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Design and Analysis of Multiregional Clinical Trials in Evaluation of Medical Devices: A Two-Component Bayesian Approach for Targeted Decision Making

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Statistical Applications from Clinical Trials and Personalized Medicine to Finance and Business Analytics

Part of the book series: ICSA Book Series in Statistics ((ICSABSS))

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Abstract

Current statistical design and analysis of multiregional clinical trials for medical devices generally follows a paradigm where the treatment effect of interest is assumed consistent among US and OUS regions. In this paper, we discuss the situations where the treatment effect might vary among US and OUS regions, and propose a two-component Bayesian approach for targeted decision making. In this approach, anticipated treatment difference among US and OUS regions is formally taken into account by design, hopefully leading to increased transparency and predictability of targeted decision making.

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Acknowledgement

We would like to thank an anonymous reviewer whose comments helped improving this manuscript.

Disclaimer No official support or endorsement by the Food and Drug Administration of this article is intended or should be inferred.

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Correspondence to Yunling Xu .

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© 2016 Springer International Publishing Switzerland

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Xu, Y., Lu, N., Yang, Y. (2016). Design and Analysis of Multiregional Clinical Trials in Evaluation of Medical Devices: A Two-Component Bayesian Approach for Targeted Decision Making. In: Lin, J., Wang, B., Hu, X., Chen, K., Liu, R. (eds) Statistical Applications from Clinical Trials and Personalized Medicine to Finance and Business Analytics. ICSA Book Series in Statistics. Springer, Cham. https://doi.org/10.1007/978-3-319-42568-9_12

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