IDIX – Proposed NM283 phase-3 trial design
>I really don't think it is going to come down to a non-inferiority trial.<
Let me label the arms and specify the endpoints in my hypothetical design. There are three arms as follows, each with treatment for 48 weeks:
a) NM283 + peg-interferon
b) NM283 + peg-interferon + ribavirin
c) Peg-interferon + ribavirin (Standard of Care)
The primary endpoint is SVR, defined as PCR-negativity 24 weeks after the end of treatment. The alpha (aggregate available p-value) for the trial is split into three components:
1. Superiority of arm a) vs arm c);
2. Superiority of arm b) vs arm c); and
3. Non-inferiority of arm a) vs arm b).
I hope this clarifies what I am talking about. Regards, Dew
p.s. I agree with your musings about viral resistance.
“The efficient-market hypothesis may be
the foremost piece of B.S. ever promulgated
in any area of human knowledge!”