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Msg  263418 of 369091  at  4/20/2009 3:39:04 PM  by

ocyan

 In response to msg 263297 by  zzzster
ignore topicview thread ,  thread start

zzzster

< I VERY STRONGLY believe that a surv adv of only 22% will lessen our chances of eventual FDA approval relative to a significantly higher surv adv %
22% surv adv = 85-90% chance of FDA approval
25% surv adv = 90-95% chance of FDA approval
30%+ surv adv = 95-97% chnace of FDA approval>
 
Weird set of probabilities. Where did you get them from?
 
From a data-centric point of view (ie, excluding manufacturing concerns),  the FDA cares foremost about statistical significance. That means the p value has to meet a threshold. Why? Because the p value bounds the chance of the benefit seen by the drug is a fluke. That's what they care about. They want to be sure that they approve an actual drug, not a sugar pill or water as treatments.
 
So,  let's look at a few statistics on the Survival Advantage, SV:
 
SV >= 22%: pvalue is guaranteed to be <= 0.043 and with 90% certainty, <= 0.031.
SV >= 23%: pvalue is guaranteed to be <= 0.032 and with 90% certainty, <= 0.025.
SV >= 24%: pvalue is guaranteed to be <= 0.028 and with 90% certainty, <= 0.019.
SV >= 25%: pvalue is guaranteed to be <= 0.021 and with 90% certainty, <= 0.014.
and
SV >= 30%: pvalue is guaranteed to be <= 0.003.
 
Since we believe that the required alpha is 0.043, as far as I am concerned, if the pvalue goes to a vicinity of 0.03, that is far more than being unambiguous. A SV of 23% would guarantee that and even at 22%, there is a 90% chance of the pvalue <= 0.031.  
 
Reaching 24% would be delightful. But, there is no need to hype for anything higher than 22-23%, especially something like a 30% where the pvalue would be an out of this world 0.003 or less.
 
 
 


 
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Replies
Msg # Subject Author Recs Date Posted
263429 Re: zzzster ocyan zzzster 4/20/2009 4:07:02 PM
263458 Re: zzzster froggmister 12 4/20/2009 4:56:58 PM
263474 Re: zzzster YOUR Numbers are Crap OCYAN ralphla54 4/20/2009 5:18:07 PM
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