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等效性/非劣效性试验×顺序/分组顺序试验设计×
领域实验设计实验设计
方法族Hypothesis testHypothesis test
起源年份19871979
提出者Schuirmann, D.J. / EMA regulatory frameworkO'Brien & Fleming; Pocock; Lan & DeMets
类型Parametric equivalence / non-inferiority testAdaptive stopping trial design
开创性文献Schuirmann, D.J. (1987). A Comparison of the Two One-Sided Tests Procedure and the Power Approach. Journal of Pharmacokinetics and Biopharmaceutics, 15(6), 657–680. link ↗O'Brien, P.C. & Fleming, T.R. (1979). A Multiple Testing Procedure for Clinical Trials. Biometrics, 35(3), 549–556. DOI ↗
别名non-inferiority trial, bioequivalence study, active-control trial, Denklik ve Üstünlük Olmayan Çalışma (Equivalence / Non-Inferiority)group sequential design, adaptive stopping design, Ardışık Deneme Tasarımı (Sequential / Group Sequential)
相关63
摘要An equivalence or non-inferiority trial is a clinical study design that tests whether a new intervention is clinically equivalent to, or no worse than, an established standard by a pre-specified margin. Codified in Schuirmann's 1987 Two One-Sided Tests (TOST) framework and embedded in EMA and FDA regulatory guidance, this design is the regulatory standard for generic drug approval and medical device testing.Sequential and group sequential trial designs allow a study to be stopped early — or continued — based on interim analyses conducted as data accumulate. The core framework was formalised by O'Brien and Fleming in 1979 and extended by Lan and DeMets's alpha-spending approach, and it controls the overall Type I error rate across all planned looks by pre-specifying both efficacy and futility boundaries before enrolment begins.
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ScholarGate方法对比: Equivalence / Non-Inferiority Trial · Sequential Design. 于 2026-06-19 检索自 https://scholargate.app/zh/compare