中止·脱落の理由を考慮した IPCW法による臨床試験データの解析

  • 嘉田 晃子
    京都大学大学院医学研究科 社会健康医学系専攻 医療統計学 住友製薬株式会社 開発本部
  • 松山 裕
    京都大学大学院医学研究科 社会健康医学系専攻 医療統計学
  • 佐藤 俊哉
    京都大学大学院医学研究科 社会健康医学系専攻 医療統計学

書誌事項

タイトル別名
  • Analysis of Clinical Trials with Missing Data by Modeling Causes of Drop-Outs

説明

In clinical trials, some patients are dropped-out of the trials by the different causes and their outcomes may happen to be missing. In such a case, analyses ignoring the missing mechanisms lead a biased estimator. One of the methods for taking them into account is the IPCW (Inverse Probability of Censoring Weighted) method, which accounts for the observed past histories of time-dependent factors that are predictors of drop-outs and are correlated with the outcomes. In this method, the probability of being censored is usually modeled via a logistic regression without considering the causes of drop-outs. We developed the IPCW method including the causes of drop-outs such as improvement or aggravation. As an example, we analyzed the data from a randomized clinical trial of a drug for osteoporosis. To evaluate the efficacy, the difference of the rate of increasing in the lumber vertebral mineral density at 48 weeks from baseline in the two dose groups were estimated. We compared the results of the proposed IPCW methods with those of the usual IPCW methods, complete-case analysis, and LOCF method. Although the results of the two IPCW estimators did not change much, the missing mechanisms could be modeled reasonably and could be interpreted clinically by the proposed method compared with the usual IPCW method.

収録刊行物

  • 計量生物学

    計量生物学 23 (2), 81-91, 2002

    日本計量生物学会

参考文献 (14)*注記

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詳細情報 詳細情報について

  • CRID
    1390001204371516800
  • NII論文ID
    130002151903
  • DOI
    10.5691/jjb.23.81
  • ISSN
    21856494
    09184430
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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