Statistical Inference for Clinical Trials with Protocol Amendments

Autor: Lan-YanYang, 楊嵐燕
Rok vydání: 2010
Druh dokumentu: 學位論文 ; thesis
Popis: 98
It is not uncommon to modify trial procedures and/or statistical methods of on-going clinical trials through protocol amendments. A major modification could result in a shift in target patient population. In addition, frequent and significant modifications could lead to a totally different study, which is unable to address the medical questions that the original study intends to answer. Chow and Shao (2005) proposed a covariate-adjusted model with continuous study endpoint. Chow et al. (2005) proposed using a sensitivity index, as defined in Chow et al. (2002), to measure the impact of population shift. Under the assumption that the shift in location parameter is random and the shift in scale parameter is fixed, Chow et al. (2005) proposed a Bayesian approach for inferences of the treatment effect. In this dissertation, following similar ideas of Chow and Shao (2005) and Chow et al. (2005), statistical inference and sample size adjustment based on a binary study endpoint for trials with protocol amendments are derived.
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