JSM 2011 Online Program

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Abstract Details

Activity Number: 131
Type: Contributed
Date/Time: Monday, August 1, 2011 : 8:30 AM to 10:20 AM
Sponsor: Biopharmaceutical Section
Abstract - #302363
Title: Justification of Noninferiority Design in Infection Disease Studies
Author(s): Chunzhang Wu*+
Companies: Astellas Pharma Global Development, Inc.
Address: 3 Parkway North, Deerfield, IL, 60015,
Keywords: non-inferiority margin ; sensitivity ; placebo effects ; random effects
Abstract:

In infection disease area, non-inferiority (NI) design is a most acceptable methodology to design the clinical trials to support regulatory submission in recent decades. However the justification of the design, in particular the sensitivity and the selection of non-inferiority margin, is a critical challenge for a successful clinical trial. Using some successful historical and existing clinical trials related to antifungal disease, this paper illustrates statistical/clinical justification of NI design in accordance with major regulatory guidance. The sensitivity and the selection of non-inferiority margin is a primary focus. It is also in depth discussed that how to obtain conservative and reliable estimate of placebo effect when placebo control trials were not feasible in infection disease area in most health care practice.


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