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Title: On Biostatistics and Clinical Trials

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In the era of highly effective therapies for may diseases, clinical researchers are increasingly encountering a "good" problem in the time to event analyses: the Kaplan-Meier survival curves are flattening out well above the 50% mark. While this represents a triumph for patient outcomes, it creates a headache for statistical reporting. When the event rate is low (below 50%), ...

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When trials don’t use a traditional control — What the FDA guidance says

In the usual drug-development pathway, regulators expect a trial where patients are randomly assigned either to receive the investigational drug or a comparator (placebo or active treatment). This randomized-controlled-trial (RCT) design is the “gold standar...

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FDA created a new voucher program called "Commissioner's National Priority Voucher (CNPV) Pilot Program" to href="https://www.fda.gov/industry/commissioners-national-priority-voucher-cnpv-pilot-program" target="_blank" rel="noopener...

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N-of-1 clinical trial is often mentioned as one of the approaches to address the challenging issues in orphan drug development. at one point, FDA rolled out more guidance on 'N of 1' gene therapies including the guidance on "Individualized Antisense Oligonucleotide Drug Products fo...

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In a previous post, I discussed steroid tapering design clinical trials. In these trials, the primary efficacy endpoint is the reduction in steroid dose. Eff...

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