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ST 520 Statistical Principles of Clinical Trials - NCSU Statistics ...

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CHAPTER 7 <strong>ST</strong> <strong>520</strong>, A. TSIATIS and D. Zhang<br />

Remark: In the special case where the response data are exactly normally distributed with equal<br />

treatment-specific variances, the test statistic Tn given by (7.10), under the null hypothesis, has a<br />

distribution which is exactly equal to K −1 times a central F distribution with K −1 numerator<br />

degrees <strong>of</strong> freedom and n − K denominator degrees <strong>of</strong> freedom. That is<br />

Tn/(K − 1) =<br />

� Kj=1 nj( ¯ Yj − ¯ Y ) 2 /(K − 1)<br />

has an F distribution under the null hypothesis. This is exactly the test statistic that is used<br />

for testing the equality <strong>of</strong> means in a one-way ANOVA model.<br />

However, when the sample size n is large, we can use the test statistic given by (7.9), based on an<br />

asymptotic chi-square distribution, to test H0 without making either the normality assumption<br />

or the assumption <strong>of</strong> equal variances.<br />

7.5 Sample size computations for continuous response<br />

Let us consider the case where patients are allocated equally to the K treatments so that<br />

s 2 Y<br />

n1 = . . . = nK = n/K,<br />

and, for design purposes, we assume that the treatment specific variances are all equal which we<br />

posit to be the value σ2 Y . The question is how do we compute the sample size that is necessary to<br />

have power (1−β) to detect an alternative where any two treatments population mean responses<br />

may differ by ∆A or more? Using considerations almost identical to those used for testing equality<br />

<strong>of</strong> response rates for dichotomous outcomes, we can find the least favorable configuration which<br />

after substituting into (7.12), yields the non-centrality parameter<br />

n∆2 A<br />

2Kσ2 Y<br />

Hence, to obtain the desired power <strong>of</strong> (1 − β), we need<br />

or<br />

Example:<br />

n∆2 A<br />

2Kσ2 Y<br />

. (7.13)<br />

= φ 2 (α, β, K − 1),<br />

n = 2Kσ2 Y φ2 (α, β, K − 1)<br />

∆2 . (7.14)<br />

A<br />

PAGE 112

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