Evaluation of longitudinal surrogate markers.

functional data kernel smoothing longitudinal data nonparametric analysis surrogate markers

Journal

Biometrics
ISSN: 1541-0420
Titre abrégé: Biometrics
Pays: United States
ID NLM: 0370625

Informations de publication

Date de publication:
06 2021
Historique:
received: 27 09 2019
accepted: 05 05 2020
pubmed: 9 6 2020
medline: 26 10 2021
entrez: 8 6 2020
Statut: ppublish

Résumé

The use of surrogate markers to examine the effectiveness of a treatment has the potential to decrease study length and identify effective treatments more quickly. Most available methods to investigate the usefulness of a surrogate marker involve restrictive parametric assumptions and tend to focus on settings where the surrogate is measured at a single point in time. However, in many clinical settings, the potential surrogate marker is often measured repeatedly over time, and thus, the surrogate marker information is a trajectory of measurements. In addition, it is often difficult in practice to correctly specify the relationship between a treatment, primary outcome, and surrogate marker trajectory. In this paper, we propose a model-free definition for the proportion of the treatment effect on the primary outcome that is explained by the treatment effect on the longitudinal surrogate markers. We propose three novel flexible methods to estimate this proportion, develop the asymptotic properties of our estimators, and investigate the robustness of the estimators under multiple settings via a simulation study. We apply our proposed procedures to an AIDS clinical trial dataset to examine a trajectory of CD4 counts as a potential surrogate.

Identifiants

pubmed: 32506496
doi: 10.1111/biom.13310
pmc: PMC8015060
mid: NIHMS1669906
doi:

Substances chimiques

Biomarkers 0

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

477-489

Subventions

Organisme : NIDDK NIH HHS
ID : R01 DK118354
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL088589
Pays : United States

Informations de copyright

© 2020 The International Biometric Society.

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