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Monitoring a general class of two-sample survival statistics with applications

Identifieur interne : 002353 ( Istex/Checkpoint ); précédent : 002352; suivant : 002354

Monitoring a general class of two-sample survival statistics with applications

Auteurs : M. Gu [Hong Kong] ; D. Follmann [États-Unis] ; Nl Geller [États-Unis]

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RBID : ISTEX:218866003CEA89C78C1DCC81647CD601F6B3E23E

English descriptors

Abstract

This paper considers a general class of statistics for testing the equality of two survival distributions in clinical trials with sequential monitoring. The tests can be expressed as Lebesgue-Stieltjes integrals of a weight function with respect to the difference between two survival distributions. Prominent members of this class include the two-sample difference in Kaplan-Meier estimates, the test of medians (Brookmeyer & Crowley, 1982), a truncated version of Efron's (1967) test and the Pepe-Fleming statistic (Pepe & Fleming, 1989, 1991). Statistics in this class are shown to converge to a Gaussian process, indexed by information time, under both null and local alternatives even if different statistics are used at different information times. Properly standardised, statistics in a subclass converge to Gaussian processes with independent increments so that the usual group sequential techniques for monitoring a clinical trial can be applied. The design of a trial comparing two treatments with respect to mother-to-newborn transmission of HIV is used to illustrate practical aspects of monitoring. Keywords:Clinical trial; Failure time data; Group sequential monitoring; Pepe-Fleming statistic.

Url:
DOI: 10.1093/biomet/86.1.45


Affiliations:


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ISTEX:218866003CEA89C78C1DCC81647CD601F6B3E23E

Le document en format XML

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