Power Analysis"

In PowerTOST: Power and Sample Size for (Bio)Equivalence Studies

knitr::opts_chunk$set(
  collapse = TRUE,
  comment = "#"
)

 

• [Main Vignette](vignette.html)
• [ABE](ABE.html "Average Bioequivalence")
• [RSABE](RSABE.html "Reference-scaled Average Bioequivalence")
• [Non-Inferiority](NI.html)
• [Dose-Proportionality](DP.html)
• Power Analysis

Details and examples of other methods are accessible via the menu bar on top of the page and in the online manual of all functions.

library(PowerTOST) # attach the library

Defaults

Note that analysis of untransformed data (logscale = FALSE) is not supported. The terminology of the design argument follows this pattern: treatments x sequences x periods.

With x <- pa.ABE(...), x <- pa.scABE(...), and x <- pa.NTID(...) results are given as an S3 object,^[Wickham H. Advanced R. 2019-08-08. The S3 object system.] which can be printed, plotted, or both.

The estimated sample sizes give always the total number of subjects (not subject/sequence in crossovers or subjects/group in a parallel design – like in some other software packages).

Function pa.ABE()

| Parameter | Argument | Purpose | Default | |-|----|--------------|-------| | CV | CV | CV | none | | $\small{\theta_0}$ | theta0 | ‘True’ or assumed deviation of T from R | 0.95 | | $\small{\pi}$ | targetpower | Minimum desired power | 0.80 | | $\small{\pi}$ | minpower | Minimum acceptable power | 0.70 | | design | design | Planned design | "2x2x2" | | passed | ... | Arguments to power.TOST() | none |

If no additional arguments are passed, the defaults of power.TOST() are applied, namely alpha = 0.05, theta1 = 0.80, theta2 = 1.25.

Arguments targetpower, minpower, theta0, theta1, theta2, and CV have to be given as fractions, not in percent.\ CV is generally the within- (intra-) subject coefficient of variation. In replicate designs only homoscedasticity (CV~wT~ = CV~wR~) is supported. For design = "parallel" it is the total (a.k.a. pooled) CV.

The conventional TR|RT (a.k.a. AB|BA) design can be abbreviated as "2x2". Some call the "parallel" design a ‘one-sequence’ design. The "paired" design has two periods but no sequences, e.g., in studying linear pharmacokinetics a single dose is followed by multiple doses. A profile in steady state (T) is compared to the one after the single dose (R). Note that the underlying model assumes no period effects.

Function pa.scABE()

| Parameter | Argument | Purpose | Default | |-|----|--------------|-------| | CV | CV | CV | none | | $\small{\theta_0}$ | theta0 | ‘True’ or assumed deviation of T from R | 0.90 | | $\small{\pi}$ | targetpower | Minimum desired power | 0.80 | | $\small{\pi}$ | minpower | Minimum acceptable power | 0.70 | | design | design | Planned replicate design | "2x2x3" | | regulator | regulator | ‘target’ jurisdiction (see below) | "EMA" | | nsims | nsims | Number of simulations | 1e5 | | passed | ... | Arguments to power.scABEL() or power.RSABE() | none |

If no additional arguments are passed, the defaults of power.scABEL() and power.RSABE() are applied, namely alpha = 0.05, theta1 = 0.80, theta2 = 1.25. Note the recommended ^[Tóthfalusi L, Endrényi L. Sample Sizes for Designing Bioequivalence Studies for Highly Variable Drugs. J Pharm Pharmaceut Sci. 2011;15(1):73--84. Open access.] default $\small{\theta_0}$ 0.90 for HVDPs.\ regulator can be "EMA", "HC", "GCC", or "FDA".

Arguments targetpower, minpower, theta0, theta1, theta2, and CV have to be given as fractions, not in percent. CV is the within- (intra-) subject coefficient of variation, where only homoscedasticity (CV~wT~ = CV~wR~) is supported.

Function pa.NTIDFDA()

| Parameter | Argument | Purpose | Default | |-|----|--------------|-------| | CV | CV | CV | none | | $\small{\theta_0}$ | theta0 | ‘True’ or assumed deviation of T from R | 0.975 | | $\small{\pi}$ | targetpower | Minimum desired power | 0.80 | | $\small{\pi}$ | minpower | Minimum acceptable power | 0.70 | | design | design | Planned replicate design | "2x2x4" | | nsims | nsims | Number of simulations | 1e5 | | passed | ... | Arguments to power.NTID() | none |

If no additional arguments are passed, the defaults of power.NTID() are applied, namely alpha = 0.05, theta1 = 0.80, theta2 = 1.25. Note the default $\small{\theta_0}$ 0.975 for NTIDs since the FDA requires tighter batch release limits of ±5\% for them.

Arguments targetpower, minpower, theta0, theta1, theta2, and CV have to be given as fractions, not in percent. CV is the within- (intra-) subject coefficient of variation, where only homoscedasticity (CV~wT~ = CV~wR~) is supported.

Examples

Average Bioequivalence

[Example 1]{#expl1}

Example 3 of vignette ABE. Assumed CV 0.20, $\small{\theta_0}$ 0.92.

pa.ABE(CV = 0.20, theta0 = 0.92)

{height=626px}

The most critical parameter is $\small{\theta_0}$, whereas dropouts are the least important. We will see a similar pattern in other approaches as well.

Reference-scaled Average Bioequivalence

Highly Variable Drugs / Drug Products

EMA

[Example 2]{#expl2}

Assumed intra-subject CV 0.55.

pa.scABE(CV = 0.55)

{heigth=626px}

The idea behind reference-scaling is to preserve power even for high variability without requiring extreme sample sizes. However, we make two interesting observations. At CV~wR~ 0.55 already the upper cap of scaling (50\%) cuts in and the expanded limits are the same as at CV~wR~ 0.50. Therefore, if the variability increases, power decreases. On the other hand, if the CV decreases, power increases first (because being affected by the upper cap is less likely) and then decreases again (because the limits can be less expanded).

[Example 3]{#expl3}

Assumed intra-subject CV 0.40, 4-period full replicate design.

pa.scABE(CV = 0.40, design = "2x2x4")

{height=626px}

Here we see a different pattern. With increasing variability power increases (due to more expanding) up to the cap of scaling where it starts to decrease like in the previous example. If the variability decreases, power decreases as well (less expanding). However, close the the switching CV~wR~ (30\%) power increases again. Although we cannot scale anymore, with 30 subjects the study is essentially ‘overpowered’ for ABE.

Health Canada

[Example 4]{#expl4}

Same assumptions (CV, $\small{\theta_0}$) like in Example 2.

pa.scABE(CV = 0.55, regulator = "HC")

{height=626px}

Since we are close to Health Canada’s upper cap of 57.4\%, power decreases on both sides. Note that three subjects less than for the EMA’s method are required and CV~wR~ can increase to \~0.76 until we reach the minimum acceptable power – which is substantially higher than the \~0.67 for the EMA.

Gulf Cooperation Council

[Example 5]{#expl5}

Same assumptions (CV, $\small{\theta_0}$) like in Example 2 and Example 4.

pa.scABE(CV = 0.55, regulator = "GCC")

{height=626px}

Since we are far above the switching CV~wR~ of 30\%, (fixed) widened BE margins of 75.00--133.33\% are applicable and the pattern is similar to ABE.

FDA, CDE

[Example 6]{#expl6}

Same assumptions (CV, $\small{\theta_0}$) like in Example 2, Example 4 and Example 5.

pa.scABE(CV = 0.55, regulator = "FDA")

{height=626px}

A similar pattern like the one of Health Canada, although due to the different regulatory constants ($\small{\theta_s\approx0.8926}$ vs $\small{k=0.760}$ for Health Canada and the EMA) nine subjects less (and twelve less than for the EMA) are required. Due to unlimited scaling the CV can increase more.

Narrow Therapeutic Index Drugs (FDA, CDE)

[Example 7]{#expl7}

Assumed intra-subject CV 0.125.

pa.NTID(CV = 0.125)

{height=626px}

With decreasing variability power decreases because the scaled limits become narrower. With increasing variability we gain power because we have to scale less until at \~21.4\% the additional criterion “must pass conventional BE limits of 80.00--125.00\%” cuts in.

Cave!

The power analysis is  not  a substitute for the ‘Sensitivity Analysis’ recommended by the ICH.^[International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. ICH Harmonised Tripartite Guideline. Statistical Principles for Clinical Trials. 5 February 1998. E9 Step 4.] In a real study a combination of all effects occurs simultaneously. It is up to you to decide on reasonable combinations and analyze their respective power.

Authors

|function|author(s)| |-|----| |pa.ABE, pa.scABE|Idea and original code by Helmut Schütz with modifications by Detlew Labes| |pa.NTID|Detlew Labes acc. to code by Helmut Schütz for pa.ABE and pa.scABE|

License

GPL-3 r Sys.Date() Helmut Schütz

PowerTOST documentation built on March 18, 2022, 5:47 p.m.