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前列腺癌III期临床试验设计与分析的统计学考量

Statistical considerations for the design and analysis of Phase III clinical trials in prostate cancer.

作者信息

Halabi Susan

机构信息

Department of Biostatistics and Bioinformatics and the Cancer and Leukemia Group B Statistical Center, Duke University Medical Center, Durham, NC 27705, USA.

出版信息

Urol Oncol. 2008 May-Jun;26(3):300-7. doi: 10.1016/j.urolonc.2006.11.007. Epub 2007 Nov 19.

Abstract

This article reviews the basic principles involved in the design, conduct, and analysis of Phase III treatment trials in prostate cancer. It begins with a brief review of Phase III trials, and subsequently describes the process of hypothesis testing and the types of errors involved in the process of statistical inference. Next, it presents a general discussion of design considerations, including choice of endpoints, patient selection and eligibility criteria, randomization and stratification, methods to determine the required number patients, standard procedures to monitor a study, and finally how to analyze the results from randomized clinical trials.

摘要

本文回顾了前列腺癌III期治疗试验设计、实施及分析所涉及的基本原则。文章首先简要回顾了III期试验,随后描述了假设检验的过程以及统计推断过程中所涉及的误差类型。接下来,对设计考量进行了一般性讨论,包括终点的选择、患者选择及入选标准、随机化与分层、确定所需患者数量的方法、监测研究的标准程序,最后是如何分析随机临床试验的结果。

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