# --------------------------------------------------------------------------
# power (or alpha) of 2-stage studies according to Potvin et. al.
# methods "B" and "C", modified to include a futility criterion Nmax,
# modified to use PE and mse of stage 1 in power calculation steps as well
# as in sample size estimation, Karalis/Macheras modifications
#
# author D.L.
# --------------------------------------------------------------------------
# require(PowerTOST)
power.2stage.KM <- function(method=c("C","B"), alpha0=0.05, alpha=c(0.0294,0.0294),
n1, CV, targetpower=0.8, pmethod=c("nct","exact"),
Nmax=150, theta0, theta1, theta2,
npct=c(0.05, 0.5, 0.95), nsims, setseed=TRUE,
details=FALSE)
{
check2stage(fname=as.character(sys.call())[1])
if (missing(CV)) stop("CV must be given!")
if (CV<=0) stop("CV must be >0!")
if (missing(n1)) stop("Number of subjects in stage 1 must be given!")
if (n1<=0) stop("Number of subjects in stage 1 must be >0!")
if (length(alpha) != 2) stop("alpha must have two elements")
if (missing(theta1) & missing(theta2)) theta1 <- 0.8
if (!missing(theta1) & missing(theta2)) theta2 <- 1/theta1
if (missing(theta1) & !missing(theta2)) theta1 <- 1/theta2
if (missing(theta0)) theta0 <- 0.95
if (n1>Nmax) stop("n1>Nmax doesn\'t make sense!")
if(missing(nsims)){
nsims <- 1E5
if(theta0<=theta1 | theta0>=theta2) nsims <- 1E6
}
# check if Potvin B or C
method <- match.arg(method)
# check if power calculation method is nct or exact
pmethod <- match.arg(pmethod)
if(details){
cat(nsims,"sims. Stage 1")
}
# start timer
ptm <- proc.time()
if (setseed) set.seed(1234567)
ltheta1 <- log(theta1)
ltheta2 <- log(theta2)
mlog <- log(theta0)
mse <- CV2mse(CV)
bk <- 2 # 2x2x2 crossover design const
# reserve memory
BE <- rep.int(NA, times=nsims)
# ----- stage 1 ----------------------------------------------------------
Cfact <- bk/n1
df <- n1-2
tval <- qt(1-alpha[1], df)
sdm <- sqrt(mse*Cfact)
# simulate point est. via normal distribution
pes <- rnorm(n=nsims, mean=mlog, sd=sdm)
# simulate mse via chi-squared distribution
mses <- mse*rchisq(n=nsims, df=df)/df
# K&M have the test pe in BE range first
# may speed up somewhat
# next construction defines some zone at the BE acceptance limits
# where sample size is practical Inf, these are counted as outside
outside <- ((pes-ltheta1)<1.25e-5 | (ltheta2-pes)<1.25e-5)
BE <- !outside # =FALSE for outside -> FAIL
BE[BE==TRUE] <- NA # not outside, not yet decided
if(method=="C"){
mses_tmp <- mses[is.na(BE)]
pes_tmp <- pes[is.na(BE)]
# if method=C then calculate power for alpha0=0.05, mse and pe from stage 1
pwr <- mapply(.calc.power, diffm=pes_tmp, sem=sqrt(bk*mses_tmp/n1),
MoreArgs=list(alpha=alpha0, ltheta1=ltheta1, ltheta2=ltheta2,
df=df, method=pmethod))
tval0 <- qt(1-alpha0, df)
hw <- tval0*sqrt(Cfact*mses_tmp)
lower <- pes_tmp - hw
upper <- pes_tmp + hw
# fail or pass
BE0 <- lower>=ltheta1 & upper<=ltheta2
# if power>0.8 then calculate CI for alpha=0.05
# i.e. if power<0.8 then
BE0[pwr<targetpower] <- NA # not yet decided
# combine these with the previous
BE[is.na(BE)] <- BE0
rm(BE0)
}
# method "B" or power<=0.8 in method "C":
# evaluate BE (CI) with alpha=alpha1
mses_tmp <- mses[is.na(BE)]
pes_tmp <- pes[is.na(BE)]
BE1 <- rep.int(NA, times=length(mses_tmp))
hw <- tval*sqrt(Cfact*mses_tmp)
lower <- pes_tmp - hw
upper <- pes_tmp + hw
rm(hw)
BE1 <- lower>=ltheta1 & upper<=ltheta2
# take care of memory
rm(lower, upper)
if (method=="C"){
#if BE met -> PASS stop
#if not BE -> goto sample size estimation i.e flag BE1 as NA
BE1[!BE1] <- NA
} else {
# method B
# evaluate power at alpha[1] using PE and mse of stage 1
pwr <- mapply(.calc.power, diffm = pes_tmp, sem = sqrt(bk*mses_tmp/n1),
MoreArgs = list(alpha = alpha[1], ltheta1 = ltheta1,
ltheta2 = ltheta2, df = df, method = pmethod))
# if BE met then decide BE regardless of power
# if not BE and power<0.8 then goto stage 2
BE1[ !BE1 & pwr<targetpower ] <- NA
# take care of memory
rm(pwr)
}
# combine 'stage 0' from method C and stage 1
BE[is.na(BE)] <- BE1
# take care of memory, done with stage 1
rm(BE1)
if(details){
cat(" - Time consumed (secs):\n")
print(round((proc.time()-ptm),1))
}
# ------sample size for stage 2 -----------------------------------------
ntot <- rep(n1, times=nsims)
stage <- rep(1, times=nsims)
# filter out those were stage 2 is necessary
pes_tmp <- pes[is.na(BE)]
# Maybe we are already done with stage 1
if(length(pes_tmp)>0){
if(details){
cat("Keep calm. Sample sizes (", length(pes_tmp),
" studies) for stage 2\n", sep="")
cat("will be estimated. May need some time.\n")
}
# preliminary setting stage=2 for those not yet decided BE
# may be altered for those with nt>Nmax or nt=Inf
# from sample size est. if pe outside acceptance range
# see below
stage[is.na(BE)] <- 2
mses_tmp <- mses[is.na(BE)]
BE2 <- rep.int(NA, times=length(mses_tmp))
s2 <- rep.int(2, times=length(mses_tmp))
#------ sample size for stage 2 ---------------------------------------
ptms <- proc.time()
# use mse1 & pe1 as described in Karalis/Macheras
# sample size function returns Inf if pe1 is outside acceptance range
# Aug. 2017: .sampleN2() now uses N-3 as df for ssr
# Although it is not specifically mentioned in Karalis/Macheras 2013
# "An Insight into the Properties of a Two-Stage Design in Bioequivalence Studies"
# it is mentioned explicitely in Karalis/Macheras 2014
# "On the statistical model of the two-stage designs in bioequivalence assessment"
nt <- .sampleN2(alpha=alpha[2], targetpower=targetpower, ltheta0=pes_tmp,
mse=mses_tmp, ltheta1=ltheta1, ltheta2=ltheta2,
method=pmethod, bk=bk)
n2 <- ifelse(nt>n1, nt - n1, 0)
if(details){
if(nsims<=1E5 & pmethod!="exact"){
cat("Time consumed (secs):\n")
print(round((proc.time()-ptms),1))
} else {
cat("Time consumed (min):\n")
print(round((proc.time()-ptms)/60,2))
}
}
# futility rule: if nt > Nmax -> stay with stage 1 result not BE
# ntotal = n1 reasonable?
if (is.finite(Nmax) | any(!is.finite(nt))){
# sample size may return Inf if PE is used in ss estimation
# in that case we stay with stage 1 result
BE2[!is.finite(n2) | (n1+n2)>Nmax] <- FALSE
# and we are counting these for stage 1
s2[BE2==FALSE] <- 1
# debug print
# cat(sum(!BE2, na.rm=T)," cases with nt>Nmax or nt=Inf\n")
# save
stage[is.na(BE)] <- s2
# save the FALSE and NA in BE
BE[is.na(BE)] <- BE2
# filter out those were BE was yet not decided
pes_tmp <- pes_tmp[is.na(BE2)]
mses_tmp <- mses_tmp[is.na(BE2)]
n2 <- n2[is.na(BE2)]
}
# ---------- stage 2 evaluation --------------------------------------
m1 <- pes_tmp
SS1 <- (n1-2)*mses_tmp
nsim2 <- length(pes_tmp)
# to avoid warnings for n2=0 in rnorm() and rchisq()
ow <- options("warn")
options(warn=-1)
m2 <- ifelse(n2>0, rnorm(n=nsim2, mean=mlog, sd=sqrt(mse*bk/n2)), 0)
SS2 <- ifelse(n2>2, (n2-2)*mse*rchisq(n=nsim2, df=n2-2)/(n2-2), 0)
# reset options
options(ow)
SSmean <- ifelse(n2>0, (m1-m2)^2/(2/n1+2/n2), 0)
nt <- n1+n2
df2 <- ifelse(n2>0, nt-3, n1-2)
pe2 <- ifelse(n2>0, (n1*m1+n2*m2)/nt, pes_tmp)
mse2 <- ifelse(n2>0, (SS1+SSmean+SS2)/df2, mses_tmp)
# take care of memory
rm(m1, m2, SS1, SS2, SSmean)
# calculate CI for stage 2 with alpha[2]
tval2 <- qt(1-alpha[2], df2)
hw <- tval2*sqrt(mse2*bk/nt)
lower <- pe2 - hw
upper <- pe2 + hw
BE2 <- lower>=ltheta1 & upper<=ltheta2
# combine stage 1 & stage 2 BE statements
ntot[is.na(BE)] <- nt
BE[is.na(BE)] <- BE2
# done with them
rm(BE2, nt, lower, upper, hw)
} # end stage 2 calculations
# take care of memory - may be superflous here since function ends
rm(pes_tmp, mses_tmp)
# the return list
res <- list(design="2x2 crossover", method=method, modified="KM",
alpha0=ifelse(method=="C",alpha0,NA), alpha=alpha,
CV=CV, n1=n1, targetpower=targetpower, pmethod=pmethod,
theta0=exp(mlog), theta1=theta1, theta2=theta2, Nmax=Nmax,
nsims=nsims,
# results
pBE=sum(BE)/nsims, pBE_s1=sum(BE[stage==1])/nsims,
pct_s2=100*length(BE[stage==2])/nsims,
nmean=mean(ntot), nrange=range(ntot), nperc=quantile(ntot, p=npct)
)
# table object summarizing the discrete distri of ntot
# only given back if usePE=FALSE or if usePE=TRUE then Nmax must be finite
# since here usePE not available but is used as TRUE this reduces to is.finite(Nmax)
if (is.finite(Nmax)){
res$ntable <- table(ntot)
}
# output is now done via S3 print method
class(res) <- c("pwrtsd", "list")
return(res)
} #end function
# alias
power.tsd.KM <- power.2stage.KM
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