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AI 根据所提供的论文材料归类:摘要主要研究临床试验层级终点的样本量与功效设计,未明确展开与所列计量细分领域对应的识别问题。

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关注这篇论文的作者
Baoshan Zhang
Huiman X. Barnhart
Yuan Wu

层级终点胜出统计量的样本量与功效计算:FORSS 框架

研究问题
采用层级终点胜出统计量的临床试验,如何在保留终点依赖结构的同时,用易指定的边际效应计算样本量和功效?
方法与思路
作者以边际治疗效应和灵活的联合工作分布生成超样本,估计解析公式所需的总体代入量,减少逐个候选样本量反复模拟。
材料陈述的贡献
摘要称模拟功效与公式预测接近且第一类错误率接近百分之五,并以 HEART-FID 说明终点依赖设定会影响设计结果。
阅读关注点
核对胜出统计量和并列事件的定义、联合工作分布的设定、超样本近似误差,以及终点依赖错设时样本量与功效的敏感性。
阅读边界
这是 arXiv 预印本,同行评审与接收状态未核验;摘要未给出模拟场景与误差范围,所报接近名义水平的表现不能视为普遍保证。

原文摘要

Win statistics have gained increasing popularity as primary analysis methods for clinical trials with hierarchical endpoints (HEs) as primary endpoints. However, existing sample size and power calculation approaches in trial design still face several limitations and challenges: simulation-based approaches are computationally intensive, while existing formula-based methods often rely on simplifying assumptions such as independence among HEs, or require specification of overall win statistics and tie probability that are difficult to elicit a priori in practice. To address these challenges, we propose the FORSS framework, a FORmula-based Super-Sample approach that allows investigators to specify marginal treatment effects using familiar metrics (e.g., hazard ratios, mean differences, and risk differences) together with a flexible joint working distribution for the HEs. Rather than repeatedly simulating full trials at each candidate sample size, FORSS uses super-samples to estimate the population-level plug-in quantities required by analytical formulas for both power and sample size calculation. We evaluated the performance of the proposed FORSS through extensive simulation studies. The results show that the formula-based FORSS closely matches empirical power across a wide range of scenarios while maintaining Type~I error rates near the nominal 5\% level. An illustration based on the HEART-FID trial further shows that endpoint-dependence specifications can materially affect projected power and required sample size when planning trials with HEs.

笔记与分组
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