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Surrogacy Case Study: Prostate Specific Antigen (PSA ... - Isped

Surrogacy Case Study: Prostate Specific Antigen (PSA ... - Isped

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<strong>PSA</strong> endpoints<br />

<strong>PSA</strong> normalization<br />

A <strong>PSA</strong> decline from baseline level (>20 ng/mL)<br />

to ≤ 4 ng/ml at 2 subsequent observations<br />

>4 weeks apart<br />

Time to <strong>PSA</strong> progression-1<br />

Time to <strong>PSA</strong> progression-2<br />

Time to a >20% increase above the nadir<br />

and which exceeded 4 ng/ml (UNL)<br />

Time to an increase >50% above the<br />

(3-)moving average nadir and which exceeded<br />

10 ng/ml (2.5xUNL). This increase had to be<br />

either the last observed value or be sustained for<br />

>4 weeks<br />

Longitudinal <strong>PSA</strong> profile<br />

The complete series of <strong>PSA</strong> measurements in<br />

each patient

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