jag009
★★★

NJ,
2013-08-23 18:46
(4281 d 22:49 ago)

Posting: # 11339
Views: 10,433
 

 Partial Replicate vs Full Replicate study design [RSABE / ABEL]

Hi everyone,

Just a random thought about another advantage of a 4-period full replicate (TTRR) study over a 3-period partial replicate (TRR) study design besides 1) reducing the sample size and 2) elucidating the ISCV of the test.

If a previous partial replicate study (TRR) showed that 1) Ref ISCV was significantly > 30% (lets say 50-60%) 2) the (Ref1/Ref2) ratios for PK were significant (ie: 15% or higher), wouldn't a 4-period full rep (TTRR) study be the preferred choice if one assumes that the test could show the same behavior as the reference (meaing T1/T2 ratio > 15%)? In such scenario you are more or less stabilizing both the test and reference by giving each 2x.

I am just wondering if this would help in terms of meeting the 80-125% ratio requirement.

I apologize for the crazy writing but I was doing something else while this stupid idea popped up...

Thanks
John


Edit: Category changed. [Helmut]
ElMaestro
★★★

Denmark,
2013-08-24 19:35
(4280 d 21:59 ago)

@ jag009
Posting: # 11340
Views: 9,224
 

 Partial Replicate vs Full Replicate study design

Hello John,

❝ If a previous partial replicate study (TRR) showed that 1) Ref ISCV was significantly > 30% (lets say 50-60%) 2) the (Ref1/Ref2) ratios for PK were significant (ie: 15% or higher), wouldn't a 4-period full rep (TTRR) study be the preferred choice if one assumes that the test could show the same behavior as the reference (meaing T1/T2 ratio > 15%)? In such scenario you are more or less stabilizing both the test and reference by giving each 2x.


I was dropped on the floor head-first at birth and furthermore suffered severe hypoxia due to the umbilical chord looping 17 times around my neck. According to my aunt it was a masterpiece of crocheting. Therefore, my cerebral development has been suffering severely and therefore I am afraid I have very little idea of what you actually mean. You may indeed have a point, but could you perhaps elaborate a little?

Terima kasih :-D

Pass or fail!
ElMaestro
Dr_Dan
★★  

Germany,
2013-08-26 11:16
(4279 d 06:18 ago)

@ jag009
Posting: # 11342
Views: 9,203
 

 Partial Replicate vs Full Replicate study design

Hi John
it's a question of sample size and number of comparisons between test and reference. You have to increase the number of subjects in a partial replicate if you want to have the same number of comparisons of a full replicate design. If you have an incomplete replicate design (TRT vs RTR) then you have the advantage of only three periods, ISCV of test and reference and the full number of comparisons.
Do you agree?
Kind regards
Dan

Kind regards and have a nice day
Dr_Dan
jag009
★★★

NJ,
2013-08-26 17:42
(4278 d 23:52 ago)

@ Dr_Dan
Posting: # 11347
Views: 9,139
 

 Partial Replicate vs Full Replicate study design

Hi Dr Dan and ElMaestro,

Like I said I wasn't really thinking when I wrote that post. Anyhow here is the issue:
  1. Partial 3-way replicate pilot study with n=55, ISSD (intrasubject SD) of Ref ~ 0.5-0.55, T/R ratio was 95% (Cmax); AUC T/R Ratios ~ 92%; 95% upper bound limit were less than 0, (like -0.06 to -0.1)
  2. Partial 3-way replicate pivotal study with n=60, ISSD of Ref ~ 0.55, T/R T/R Ratio for Cmax ~ 82%; AUC Ratios ~ 78%! All 95% UCL were less than 0 (~-0.04-0.06).
Both studies used the same lot of reference. Test product was scaled up to pivotal from pilot with no changes (assured by my friends, same site, same equipment, same batch size yada yada).

I looked at study #2 in terms of Reference arm 1 and Reference 2. Did a comparison between the two (R1/R2), the AUC ratios were 0.85% (Cmax ~ 91%). I did the same thing for study #1. R1/R2 ratios for AUC and Cmax were 98% and 96%.

I guess it's just the nature of the HVD but I am kind of surprise by how different the Reference behaved that's all.

Would sample size help in this regard or even with an increase in sample size the outcome is still trivial?

John
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