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ISBN 13: 9780387202778
Author: Tomasz Burzykowski, Geert Molenberghs, Marc Buyse
Both humanitarian and commercial considerations have spurred intensive search for methods to reduce the time and cost required to develop new therapies. The identification and use of surrogate endpoints, i.e., measures that can replace or supplement other endpoints in evaluations of experimental treatments or other interventions, is a general strategy that has stimulated both enthusiasm and skepticism. Surrogate endpoints are useful when they can be measured earlier, more conveniently, or more frequently than the "true" endpoints of primary interest. Regulatory agencies around the globe, particularly in the United States, Europe, and Japan, are introducing provisions and policies relating to the use of surrogate endpoints in registration studies. But how can one establish the adequacy of a surrogate? What kind of evidence is needed, and what statistical methods portray that evidence most appropriately?
This book offers a balanced account on this controversial topic. The text presents major developments of the last couple of decades, together with a unified, meta-analytic framework within which surrogates can be evaluated from several angles. Methodological development is coupled with perspectives on various therapeutic areas. Academic views are juxtaposed with standpoints of scientists working in the biopharmaceutical industry as well as of colleagues from the regulatory authorities.
Tomasz Burzykowski is Assistant Professor of Biostatistics at the Limburgs Universitair Centrum in Belgium. Dr. Burzykowski has published methodological work on the analysis of survey data, meta-analyses of clinical trials, and validation of surrogate endpoints. He is a co-author of numerous papers applying statistical methods to clinical data in different disease areas (cancer, cardiovascular diseases, dermatology, orthodontics).
Geert Molenberghs is Professor of Biostatistics at the Limburgs Universitair Centrum in Belgium. Dr. Molenberghs published methodological work on surrogate markers in clinical trials, categorical data, longitudinal data analysis, and on the analysis of non-response in clinical and epidemiological studies. He serves as Joint Editor for Applied Statistics (2001-2004) and is President of the International Biometric Society (2004-2005). He was elected Fellow of the American Statistical Association and received the Guy Medal in Bronze from the Royal Statistical Society.
Marc Buyse founded the International Drug Development Institute in 1991. He is Past President of the International Society for Clinical Biostatistics, Past President of the Quetelet Society, and Past Board Member of the Society for Clinical Trials. He is currently the Executive Director of IDDI (International Drug Development Institute) and Associate Professor of biostatistics at the Limburgs Universitair Centrum, Center for Statistics, Diepenbeek, Belgium. He has published extensively in the fields of biostatistics and oncology. His research interests include meta-analysis, surrogate endpoints, statistical detection of fraud, and the design and statistical analysis of clinical trials.
Part I: Introduction and Fundamentals
Chapter 1: Introduction to Surrogate Endpoints
Chapter 2: Statistical Preliminaries and Notations
Part II: Conceptual and Statistical Frameworks for Surrogate Endpoint Evaluation
Chapter 3: The Prentice Criteria and Beyond
Chapter 4: Individual-Level and Trial-Level Surrogacy
Chapter 5: Information-Theoretic Approaches to Surrogacy
Chapter 6: Causal Inference Frameworks for Surrogacy
Part III: Statistical Methods for Surrogate Endpoint Evaluation
Chapter 7: Methods for Continuous Surrogate and True Endpoints
Chapter 8: Methods for Binary Surrogate and True Endpoints
Chapter 9: Methods for Time-to-Event Surrogate and True Endpoints
Chapter 10: Meta-Analytic Approaches to Surrogate Endpoint Evaluation
Part IV: Practical Considerations and Applications
Chapter 11: Design of Trials Using Surrogate Endpoints
Chapter 12: Specific Applications and Case Studies
Chapter 13: Challenges, Limitations, and Future Directions
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Tags: Tomasz Burzykowski, Geert Molenberghs, Marc Buyse, Evaluation, Surrogate