jag009
★★★

NJ,
2025-11-19 21:29
(196 d 05:17 ago)

Posting: # 24509
Views: 2,714
 

 Question about ICH M13a [Regulatives / Guidelines]

Hi all,

I have a simple question about analyzing two treatments from a >2 arms study, as per ICH M13a recommendation below:

"...The analysis for each comparison should be conducted excluding the data from the treatments that are not relevant to the comparison in question”

I have a 4-treatment 4-sequence BA study (ABCD) and I want to carry out a comparison C vs D. How should I prepare the PK parameter dataset?
1) Should I just leave the pk parameters as blank (missing) for treatment A and B and then run proc mix?
2) or I should remove treatment A and B data from the dataset so that it only contains C and D data before running proc mix?

I also got an advice from a stat fellow who told me to convert the study into a 2-way 2-sequence study before running proc mixed(????). What he meant was remove treatment A and B data and also convert the 4 sequences - ABDC, BCAD, CDBA, DACB, by removing the A + B and leave only C + D so to end up with 2 sequences CD and DC.

Thx
J
Relaxation
★    

Germany,
2025-11-20 09:47
(195 d 16:59 ago)

@ jag009
Posting: # 24510
Views: 2,426
 

 Question about ICH M13a

Dear J.

Just very briefly, your second option is the one to use, so "just" remove the treatments that are not of interest from the data set.

Thinking about it, maybe the first option may give the same information, but I would have to try that in a dummy data set. I think, even if that works, the other treatments may still be mentioned in the SAS output as levels then, which would certainly trigger questions.

In any case, the last option including changes in the sequence or even period allocation for me seems risky and was also recommended against (Not sure, whether this was in a guideline, but it was discussed (edit: and advised against) when the EMA-IR was introduced at the 3rd EGA conference, if you want to search for that).

Best regards!
Shuanghe
★★  

Spain,
2025-11-20 14:59
(195 d 11:47 ago)

@ jag009
Posting: # 24512
Views: 2,464
 

 Question about ICH M13a

Hi J,

❝ 2) or I should remove treatment A and B data from the dataset so that it only contains C and D data before running proc mix?

This is the correct one according to the questions and answers of the EMA's BE guideline (Helmut kept a copy online) .

❝ I also got an advice from a stat fellow who told me to convert the study into a 2-way 2-sequence study before running proc mixed(????). What he meant was remove treatment A and B data and also convert the 4 sequences - ABDC, BCAD, CDBA, DACB, by removing the A + B and leave only C + D so to end up with 2 sequences CD and DC.

Yes and no. For C vs. D, yes to remove A and B from the whole data set before the analysis, but the original values of treatment, sequence, period etc should be maintained according to the same Q&A mentioned above, i.e., you'll still have treatment of C and D only, 4 sequences of ABCD/DCBA (etc), 4 periods (1/2/3/4) in your data. In EU, you can use PROC GLM; in US, I'd say that you can use it too but I'm not sure since sometimes they prefer PROC MIXED.

All the best,
Shuanghe
jag009
★★★

NJ,
2025-11-21 00:47
(195 d 01:59 ago)

@ jag009
Posting: # 24513
Views: 2,427
 

 Question about ICH M13a

Thank you guys.
I tried the first option in Phoenix and I received an error related to Satterthwaite... I will try the 2nd option and see.

J
Helmut
★★★
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Vienna, Austria,
2025-11-23 12:26
(192 d 14:20 ago)

@ jag009
Posting: # 24514
Views: 2,272
 

 ICH M13A if >2 treatments

Hi John,

❝ I tried the first option in Phoenix and I received an error related to Satterthwaite... I will try the 2nd option and see.

As the others already pointed out, option 2 is the way to go. See the second example in this article.
Say, subject 1 is randomized to sequence \(\small{\text{ACBD}}\). In Phoenix (as well as in in SAS) you need a flat file structure. Therefore, for this subject you should drop the data of periods 1 and 3 (i.e., treatments A and B) and code:$$\small{\begin{array}{c|cccc}
\textsf{subject} & \textsf{period} & \textsf{sequence} & \textsf{treatment} & \textsf{PK}\\\hline
1 & 2 & \text{ACBD} & \text{C} & foo\\
1 & 4 & \text{ACBD} & \text{D} & bar\\
\cdots & \cdots & \cdots & \cdots & \cdots\\
\end{array}}$$

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jag009
★★★

NJ,
2025-11-23 23:37
(192 d 03:09 ago)

@ Helmut
Posting: # 24515
Views: 2,280
 

 ICH M13A if >2 treatments

Thanks Helmut!
J
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