STATISTICAL PERSPECTIVES ON SUBGROUP ANALYSIS: TESTING FOR HETEROGENEITY AND EVALUATING ERROR RATE FOR THE COMPLEMENTARY SUBGROUP

被引:11
作者
Alosh, Mohamed [1 ]
Huque, Mohammad F. [2 ]
Koch, Gary G. [3 ]
机构
[1] US FDA, Div Biometr 3, Off Biostat, OTS,CDER, Silver Spring, MD 20993 USA
[2] US FDA, OTS, Off Biostat, CDER, Silver Spring, MD 20993 USA
[3] Univ N Carolina, Dept Biostat, Chapel Hill, NC USA
关键词
Complementary subgroup error rate; Supportive assessment; Targeted subgroup; Testing for interaction; QUALITATIVE INTERACTIONS; CLINICAL-TRIALS; POWER;
D O I
10.1080/10543406.2014.971169
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Substantial heterogeneity in treatment effects across subgroups can cause significant findings in the overall population to be driven predominantly by those of a certain subgroup, thus raising concern on whether the treatment should be prescribed for the least benefitted subgroup. Because of its low power, a nonsignificant interaction test can lead to incorrectly prescribing treatment for the overall population. This article investigates the power of the interaction test and its implications. Also, it investigates the probability of prescribing the treatment to a nonbenefitted subgroup on the basis of a nonsignificant interaction test and other recently proposed criteria.
引用
收藏
页码:1161 / 1178
页数:18
相关论文
共 21 条
[1]   Multiplicity considerations for subgroup analysis subject to consistency constraint [J].
Alosh, Mohamed ;
Huque, Mohammad F. .
BIOMETRICAL JOURNAL, 2013, 55 (03) :444-462
[2]   No inconsistent trial assessments by NICE and IQWiG: different assessment goals may lead to different assessment results regarding subgroup analyses [J].
Bender, Ralf ;
Koch, Armin ;
Skipka, Guido ;
Kaiser, Thomas ;
Lange, Stefan .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2010, 63 (12) :1305-1307
[3]   Subgroup analyses in randomized trials: risks of subgroup-specific analyses; power and sample size for the interaction test [J].
Brookes, ST ;
Whitely, E ;
Egger, M ;
Smith, GD ;
Mulheran, PA ;
Peters, TJ .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2004, 57 (03) :229-236
[4]   The distinctive nature of HER2-positive breast cancers [J].
Burstein, HJ .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (16) :1652-1654
[5]  
FDA, 2008, TRANSCR
[6]   TESTING FOR QUALITATIVE INTERACTIONS BETWEEN TREATMENT EFFECTS AND PATIENT SUBSETS [J].
GAIL, M ;
SIMON, R .
BIOMETRICS, 1985, 41 (02) :361-372
[7]   Long-term survival advantage for women treated with pegylated liposomal doxorubicin compared with topotecan in a phase 3 randomized study of recurrent and refractory epithelial ovarian cancer [J].
Gordon, AN ;
Tonda, M ;
Sun, S ;
Rackoff, W .
GYNECOLOGIC ONCOLOGY, 2004, 95 (01) :1-8
[8]   Inconsistent trial assessments by the National Institute for Health and Clinical Excellence and IQWiG: standards for the performance and interpretation of subgroup analyses are needed [J].
Hasford, J. ;
Bramlage, P. ;
Koch, G. ;
Lehmacher, W. ;
Einhaeupl, K. ;
Rothwell, P. M. .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2010, 63 (12) :1298-1304
[9]  
Koch G.G., 1997, J BIOPHARM STAT, V7, P323, DOI 10.1080/10543409708835190
[10]   AN OVERVIEW OF STATISTICAL PLANNING TO ADDRESS SUBGROUPS IN CONFIRMATORY CLINICAL TRIALS [J].
Koch, Gary G. ;
Schwartz, Todd A. .
JOURNAL OF BIOPHARMACEUTICAL STATISTICS, 2014, 24 (01) :72-93