新药临床试验的生物统计学 指导原则

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新药临床试验的生物统计学 指导原则. 苏炳华 教授 上海第二医科大学 生物统计学教研室. 郑筱萸主编 《 化学药品和治疗用生物制品研究指导原则 》 (试行) 北京 . 中国医药科技出版社 2002.5 第一版 . P85-P97. 按照国家药品监督管理局的要求,本指导原则应引进先进的思想和现代方法,与国际接轨,又需结合我国实际,具有连续性、前瞻性和可操作性。. 依据的文件: ( 1 ) 《 中华人民共和国药品管理法 》 ( 2 ) 《 新药审批办法 》 ( 3 ) 《 药品临床试验管理规范 》 - PowerPoint PPT Presentation

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  • .2002.5 . P85-P97.

  • 1 2 3 4 ICH-E9. Statistical Principles for Clinical Trials. 1998.2 5 FDA. Guideline for Format and content of Clinical and Statistical Sections of an Application. 1988.7 6 FDA-Docket No.97D-0188. International Conference on Harmonisation;Draft Guidelines on General Considerations for Clinical Trials;Availbility.1997.5

  • 1

  • 2

  • (protocol)(case report form, CRF)(data management)(statistical analysis plan)

  • (principal investigator)(clinical study report)

  • 3

  • 1(effectiveness)(safety)

  • (1)(primary variable)(target variable)primary endpoint(secondary variable)

  • (2) (composite variable)(rating scale)

  • (3) (global assessment variable)(scale of ordered categorical ratings)

  • 2 (bias) (randomization)(blinding)

  • (1) (randomization) (stratified)(block)

  • (2) (blind method)(double-blind)(single-blind)(open-label)

  • (placebo)(double dummy)

  • e) (emergency envelope)

  • f (treatment group)(control group)(unblinding)

  • 1 (parallel group design)(crossover design) (factorial design)

  • Parallel group design Crossover design Sequence,Period22

  • 2(multicenter trial)

  • (consistency test)

  • CMH(mixed effect model)

  • 3. (superiority)(equivalence)(non-inferiority)

  • SuperiorityEquivalenceNon-inferiority1 H0 H

  • 23

  • -- -- H0 H0

    H

    =0.05,

  • 4(group sequential design) II(=0.05)(alpha spending function)

  • 5. (sample size) ()

  • 1SDA100200240

  • 0.906300.093700.05801600.886080.113920.05751500.862010.137990.05701400.834640.165360.05651300.801340.198660.05601201- n2 n1 2 71.6%,49.1%,=0.05,
  • P1=0.60,P2=0.35

    Power

    n1=n2

    =0.05

    0.20

    0.80362

    69

    0.10

    0.90088

    88

    =0.01

    0.20

    0.80137

    99

    0.10

    0.90224

    124

  • 0.70.7D0=0.07p10 =0.05=0.20 N1=N2=734=0.10 N1=N2=927

  • 0.60.55 =0.05

    Power

    Ne=Ns

    D0=0.10

    0.10

    0.90015

    185

    0.20

    0.80157

    134

    D0=0.05

    0.10

    0.90025

    418

    0.20

    0.80059

    302

  • 6. (case report form)

  • 1. /(Audit or inspection)

  • 2. (interim analysis)

  • 3. /

  • 1.

  • 2/

  • 3

  • 4query list, query form)

  • 5(database)6

  • 7(range check)(logic check)

  • 8()(visual check)

  • 9(blind review)

  • (transformation)(outlier)(statistical model)

  • (parametric statistics)(non- parametric statistics)

  • 10

  • 1. (statistical analysis plan)(statistical tables)

  • 2.Analysis setsI

  • intention-to-treatITTFull Analysis Set ITTFAS

  • (per protocolPP)

  • safety set

  • (Safetey population) (Full-Analysis-Set) (FAS)

  • (Per protocol) (PP) 1. 2. , , 3. (80%120%)

    1. 2. 3.

  • 3(missing value)

  • LOCFLast observation carry forward

  • 4 (transformation)

  • 5(descriptive statistical analysis)(hypothesis test)(parameter estimation)

  • . (safety evaluation)(survival analysis)

  • /

  • ,

  • (significant level)(statistic)