Futility rule? [Study As­sess­ment]

posted by Helmut Homepage – Vienna, Austria, 2013-07-29 14:16 (4305 d 06:32 ago) – Posting: # 11101
Views: 20,474

Hi ElMaestro,

❝ I think this is extremely interesting:


PEs of fed study:  pilot  pivotal
Ln(AUCINF_obs)     87.39   96.45
Ln(AUClast)        81.09   95.94
Ln(Cmax)           87.07   87.91


Extremely interesting indeed because Sam wrote in his original post:

[…] data for the Fed study ratio is totally replica of the Pilot Fed study

And later

[…] Pivotal PE of the Fed study is same as that of the Pilot

And again

[…] Fed pilot […] ratios of all the three parameters were same as per the pivotal study


Same? Would you buy such a Bangkok Rolex-replica?*

❝ […] This story could perhaps exemplify why a two-stage trial with a stopping criterion would have been a potentially interesting alternative.


Can you elaborate? I think it was very courageous (pun!) to proceed with a PE of 81% for AUCt to a pivotal study.

❝ 1. How did you transit from the pilot trial to the pivotal?


As Sam said:

❝ We were very happy when our Fed study meets the BE criteria.


With no dropouts and PE/CV from the pilot “carved in stone” I would expect power of 8.2% [sic] in 48 subjects. That’s slightly lower than walking into a casino and go for a street in roulette (chances on a French table 1/11 ~9.1%). No surprise everybody was very happy when the pivotal study passed in 43 subjects.

❝ […] garnished with a classical Hötzi rant,


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