JSM 2005 - Toronto

Abstract #303874

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Legend: = Applied Session, = Theme Session, = Presenter
Activity Number: 222
Type: Topic Contributed
Date/Time: Tuesday, August 9, 2005 : 8:30 AM to 10:20 AM
Sponsor: Biopharmaceutical Section
Abstract - #303874
Title: Intent-to-treat Analyses of Noninferiority Studies
Author(s): Brian Wiens*+ and William Zhao
Companies: Amgen, Inc. and Fujisawa Healthcare, Inc.
Address: One Amgen Center Dr, Thousand Oaks, CA, 93065, United States
Keywords: Clinical Trials ; Analysis Set ; Active Control
Abstract:

In analyzing clinical trials designed to show superiority of one treatment compared to another, it is standard to use the intent to treat (ITT) subset of study subjects as the primary analysis set. In active-controlled, noninferiority studies, it is standard to place as much or more emphasis on the per protocol (PP) subset of study subjects. We discuss several series of datasets that compare results from ITT and PP analyses. The conclusion generally is that the impact of choice of analysis set in superiority and inferiority studies is minimal. We also discuss barriers to the use of ITT in active-control studies and suggest some strategies to make ITT analyses feasible. While straightforward application of ITT principles may result in difficulties in interpretation of active control studies, we argue that PP analyses do not solve these problems and may make the matter worse. Topics in need of further research are discussed.


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