Assessing noninferiority in a three-arm trial using the Bayesian approach Journal Article


Authors: Ghosh, P.; Nathoo, F.; Gonen, M.; Tiwari, R. C.
Article Title: Assessing noninferiority in a three-arm trial using the Bayesian approach
Abstract: Non-inferiority trials, which aim to demonstrate that a test product is not worse than a competitor by more than a pre-specified small amount, are of great importance to the pharmaceutical community. As a result, methodology for designing and analyzing such trials is required, and developing new methods for such analysis is an important area of statistical research. The three-arm trial consists of a placebo, a reference and an experimental treatment, and simultaneously tests the superiority of the reference over the placebo along with comparing this reference to an experimental treatment. In this paper, we consider the analysis of noninferiority trials using Bayesian methods which incorporate both parametric as well as semi-parametric models. The resulting testing approach is both flexible and robust. The benefit of the proposed Bayesian methods is assessed via simulation, based on a study examining home-based blood pressure interventions. © 2011 John Wiley & Sons, Ltd.
Keywords: placebo; hypertension; bayes theorem; statistical analysis; probability; monte carlo method; clinical trial (topic); health care management; blood pressure monitoring; bayesian methods; gold standard design; home-based blood pressure interventions; markov chain monte carlo; noninferiority; blood pressure regulation; parametric test; three arm non inferiority trial
Journal Title: Statistics in Medicine
Volume: 30
Issue: 15
ISSN: 0277-6715
Publisher: John Wiley & Sons  
Date Published: 2011-07-10
Start Page: 1795
End Page: 1808
Language: English
DOI: 10.1002/sim.4244
PROVIDER: scopus
PUBMED: 21520456
DOI/URL:
Notes: --- - "Export Date: 17 August 2011" - "CODEN: SMEDD" - "Source: Scopus"
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  1. Mithat Gonen
    1028 Gonen