Abstract #300767

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JSM 2003 Abstract #300767
Activity Number: 256
Type: Luncheons
Date/Time: Tuesday, August 5, 2003 : 12:30 PM to 1:50 PM
Sponsor: Biopharmaceutical Section
Abstract - #300767
Title: Stratified Clinical Trials: Some Food for Thought - THIS LUNCHEON IS SOLD OUT
Author(s): Devan V. Mehrotra*+
Companies: Merck Research Laboratories
Address: Clinical Biostatistics, UN-A102, Blue Bell, PA, 19422,
Keywords: interaction ; Mantel-Haenszel test ; minimum risk weights ; binary data ; multicenter ; prognostic factor
Abstract:

We address some fundamental issues involving stratified comparative clinical trials with emphasis on binary endpoints. First, we differentiate between prognostic and nonprognostic factor stratification when defining the "true overall treatment effect" parameter. Second, we stress the importance of clearly stating the null hypothesis being tested. Third, we review some recently developed alternatives to the popular Mantel-Haenszel procedure and discuss the related issue of stratum weighting. Fourth, we describe how to (and how not to!) test for a treatment by stratum interaction and what to do in the presence of an interaction. Finally, we comment on the issue of random stratum sizes and the resulting impact on commonly reported interval estimates of the "overall treatment effect." Illustrative examples are used to reinforce the key points and support some specific recommendations.


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