Designing an exploratory phase 2b platform trial in NASH with correlated, co-primary binary endpoints.

Non-alcoholic steatohepatitis (NASH) is the progressive form of nonalcoholic fatty liver disease (NAFLD) and a disease with high unmet medical need. Platform trials provide great benefits for sponsors and trial participants in terms of accelerating drug development programs. In this article, we desc...

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Main Authors: Elias Laurin Meyer, Peter Mesenbrink, Nicholas A Di Prospero, Juan M Pericàs, Ekkehard Glimm, Vlad Ratziu, Elena Sena, Franz König, EU-PEARL NASH Investigators
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0281674&type=printable
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author Elias Laurin Meyer
Peter Mesenbrink
Nicholas A Di Prospero
Juan M Pericàs
Ekkehard Glimm
Vlad Ratziu
Elena Sena
Franz König
EU-PEARL NASH Investigators
author_facet Elias Laurin Meyer
Peter Mesenbrink
Nicholas A Di Prospero
Juan M Pericàs
Ekkehard Glimm
Vlad Ratziu
Elena Sena
Franz König
EU-PEARL NASH Investigators
author_sort Elias Laurin Meyer
collection DOAJ
description Non-alcoholic steatohepatitis (NASH) is the progressive form of nonalcoholic fatty liver disease (NAFLD) and a disease with high unmet medical need. Platform trials provide great benefits for sponsors and trial participants in terms of accelerating drug development programs. In this article, we describe some of the activities of the EU-PEARL consortium (EU Patient-cEntric clinicAl tRial pLatforms) regarding the use of platform trials in NASH, in particular the proposed trial design, decision rules and simulation results. For a set of assumptions, we present the results of a simulation study recently discussed with two health authorities and the learnings from these meetings from a trial design perspective. Since the proposed design uses co-primary binary endpoints, we furthermore discuss the different options and practical considerations for simulating correlated binary endpoints.
format Article
id doaj-art-459636e7038a492385f00e8dbcee2ab5
institution Kabale University
issn 1932-6203
language English
publishDate 2023-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-459636e7038a492385f00e8dbcee2ab52025-02-05T05:32:43ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01183e028167410.1371/journal.pone.0281674Designing an exploratory phase 2b platform trial in NASH with correlated, co-primary binary endpoints.Elias Laurin MeyerPeter MesenbrinkNicholas A Di ProsperoJuan M PericàsEkkehard GlimmVlad RatziuElena SenaFranz KönigEU-PEARL NASH InvestigatorsNon-alcoholic steatohepatitis (NASH) is the progressive form of nonalcoholic fatty liver disease (NAFLD) and a disease with high unmet medical need. Platform trials provide great benefits for sponsors and trial participants in terms of accelerating drug development programs. In this article, we describe some of the activities of the EU-PEARL consortium (EU Patient-cEntric clinicAl tRial pLatforms) regarding the use of platform trials in NASH, in particular the proposed trial design, decision rules and simulation results. For a set of assumptions, we present the results of a simulation study recently discussed with two health authorities and the learnings from these meetings from a trial design perspective. Since the proposed design uses co-primary binary endpoints, we furthermore discuss the different options and practical considerations for simulating correlated binary endpoints.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0281674&type=printable
spellingShingle Elias Laurin Meyer
Peter Mesenbrink
Nicholas A Di Prospero
Juan M Pericàs
Ekkehard Glimm
Vlad Ratziu
Elena Sena
Franz König
EU-PEARL NASH Investigators
Designing an exploratory phase 2b platform trial in NASH with correlated, co-primary binary endpoints.
PLoS ONE
title Designing an exploratory phase 2b platform trial in NASH with correlated, co-primary binary endpoints.
title_full Designing an exploratory phase 2b platform trial in NASH with correlated, co-primary binary endpoints.
title_fullStr Designing an exploratory phase 2b platform trial in NASH with correlated, co-primary binary endpoints.
title_full_unstemmed Designing an exploratory phase 2b platform trial in NASH with correlated, co-primary binary endpoints.
title_short Designing an exploratory phase 2b platform trial in NASH with correlated, co-primary binary endpoints.
title_sort designing an exploratory phase 2b platform trial in nash with correlated co primary binary endpoints
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0281674&type=printable
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