Dokument: Sample Size Recalculation in Adaptive Group Sequential Study Designs for Comparing Restricted Mean Survival Times

Titel:Sample Size Recalculation in Adaptive Group Sequential Study Designs for Comparing Restricted Mean Survival Times
URL für Lesezeichen:https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=72770
URN (NBN):urn:nbn:de:hbz:061-20260331-114709-5
Kollektion:Publikationen
Sprache:Englisch
Dokumententyp:Wissenschaftliche Texte » Artikel, Aufsatz
Medientyp:Text
Autoren: Herrmann, Carolin [Autor]
Blanche, Paul [Autor]
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Dateien vom 31.03.2026 / geändert 31.03.2026
Stichwörter:adaptive clinical trial , non-proportional hazards , sample size adaptation , delayed treatment effect , time-to-event analysis , restricted mean survival time
Beschreibung:Non-proportional hazards cases are frequently expected in clinical trials with time-to-event endpoints (e.g., cardiology, oncology). The relevance of hazard ratios to quantify the treatment effect is questionable and potentially misleading in this context. Hence, alternative methods comparing restricted mean survival times are increasingly promoted. Specific challenges arise when planning
clinical trials for comparing restricted mean survival times, as several nuisance parameter estimates are needed for calculating the sample size. Precise estimates might be difficult to obtain at the planning stage and might lead to underpowered trials. One way of dealing with this insecurity is to apply adaptive group sequential study designs with the option to adapt the sample size during an ongoing trial. Within this work, we consider such sample size adaptations, with a specific focus on the context of delayed treatment effects. We compare the performance of an adaptive design with the restricted mean survival time as the primary endpoint with other commonly chosen endpoints in this scenario by means of an extensive simulation study. With our proposed method, adaptive
designs with the restricted mean survival time as the primary endpoint are now thoroughly explained. The combination test that we describe can also be useful for other adaptations than sample sizes.
Rechtliche Vermerke:Originalveröffentlichung:
Herrmann, C., & Blanche, P. (2026). Sample Size Recalculation in Adaptive Group Sequential Study Designs for Comparing Restricted Mean Survival Times. Statistics in Medicine, 45(6–7), Article e70490. https://doi.org/10.1002/sim.70490
Lizenz:Creative Commons Lizenzvertrag
Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz
Fachbereich / Einrichtung:Mathematisch- Naturwissenschaftliche Fakultät
Dokument erstellt am:31.03.2026
Dateien geändert am:31.03.2026
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