Statistics and Its Interface
Volume 17 (2024)
Special issue in honor of Professor Lincheng Zhao
Aligning sample size calculations with estimands in clinical trials with time-to-event outcomes
Pages: 63 – 68
The ICH E9(R1) guidance recommended a framework to align planning, design, conduct, analysis, and interpretation of any clincial trial with its objective and estimand. How to handle intercurrent events (ICEs) is one of the five attributes of an estimand and sample size calculation is a key step in the trial planning and design. Therefore, sample size calculation should be aligned with the estimand and, in particular, with how the ICEs are handled. ICH E9(R1) summarized five strategies for handling ICEs, and five approaches have been proposed in the literature for sample size calculation when planning trials with quantitative and binary outcomes. In this paper, we discuss how to apply the five strategies to deal with ICEs in clinical trials with time-to-event outcomes and propose five approaches for sample size calculation that are aligned with the five strategies, respectively.
clinical trials, estimand, intercurrent events, sample size, time-to-event
2010 Mathematics Subject Classification
Primary 62G10, 62N03. Secondary 62G99.
Received 25 July 2022
Accepted 5 June 2023
Published 27 November 2023