Evidence map›Paper›PMID 24607294›Full record

ArticleContemporary clinical trials2014

Continuous covariate imbalance and conditional power for clinical trial interim analyses.

Jody D Ciolino, Renee' H Martin, Wenle Zhao, Edward C Jauch, Michael D Hill, Yuko Y Palesch

Abstract read
In one paragraph

Article in Contemporary clinical trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Guidance on interim analysis methods in clinical trials.Journal of clinical and translational science · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jody D CiolinoDepartment of Preventive Medicine, Northwestern University, Chicago, IL, USA. Electronic address: jody.ciolino@northwestern.edu.
Renee' H MartinMedical University of South Carolina, Charleston, SC, USA.
Wenle ZhaoMedical University of South Carolina, Charleston, SC, USA.
Edward C JauchMedical University of South Carolina, Charleston, SC, USA.
Michael D HillUniversity of Calgary, AB, Canada.
Yuko Y PaleschMedical University of South Carolina, Charleston, SC, USA.

Funding

Albumin in Acute Stroke (ALIAS) Trial Statistical and Data Coordinating CenterR01NS054630 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI PALESCH, YUKO Y · 2011 to 2012
$2.4M
Biostatistics Training with Application to NeuroscienceT32NS048007 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI PALESCH, YUKO Y · 2005 to 2009
$632k
NINDS NIH HHS R01 NS054630NINDS NIH HHS T32 NS048007
6 · The paper itself

Abstract

Oftentimes valid statistical analyses for clinical trials involve adjustment for known influential covariates, regardless of imbalance observed in these covariates at baseline across treatment groups. Thus, it must be the case that valid interim analyses also properly adjust for these covariates. There are situations, however, in which covariate adjustment is not possible, not planned, or simply carries less merit as it makes inferences less generalizable and less intuitive. In this case, covariate imbalance between treatment groups can have a substantial effect on both interim and final primary outcome analyses. This paper illustrates the effect of influential continuous baseline covariate imbalance on unadjusted conditional power (CP), and thus, on trial decisions based on futility stopping bounds. The robustness of the relationship is illustrated for normal, skewed, and bimodal continuous baseline covariates that are related to a normally distributed primary outcome. Results suggest that unadjusted CP calculations in the presence of influential covariate imbalance require careful interpretation and evaluation.

Indexed as

Data Interpretation, StatisticalResearch DesignClinical Trials as TopicComputer SimulationHumansConditional powerCovariate adjusted analysisCovariate imbalance

Identifiers

PMID24607294
PMCPMC4024327

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.