madhurak
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2009-08-20 09:58
(6145 d 03:01 ago)

Posting: # 4072
Views: 5,300
 

 interpretation of treatment effect [General Sta­tis­tics]

hi,
I am Madhura from mumbai.

suppose in bioequivalence study for parameters Cmax, AUC0-t and AUCinf bioequivalence is in acceptance range of 80-125. But the treatment effect is significant so please tell me what can be reason for it. And how can we interpret it.

regards,
Madhura Khare :rotfl:


Edit: Category changed. [Helmut]
Helmut
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Vienna, Austria,
2009-08-20 17:12
(6144 d 19:47 ago)

@ madhurak
Posting: # 4080
Views: 4,316
 

 treatment effect p<0.05

Dear Madhura!

From the metrics you mentioned I guess you are talking about FDA's requirements? Anyhow, in bioequivalence testing for a treatment effect does not make sense (we have abandoned this concept 20 years ago).
A significant treatment effect can have many causes (and combinations of them). Basically the first three of the following go back to the sample size (which was estimated in study planing based on expected CVintra, T/R-ratio, dropout-rate):
  1. lower CVintra,
  2. T/R closer to one,
  3. lower dropout-rate,
  4. pure chance (if you test at α 0.05, you will get a significant effect in 1/20 studies - although there is none).
A significant treatment effect is not a problem (and should not even mentioned in the report), unless you go to Denmark (certain drugs only). See this thread.

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madhurak
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2009-08-21 08:34
(6144 d 04:25 ago)

@ madhurak
Posting: # 4081
Views: 4,272
 

 interpretation of treatment effect

then is it true that treatment effect do not have any impact on confidence interval of Cmax, AUCt, AUCinf.


Edit: Full quote removed. Please delete anything from the text of the original poster which is not necessary in understanding your answer; see also this post (and the Forum's Policy as well)! [Helmut]
ElMaestro
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Denmark,
2009-08-29 18:54
(6135 d 18:05 ago)

@ madhurak
Posting: # 4134
Views: 4,208
 

 interpretation of treatment effect

Hi madhurak,

❝ then is it true that treatment effect do not have any impact on confidence interval of Cmax, AUCt, AUCinf.


In my opinion this is a slightly wrong kind of thinking.
There certainly is a relationship between treatment effect and the confidence interval (significant treatment, CI not including 1.0). However, as has been pointed out before, a significant treatment effect is not in itself a cause of rejection. The important question if not whether your formulation differs form the originator's, rather the important question is if it differs to an extent that is important, and the latter is what the regulatory acceptance limits dictate.

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