Interpretation and inference in noninferiority randomized controlled trials in drug research

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Publication date

2010-09

Authors

Wangge, G.ISNI 0000000388977096
Klungel, Olaf H.ISNI 0000000390199414
Roes, K C B
De Boer, AnthoniusISNI 0000000389596105
Hoes, A W
Knol, Mirjam J.ISNI 0000000394388693

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Abstract

Noninferiority (NI) trials in drug research are used for the purpose of demonstrating that a new treatment is not worse than a proven active comparator, thereby indirectly showing that the treatment is effective. This article explains and addresses the complications in the interpretation of NI trials that arise from the indirect comparison. On the basis of our review of 232 trials, we conclude that the interpretation and inference of NI trials are complicated, partly because of the incompleteness of the information.

Keywords

Data Interpretation, Statistical, Humans, Pharmaceutical Preparations, Randomized Controlled Trials as Topic, Research Design, Therapeutic Equivalency

Citation

Wangge, G, Klungel, O H, Roes, K C B, de Boer, A, Hoes, A W & Knol, M J 2010, 'Interpretation and inference in noninferiority randomized controlled trials in drug research', Clinical Pharmacology and Therapeutics, vol. 88, no. 3, pp. 420-423. https://doi.org/10.1038/clpt.2010.134