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Activity Number: 547
Type: Topic Contributed
Date/Time: Thursday, August 6, 2009 : 8:30 AM to 10:20 AM
Sponsor: Biopharmaceutical Section
Abstract - #305295
Title: Considerations on Criteria for Consistency Across Regions in Multi-Regional Trials
Author(s): Kimitoshi Ikeda*+
Companies: Novartis Pharma K.K.
Address: 4-17-30, Nishi-Azabu, Minato-ku, Tokyo, 106-8618, Japan
Keywords: consistency ; Japanese sample size ; interaction
Abstract:

A multi-regional trial has at least two main objectives. First, it is necessary to show a significant benefit in effect of a new drug over placebo in the entire study population. Second, one needs to demonstrate that the results for a particular region are consistent with those from the entire population. We discuss critically the methods shown in a regulatory guidance document on global trials recently issued in Japan to calculate the required sample size for the Japanese subpopulation in multi-regional clinical trials. In addition, we consider criteria for consistency from two perspectives---the effect in a particular region and the region-by-treatment interaction---and we propose improved methods with better operating characteristics than the current approaches.


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