Novartis Pharma AG, Basel, Switzerland.
Stat Med. 2013 May 10;32(10):1739-53. doi: 10.1002/sim.5711. Epub 2012 Dec 28.
Methods for addressing multiplicity in clinical trials have attracted much attention during the past 20 years. They include the investigation of new classes of multiple test procedures, such as fixed sequence, fallback and gatekeeping procedures. More recently, sequentially rejective graphical test procedures have been introduced to construct and visualize complex multiple test strategies. These methods propagate the local significance level of a rejected null hypothesis to not-yet rejected hypotheses. In the graph defining the test procedure, hypotheses together with their local significance levels are represented by weighted vertices and the propagation rule by weighted directed edges. An algorithm provides the rules for updating the local significance levels and the transition weights after rejecting an individual hypothesis. These graphical procedures have no memory in the sense that the origin of the propagated significance level is ignored in subsequent iterations. However, in some clinical trial applications, memory is desirable to reflect the underlying dependence structure of the study objectives. In such cases, it would allow the further propagation of significance levels to be dependent on their origin and thus reflect the grouped parent-descendant structures of the hypotheses. We will give examples of such situations and show how to induce memory and other properties by convex combination of several individual graphs. The resulting entangled graphs provide an intuitive way to represent the underlying relative importance relationships between the hypotheses, are as easy to perform as the original individual graphs, remain sequentially rejective and control the familywise error rate in the strong sense.
在过去的 20 年中,处理临床试验中多重性的方法引起了广泛关注。这些方法包括研究新的多检验程序类别,如固定序列、后备和门控程序。最近,顺序拒绝图形检验程序已被引入,以构建和可视化复杂的多重检验策略。这些方法将被拒绝的零假设的局部显著性水平传播到尚未被拒绝的假设。在定义检验程序的图形中,假设及其局部显著性水平由加权顶点表示,而传播规则由加权有向边表示。算法提供了在拒绝单个假设后更新局部显著性水平和转移权重的规则。这些图形程序没有记忆,因为在后续迭代中忽略了传播显著性水平的起源。然而,在某些临床试验应用中,需要记忆来反映研究目标的潜在依赖结构。在这种情况下,可以允许显著性水平的进一步传播依赖于它们的起源,从而反映假设的分组父子结构。我们将给出这种情况的示例,并展示如何通过几个单独图形的凸组合来诱导记忆和其他属性。所得到的纠缠图形提供了一种直观的方式来表示假设之间的潜在相对重要关系,它们与原始的单个图形一样易于执行,仍然是顺序拒绝的,并在强意义上控制总体错误率。