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Table 2 Median values [95% range] in 10,000 simulated trials of median progression-sree survival (PFS), hazard ratio, number of events and analysis time (in months), and power for the fictitious trial of Scenario 1 (N = 500 patients; target = 331 events), with 6-month shutdown periods occurring at various times

From: The case against censoring of progression-free survival in cancer clinical trials – A pandemic shutdown as an illustration

Shut-down period

Parameter

Treatment policy strategy

Hypothetical strategy

Hypothetical strategy, delayed analysis

Interval censoring

6 to 12 months

Median PFS,

control

13.0 [11.8–16.0]

14.0 [12.0–18.0]

14.0 [12.0–18.0]

Low: 11.0 [8.0–14.0]

High: 13.0 [11.8–16.0]

 

Median PFS, experimental

18.0 [16.0–22.0]

20.0 [18.0–24.0]

20.0 [18.0–24.0]

Low: 16.0 [14.0–18.0]

High: 18.0 [16.0–22.0]

 

Hazard ratio

0.70 [0.56–0.87]

0.70 [0.55–0.88]

0.70 [0.56–0.88]

0.70 [0.56–0.87]

 

Power

89.7%

86.3%

90.0%

89.0%

 

Number of events

331 [331–331]

289 [277–301]

331 [331–331]

331 [331–331]

 

Analysis time

35.3 [32.9–37.9]

41.3 [38.0–44.9]

35.3 [32.9–37.9]

12 to 18 months

Median PFS,

control

14.0 [12.0–16.0]

18.0 [16.0–22.0]

18.0 [16.0–22.0]

Low: 10.0 [7.0–12.0]

High: 14.0 [12.0–16.0]

 

Median PFS, experimental

18.0 [16.0–22.0]

24.0 [20.0–28.0]

119 median estimates not reached

24.0 [20.0–28.0]

Low: 16.0 [12.0–20.0]

High: 18.0 [16.0–22.0]

 

Hazard ratio

0.70 [0.56–0.87]

0.69 [0.53–0.90]

0.69 [0.56–0.86]

0.70 [0.56–0.87]

 

Power

89.7%

78.5%

90.9%

89.4%

 

Number of events

331 [331–331]

225 [207–243]

331 [331–331]

331 [331–331]

 

Analysis time

30.9 [28.4–33.6]

51.8 [45.7–60.8]

30.9 [28.4–33.6]

18 to 24 months

Median PFS,

control

14.8 [13.1–16.9]

18.0 [14.0–20.0]

18.0 [14.0–20.0]

Low: 8.0 [8.0–11.0]

High: 14.8 [ 13.1– 16.9]

 

Median PFS, experimental

19.4 [16.7–22.0]

24.0 [20.0–28.0]

162 median estimates not reached

24.0 [20.0–28.0]

Low: 14.0 [11.0–18.0 ]

High: 19.7 [16.8–22.0]

 

Hazard ratio

0.70 [0.56–0.87]

0.70 [0.54–0.89]

0.70 [0.56–0.87]

0.70 [0.56–0.87]

 

Power

89.7%

81.4%

90.4%

89.4%

 

Number of events

331 [331–331]

253 [236–268]

331 [331–331]

331 [331–331]

 

Analysis time

30.9 [28.4–33.6]

44.1 [39.7–49.5]

30.9 [28.4–33.6]

24 to 30 months

Median PFS,

control

13.0 [11.0–16.0]

13.0 [11.0–16.0]

13.0 [11.0–16.0]

Low: 11.0 [9.0–12.0]

High: 13.0 [11.0–16.0]

 

Median PFS, experimental

19.0 [16.0–22.5]

20.0 [16.0–28.0]

238 median estimates not reached

22.0 [16.0–26.0]

Low: 12.0 [12.0–16.0]

High: 20.0 [16.0- 23.7]

 

Hazard ratio

0.71 [0.57–0.89]

0.70 [0.55–0.88]

0.70 [0.56–0.86]

0.69 [0.55–0.87]

 

Power

86.5%

83.8%

90.6%

89.0%

 

Number of events

331 [331–331]

274 [260–288]

331 [331–331]

331 [331–331]

 

Analysis time

30.9 [30.0–33.6]

39.8 [36.2–44.1]

30.9 [28.4–33.6]