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Application: This procedure is used to test non-inferiority and superiority that can be unified by the following hypothesis:
Where δ is the superiority (δ > 0) or non-inferiority margin (δ < 0).
Procedure:
a) value of α, the probability of type I error
b) value of β, the probability of type II error
c)
value of θ1, a true
mean response rate of a test drug
d) value of θ2, the true mean response rates of a control drug
e) value of δ, the superiority for δ>0 or non-inferiority for δ<0
f) value of r, allocation ratio, n2/n1.
Formula:
(*)
Notations:
α: The
probability of type I error (significance level) is the probability of rejecting the true null
hypothesis.
β: The
probability of type II error (1 – power of the test) is the probability of
not rejecting the false null hypothesis.
θ1-θ2: The difference between the true mean response rates of a group1 (i.e., a test drug (θ1) and group2 (i.e., a control (θ2))).
r: The allocation ratio n2/n1. i.e., r=1 for equal allocation.
δ: The superiority for δ>0 or non-inferiority for δ<0. When δ>0, the rejection of the null hypothesis indicates the superiority of the test drug over the control. When δ<0, the rejection of the null hypothesis indicates the non-inferiority of the test drug against the control.
Examples
Example 1:
Suppose it is of interest to establish
non-inferiority of the test drug as compared to the active control agent.
Considering of the difference less than 10% is of no clinical importance. Thus,
the non-inferiority margin is selected to be δ=-0.1. Now given that the true mean cure rates of the treatment
agents and the active control are θ1=85%
and θ2=65%, respectively.
Then, by (*), the required sample size with equal allocation (r=1) to achieve an 80% power (β=0.2) at α=0.05 can be determined by n1 = n2 = 25.
Similarly, for a pharmaceutical company may want to show superiority of the test drug over the active control agent. Assume the superiority margin is δ=0.05. According to (*), we have the sample sizes with equal allocation are n1 = n2 = 98. Notice that θ1=0.85 and θ2=0.65 here.
Reference: