Priyanka_S
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2010-06-24 13:13
(5476 d 19:42 ago)

Posting: # 5556
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 Two stage replicated design [Two-Stage / GS Designs]

Dear HS,

We are planning to go replicated design with two stage sequential approach. Is this procedure acceptable for replicated designs for European submission? In replicated designs we are not considering Subject(sequence) effect as random effect. Kindly suggest me the fixed and random effects for this replicated design with two stage sequential approach.


Edit: Category changed. [Helmut]

Best Regards

Priyanka S
Helmut
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Vienna, Austria,
2010-06-24 14:45
(5476 d 18:10 ago)

@ Priyanka_S
Posting: # 5557
Views: 3,911
 

 Two stage replicated design

❝ Dear HS,

      ^^ ... and the other members of the forum!

❝ We are planning to go replicated design with two stage sequential approach.


Hhm - to my knowledge there's no such a method published right now. Agree that it would be desirable to have such a method.

❝ Is this procedure acceptable for replicated designs for European submission?


No idea.

❝ In replicated designs we are not considering Subject(sequence) effect as random effect.


Doubtful, IMHO.

❝ Kindly suggest me the fixed and random effects for this replicated design with two stage sequential approach.


Again, no idea. Sorry.

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Berlin, Germany,
2010-06-24 16:51
(5476 d 16:05 ago)

@ Helmut
Posting: # 5558
Views: 3,849
 

 Replicate cross-over study done as 2-stage sequential

Dear Helmut, dear Priyanka,

❝ ❝ We are planning to go replicated design with two stage sequential approach.


❝ Hhm - to my knowledge there's no such a method published right now. Agree that it would be desirable to have such a method.


Have a look into
Patterson et. al.
"Non-traditional study designs to demonstrate average bioequivalence for highly variable drug products"
European Journal of Clinical Pharmacology
Volume 57, Number 9 / November 2001, 663-670

There is on page 666 a study mentioned which was done as two-stage sequential with a replicate cross-over design. As far as I can see from the very short description the 95% CIs were used as decision criterion at the two stages (classical Bonferroni alpha spending). No model mentioned which incorporates the stages, mainly because the study didn't need a second stage. No hint if overall alpha=0.05 is preserved by this method.

Unfortunately I was not able to locate the mentioned original paper :confused: cited in that paper as
Patterson (2000),
"Approaches to meeting a nearly impossible regulatory hurdle:
demonstrating average bioequivalence for a highly variable drug product"

Clin. Pharmacol. Ther. 67: 115
to get more insight.
---------------- [edit] -----------------------;
Solved: Its an abstract of a speech or poster.
---------------- [/edit] ----------------------;


BTW: I would never consider or plan a study with a design I'm not able to evaluate, whatever advantages this design else had! But may be others have more foolhardy guts.

Regards,

Detlew
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