论文标题
血液学肿瘤学试验中的估计值
Estimands in Hematologic Oncology Trials
论文作者
论文摘要
ICH E9指南附录中包含的估算和框架促进了讨论,以确保关键问题,分析和解释之间的一致性。治疗知识和药物机制在确定策略并定义临床试验设计的估计和估计中起着至关重要的作用。血液系统恶性肿瘤患者的临床试验经常由于治疗选择的复杂性以及潜在的治疗性但风险高的程序而对试验设计提出了独特的挑战,例如干细胞移植或治疗序列跨不同阶段(诱导,巩固,维持)。在这里,我们说明了如何将估计和框架应用于血液学临床试验中,以及估计框架如何解决试验结果解释的潜在困难。 本文是跨行业合作的结果,该协作将国际协调会议(ICH)E9附录概念与应用程序联系起来。将使用三项随机3阶段试验来考虑常见挑战,包括血液学肿瘤学试验中的互际事件,以说明不同的科学问题以及估计和选择的估计和选择的后果,用于试验设计,数据收集,分析和解释。统计学家的参考建议,建议在研究方案和统计分析计划中描述估算的模板语言。
The estimand framework included in the addendum to the ICH E9 guideline facilitates discussions to ensure alignment between the key question of interest, the analysis, and interpretation. Therapeutic knowledge and drug mechanism play a crucial role in determining the strategy and defining the estimand for clinical trial designs. Clinical trials in patients with hematological malignancies often present unique challenges for trial design due to complexity of treatment options and existence of potential curative but highly risky procedures, e.g. stem cell transplant or treatment sequence across different phases (induction, consolidation, maintenance). Here, we illustrate how to apply the estimand framework in hematological clinical trials and how the estimand framework can address potential difficulties in trial result interpretation. This paper is a result of a cross-industry collaboration to connect the International Conference on Harmonisation (ICH) E9 addendum concepts to applications. Three randomized phase 3 trials will be used to consider common challenges including intercurrent events in hematologic oncology trials to illustrate different scientific questions and the consequences of the estimand choice for trial design, data collection, analysis, and interpretation. Template language for describing estimand in both study protocols and statistical analysis plans is suggested for statisticians' reference.