Volume 16, Issue 1 pp. 20-28
SPECIAL ISSUE PAPER

Trimmed means for symptom trials with dropouts

Thomas Permutt

Corresponding Author

Thomas Permutt

Division of Biometrics II, Office of Biostatistics, Office of Translational Sciences, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland, U.S.A.

Correspondence to: Thomas Permutt, Division of Biometrics II, Office of Biostatistics, Office of Translational Sciences, Center for Drug Evaluation and Research, U.S. Food and Drug Administration.

E-mail: [email protected]

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Feng Li

Feng Li

Division of Biometrics II, Office of Biostatistics, Office of Translational Sciences, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland, U.S.A.

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First published: 15 August 2016
Citations: 34

Abstract

Dropouts from randomized trials, often for lack of efficacy or toxicity, have usually been handled as 'missing data'. We suggest that they are instead complete observations, just not numeric ones. We propose an exact test of the hypothesis of no drug effect, taking all randomized patients into account, based on a readily interpretable statistic. The method also copes with a drug that is toxic in some patients but beneficial to others, a difficult problem for standard methods. A robust conclusion of efficacy can be drawn with no assumptions other than randomization. Published 2016. This article is a U.S. Government work and is in the public domain in the USA

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