Abstract #301928


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JSM 2002 Abstract #301928
Activity Number: 155
Type: Contributed
Date/Time: Monday, August 12, 2002 : 2:00 PM to 3:50 PM
Sponsor: Biopharmaceutical Section*
Abstract - #301928
Title: Problems in Combining Studies for Safety Analyses
Author(s): Qian Li*+
Affiliation(s): Food and Drug Administration
Address: 9201 Corporate Blvd, HFD-725, Rockville, MD, 20850, USA
Keywords: Combining Studies ; Meta-Analysis ; Risks ; Risk Ratios ; Safety Analyses ; Serious Adverse Events
Abstract:

In analyzing serious adverse events in NDA submissions, often studies from phase II to IV are combined together to perform a meta-analysis in a hope to better quantify the adverse events and achieve better power to detect differences between treatment groups. In combining studies, often we see that different dose levels of a studied drug are combined together; so are different comparators, and different patient populations. When studies of different duration are combined, survival analysis will not help if risks of different dose levels were different and risk ratios between treatment groups were not constant over time. Such combining my cause difficulties in interpreting study results, especially for the analyses of serious adverse events. A couple of examples from NDA submissions are used to illustrate the problems.


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Revised March 2002