When designing a clinical trial, there is usually some uncertainty about the variability of the primary outcome variable. This may lead to an unnecessarily high or inadequately low sample size. The internal pilot study approach uses data from patients recruited up to an interim stage to re-estimate
Internal pilot studies I: type I error rate of the naive t-test
โ Scribed by Janet Wittes; Oliver Schabenberger; David Zucker; Erica Brittain; Michael Proschan
- Publisher
- John Wiley and Sons
- Year
- 1999
- Tongue
- English
- Weight
- 124 KB
- Volume
- 18
- Category
- Article
- ISSN
- 0277-6715
No coin nor oath required. For personal study only.
โฆ Synopsis
When sample size is recalculated using unblinded interim data, use of the usual t-test at the end of a study may lead to an elevated type I error rate. This paper describes a numerical quadrature investigation to calculate the true probability of rejection as a function of the time of the recalculation, the magnitude of the detectable treatment e!ect, and the ratio of the guessed to the true variance. We consider both &restricted' designs, those that require "nal sample size at least as large as the originally calculated size, and &unrestricted' designs, those that permit smaller "nal sample sizes than originally calculated. Our results indicate that the bias in the type I error rate is often negligible, especially in restricted designs. Some sets of parameters, however, induce non-trivial bias in the unrestricted design.
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