Life belt [Two-Stage / GS Designs]

posted by d_labes  – Berlin, Germany, 2012-09-05 16:51 (5036 d 03:27 ago) – Posting: # 9152
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Dear Helmut!

❝ ... But IMHO this is a true show-stopper (aka end of story) unless one has a super-computer in the backyard. Even if we use just 104 sim’s in the sample size estimation that would mean 1010 sim’s for each point of the grid. BTW, even that would only work without intermediate power.


Full ACK.

IMHO we should be glad that we have the option to widen the BE limits at all according to the EMA guidance in case of HVD's. This reduces the burden considerably for such formulations.
Fetching also the advantages of a 2-stage design in this situation would be too much overkill.

Moreover we have to be convinced that our API is HVD. That means that we must have a good reliable estimate of the intra-subject CV (of the reference) which has to be >30%. In that situation an additional life belt for missing or uncertain informations to plan the study aka "2-stage design" is superfluous.

Regards,

Detlew

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