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Interface between Regulation and Statistics in Drug Development [Kõva köide]

  • Formaat: Hardback, 146 pages, kõrgus x laius: 234x156 mm, kaal: 381 g, 1 Tables, black and white; 9 Illustrations, black and white
  • Sari: Chapman & Hall/CRC Biostatistics Series
  • Ilmumisaeg: 12-Nov-2020
  • Kirjastus: Chapman & Hall/CRC
  • ISBN-10: 036749048X
  • ISBN-13: 9780367490485
Teised raamatud teemal:
  • Formaat: Hardback, 146 pages, kõrgus x laius: 234x156 mm, kaal: 381 g, 1 Tables, black and white; 9 Illustrations, black and white
  • Sari: Chapman & Hall/CRC Biostatistics Series
  • Ilmumisaeg: 12-Nov-2020
  • Kirjastus: Chapman & Hall/CRC
  • ISBN-10: 036749048X
  • ISBN-13: 9780367490485
Teised raamatud teemal:
"The book is designed to be accessible to readers with an intermediate knowledge of statistics, and can be a useful resource to statisticians, medical researchers, and regulatory personnel in drug development, as well as graduate students in the health sciences. The authors' decades of experience in the pharmaceutical industry and academia, and extensive regulatory experience, comes through in the many examples throughout the book"--

With the critical role of statistics in the design, conduct, analysis and reporting of clinical trials or observational studies intended for regulatory purposes, numerous guidelines have been issued by regulatory authorities around the world focusing on statistical issues related to drug development. However, the available literature on this important topic is sporadic, and often not readily accessible to drug developers or regulatory personnel. This book provides a systematic exposition of the interplay between the two disciplines, including emerging themes pertaining to the acceleration of the development of pharmaceutical medicines to serve patients with unmet needs.

Features:

  • Regulatory and statistical interactions throughout the drug development continuum
  • The critical role of the statistician in relation to the changing regulatory and healthcare landscapes
  • Statistical issues that commonly arise in the course of drug development and regulatory interactions
    • Trending topics in drug development, with emphasis on current regulatory thinking and the associated challenges and opportunities
  • The book is designed to be accessible to readers with an intermediate knowledge of statistics, and can be a useful resource to statisticians, medical researchers, and regulatory personnel in drug development, as well as graduate students in the health sciences. The authors’ decades of experience in the pharmaceutical industry and academia, and extensive regulatory experience, comes through in the many examples throughout the book.

    List of figures
    xi
    List of abbreviations
    xiii
    Authors' Disclosure xvii
    Acknowledgment xix
    Preface xxi
    About the Authors xxv
    Chapter 1 Fundamental Principles of Clinical Trials
    1(22)
    1.1 Introduction
    1(4)
    1.2 General Statistical Considerations
    5(4)
    1.2.1 Statistical Analysis Plan
    5(1)
    1.2.2 Trial Design
    6(1)
    1.2.3 Randomization and Blinding
    7(1)
    1.2.4 Statistical Methodology
    7(2)
    1.2.5 Reporting and Interpretation of Study Results
    9(1)
    1.2.6 Data Quality and Software Validity
    9(1)
    1.3 Evolving Roles Of The Statistician In Drug Development
    9(5)
    1.4 Potential Statistical Issues In Regulatory Review
    14(3)
    1.4.1 Data Quality
    14(1)
    1.4.2 Endpoint Definition
    14(1)
    1.4.3 Design and Analysis Issues
    15(1)
    1.4.4 Evaluation of Safety
    16(1)
    1.4.5 Analysis Populations and Subgroups
    16(1)
    1.4.6 Assessing Interpretation and Reliability of Results
    17(1)
    1.5 Concluding Remarks
    17(6)
    Chapter 2 Selected Statistical Topics of Regulatory_Importance
    23(74)
    2.1 Introduction
    23(1)
    2.2 Multiplicity
    24(6)
    2.2.1 Multiple Endpoints
    24(4)
    2.2.2 Multiple Testing Over the Course of the Study
    28(2)
    2.3 Missing Values And Estimands
    30(11)
    2.3.1 General Considerations
    30(2)
    2.3.2 Missingness Mechanisms
    32(2)
    2.3.3 Approaches for Missing Data
    34(2)
    2.3.4 Sensitivity Analyses
    36(1)
    2.3.5 Estimands and Other Recent Regulatory Developments
    37(3)
    2.3.6 Concluding Remarks
    40(1)
    2.4 Non-Inferiority Study
    41(9)
    2.4.1 Efficacy Objective
    41(1)
    2.4.2 Non-inferiority Hypothesis / Non-inferiority Margin
    42(1)
    2.4.3 Determination of NIM
    43(1)
    2.4.4 Example: FDA Guidance Document
    43(1)
    2.4.5 Implications of Choice of NIM
    44(1)
    2.4.6 Strength of a Non-inferiority Study
    45(1)
    2.4.7 Synthesis Method for Non-inferiority
    46(1)
    2.4.8 Summary Points
    47(1)
    2.4.9 Non-inferiority Study with a Safety Objective
    47(2)
    2.4.10 Summary Points
    49(1)
    2.5 Innovative Trial Designs
    50(10)
    2.5.1 Adaptive Designs
    50(1)
    2.5.2 Adaptive Randomization
    50(1)
    2.5.3 Sample Size Reestimation
    51(2)
    2.5.4 Sequential Designs
    53(1)
    2.5.5 Adaptive Designs for Dose and Treatment Selection
    54(1)
    2.5.6 Adaptive Enrichment Designs
    55(1)
    2.5.7 Master Protocols
    55(1)
    2.5.7.1 Basket Trials
    56(2)
    2.5.7.2 Umbrella Trials
    58(1)
    2.5.7.3 Platform Trials
    58(1)
    2.5.7.4 Regulatory and Operational Considerations with Novel Trials
    59(1)
    2.6 Bayesian Analysis In A Regulatory Framework
    60(6)
    2.6.1 Introduction
    60(2)
    2.6.2 Potential Areas of Application
    62(2)
    2.6.3 Regulatory Considerations
    64(2)
    2.6.4 Challenges with Bayesian Statistics
    66(1)
    2.6.5 Concluding Remarks
    66(1)
    2.7 Surrogate Endpoints And Biomarkers
    66(7)
    2.7.1 Introduction
    66(2)
    2.7.2 Statistical Considerations
    68(3)
    2.7.3 Regulatory Considerations
    71(1)
    2.7.4 Concluding Remarks
    72(1)
    2.8 Subgroup Analyses
    73(5)
    2.8.1 Introduction
    73(1)
    2.8.2 Subgroup Analyses in the Traditional Confirmatory Clinical-Trial Setting
    73(1)
    2.8.3 Statistical Approaches
    74(1)
    2.8.4 Reporting and Interpretation of Subgroup Results
    75(1)
    2.8.5 Subgroup Analyses in the Changing Clinical-Trial and Regulatory Setting
    76(1)
    2.8.6 Conclusion
    77(1)
    2.9 Benefit-Risk Assessment
    78(19)
    2.9.1 Introduction
    78(1)
    2.9.2 Methodological Considerations in Benefit-Risk Analysis
    79(2)
    2.9.3 Regulatory Perspectives
    81(3)
    2.9.4 Benefit-Risk in Health-Technology Assessment
    84(1)
    2.9.5 Concluding Remarks
    84(13)
    Chapter 3 Statistical Engagement in Regulatory Interactions
    97(14)
    3.1 Introduction
    97(1)
    3.2 Internal Behaviors
    98(1)
    3.3 Data Monitoring Committee
    99(2)
    3.4 Regulatory Meetings And Advisory Committee Meetings
    101(5)
    3.5 Statistical Role In Promotional Material And Medical Communication
    106(2)
    3.6 Concluding Remarks
    108(3)
    Chapter 4 Emerging Topics
    111(32)
    4.1 The Use Of RWE To Support Licensing And Label Enhancement
    111(9)
    4.1.1 Introduction
    111(2)
    4.1.2 Methodological and Operational Considerations
    113(4)
    4.1.3 Current Regulatory Landscape
    117(2)
    4.1.4 Concluding Remarks
    119(1)
    4.2 Patient-Reported Outcomes In Regulatory Settings
    120(9)
    4.2.1 Introduction
    120(1)
    4.2.2 Development and Validation of PRO Instruments
    121(2)
    4.2.3 Statistical Considerations
    123(2)
    4.2.4 Regulatory Considerations
    125(3)
    4.2.5 Concluding Remarks
    128(1)
    4.3 Artificial Intelligence And Modern Analytics In Regulatory Settings
    129(14)
    4.3.1 Introduction
    129(2)
    4.3.2 AI in Drug Development
    131(1)
    4.3.3 Regulatory Experience with Machine Learning and Artificial Intelligence
    132(1)
    4.3.4 Concluding Remarks
    133(10)
    Index 143
    Demissie Alemayehu, PhD, is Vice President and Head of the Statistical Research and Data Science Center at Pfizer Inc. He is a Fellow of the American Statistical Association, has published widely, and has served on the editorial boards of major journals, including the "Journal of the American Statistical Association" and the "Journal of Nonparametric Statistics." Additionally, he has been on the faculties of both Columbia University and Western Michigan University. He has co-authored a monograph entitled, "Patient-Reported Outcomes: Measurement, Implementation and Interpretation," and co-edited another, "Statistical Topics in Health Economics and Outcome Research" both published by Chapman & Hall/CRC Press.

    Birol Emir, PhD, is Senior Director and Statistics Lead of Real-World Evidence (RWE) at Pfizer Inc. In addition, Dr. Emir has served as Adjunct Professor of Statistics and Lecturer at Columbia University in New York and as an External PhD Committee Member, Graduate School of Arts and Sciences, Rutgers, The State University of New Jersey. Recently, his primary focuses have been on big data, predictive modelling and genomic data analysis. He has numerous publications in refereed journals, and he has co-edited "Statistical Topics in Health Economics and Outcome Research" published by Chapman & Hall/CRC Press. He has taught many short courses and has given several invited presentations.

    Michael Gaffney, PhD, is Vice President, Statistics at Pfizer, and received his Ph.D. from New York University School of Environmental Medicine with his dissertation in the area of multistage model of cancer induction. Dr. Gaffney has spent his 43-year career in pharmaceutical research concentrating in the areas of design and analysis of clinical trials and regulatory interaction for drug approval and product defense. He has interacted with FDA, EMA, MHRA and regulators in Canada and Japan on over 25 distinct regulatory approvals and product issues in many therapeutic areas. Dr. Gaffney has published 40 peer-reviewed articles and presented at numerous scientific meetings in diverse areas of modelling cancer induction, variance components, harmonic regression, factor analysis, propensity scores, meta-analysis, large safety trials and sample size re-estimation. Dr. Gaffney was recently a member of the Council for International Organizations of Medical Sciences (CIOMS) X committee and was a co-author of, CIOMS X: Evidence Synthesis and Meta-Analysis for Drug Safety.