Yura ★ Belarus, 2017-04-25 17:14 (2939 d 21:33 ago) Posting: # 17264 Views: 13,795 |
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Dear all, Correction of alpha is carried out by CVWR and CVWT-R (nR and nT-R, GRMR and GRMT-R, respectively, for TRR / RTR / RRT) or only by CVWR? Since it is necessary to calculate CIT-R. Regards |
Helmut ★★★ ![]() ![]() Vienna, Austria, 2017-04-26 16:17 (2938 d 22:31 ago) @ Yura Posting: # 17267 Views: 12,503 |
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Hi Yura, can you please explain what you mean by the abbreviations you used? ❝ Correction of alpha is carried out by CVWR and CVWT-R (nR and nT-R, GRMR and ❝ GRMT-R, respectively, for TRR / RTR / RRT) or only by CVWR? Since it is necessary to calculate CIT-R. The inflation of the Type I Error depends on CVwR (and to a minor extent on the sample size). CVwT – which is indeed nice to know – is not accessible in the partial replicate design. Examples of the TIE and adjusting α for an assumed true ratio of 0.9:
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Yura ★ Belarus, 2017-04-26 19:28 (2938 d 19:19 ago) @ Helmut Posting: # 17269 Views: 12,293 |
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Hi, Helmut Yes of course Adjusted alpha is used to construct confidence intervals of the pharmacokinetic parameters for the index T-P? Regards |
Helmut ★★★ ![]() ![]() Vienna, Austria, 2017-04-26 20:00 (2938 d 18:48 ago) @ Yura Posting: # 17270 Views: 12,461 |
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Hi Yura, ❝ Adjusted alpha is used to construct confidence intervals of the pharmacokinetic parameters for the index T-P? What do you mean by “the index T-P”? For the EMA use the ‘Method A’ or ‘Method B’ as given in the Q&A-document. But instead of using the nominal α of 0.05 (i.e., the 100(1–2α) = 90% CI) apply the respective adjusted α. If the TIE would be inflated with α 0.05, the adjusted CI is always wider (i.e., conservative). — Dif-tor heh smusma 🖖🏼 Довге життя Україна! ![]() Helmut Schütz ![]() The quality of responses received is directly proportional to the quality of the question asked. 🚮 Science Quotes |
Yura ★ Belarus, 2017-04-26 20:55 (2938 d 17:53 ago) @ Helmut Posting: # 17272 Views: 12,333 |
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Hi, Helmut Yes of course We evaluate the difference between T-R, and also R-R - for expansion, if necessary. Therefore, CV T-R and CV R-R are obtained. Other CV, therefore, different alpha. What use alpha to build confidence interval difference T-R? Regards |
Yura ★ Belarus, 2017-04-28 13:13 (2937 d 01:34 ago) @ Yura Posting: # 17275 Views: 12,275 |
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Hi, Helmut Did I understand correctly, when constructing a confidence interval for T-R differences, use the adjusted alpha for R-R? Regards |
Helmut ★★★ ![]() ![]() Vienna, Austria, 2017-04-28 21:16 (2936 d 17:31 ago) @ Yura Posting: # 17277 Views: 12,474 |
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Hi Yura, ❝ Did I understand correctly, when constructing a confidence interval for T-R differences, use the adjusted alpha for R-R? Exactly – now you got it! In a nutshell, the Type I Error is the probability of falsely claiming BE. The TIE can be estimated by setting theta0 to one of the limits of the acceptance range. Easy for ABE (since an explicit solution exists).
When it comes to reference-scaling no explicit formula for power exists. Hence, we need simulations. There is a complication: ABEL is a framework of decisions where the Null-hypothesis is constructed in face of the data. In other words we don’t know the expanded limits until we have calculated CVwR. Unlike in ABE the limits are random variables themselves.
PowerTOST you can simulate subject data as well.
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Yura ★ Belarus, 2017-04-29 15:01 (2935 d 23:46 ago) @ Helmut Posting: # 17279 Views: 12,109 |
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Dear Helmut As always, you are on top Regards |
pjs ★ India, 2018-02-28 15:33 (2630 d 22:14 ago) @ Helmut Posting: # 18483 Views: 10,900 |
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Dear All, Request you to share your thoughts for the requirement for Type 1 error estimation and adjustment of alpha for below different scenarios. ❝ The inflation of the Type I Error depends on CVwR (and to a minor extent on the sample size). study is conducted as partial replicate design with 60 subjects. Now CVwr has turned out to be 31% in the study. In the sample size T/R ratio was assumed to be 0.90. In the actual conducted study T/R ratio had come to 100% (product essentially similar to reference product-Hypothetical scenario). Now study is passing the SCABE criteria. Study would have also passed incase limits would not have been scaled. Essentially there would not have been difference in study conclusion if the Scaling approach would have applied or not applied. As per my understanding Type 1 error would arise incase there is difference in study conclusion when there is uncertainty in the ISCV and due to that difference in study conclusion incase different method for study conclusion is utilized (like study passing in SCABE but failing in ABE, borderline case). DO any such case require adjustment of alpha although there is borderline high variability (incases where there is maximum probability of type 1 error). Regards Pjs |
Helmut ★★★ ![]() ![]() Vienna, Austria, 2018-02-28 15:48 (2630 d 22:00 ago) @ pjs Posting: # 18485 Views: 10,926 |
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Dear Pjs, ❝ […] study is passing the SCABE criteria. If you are referring to the FDA’s RSABE approach, there is not problem with inflation of the Type I Error if (the true) CVwR ≥30%. Only with CVwR <30% problems might be massive (see this presentation). — Dif-tor heh smusma 🖖🏼 Довге життя Україна! ![]() Helmut Schütz ![]() The quality of responses received is directly proportional to the quality of the question asked. 🚮 Science Quotes |
pjs ★ India, 2018-03-01 08:35 (2630 d 05:12 ago) @ Helmut Posting: # 18488 Views: 10,797 |
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Dear Helmut, Thanks for the feedback. Just need some clarification. For FDA limits are scaled from 0.25 but applied at 0.294 unlike EU in which limits are scaled from 0.294. Hence at any Swr limits would be more wider for FDA compared to EU. Hence chances of establishing BE would be more for USFDA compared to EU in the nearby CV from cutoff limit of 30%. Considering the same There is more possibility for difference in BE results when applying two different methods Scaling and ABE incase of FDA for study conclusion. Hence alpha inflation should be more for FDA instead of EU. Please correct me if i have misunderstood the concept. Also incase of EU scaling is applicable for Cmax parameter only and not for AUC parameter in contrary to FDA for which scaling is applicable for all the primary metric. This could also play certain role in the calculation of alpha inflation. Regards Pjs |
Helmut ★★★ ![]() ![]() Vienna, Austria, 2018-03-01 14:32 (2629 d 23:15 ago) @ pjs Posting: # 18489 Views: 11,029 |
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Hi Pjs, your considerations are essentially correct. OK, a little bit theoretical because in all jurisdictions we need the respective region’s reference product. But yes, if we consider the same data set, the conclusions might differ if we apply different reference-scaling methods – especially in borderline cases. What do we have now?
At the 2nd International Conference of the Global Bioequivalence Harmonization Initiative (Rockville, Sep 2016) an entire session was devoted to reference-scaling. No consensus reached. On the contrary. Each agency defended its concept as if it is an eternal truth. Disappointing. BTW, we have lacking harmonization even in ABE. For NTIDs the EMA’s acceptance range is 90.00–111.11%, whereas for Health Canada it is 90.0–112.0%.
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pjs ★ India, 2018-03-05 15:50 (2625 d 21:58 ago) @ Helmut Posting: # 18496 Views: 10,793 |
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Hi Helmut, Thanks for your feedback. Yes agree with you, harmonization should be there for evaluating BE criteria incase of HVDP or NTI drugs or any such evaluation criteria. Have gone through some of the post related to alpha correction incase of SABE approach in the forum. In the simulations done most extreme GMR of 1.25 is assumed for the simulation and calculation of possible alpha inflation. I would like to understand as the actual alpha adjustment would be based on actual Swr observed in the study and number of subjects, what could be the rationale of doing adjustment of alpha based on the calculation which is done on extreme GMR while for the actual study conducted T/R ratio could be very much close to unity (let's say 0.95 or 0.97). I do understand the most deviated GMR would lead to maximum probability for the alpha inflation but applying this extreme case and alpha adjustment in each and every study is required? Regards Pjs |
Helmut ★★★ ![]() ![]() Vienna, Austria, 2018-03-05 18:40 (2625 d 19:07 ago) @ pjs Posting: # 18497 Views: 10,853 |
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Hi Pjs, ❝ Have gone through some of the post related to alpha correction incase of SABE approach in the forum. In the simulations done most extreme GMR of 1.25 is assumed for the simulation and calculation of possible alpha inflation. Not exactly. In order to simulate the type I error we assume that the Null Hypothesis (of bioinequivalence) is true. In SCABE (ABEL: expanded limits, RSABE: implied limits) only if CVwR ≤30% the GMR of the Null is at 1.25 (or 0.8). Therefore, with higher CVs we have to simulate at higher GMRs as well. Note that in ABE the Null is always at the borders of the acceptance range (0.8 and 1.25). Hence, here we don’t need simulations but can directly calculate the power (i.e., chance of passing BE = falsely rejecting the Null):
In SCABE the scaled limits (and hence the GMR which we use in simulating the Null) depend on the CVwR. Example for CVwR 40%:
❝ I would like to understand as the actual alpha adjustment would be based on actual Swr observed in the study and number of subjects, what could be the rationale of doing adjustment of alpha based on the calculation which is done on extreme GMR while for the actual study conducted T/R ratio could be very much close to unity (let's say 0.95 or 0.97). The observed GMR is only an estimate. We don’t know where the population’s true GMR lies. Think about the 90% CI. There is a 5% chance at each CL that the true GMR is outside. Imagine in ABE you observe a GMR of 1 with a 90% CI of 0.8–1.25. What is the TIE? ❝ I do understand the most deviated GMR would lead to maximum probability for the alpha inflation … Correct. ❝ … but applying this extreme case and alpha adjustment in each and every study is required? That’s maybe the best we have so far. OK, we could go even further (suggested by Molins et al.)* Simulating the Null at the scaled limits still assumes that the CVwR estimated in the study is the true value – which might not be correct. If one wants to get the most conservative adjusted α one should simulate at CVwR 30% – irrespective of what we observe (since this is the location of the maximum TIE both in ABEL and RSABE). However, there is no free lunch. Either power will be compromised or 20–25% more subjects are needed to preserve the desired power.
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Helmut ★★★ ![]() ![]() Vienna, Austria, 2018-03-07 17:21 (2623 d 20:26 ago) @ pjs Posting: # 18504 Views: 10,621 |
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Hi Pjs, extending the end of my post. No R-code yet because it requires the development-version of PowerTOST . Essentially we have three options:
NA denotes cases where no adjustment is necessary (since the Type I Error with the nominal α is ≤0.05).Adjustment based on observed CVwR (Labes and Schütz 2016): As you can see, power is compromised ( pwr.des = achieved power in sample size estimation, pwr.act = actual power if the study is evaluated with the adjusted α). IMHO, power <0.7 is not desirable.Molin’s approach is extremely conservative. Imagine an observed CVwR of 100%. According to ABEL we will employ the maximum expansion (69.84–143.19%) of the BE limits and the decision will practically lead by the GMR-restriction (80.00–125.00%). But how likely is a true CVwR of 30%? Less than 10–15! The adjusted α (4-period full replicate, n 68) will be 0.02748 and power 0.7161. Borderline. Will it help to use a less strict CI of CVwR? Conservative adjustment based on 99.0% CI of observed CVwR: Only a little. — Dif-tor heh smusma 🖖🏼 Довге життя Україна! ![]() Helmut Schütz ![]() The quality of responses received is directly proportional to the quality of the question asked. 🚮 Science Quotes |