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Tytuł pozycji:

Assessing treatment benefit in the presence of placebo response using the sequential parallel comparison design.

Tytuł:
Assessing treatment benefit in the presence of placebo response using the sequential parallel comparison design.
Autorzy:
Liu X; Department of Biostatistics, Boston University, Boston, Massachusetts, USA.
Kim C; Department of Biostatistics, Boston University, Boston, Massachusetts, USA.; Department of Statistics, SungKyunKwan University, Seoul, Korea.
Han Z; School of Statistics, University of International Business and Economics, Beijing, China.
Lim P; Janssen Research & Development LLC, Raritan, New Jersey, USA.
Roychoudhury S; Pfizer Inc., New York, New York, USA.
Fava M; Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Doros G; Department of Biostatistics, Boston University, Boston, Massachusetts, USA.
Źródło:
Statistics in medicine [Stat Med] 2022 May 30; Vol. 41 (12), pp. 2166-2190. Date of Electronic Publication: 2022 Feb 20.
Typ publikacji:
Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Original Publication: Chichester ; New York : Wiley, c1982-
MeSH Terms:
Placebo Effect*
Research Design*
Bias ; Computer Simulation ; Humans
References:
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Contributed Indexing:
Keywords: SPCD; estimand; placebo response; principal stratification; treatment effect
Entry Date(s):
Date Created: 20220220 Date Completed: 20220421 Latest Revision: 20220726
Update Code:
20240105
DOI:
10.1002/sim.9349
PMID:
35184326
Czasopismo naukowe
In clinical trials, placebo response is considered a beneficial effect arising from multiple factors, including the patient's expectations for the treatment. Its presence makes the classical parallel study design suboptimal and can bias the inference. The sequential parallel comparison design (SPCD), a two-stage design where the first stage is a classical parallel study design, followed by another parallel design among placebo subjects from the first stage, was proposed to address the shortcomings of the classical design. In SPCD, in lieu of treatment effect, a weighted average of the mean treatment difference in Stage I among all randomized subjects and the mean treatment difference in Stage II among placebo non-responders was proposed as the efficacy measure. However, by linking two possibly different populations, this weighted average lacks interpretability, and the choice of weight remains controversial. In this work, under the principal stratification framework, we propose a causal estimand for the treatment effect under each of three clinically important principal strata: Always Responders, Never Responders, and Drug-only Responders. To make the stratum treatment effect identifiable, we introduce a set of assumptions and two sensitivity parameters. By further considering the strata as latent characteristics, the sensitivity parameters can be estimated. An extensive simulation study is conducted to evaluate the operating characteristics of the proposed method. Finally, we apply our method on the ADAPT-A study data to assess the benefit of low-dose aripiprazole adjunctive to antidepressant therapy treatment.
(© 2022 John Wiley & Sons Ltd.)

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