ethics and power [Power / Sample Size]

posted by Ohlbe – France, 2011-11-02 12:00 (5350 d 23:47 ago) – Posting: # 7582
Views: 9,423

Dear El Maestro,

❝ Lastly, if regulators find it relevant to specify acceptance ranges with two decimals (125.00% instead of just 125%) then I would be able to understand why a minimum power requirement on basics of ethics could be specified similarly. This does not mean I find power with two decimals relevant or that I would be able to understand why it is necessary to specify an acceptance range with two decimals. Rather it just means I find power with to decimals just about as relevant as acceptance ranges with two decimals. You can probably read a little between the lines here, too.


Yes, sure ;-)
On the other hand, there are several factors that may have influenced regulators' decision to ask for these decimals. They are clearly not purely scientific, but I can understand that regulators may need to take them into account too:
- one is the lack of transparency of some BE reports... If you have an upper limit of 125.49, and round it to 125 in the report, that's not totally fair, is it ? Maybe it is not relevant for that specific drug, but maybe the regulators may think otherwise. If they don't have that information, they can't make a clearly informed decision. As often, excess in one direction can result in excess in another direction.
- one is increased transparency of regulators decisions and the need for regulators to justify what they decide. More and more data get publicly available, in public assessment reports or through freedom of information provisions. If it becomes known publicly that product A was approved with an upper limit of 125.49 %, the manufacturer of the originator will make a hell of a noise about it, go to court, politicians will become involved, propose measures to restore public confidence in generics, and make everybody's life hell.

OK, I'm getting more and more off-topic here !

❝ And in practice of course a study is never powered to 80.00%, because no one has yet come up with a way to include 34.173 patients (or whatever) in a study.


That would be clearly unethical :-D

Best regards
Ohlbe

Regards
Ohlbe

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