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存在内在多重终点问题的临床试验中的疗效终点选择和多重性调整方法

Efficacy endpoint selection and multiplicity adjustment methods in clinical trials with inherent multiple endpoint issues.

作者信息

Sankoh Abdul J, D'Agostino Ralph B, Huque Mohammad F

机构信息

Global Biostatistics, Aventis Pharmaceuticals, P. O. Box 6890, 200 Crossing Boulevard, BX2-300E, Bridgewater, NJ 08807, U.S.A.

出版信息

Stat Med. 2003 Oct 30;22(20):3133-50. doi: 10.1002/sim.1557.

DOI:10.1002/sim.1557
PMID:14518019
Abstract

The ideal approach for the design and analysis of clinical trials is to select a single primary endpoint that provides a complete characterization of the disease under study and permits an efficient evaluation of the effect of a test drug. However, this is often not possible for a number of diseases or clinical trials. This paper examines some practical clinical decision-making scenarios for the selection and analysis of efficacy outcome measures in clinical trials with inherent multiplicity components.

摘要

临床试验设计与分析的理想方法是选择一个单一的主要终点,该终点能全面表征所研究的疾病,并能有效评估受试药物的效果。然而,对于许多疾病或临床试验而言,这往往是不可能的。本文探讨了一些实际的临床决策场景,用于在具有内在多重性成分的临床试验中选择和分析疗效结局指标。

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