Abstract
The study pattern of non-inferiority trials is increasingly used to show the non-inferiority of new health intervention. Although in such studies the data are longitudinally collected (data held over a period of time), the conclusion of these non-inferiority trials is based on data observed at a specific time during the study period (usually at the end of the study period). In this study, we present a method that takes into account all the data observed during the study period to perform non-inferiority test. Thus, we approximate the observed data on a statistical unit by a function of time. This allows to transform the observed data on a time grid into functional data on a continuum domain. Although it could have some relevant applications, the functional data analysis for non-inferiority test has not been addressed. In this study, the functional non-inferiority hypothesis testing has been introduced. The optimal point-wise test and simultaneous confidence bands have been adapted and adopted for the purpose. The assessment of the methods has been done through simulations example. Both methods have good performances for large sample sizes. For small sample sizes, the optimal point-wise test would be too conservative while the simultaneous confidence bands based test would be a bit liberal.
Highlights
The study design of non-inferiority randomized cohort trials is increasingly applied to show the noninferiority of new health interventions (Ng, 2015)
The False Discovery Rate (FDR) formally introduced in Benjamini and Hochberg (1995) and Family Wise Error Rate (FWER) introduced in Hochberg and Tamhane (1987) are respectively the main indicators used for evaluating the compound type error in the setting of multiple hypothesis testing
The results can allow concluding that the method based on confidence bands with level of 95%, 90% and 80% lead approximately to a type I error rate of 2.5%, 5% and 10% for large sample size respectively
Summary
The study design of non-inferiority randomized cohort trials is increasingly applied to show the noninferiority of new health interventions (Ng, 2015). Longitudinal trials allow to get an array of data on the variation of the main endpoint on a predefined time grid. The general goal of the noninferiority trials is to show the non-inferiority of a new health intervention compared to a reference intervention. The interest is on the variation of the endpoint on the follow-up period, the assessment of non-inferiority is carried out at a precise moment during the study (generally at the end of the study), reducing the problem of the non-inferiority hypothesis testing in the finite dimension. We will adopt functional data analysis approach to perform the noninferiority hypothesis testing
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