Tulane University School of Public Health and Tropical Medicine, New Orleans, USA.
Trials. 2023 Nov 29;24(1):771. doi: 10.1186/s13063-023-07762-7.
This manuscript is a master statistical analysis plan for each of three-cluster randomized controlled trials to evaluate the efficacy of attractive targeted sugar baits (ATSB) described in an already published protocol. The master SAP contains an overarching plan for all three trials, which can be adapted to trial-specific circumstances. The primary objective of the trials is to evaluate the efficacy of ATSB in the presence of universal vector control coverage with insecticide-treated nets (ITN) or indoor residual spraying (IRS) after two transmission seasons on clinical malaria incidence as compared with universal vector control coverage with ITN or IRS alone. The primary outcome measure is the incidence rate of clinical malaria, assessed in cohorts aged 12 months to less than 15 years (≥ 5 years to 15 years in Mali) during monthly follow-up visits. The primary unadjusted analysis will be conducted on the intention-to-treat analysis population without adjustment for any anticipated confounding variables. The primary outcome will be analyzed using a multi-level model constructed on a generalized linear model framework with a Poisson likelihood and a log link function. Random intercepts will be included for each study cluster and a fixed effect for study-arm. The analyst will be blinded to study arm assignment. Several secondary outcomes will be analyzed, as well as a pooled analysis (individual patient data meta-analysis) across the three trial sites. Additionally, a standard meta-analysis is expected to be conducted using combined data from all sites.
这篇手稿是为三个三聚类随机对照试验中的每一个制定的主要统计分析计划,用于评估已发表方案中描述的有吸引力的靶向糖诱饵(ATSB)的疗效。主 SAP 包含了所有三个试验的总体计划,可以根据试验的具体情况进行调整。试验的主要目的是评估在经过两个传播季节的普遍使用杀虫剂处理过的蚊帐(ITN)或室内滞留喷洒(IRS)的普遍病媒控制覆盖后,与单独使用 ITN 或 IRS 的普遍病媒控制覆盖相比,ATSB 在临床疟疾发病率方面的疗效。主要结局指标是临床疟疾的发病率,在每月随访期间,年龄在 12 个月至不到 15 岁(马里为 5 岁至 15 岁)的队列中评估。主要的未调整分析将在不考虑任何预期混杂变量的意向治疗分析人群中进行。主要结局将使用基于广义线性模型框架构建的多层次模型进行分析,该模型采用泊松似然和对数链接函数。将为每个研究聚类包含随机截距,并为研究臂包含固定效应。分析人员将对研究臂分配进行盲法。将分析几个次要结局,以及三个试验地点的汇总分析(个体患者数据荟萃分析)。此外,预计将使用所有地点的数据进行标准荟萃分析。