• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

药物研究中非劣效性随机对照试验的解释和推断。

Interpretation and inference in noninferiority randomized controlled trials in drug research.

机构信息

Division of Pharmacoepidemiology & Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, University of Utrecht, Utrecht, The Netherlands.

出版信息

Clin Pharmacol Ther. 2010 Sep;88(3):420-3. doi: 10.1038/clpt.2010.134. Epub 2010 Jul 28.

DOI:10.1038/clpt.2010.134
PMID:20668448
Abstract

Noninferiority (NI) trials in drug research are used for the purpose of demonstrating that a new treatment is not worse than a proven active comparator, thereby indirectly showing that the treatment is effective. This article explains and addresses the complications in the interpretation of NI trials that arise from the indirect comparison. On the basis of our review of 232 trials, we conclude that the interpretation and inference of NI trials are complicated, partly because of the incompleteness of the information.

摘要

药物研究中的非劣效(NI)试验用于证明一种新的治疗方法不比已证实的有效对照药物差,从而间接表明该治疗方法有效。本文解释并解决了由于间接比较而导致的 NI 试验解释的复杂性问题。根据我们对 232 项试验的回顾,我们得出结论,NI 试验的解释和推断很复杂,部分原因是信息不完整。

相似文献

1
Interpretation and inference in noninferiority randomized controlled trials in drug research.药物研究中非劣效性随机对照试验的解释和推断。
Clin Pharmacol Ther. 2010 Sep;88(3):420-3. doi: 10.1038/clpt.2010.134. Epub 2010 Jul 28.
2
Randomization as a basis for inference in noninferiority trials.随机化作为非劣效性试验推断的基础。
Pharm Stat. 2006 Oct-Dec;5(4):265-71. doi: 10.1002/pst.214.
3
Making sense of noninferiority: a clinical and statistical perspective on its application to cardiovascular clinical trials.理解非劣效性:从临床和统计学角度看其在心血管临床试验中的应用
Prog Cardiovasc Dis. 2007 Jan-Feb;49(4):284-99. doi: 10.1016/j.pcad.2006.10.001.
4
Noninferiority drug trials fail to report adequate methodological detail: an assessment of noninferiority trials from 2010 to 2015.非劣效性药物试验未能报告足够的方法学细节:对2010年至2015年非劣效性试验的评估。
J Clin Epidemiol. 2019 Apr;108:144-146. doi: 10.1016/j.jclinepi.2018.11.028. Epub 2018 Dec 6.
5
An orwellian discourse on the meaning and measurement of noninferiority.关于非劣效性的意义与衡量的奥威尔式论述。
Am J Cardiol. 2007 Jan 15;99(2):284-7. doi: 10.1016/j.amjcard.2006.07.090. Epub 2006 Nov 27.
6
Efficacy of experimental treatments compared with standard treatments in non-inferiority trials: a meta-analysis of randomized controlled trials.实验性治疗与标准治疗在非劣效性试验中的疗效比较:随机对照试验的荟萃分析。
Int J Epidemiol. 2010 Dec;39(6):1567-81. doi: 10.1093/ije/dyq136. Epub 2010 Sep 13.
7
Statistical issues in interpreting clinical trials.解读临床试验中的统计学问题。
J Intern Med. 2004 May;255(5):529-37. doi: 10.1111/j.1365-2796.2004.01320.x.
8
Commentary: The debate on non-inferiority trials: 'when meta-analysis alone is not helpful'.评论:关于非劣效性试验的辩论:“仅靠荟萃分析无济于事时”
Int J Epidemiol. 2010 Dec;39(6):1582-3. doi: 10.1093/ije/dyq197.
9
A bootstrap-based test for establishing noninferiority in clinical trials.一种基于自抽样法的用于在临床试验中确立非劣效性的检验方法。
J Biopharm Stat. 2006 May;16(3):357-63. doi: 10.1080/10543400600609478.
10
Comparison of dose-finding designs for narrow-therapeutic-index drugs: concentration-controlled vs. dose-controlled trials.窄治疗指数药物剂量探索设计的比较:浓度控制试验与剂量控制试验
Clin Pharmacol Ther. 2009 Jul;86(1):62-9. doi: 10.1038/clpt.2009.23. Epub 2009 Apr 1.

引用本文的文献

1
Topical or oral antibiotics in childhood acute otitis media and ear discharge: a randomized controlled non-inferiority trial.儿童急性中耳炎和耳溢液中局部或口服抗生素治疗的随机对照非劣效性试验。
Fam Pract. 2024 Oct 8;41(5):857-861. doi: 10.1093/fampra/cmae034.
2
Topical or oral antibiotics for children with acute otitis media presenting with ear discharge: study protocol of a randomised controlled non-inferiority trial.伴有耳溢液的急性中耳炎儿童使用局部或口服抗生素治疗的随机对照非劣效性试验研究方案。
BMJ Open. 2021 Dec 16;11(12):e052128. doi: 10.1136/bmjopen-2021-052128.
3
Non-inferiority trials in cardiology: what clinicians need to know.
心脏病学中的非劣效性试验:临床医生需要了解的内容。
Heart. 2020 Jan;106(2):99-104. doi: 10.1136/heartjnl-2019-315772. Epub 2019 Oct 31.
4
Overcoming the Straw Man Effect in Oncology: Visualization and Ranking of Chemotherapy Regimens Using an Information Theoretic Approach.克服肿瘤学中的稻草人效应:使用信息论方法对化疗方案进行可视化和排名
JCO Clin Cancer Inform. 2017 Nov;1:1-9. doi: 10.1200/CCI.17.00079.
5
A clinician's guide to the assessment and interpretation of noninferiority trials for novel therapies.临床医生评估与解读新型疗法非劣效性试验指南
Open Med. 2014 May 6;8(2):e67-72. eCollection 2014.
6
Regulatory scientific advice on non-inferiority drug trials.监管科学对非劣效性药物试验的意见。
PLoS One. 2013 Sep 5;8(9):e74818. doi: 10.1371/journal.pone.0074818. eCollection 2013.
7
Phase IV non-inferiority trials and additional claims of benefit.四期非劣效性试验和额外获益主张。
BMC Med Res Methodol. 2013 May 30;13:70. doi: 10.1186/1471-2288-13-70.
8
The challenges of determining noninferiority margins: a case study of noninferiority randomized controlled trials of novel oral anticoagulants.确定非劣效性界值的挑战:新型口服抗凝剂非劣效性随机对照试验的案例研究
CMAJ. 2013 Feb 19;185(3):222-7. doi: 10.1503/cmaj.120142. Epub 2012 Aug 20.