Evidence map›Paper›PMID 36053045›Full record

Trial reportClinical trials (London, England)2022

Evaluating group-sequential non-inferiority clinical trials following interim stopping: The HIV Prevention Trials Network 083 trial.

Brett S Hanscom, Deborah J Donnell, Thomas R Fleming, James P Hughes, Marybeth McCauley, Beatriz Grinsztejn, Raphael J Landovitz, Scott S Emerson

Open access · greenAbstract readEquivalence TrialRandomized Controlled Trial
In one paragraph

Trial report in Clinical trials (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% of its field
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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

8 authors at 5 institutions in 2 countries.

Brett S HanscomStatistical Center for HIV Research and Prevention, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.ORCID 0000-0003-0618-2979
Deborah J DonnellStatistical Center for HIV Research and Prevention, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.ORCID 0000-0002-0587-7480
Thomas R FlemingHans Rosling Center for Population Health, Department of Biostatistics, University of Washington, Seattle, WA, USA.
James P HughesStatistical Center for HIV Research and Prevention, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Marybeth McCauleyFHI 360, Durham, NC, USA.
Beatriz GrinsztejnEvandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Raphael J LandovitzUCLA Center for Clinical AIDS Research and Education, Los Angeles, CA, USA.
Scott S EmersonHans Rosling Center for Population Health, Department of Biostatistics, University of Washington, Seattle, WA, USA.ORCID 0000-0002-2695-0165
University of Washington · USFred Hutch Cancer Center · USAPLA Health · USFamily Health International 360 · USFundação Oswaldo Cruz · BR

Funding

SDMC: HPTN 084 Pregnancy SupplementUM1AI068617 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth Renata Brown, Deborah J Donnell · 2011 to 2026
$204.9M
NIAID NIH HHS UM1 AI068617
6 · The paper itself

Abstract

BACKGROUND/

aimsThe HIV Prevention Trials Network 083 trial was a group-sequential non-inferiority trial designed to compare HIV incidence under a novel experimental regimen for HIV prevention, long-acting injectable cabotegravir, with an active-control regimen of daily oral tenofovir disoproxil fumarate/emtricitabine (brand name Truvada). In March of 2020, just as the trial had completed enrollment, the COVID-19 pandemic threatened to prevent trial participants from attending study visits and obtaining study medication, motivating the study team to update the interim monitoring plan. The Data and Safety Monitoring Board subsequently stopped the trial at the first interim review due to strong early evidence of efficacy.

methodsHere we describe some unique aspects of the trial's design, monitoring, analysis, and interpretation. We illustrate the importance of computing point estimates, confidence intervals, and p values based on the sampling distribution induced by sequential monitoring.

resultsAccurate analysis, decision-making and interpretation of trial results rely on pre-specification of a stopping boundary, including the scale on which the stopping rule will be implemented, the specific test statistics to be calculated, and how the boundary will be adjusted if the available information fraction at interim review is different from planned. After appropriate adjustment for the sampling distribution and overrun, the HIV Prevention Trials Network 083 trial provided strong evidence that the experimental regimen was superior to the active control.

conclusionsFor the HIV Prevention Trials Network 083 trial, the difference between corrected inferential statistics and naive results was quite small-as will often be the case-nevertheless, it is appropriate to report and publish the most accurate and unbiased statistical results.

Indexed as

COVID-19HIV InfectionsClinical Trials Data Monitoring CommitteesHumansPandemicsResearch Designearly stoppingGroup-sequential trialsHPTN 083non-inferiority

Identifiers

PMID36053045
PMCPMC9691580
OpenAlexW4294287319

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.