Sample size calculation for the augmented logrank test in randomized clinical trials.

covariate adjustment cox proportional hazards model disease registry martingale residuals power calculation

Journal

Statistics in medicine
ISSN: 1097-0258
Titre abrégé: Stat Med
Pays: England
ID NLM: 8215016

Informations de publication

Date de publication:
30 06 2022
Historique:
revised: 14 02 2022
received: 13 06 2021
accepted: 23 02 2022
pubmed: 24 3 2022
medline: 22 6 2022
entrez: 23 3 2022
Statut: ppublish

Résumé

In randomized clinical trials, incorporating baseline covariates can improve the power in hypothesis testing for treatment effects. For survival endpoints, the Cox proportional hazards model with baseline covariates as explanatory variables can improve the standard logrank test in power. Although this has long been recognized, this adjustment is not commonly used as the primary analysis and instead the logrank test followed by the estimation of the hazard ratio between treatment groups is often used. By projecting the score function for the Cox proportional hazards model onto a space of covariates, the logrank test can be more powerful. We derive a power formula for this augmented logrank test under the same setting as the widely used power formula for the logrank test and propose a simple strategy for sizing randomized clinical trials utilizing historical data of the control treatment. Through numerical studies, the proposed procedure was found to have the potential to reduce the sample size substantially as compared to the standard logrank test. A concern to utilize historical data is that those might not reflect well the data structure of the study to design and then the sample size calculated might not be accurate. Since our power formula is applicable to datasets pooled across the treatment arms, the validity of the power calculation at the design stage can be checked in blind reviews.

Identifiants

pubmed: 35319100
doi: 10.1002/sim.9374
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2627-2644

Informations de copyright

© 2022 John Wiley & Sons Ltd.

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Auteurs

Satoshi Hattori (S)

Department of Biomedical Statistics, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
Integrated Frontier Research for Medical Science Division, Institute for Open and Transdisciplinary Research Initiatives (OTRI), Osaka University, Suita, Osaka, Japan.

Sho Komukai (S)

Department of Biomedical Statistics, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.

Tim Friede (T)

Department of Medical Statistics, University Medical Center Göttingen, Göttingen, Germany.
DZHK (German Center for Cardiovascular Research), Partner site Göttingen, Göttingen, Germany.

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