When using nonparametric methods to analyze factorial designs with repeated measures, the ANOVA-type rank test has gained popularity due to its robustness and appropriate type I error control. This article proposes po...
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When using nonparametric methods to analyze factorial designs with repeated measures, the ANOVA-type rank test has gained popularity due to its robustness and appropriate type I error control. This article proposes power and sample size calculation formulas under two scenarios where the nonparametric regression coefficients are known or they are unknown but a pilot study is available. When a pilot study is available, the formulas do not need any assumption on the underlying population distributions. Simulation results confirm the accuracy of the proposed methods. An STZ rat excisional wound study is used to demonstrate the application of the methods.
Studies of interactions among biologically active agents have become increasingly important in many branches of biomedical research. Based on the Loewe additivity model, which is one of the best models to define drug ...
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Studies of interactions among biologically active agents have become increasingly important in many branches of biomedical research. Based on the Loewe additivity model, which is one of the best models to define drug interactions, synergy occurs when the interaction index is less than one, and antagonism occurs when it is greater than one. When a ray design experiment is conducted to assess drug synergy, two common issues may arise: the calculation of the interaction indexes together with their confidence intervals and how to design the experiment to achieve more accurate estimations of the interaction index. This article addresses these two issues. In terms of the calculation, we compare the joint fitting mechanism which combines all rays into one estimating equation and the separate fitting which fits each ray separately and conducts further calculations to get the inference, and weights are considered in the comparison. We derive that both fitting mechanisms give identical point estimates of the interaction indexes and simulation studies show that the weighted joint fitting and the separate fitting work similarly well in terms of the model convergence and the coverage proportion of the confidence intervals. Simulation studies also suggest that to reduce the bias in the estimation of the interaction indexes, one should increase sample sizes in all rays by adding more doses or more replicates in each dose, and increasing only the sample size in the rays of pure drugs may even enlarge the bias. A two-drug, seven-ray design is used to illustrate the application of the methods.
Purpose. To examine and quantify bias in the Wagner-Nelson estimate of the fraction of drug absorbed resulting from the estimation error of the elimination rate constant (k), measurement error of the drug concentratio...
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Purpose. To examine and quantify bias in the Wagner-Nelson estimate of the fraction of drug absorbed resulting from the estimation error of the elimination rate constant (k), measurement error of the drug concentration, and the truncation error in the area under the curve. Methods. Bias in the Wagner-Nelson estimate was derived as a function of post-dosing time (t), k, ratio of absorption rate constant to k (r), and the coefficient of variation for estimates of k (CVk), or CVc for the observed concentration, by assuming a one-compartment model and using an independent estimate of k. The derived functions were used for evaluating the bias with r = 0.5, 3, or 6;k = 0.1 or 0.2;CVc = 0.2 or 0.4;and CVk =0.2 or 0.4;for t = 0 to 30 or 60. Results. Estimation error of k resulted in an upward bias in the Wagner-Nelson estimate that could lead to the estimate of the fraction absorbed being greater than unity. The bias resulting from the estimation error of k inflates the fraction of absorption vs. time profiles mainly in the early post-dosing period. The magnitude of the bias in the Wagner-Nelson estimate resulting from estimation error of k was mainly determined by CVk. The bias in the Wagner-Nelson estimate resulting from to estimation error in k can be dramatically reduced by use of the mean of several independent estimates of k, as in studies for development of an in vivo-in vitro correlation. The truncation error in the area under the curve can introduce a negative bias in the Wagner-Nelson estimate. This can partially offset the bias resulting from estimation error of k in the early post-dosing period. Measurement error of concentration does not introduce bias in the Wagner-Nelson estimate. Conclusions. Estimation error of k results in an upward bias in the Wagner-Nelson estimate, mainly in the early drug absorption phase. The truncation error in AUC can result in a downward bias, which may partially offset the upward bias due to estimation error of k in the early abso
Although Fan showed that the mixed-effects model for repeated measures (MMRM) is appropriate to analyze complete longitudinal binary data in terms of the rate difference, they focused on using the generalized estimati...
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Although Fan showed that the mixed-effects model for repeated measures (MMRM) is appropriate to analyze complete longitudinal binary data in terms of the rate difference, they focused on using the generalized estimating equations (GEE) to make statistical inference. The current article emphasizes validity of the MMRM when the normal-distribution-based pseudo likelihood approach is used to make inference for complete longitudinal binary data. For incomplete longitudinal binary data with missing at random missing mechanism, however, the MMRM, using either the GEE or the normal-distribution-based pseudo likelihood inferential procedure, gives biased results in general and should not be used for analysis.
When analyzing a response variable at the presence of both factors and covariates, with potentially correlated responses and violated assumptions of the normal residual or the linear relationship between the response ...
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When analyzing a response variable at the presence of both factors and covariates, with potentially correlated responses and violated assumptions of the normal residual or the linear relationship between the response and the covariates, rank-based tests can be an option for inferential procedures instead of the parametric repeated measures analysis of covariance (ANCOVA) models. This article derives a rank-based method for multi-way ANCOVA models with correlated responses. The generalized estimating equations (GEE) technique is employed to construct the proposed rank tests. Asymptotic properties of the proposed tests are derived. Simulation studies confirmed the performance of the proposed tests.
This article derives the asymptotic properties of rank-based tests for the covariate effects in rank repeated-measures analysis of covariance (ANCOVA) models (Fan and Zhang 2017) employing generalized estimating equat...
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This article derives the asymptotic properties of rank-based tests for the covariate effects in rank repeated-measures analysis of covariance (ANCOVA) models (Fan and Zhang 2017) employing generalized estimating equation (GEE) techniques. One interested application of the proposed tests is to check the validity of the assumption of homogeneous covariate effects in different levels of the factors. Performance of the proposed tests has been confirmed by simulation studies and illustrated using the famous seizure count data. While the article mainly focuses on interaction tests, the scope of the proposed tests includes testing any contrast of the covariate effect such as the null of no overall covariate effect.
Multi-regional clinical trials have been widely used for efficient global new drug developments. Both a fixed-effect model and a random-effect model can be used for trial design and data analysis of a multi-regional c...
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Multi-regional clinical trials have been widely used for efficient global new drug developments. Both a fixed-effect model and a random-effect model can be used for trial design and data analysis of a multi-regional clinical trial. In this paper, we first compare these two models in terms of the required sample size, type I error rate control, and the interpretability of trial results. We then apply the empirical shrinkage estimation approach based on the random-effect model to two criteria of consistency assessment of treatment effects across regions. As demonstrated in our computations, compared with the sample estimator, the shrinkage estimator of the treatment effect of an individual region borrowing information from the other regions is much closer to the estimator of the overall treatment effect, has smaller variability, and therefore provides much higher probability for demonstrating consistency. We use a multinational trial example with time to event endpoint to illustrate the application of the method. Copyright (c) 2012 John Wiley & Sons, Ltd.
Consider a trial comparing two treatments or doses A and B with a control C. Based on a unblinded interim look, a winner W between A and B will be chosen, and future patients will be randomized to W and C and compared...
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Consider a trial comparing two treatments or doses A and B with a control C. Based on a unblinded interim look, a winner W between A and B will be chosen, and future patients will be randomized to W and C and compared at the end of a study. The naive test statistic Z under this setting follows an approximate normal distribution, as shown by Lan et al. (2006) and Shun et al. (2008). Results of these two articles apply only to the fixed sample size design. With simple modifications, this manuscript extends the previous works to the group sequential setting.
The objective of dose-finding trials is to identify the doses that are sufficiently effective and safe for either future late-phase trials or the ultimate patients. Most methodologies for analyzing data from Phase II ...
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The objective of dose-finding trials is to identify the doses that are sufficiently effective and safe for either future late-phase trials or the ultimate patients. Most methodologies for analyzing data from Phase II dose-finding trials mainly focus on finding the effective doses or minimum effective dose through hypothesis testing, while Phase I studies focus on finding the maximum tolerated dose. In this article, we focus on benefit-risk assessment through both hypothesis testing and point estimation. For purposes of efficiency, monotone dose-response relationships will be assumed for the safety parameter. However, the monotone assumption cannot be made directly for the benefit-risk measure. This consideration can limit the use of downward or upward sequential procedures for multiplicity adjustment for benefit-risk assessment. Several different approaches will be discussed and evaluated. Numerical and data examples will be used to illustrate the properties of these approaches.
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