管决策.
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
- 监管科学 监管科学
背景情况:
- 分散的临床试验 (DCT) 越来越普遍,将试验活动从传统场所移开.
- 通常在现实环境中进行的DCT在试验设计,进行和分析方面存在独特的统计挑战.
- 美国统计学会生物制药部门的现实世界证据科学工作组审查了这些挑战.
研究的目的:
- 为分散的临床试验 (DCT) 提供统计考虑.
- 从统计的角度来看,解决DCT对试验设计,进行和分析的影响.
- 支持在DCT中评估的医疗产品的监管决策.
主要方法:
- 对具有统计影响的关键分散元素的审查.
- 目前对DCT的监管指导,框架和举措的总结.
- 讨论统计方面,包括估计和构建,实施,分析计划,缺失数据和安全事件报告.
主要成果:
- 确定了DCT各个阶段的关键统计考虑因素.
- 强调需要在分散的环境中采用强大的统计方法.
- 强调解决数据安全,隐私和监管合规的重要性.
结论:
- 统计考虑对于成功实施和解释分散的临床试验至关重要.
- 调整统计方法是必要的,以利用DCT的好处,同时减轻风险.
- 这项工作旨在指导统计学家和监管机构在导航DCT的复杂性.
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