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임상시험에서 분석대상군 설정과 자료의 블라인드 검토

Data Blind Review and Analysis Set in Clinical Trial

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Objectives: The balance of confounding factors between treatment groups is supported by intention-to-treat (ITT) principle and this can reduce bias and confounding effects. Therefore clear definition of analysis set and blind review are essential prerequisites to perform statistical analysis. In this paper, we discuss the blind review and analysis set to check carefully the data during a blind review and finalize the statistical analysis set in clinical trials. Methods: The concept of ITT principle and ITT set has been often mixed and misused. Based on ITT principle, the definition of proper analysis sets are required to show the efficacy in statistical analysis. The analysis sets must be determined in blind review for data management and quality control. We review the analysis sets, such as FAS, PPS, and Safety set based on ITT principle and present blind review procedures. Conclusions: The determination of analysis sets through blind review is a very important procedure to reduce bias and to get appropriate result in randomized clinical trial. Blind review can assure the data quality and that is important prerequisites for statistical analysis. Therefore the role of blind review will be emphasized in clinical trial.

Abstract

Objectives: The balance of confounding factors between treatment groups is supported by intention-to-treat (ITT) principle and this can reduce bias and confounding effects. Therefore clear definition of analysis set and blind review are essential prerequisites to perform statistical analysis. In this paper, we discuss the blind review and analysis set to check carefully the data during a blind review and finalize the statistical analysis set in clinical trials. Methods: The concept of ITT principle and ITT set has been often mixed and misused. Based on ITT principle, the definition of proper analysis sets are required to show the efficacy in statistical analysis. The analysis sets must be determined in blind review for data management and quality control. We review the analysis sets, such as FAS, PPS, and Safety set based on ITT principle and present blind review procedures. Conclusions: The determination of analysis sets through blind review is a very important procedure to reduce bias and to get appropriate result in randomized clinical trial. Blind review can assure the data quality and that is important prerequisites for statistical analysis. Therefore the role of blind review will be emphasized in clinical trial.

참고문헌 (8)

  1. "International conference on harmonization guidance E9: Statistical principles of clinical trials, recommended for adoption to the regulato\-ry bodies of the European Union", Japan and USA, ~ (1988)
  2. Gupta SK, "Intention-to-treat concept: a review", Perspect Clin Res, 2(3), pp.109~112 (2011)
  3. Alshurafa M, "Inconsistent definitions for intention-to-treat in relation to missing outcomes data: systematic review of the methods literature", Plos One, 7(11), pp.1~7 (2012)
  4. 이영작, "What is the Clinical Trial?", 보건정보통계학회지, 36(1), pp.1~14 (2011), 한국보건정보통계학회
  5. 신혜원, "대응 짝 비열등성 임상시험에서 모의실험을 통한 ITT군과 PP군의 비교", 보건정보통계학회지, 36(2), pp.81~92 (2011), 한국보건정보통계학회
  6. Lachin JM, "Statistical considerations in the inent-to-treat principle", Controlled Clinical Trials, 21(5), pp.526~ (2000)
  7. Abraha I, "Deviation from intention to treat analysis in randomized trials and treatment effects estimates: meta-epidemiological study", Biomedical J, 350, pp.1~12 (2015)
  8. Yu YP, "Data quality in clinical trials: the role of blind review", Yao Xue Xue Bao, 50(11), pp.1498~1501 (2015)

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