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Table 3 Probability of rejecting the null hypothesis at two sided 0.05 level (n = 500 subjects per arm) in simulation study II

From: Evaluating antimalarial efficacy in single-armed and comparative drug trials using competing risk survival analysis: a simulation study

Scenario

True effect size from which data was simulated a

Median observed proportions of RC and NI in drug A b

Median observed proportions of RC and NI in drug B b

Rejection probability from 1000 simulation runs (10,000 simulation runs)

1. Drug B has same effect on RC as Drug A

   

Log-rank test

Gray’s k-sample test

 A. Drug B has same effect on NI

HRrc = 1.00, HRni = 1.00

2.5% RC; 21.4% NI

2.5% RC; 21.4% NI

0.047 (0.045)

0.0470 (0.045)

 B. Drug B Increases NI

HRrc = 1.00, HRni = 2.72

2.5% RC; 21.4% NI

1.9% RC; 38.6% NI

0.052 (0.048)

0.119 (0.125)

 C. Drug B Decreases NI

HRrc = 1.00, HRni = 0.37

2.5% RC; 21.4% NI

2.8% RC; 9.4% NI

0.045 (0.047)

0.062 (0.062)

2.Drug B has same effect on NI as Drug A

 A. Drug B increases RC

HRrc = 2.72, HRni = 1.00

2.5% RC; 21.4% NI

6.5% RC; 20.0% NI

0.991 (0.996)

0.995 (0.996)

 B. Drug B decreases RC

HRrc = 0.37, HRni = 1.00

2.5% RC; 21.4% NI

0.9% RC; 22.0% NI

0.801 (0.797)

0.804 (0.797)

3. Drug B has different effect on both RC and NI relative to Drug A

 A. Drug B increases RC and increases NI

HRrc = 2.72, HRni = 2.72

2.5% RC; 21.4% NI

5.1% RC; 36.3% NI

0.991 (0.990)

0.897 (0.896)

 B. Drug B increases RC and decreases NI

HRrc = 2.72, HRni = 0.37

2.5% RC; 21.4% NI

7.2% RC; 8.7% NI

0.996 (0.723)

0.999 (1.000)

 C. Drug B decreases RC and increases NI

HRrc = 0.37, HRni = 2.72

2.5% RC; 21.4% NI

0.7% RC; 39.5% NI

0.714 (0.723)

0.903 (0.910)

 D. Drug B decreases RC and decreases NI

HRrc = 0.37, HRni = 0.37

2.5% RC; 21.4% NI

1.0% RC; 9.6% NI

0.828 (0.820)

0.713 (0.718)

  1. aHazard ratio for recrudescence and new infections derived as the ratio of the respective cause-specific hazard function (Fig. 5.6)
  2. HRrc Hazard ratio for recrudescence for drug B relative to drug A
  3. HRni Hazard ratio for new infection for drug B relative to drug A
  4. bmedian observed proportion from 1000 simulation runs
  5. RC Recrudescence, NI New infection