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DESCRIPTION:Determining the appropriate sample size is an important part of
  good clinical trial design. When there is uncertainty about some of the d
 esign parameters (e.g. variability\, control rate\, model parameters)\, it
  can be challenging to determine up front the number of subjects required 
 for robust evaluation of the study objectives. The aim of this PSI one day
  meeting is to present an overview of available methods for sample size re
 -estimation together with several case studies where such methods have bee
 n used in late phase clinical trials.&nbsp\; There will be plenty of oppor
 tunity for discussion and interaction with other statisticians working in 
 this area.&nbsp\;  Registration is now closed. &nbsp\;Please contact the s
 ecretariat if you wish to inquire.&nbsp\;    Time &nbsp\;Session &nbsp\;Pr
 esentation   &nbsp\;9.30 - 9.55  &nbsp\;Registration&nbsp\;  &nbsp\;   &nb
 sp\;9.55 - 10.00  &nbsp\;Welcome and Introduction  &nbsp\;   &nbsp\;10.00 
 - 10.45 &nbsp\;Sample Size Re-estimation in Clinical Trials  &nbsp\;Chris 
 Jennison Presentation   &nbsp\; &nbsp\;Prof Chris Jennison : University of
  Bath  &nbsp\;   &nbsp\;10.45 - 11.30   Sample Size Re-Estimation &ndash\;
  Some random observations  &nbsp\;Simon Day Presentation   &nbsp\; &nbsp\;
 Simon Day: Clinical Trials Consulting &amp\;Training Limited  &nbsp\;   &n
 bsp\;11.30 &ndash\; 12.15  &nbsp\;Blinded sample-size re-estimation in mul
 tiple sclerosis clinical trials  &nbsp\;Heinz Schmidli Presentation   &nbs
 p\; &nbsp\;Heinz Schmidli: Novartis  &nbsp\;   &nbsp\;12.15 &ndash\; 1.15 
  &nbsp\;Lunch  &nbsp\;   &nbsp\;1.15 &ndash\; 2.00  &nbsp\;Do we need more
  patients?&nbsp\; Your statistics should be correct.&nbsp\; Make sure you 
 communicate effectively!  &nbsp\;Mike Greenwood Presentation   &nbsp\; &nb
 sp\;Mike Greenwood : AstraZeneca&nbsp\;  &nbsp\;   &nbsp\;2.00 &ndash\; 2.
 45  &nbsp\;An experience in implementing the Promising Zone sample size re
 -estimation methodology in a phase 3 oncology study  &nbsp\;Nikhil Chauhan
  Presentation   &nbsp\; &nbsp\;Nikhil Chauhan: BTG International Ltd  &nbs
 p\;   &nbsp\;2.45- 3.00  &nbsp\;Coffee  &nbsp\;   &nbsp\;3.00 &ndash\; 3.4
 5  &nbsp\;Blinded sample size re-estimation in a Phase III study investiga
 ting Progression Free Survival  &nbsp\;David Morgan\,  Nilani Liyanage\,  
 Alison Langley Presentation   &nbsp\; David Morgan: Pharmaceutical Medicin
 e Group\, King&rsquo\;s College London Nilani Liyanage: Ipsen Alison Langl
 ey: Independent Consultant  &nbsp\;   &nbsp\;3.45-4.30  &nbsp\;Sample Size
  Re-estimation&nbsp\;: &laquo\;&nbsp\;De-risking&nbsp\;&raquo\; a crucial 
 stage of clinical development  &nbsp\;Benjamin Esterni Presentation   &nbs
 p\; &nbsp\;Pantelis Vlachos: Cytel  &nbsp\;   &nbsp\;4.30-4.45  &nbsp\;Clo
 se  &nbsp\;    &nbsp\;    &nbsp\;Speaker &nbsp\;Title &nbsp\;Abstracts   \
 n            Prof Chris Jennison\n            University of Bath  Sample S
 ize Re-estimation in Clinical Trials There are two distinct reasons for sa
 mple size re-estimation in clinical trials: the first is to maintain power
  when trial data indicate the response variance has been under-estimated\;
  the second is to adapt to interim estimates of the treatment effect. I sh
 all explain how a combination test can be used to ensure rigorous protecti
 on of the type I error rate when sample size is adapted in the light of ob
 served data. I shall describe methods for increasing sample size to mainta
 in power when response variance is higher than expected\, based on either 
 blinded or unblended variance estimates. I shall discuss the relationship 
 between trial designs that adjust sample size in response to the estimated
  treatment effect and group sequential designs\, which start with a higher
  maximum sample size but stop early when the data support such a decision.
  In particular\, I shall describe the &ldquo\;promising zone&rdquo\; appro
 ach of Mehta and Pocock (Statistics in Medicine\, 2011) and show how to mo
 dify this procedure in order reduce the average sample size and achieve si
 milar performance to an efficient group sequential design.&nbsp\;    \n   
          Simon Day\n            Clinical Trials Consulting &amp\;Training 
 Ltd  Sample Size Re-Estimation &ndash\; Some random observations I was an 
 author on one of the very early papers on sample size re-estimation (Birke
 tt and Day\, Stats in Med\, 1994\; 13: 2455&ndash\;2463) and have since fo
 llowed the field with much interest\, some despair\, and more than a littl
 e exasperation.This talk will illustrate some of these facets &ndash\; mos
 tly based around such methods used in a regulatory context.&nbsp\; Several
  personal experiences will be included (particularly the ones that went wr
 ong) as well as some of the approaches and myths I see in my regular consu
 lting work.&nbsp\; What&rsquo\;s &ldquo\;allowed&rdquo\; and what&rsquo\;s
  not?&nbsp\; What makes sense and what doesn&rsquo\;t?   \n            Hei
 nz Schmidli\n            Novartis  Blinded sample-size re-estimation in mu
 ltiple sclerosis clinical trials Multiple sclerosis (MS) is a progressive\
 , degenerative disease. MS is the most common disorder of the CNS in adult
 s\, affecting up to 2.5 million people worldwide. Clinical trials in MS us
 e count\, recurrent event and time-to-event primary endpoints. Methodology
  for blinded sample size re-estimation with such endpoints is briefly revi
 ewed. A case study illustrates how to implement blinded sample size re-est
 imation in a confirmatory MS trial.   \n            Mike Greenwood\, Astra
 Zeneca Do we need more patients?&nbsp\; Your statistics should be correct.
 &nbsp\; Make sure you communicate effectively! &nbsp\;We performed a blind
 ed estimation of the pooled exacerbation rate and shape parameter from a n
 egative binomial model in a COPD exacerbation study.&nbsp\; This talk will
  briefly cover the statistics\, the practical aspects and focus on the imp
 ortance of clear (and understandable to non-statisticians) communication o
 f the results and their implications    \n            Nikhil Chauhan\, BTG
  International Ltd An experience in implementing the Promising Zone sample
  size re-estimation methodology (Mehta and Pocock\, 2011) in a phase 3 onc
 ology study I will share my experience in implementing the Promising Zone 
 sample size re-estimation methodology (Mehta and Pocock\, 2011) in a phase
  3 oncology study for the purposes of obtaining a US FDA marketing approva
 l. I will outline how we decided on using this study design\, how the samp
 le size calculation was performed\, and how the promising zone boundaries 
 were set.&nbsp\; I will also share our experience in demonstrating the acc
 eptability of the study design to FDA\, in terms of showing control of Typ
 e I error. Reference: Mehta\, CR and Pocock\, SJ (2011)\, Adaptive increas
 e in sample size when interim results are promising: A practical guide wit
 h examples. Statist. Med.\, 30: 3267&ndash\;3284. doi: 10.1002/sim.4102   
 \n            David Morgan (King&rsquo\;s College London)\, \n            
 Nilani Liyanage (Ipsen)\, \n            Alison Langley\, (Independent Cons
 ultant)  Blinded sample size re-estimation in a Phase III study investigat
 ing Progression Free Survival The CLARINET study investigated the effect o
 f lanreotide compared to placebo in the treatment of metastatic enteropanc
 reatic neuroendocrine tumours with progression free survival as primary en
 dpoint.&nbsp\; We will describe the design of the study\, the justificatio
 n for the blinded sample-size re-estimation and some practical aspects of 
 carrying out that decision\, including communication within the company\, 
 with the DSMB and with regulatory authorities.   \n            Pantelis Vl
 achos\n            Cytel  Sample Size Re-estimation&nbsp\;: &laquo\;&nbsp\
 ;De-risking&nbsp\;&raquo\; a crucial stage of clinical development Develop
 ing cancer treatments is a high-stakes endeavor &ndash\; especially for em
 erging biotechs and specialty pharmas with limited portfolios. Conventiona
 l phase 3 trial designs are &ldquo\;all or nothing&rdquo\; propositions an
 d well over 50% of these pivotal studies end in failure. Unlike convention
 al studies\, adaptive approaches allow beneficial design changes following
  interim analysis (IA).&nbsp\; A Sample Size Re-estimation design allows s
 election of the strategy most likely to succeed. We present a case study o
 f such an adaptive approach used to both effectively &ldquo\;de-risk&rdquo
 \; the final clinical stage as well as be accepted by FDA reviewers based 
 on the concept of the &ldquo\;Promising Zone&rdquo\;. &nbsp\;Rather than c
 ommitting to a larger sample size up front\, the decision is deferred unti
 l the clinical evidence justifies cost of added subjects. The strategy pro
 vided the confidence company leaders &ndash\; and investors &ndash\; neede
 d to launch the final development effort toward approval.     &nbsp\;     
 Registration&nbsp\;   Early Bird Rate (until 14th October 2016)   After 14
 th October 2016     PSI Member   &pound\;120 + VAT   &pound\;160 + VAT    
  Non-Member   &pound\;160 + VAT   &pound\;220 + VAT     Academic   &pound\
 ;60 + VAT   &pound\;90 + VAT      Registration closes on 26th October 2016
  \nPlease contact the PSI secretariat on psi@mci-group.com&nbsp\;if you ha
 ve any queries.&nbsp\; \nRegistration&nbsp\;is now closed. &nbsp\;Please c
 ontact the secretariat if you wish to inquire.
DTEND:20161102T164500Z
DTSTAMP:20260812T023105Z
DTSTART:20161102T093000Z
LOCATION:
SEQUENCE:0
SUMMARY:PSI One Day Meeting: Sample Size Re-estimation – dealing with those
  known unknowns!
UID:RFCALITEM639220986653807544
X-ALT-DESC;FMTTYPE=text/html:<p>Determining the appropriate sample size is 
 an important part of good clinical trial design. When there is uncertainty
  about some of the design parameters (e.g. variability\, control rate\, mo
 del parameters)\, it can be challenging to determine up front the number o
 f subjects required for robust evaluation of the study objectives. The aim
  of this PSI one day meeting is to present an overview of available method
 s for sample size re-estimation together with several case studies where s
 uch methods have been used in late phase clinical trials.&nbsp\; There wil
 l be plenty of opportunity for discussion and interaction with other stati
 sticians working in this area.&nbsp\;<br /> <a href="https://members.psiwe
 b.org/iCore/Events/Event_Display.aspx?EventKey=S1604&amp\;WebsiteKey=f9ea4
 a39-cfd9-4a75-bbec-782dbdba50d0"><br /> </a>Registration is now closed. &n
 bsp\;Please contact the secretariat if you wish to inquire.&nbsp\;</p> <ta
 ble class="PSI-default-table"> <tbody> <tr class="PSI-default-tableTableHe
 aderRow"> <td class="PSI-default-tableTableHeaderFirstCol">Time</td> <td c
 lass="PSI-default-tableTableHeaderLastCol">&nbsp\;Session</td> <td class="
 PSI-default-tableTableHeaderLastCol">&nbsp\;Presentation</td> </tr> <tr cl
 ass="PSI-default-tableTableOddRow"> <td class="PSI-default-tableTableFirst
 Col">&nbsp\;9.30 - 9.55<br /> </td> <td class="PSI-default-tableTableLastC
 ol">&nbsp\;Registration&nbsp\;<br /> </td> <td class="PSI-default-tableTab
 leLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-tableTableEvenRow"> <
 td class="PSI-default-tableTableFirstCol">&nbsp\;9.55 - 10.00<br /> </td> 
 <td class="PSI-default-tableTableLastCol">&nbsp\;Welcome and Introduction<
 br /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;</td> </tr> <
 tr class="PSI-default-tableTableOddRow"> <td class="PSI-default-tableTable
 FirstCol">&nbsp\;10.00 - 10.45</td> <td class="PSI-default-tableTableLastC
 ol">&nbsp\;Sample Size Re-estimation in Clinical Trials<br /> </td> <td cl
 ass="PSI-default-tableTableLastCol">&nbsp\;<a href="https://www.psiweb.org
 /docs/default-source/default-document-library/1_cj_psi_slides-final.pdf?sf
 vrsn=c9aad2db_0&sf_site_temp=true&sf_site=00000000-0000-0000-0000-00000000
 0000" title="Chris Jennison Presentation">Chris Jennison Presentation</a><
 /td> </tr> <tr class="PSI-default-tableTableEvenRow"> <td class="PSI-defau
 lt-tableTableFirstCol">&nbsp\;</td> <td class="PSI-default-tableTableLastC
 ol">&nbsp\;Prof Chris Jennison : University of Bath<br /> </td> <td class=
 "PSI-default-tableTableLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-
 tableTableOddRow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;10.45
  - 11.30<br /> </td> <td class="PSI-default-tableTableLastCol"> <p>Sample 
 Size Re-Estimation &ndash\; Some random observations</p> </td> <td class="
 PSI-default-tableTableLastCol">&nbsp\;<a href="https://www.psiweb.org/docs
 /default-source/default-document-library/2_internal-pilots.pptx?sfvrsn=c7a
 ad2db_0&sf_site_temp=true&sf_site=00000000-0000-0000-0000-000000000000" ti
 tle="2_Internal Pilots">Simon Day Presentation</a></td> </tr> <tr class="P
 SI-default-tableTableEvenRow"> <td class="PSI-default-tableTableFirstCol">
 &nbsp\;</td> <td class="PSI-default-tableTableLastCol">&nbsp\;Simon Day: C
 linical Trials Consulting &amp\;Training Limited<br /> </td> <td class="PS
 I-default-tableTableLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-tab
 leTableOddRow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;11.30 &n
 dash\; 12.15<br /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;
 Blinded sample-size re-estimation in multiple sclerosis clinical trials<br
  /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;<a href="https:
 //www.psiweb.org/docs/default-source/default-document-library/3_schmidli-2
 016-psi-ssr.pdf?sfvrsn=3dadd2db_0&sf_site_temp=true&sf_site=00000000-0000-
 0000-0000-000000000000" title="3_Schmidli 2016 PSI SSR">Heinz Schmidli Pre
 sentation</a></td> </tr> <tr class="PSI-default-tableTableEvenRow"> <td cl
 ass="PSI-default-tableTableFirstCol">&nbsp\;</td> <td class="PSI-default-t
 ableTableLastCol">&nbsp\;Heinz Schmidli: Novartis<br /> </td> <td class="P
 SI-default-tableTableLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-ta
 bleTableOddRow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;12.15 &
 ndash\; 1.15<br /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;
 Lunch<br /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;</td> <
 /tr> <tr class="PSI-default-tableTableEvenRow"> <td class="PSI-default-tab
 leTableFirstCol">&nbsp\;<em>1.15 &ndash\; 2.00</em><br /> </td> <td class=
 "PSI-default-tableTableLastCol">&nbsp\;Do we need more patients?&nbsp\; Yo
 ur statistics should be correct.&nbsp\; Make sure you communicate effectiv
 ely!<br /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;<a href=
 "https://www.psiweb.org/docs/default-source/default-document-library/4_bss
 r-az-copd-experiences_final.pptx?sfvrsn=d3aad2db_0&sf_site_temp=true&sf_si
 te=00000000-0000-0000-0000-000000000000" title="Mike Greenwood">Mike Green
 wood Presentation</a></td> </tr> <tr class="PSI-default-tableTableOddRow">
  <td class="PSI-default-tableTableFirstCol">&nbsp\;</td> <td class="PSI-de
 fault-tableTableLastCol">&nbsp\;Mike Greenwood : AstraZeneca&nbsp\;<br /> 
 </td> <td class="PSI-default-tableTableLastCol">&nbsp\;</td> </tr> <tr cla
 ss="PSI-default-tableTableEvenRow"> <td class="PSI-default-tableTableFirst
 Col">&nbsp\;2.00 &ndash\; 2.45<br /> </td> <td class="PSI-default-tableTab
 leLastCol">&nbsp\;An experience in implementing the Promising Zone sample 
 size re-estimation methodology in a phase 3 oncology study<br /> </td> <td
  class="PSI-default-tableTableLastCol">&nbsp\;<a href="https://www.psiweb.
 org/docs/default-source/default-document-library/5_n-chauhan-psi-presentat
 ion-02nov2016-final-2.pdf?sfvrsn=e5aad2db_0&sf_site_temp=true&sf_site=0000
 0000-0000-0000-0000-000000000000" title="Nikhil Chauhan Presentation">Nikh
 il Chauhan Presentation</a></td> </tr> <tr class="PSI-default-tableTableOd
 dRow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;</td> <td class="
 PSI-default-tableTableLastCol">&nbsp\;Nikhil Chauhan: BTG International Lt
 d<br /> </td> <td class="PSI-default-tableTableLastCol">&nbsp\;</td> </tr>
  <tr class="PSI-default-tableTableEvenRow"> <td class="PSI-default-tableTa
 bleFirstCol">&nbsp\;2.45- 3.00<br /> </td> <td class="PSI-default-tableTab
 leLastCol">&nbsp\;Coffee<br /> </td> <td class="PSI-default-tableTableLast
 Col">&nbsp\;</td> </tr> <tr class="PSI-default-tableTableOddRow"> <td clas
 s="PSI-default-tableTableFirstCol">&nbsp\;3.00 &ndash\; 3.45<br /> </td> <
 td class="PSI-default-tableTableLastCol">&nbsp\;Blinded sample size re-est
 imation in a Phase III study investigating Progression Free Survival<br />
  </td> <td class="PSI-default-tableTableLastCol">&nbsp\;<a href="https://w
 ww.psiweb.org/docs/default-source/default-document-library/6_psi-ssre-meet
 ing-clarinet-presentation-161102.pptx?sfvrsn=efaad2db_0&sf_site_temp=true&
 sf_site=00000000-0000-0000-0000-000000000000" title="David Morgan\,  Nilan
 i Liyanage\,  Alison Langley Presentation">David Morgan\,  Nilani Liyanage
 \,  Alison Langley Presentation</a></td> </tr> <tr class="PSI-default-tabl
 eTableEvenRow"> <td class="PSI-default-tableTableFirstCol">&nbsp\;</td> <t
 d class="PSI-default-tableTableLastCol"><span style="line-height: 1.5\; fo
 nt-size: 10pt\;">David Morgan: Pharmaceutical Medicine Group\, King&rsquo\
 ;s College London</span> <p><span style="line-height: 1.5\; font-size: 10p
 t\;">Nilani Liyanage: Ipsen<br /> </span><span style="font-size: 10pt\; li
 ne-height: 1.5\;">Alison Langley: Independent Consultant</span></p> </td> 
 <td class="PSI-default-tableTableLastCol">&nbsp\;</td> </tr> <tr class="PS
 I-default-tableTableOddRow"> <td class="PSI-default-tableTableFirstCol">&n
 bsp\;3.45-4.30<br /> </td> <td class="PSI-default-tableTableLastCol">&nbsp
 \;Sample Size Re-estimation&nbsp\;: &laquo\;&nbsp\;De-risking&nbsp\;&raquo
 \; a crucial stage of clinical development<br /> </td> <td class="PSI-defa
 ult-tableTableLastCol">&nbsp\;<a href="https://www.psiweb.org/docs/default
 -source/default-document-library/7_b-esterni---psi---2016-11.pdf?sfvrsn=f1
 aad2db_0&sf_site_temp=true&sf_site=00000000-0000-0000-0000-000000000000" t
 itle="Benjamin Esterni Presentation">Benjamin Esterni Presentation</a></td
 > </tr> <tr class="PSI-default-tableTableEvenRow"> <td class="PSI-default-
 tableTableFirstCol">&nbsp\;</td> <td class="PSI-default-tableTableLastCol"
 >&nbsp\;Pantelis Vlachos: Cytel<br /> </td> <td class="PSI-default-tableTa
 bleLastCol">&nbsp\;</td> </tr> <tr class="PSI-default-tableTableOddRow"> <
 td class="PSI-default-tableTableFirstCol">&nbsp\;4.30-4.45<br /> </td> <td
  class="PSI-default-tableTableLastCol">&nbsp\;Close<br /> </td> <td class=
 "PSI-default-tableTableLastCol">&nbsp\;</td> </tr> </tbody> </table> <p>&n
 bsp\;</p> <table class="PSI-default-table"> <tbody> <tr class="PSI-default
 -tableTableHeaderRow"> <td class="PSI-default-tableTableHeaderFirstCol">&n
 bsp\;Speaker</td> <td class="PSI-default-tableTableHeaderOddCol">&nbsp\;Ti
 tle</td> <td class="PSI-default-tableTableHeaderEvenCol">&nbsp\;Abstracts<
 /td> </tr> <tr class="PSI-default-tableTableOddRow"> <td class="PSI-defaul
 t-tableTableFirstCol"><span style="line-height: 1.5\; font-size: 10pt\;"><
 span data-sfref="[images|OpenAccessDataProvider]1107b7ff-3ad6-65b3-a176-ff
 00001f6b97" class="sfImageWrapper"><img src="https://www.psiweb.org/images
 /default-source/default-album/chris-jennison.jpg?sfvrsn=cfd1d2db_0&sf_site
 _temp=true&sf_site=00000000-0000-0000-0000-000000000000" displaymode="Orig
 inal" alt="Chris Jennison" title="Chris Jennison" /></span><br />\n       
      Prof Chris Jennison</span><br />\n            University of Bath<br /
 > </td> <td class="PSI-default-tableTableOddCol"><strong style="line-heigh
 t: 1.5\; font-size: 10pt\;">Sample Size Re-estimation in Clinical Trials</
 strong></td> <td class="PSI-default-tableTableEvenCol">There are two disti
 nct reasons for sample size re-estimation in clinical trials: the first is
  to maintain power when trial data indicate the response variance has been
  under-estimated\; the second is to adapt to interim estimates of the trea
 tment effect. I shall explain how a combination test can be used to ensure
  rigorous protection of the type I error rate when sample size is adapted 
 in the light of observed data. I shall describe methods for increasing sam
 ple size to maintain power when response variance is higher than expected\
 , based on either blinded or unblended variance estimates. I shall discuss
  the relationship between trial designs that adjust sample size in respons
 e to the estimated treatment effect and group sequential designs\, which s
 tart with a higher maximum sample size but stop early when the data suppor
 t such a decision. In particular\, I shall describe the &ldquo\;promising 
 zone&rdquo\; approach of Mehta and Pocock (Statistics in Medicine\, 2011) 
 and show how to modify this procedure in order reduce the average sample s
 ize and achieve similar performance to an efficient group sequential desig
 n.&nbsp\;<br /> </td> </tr> <tr class="PSI-default-tableTableEvenRow"> <td
  class="PSI-default-tableTableFirstCol"><span style="line-height: 1.5\; fo
 nt-size: 10pt\;"><span data-sfref="[images|OpenAccessDataProvider]1f07b7ff
 -3ad6-65b3-a176-ff00001f6b97" class="sfImageWrapper"><img src="https://www
 .psiweb.org/images/default-source/default-album/simon-day.jpg?sfvrsn=ddd1d
 2db_0&sf_site_temp=true&sf_site=00000000-0000-0000-0000-000000000000" disp
 laymode="Original" alt="Simon Day" title="Simon Day" /></span><br />\n    
         Simon Day</span><br />\n            Clinical Trials Consulting &am
 p\;Training Ltd<br /> </td> <td class="PSI-default-tableTableOddCol"><stro
 ng style="line-height: 1.5\; font-size: 10pt\;">Sample Size Re-Estimation 
 &ndash\; Some random observations</strong></td> <td class="PSI-default-tab
 leTableEvenCol"><span style="line-height: 1.5\; font-size: 10pt\;">I was a
 n author on one of the very early papers on sample size re-estimation (Bir
 kett and Day\, Stats in Med\, 1994\; 13: 2455&ndash\;2463) and have since 
 followed the field with much interest\, some despair\, and more than a lit
 tle exasperation.This talk will illustrate some of these facets &ndash\; m
 ostly based around such methods used in a regulatory context.&nbsp\; Sever
 al personal experiences will be included (particularly the ones that went 
 wrong) as well as some of the approaches and myths I see in my regular con
 sulting work.&nbsp\; What&rsquo\;s &ldquo\;allowed&rdquo\; and what&rsquo\
 ;s not?&nbsp\; What makes sense and what doesn&rsquo\;t?</span></td> </tr>
  <tr class="PSI-default-tableTableOddRow"> <td class="PSI-default-tableTab
 leFirstCol"><span style="line-height: 1.5\; font-size: 10pt\;"><span data-
 sfref="[images|OpenAccessDataProvider]2d07b7ff-3ad6-65b3-a176-ff00001f6b97
 " class="sfImageWrapper"><img src="https://www.psiweb.org/images/default-s
 ource/default-album/heinz-schmidli.jpg?sfvrsn=e3d1d2db_0&sf_site_temp=true
 &sf_site=00000000-0000-0000-0000-000000000000" displaymode="Original" alt=
 "Heinz Schmidli" title="Heinz Schmidli" /></span><br />\n            Heinz
  Schmidli</span><br />\n            Novartis<br /> </td> <td class="PSI-de
 fault-tableTableOddCol"><strong style="line-height: 1.5\; font-size: 10pt\
 ;">Blinded sample-size re-estimation in multiple sclerosis clinical trials
 </strong></td> <td class="PSI-default-tableTableEvenCol"><span style="line
 -height: 1.5\; font-size: 10pt\;">Multiple sclerosis (MS) is a progressive
 \, degenerative disease. MS is the most common disorder of the CNS in adul
 ts\, affecting up to 2.5 million people worldwide. Clinical trials in MS u
 se count\, recurrent event and time-to-event primary endpoints. Methodolog
 y for blinded sample size re-estimation with such endpoints is briefly rev
 iewed. A case study illustrates how to implement blinded sample size re-es
 timation in a confirmatory MS trial.</span></td> </tr> <tr class="PSI-defa
 ult-tableTableEvenRow"> <td class="PSI-default-tableTableFirstCol"><span s
 tyle="line-height: 1.5\; font-size: 10pt\;"><span data-sfref="[images|Open
 AccessDataProvider]3b07b7ff-3ad6-65b3-a176-ff00001f6b97" class="sfImageWra
 pper"><img src="https://www.psiweb.org/images/default-source/default-album
 /mike.jpg?sfvrsn=f1d1d2db_0&sf_site_temp=true&sf_site=00000000-0000-0000-0
 000-000000000000" displaymode="Original" alt="Mike" title="Mike" /></span>
 <br />\n            Mike Greenwood\, AstraZeneca</span></td> <td class="PS
 I-default-tableTableOddCol"><strong style="line-height: 1.5\; font-size: 1
 0pt\;">Do we need more patients?&nbsp\; Your statistics should be correct.
 &nbsp\; Make sure you communicate effectively!</strong></td> <td class="PS
 I-default-tableTableEvenCol">&nbsp\;We performed a blinded estimation of t
 he pooled exacerbation rate and shape parameter from a negative binomial m
 odel in a COPD exacerbation study.&nbsp\; This talk will briefly cover the
  statistics\, the practical aspects and focus on the importance of clear (
 and understandable to non-statisticians) communication of the results and 
 their implications<br /> </td> </tr> <tr class="PSI-default-tableTableOddR
 ow"> <td class="PSI-default-tableTableFirstCol"><span style="line-height: 
 1.5\; font-size: 10pt\;"><span data-sfref="[images|OpenAccessDataProvider]
 4907b7ff-3ad6-65b3-a176-ff00001f6b97" class="sfImageWrapper"><img src="htt
 ps://www.psiweb.org/images/default-source/default-album/nikhil-chauhan.jpg
 ?sfvrsn=87d1d2db_0&sf_site_temp=true&sf_site=00000000-0000-0000-0000-00000
 0000000" displaymode="Original" alt="Nikhil Chauhan" title="Nikhil Chauhan
 " /></span><br />\n            Nikhil Chauhan\, BTG International Ltd</spa
 n></td> <td class="PSI-default-tableTableOddCol"><strong style="line-heigh
 t: 1.5\; font-size: 10pt\;">An experience in implementing the Promising Zo
 ne sample size re-estimation methodology (Mehta and Pocock\, 2011) in a ph
 ase 3 oncology study</strong></td> <td class="PSI-default-tableTableEvenCo
 l"><span style="line-height: 1.5\; font-size: 10pt\;">I will share my expe
 rience in implementing the Promising Zone sample size re-estimation method
 ology (Mehta and Pocock\, 2011) in a phase 3 oncology study for the purpos
 es of obtaining a US FDA marketing approval. I will outline how we decided
  on using this study design\, how the sample size calculation was performe
 d\, and how the promising zone boundaries were set.&nbsp\; I will also sha
 re our experience in demonstrating the acceptability of the study design t
 o FDA\, in terms of showing control of Type I error. Reference: Mehta\, CR
  and Pocock\, SJ (2011)\, Adaptive increase in sample size when interim re
 sults are promising: A practical guide with examples. Statist. Med.\, 30: 
 3267&ndash\;3284. doi: 10.1002/sim.4102</span></td> </tr> <tr class="PSI-d
 efault-tableTableEvenRow"> <td class="PSI-default-tableTableFirstCol"><spa
 n style="line-height: 1.5\; font-size: 10pt\;"><span data-sfref="[images|O
 penAccessDataProvider]6607b7ff-3ad6-65b3-a176-ff00001f6b97" class="sfImage
 Wrapper"><img src="https://www.psiweb.org/images/default-source/default-al
 bum/david-morgan.jpg?sfvrsn=9ad1d2db_0&sf_site_temp=true&sf_site=00000000-
 0000-0000-0000-000000000000" displaymode="Original" alt="David Morgan" tit
 le="David Morgan" /></span><br />\n            David Morgan (King&rsquo\;s
  College London)\,</span> <p><span data-sfref="[images|OpenAccessDataProvi
 der]7407b7ff-3ad6-65b3-a176-ff00001f6b97" class="sfImageWrapper"><img src=
 "https://www.psiweb.org/images/default-source/default-album/nilani-liyanag
 e.jpg?sfvrsn=a8d1d2db_0&sf_site_temp=true&sf_site=00000000-0000-0000-0000-
 000000000000" displaymode="Original" alt="Nilani Liyanage" title="Nilani L
 iyanage" /></span><br />\n            Nilani Liyanage (Ipsen)\,<br /> <spa
 n style="line-height: 1.5\; font-size: 10pt\;"><span data-sfref="[images|O
 penAccessDataProvider]8207b7ff-3ad6-65b3-a176-ff00001f6b97" class="sfImage
 Wrapper"><img src="https://www.psiweb.org/images/default-source/default-al
 bum/alison-langley.jpg?sfvrsn=bed1d2db_0&sf_site_temp=true&sf_site=0000000
 0-0000-0000-0000-000000000000" displaymode="Original" alt="Alison Langley"
  title="Alison Langley" /></span><br />\n            Alison Langley\, (Ind
 ependent Consultant)</span></p> </td> <td class="PSI-default-tableTableOdd
 Col"><strong style="line-height: 1.5\; font-size: 10pt\;">Blinded sample s
 ize re-estimation in a Phase III study investigating Progression Free Surv
 ival</strong></td> <td class="PSI-default-tableTableEvenCol"><span style="
 line-height: 1.5\; font-size: 10pt\;">The CLARINET study investigated the 
 effect of lanreotide compared to placebo in the treatment of metastatic en
 teropancreatic neuroendocrine tumours with progression free survival as pr
 imary endpoint.&nbsp\; We will describe the design of the study\, the just
 ification for the blinded sample-size re-estimation and some practical asp
 ects of carrying out that decision\, including communication within the co
 mpany\, with the DSMB and with regulatory authorities.</span></td> </tr> <
 tr class="PSI-default-tableTableOddRow"> <td class="PSI-default-tableTable
 FirstCol"><span style="line-height: 1.5\; font-size: 10pt\;"><span data-sf
 ref="[images|OpenAccessDataProvider]5807b7ff-3ad6-65b3-a176-ff00001f6b97" 
 class="sfImageWrapper"><img src="https://www.psiweb.org/images/default-sou
 rce/default-album/mike5007b7ff3ad665b3a176ff00001f6b97.jpg?sfvrsn=95d1d2db
 _0&sf_site_temp=true&sf_site=00000000-0000-0000-0000-000000000000" display
 mode="Original" alt="Mike" title="Mike" /></span><br />\n            Pante
 lis Vlachos</span><br />\n            Cytel<br /> </td> <td class="PSI-def
 ault-tableTableOddCol"><strong style="line-height: 1.5\; font-size: 10pt\;
 ">Sample Size Re-estimation&nbsp\;: &laquo\;&nbsp\;De-risking&nbsp\;&raquo
 \; a crucial stage of clinical development</strong></td> <td class="PSI-de
 fault-tableTableEvenCol">Developing cancer treatments is a high-stakes end
 eavor &ndash\; especially for emerging biotechs and specialty pharmas with
  limited portfolios. Conventional phase 3 trial designs are &ldquo\;all or
  nothing&rdquo\; propositions and well over 50% of these pivotal studies e
 nd in failure. Unlike conventional studies\, adaptive approaches allow ben
 eficial design changes following interim analysis (IA).&nbsp\; A Sample Si
 ze Re-estimation design allows selection of the strategy most likely to su
 cceed. We present a case study of such an adaptive approach used to both e
 ffectively &ldquo\;de-risk&rdquo\; the final clinical stage as well as be 
 accepted by FDA reviewers based on the concept of the &ldquo\;Promising Zo
 ne&rdquo\;. &nbsp\;Rather than committing to a larger sample size up front
 \, the decision is deferred until the clinical evidence justifies cost of 
 added subjects. The strategy provided the confidence company leaders &ndas
 h\; and investors &ndash\; needed to launch the final development effort t
 oward approval.<br /> </td> </tr> </tbody> </table> <p>&nbsp\;</p> <table 
 border="1" cellspacing="0" cellpadding="0" class="PSI-default-table"> <tbo
 dy> <tr class="PSI-default-tableTableHeaderRow"> <td class="PSI-default-ta
 bleTableHeaderFirstCol" style="width: 123px\;"> <p>Registration&nbsp\;</p>
  </td> <td valign="top" class="PSI-default-tableTableHeaderOddCol" style="
 width: 278px\;"> <p style="text-align: center\;"><strong>Early Bird Rate (
 until 14<sup>th</sup> October 2016)</strong></p> </td> <td valign="top" cl
 ass="PSI-default-tableTableHeaderLastCol" style="width: 200px\;"> <p style
 ="text-align: center\;"><strong>After 14<sup>th</sup> October 2016</strong
 ></p> </td> </tr> <tr class="PSI-default-tableTableOddRow"> <td valign="to
 p" class="PSI-default-tableTableFirstCol" style="width: 123px\;"> <p>PSI M
 ember</p> </td> <td valign="top" class="PSI-default-tableTableOddCol" styl
 e="width: 278px\;"> <p style="text-align: center\;">&pound\;120 + VAT</p> 
 </td> <td valign="top" class="PSI-default-tableTableLastCol" style="width:
  200px\;"> <p style="text-align: center\;">&pound\;160 + VAT</p> </td> </t
 r> <tr class="PSI-default-tableTableEvenRow"> <td valign="top" class="PSI-
 default-tableTableFirstCol" style="width: 123px\;"> <p>Non-Member</p> </td
 > <td valign="top" class="PSI-default-tableTableOddCol" style="width: 278p
 x\;"> <p style="text-align: center\;">&pound\;160 + VAT</p> </td> <td vali
 gn="top" class="PSI-default-tableTableLastCol" style="width: 200px\;"> <p 
 style="text-align: center\;">&pound\;220 + VAT</p> </td> </tr> <tr class="
 PSI-default-tableTableOddRow"> <td valign="top" class="PSI-default-tableTa
 bleFirstCol" style="width: 123px\;"> <p>Academic</p> </td> <td valign="top
 " class="PSI-default-tableTableOddCol" style="width: 278px\;"> <p style="t
 ext-align: center\;">&pound\;60 + VAT</p> </td> <td valign="top" class="PS
 I-default-tableTableLastCol" style="width: 200px\;"> <p style="text-align:
  center\;">&pound\;90 + VAT</p> </td> </tr> </tbody> </table> <br /> <p><s
 trong>Registration closes on 26<sup>th</sup> October 2016</strong><strong>
 <br /> </strong><span style="line-height: 1.5\;"><br />\nPlease contact th
 e PSI secretariat on </span><a href="http://www.psiweb.org/events/event-it
 em/2016/06/17/default-calendar/psi@mci-group.com" style="line-height: 1.5\
 ;">psi@mci-group.com</a><span style="line-height: 1.5\;">&nbsp\;if you hav
 e any queries.&nbsp\;</span><strong><br /> </strong></p>\nRegistration&nbs
 p\;is now closed. &nbsp\;Please contact the secretariat if you wish to inq
 uire.<br />
END:VEVENT
END:VCALENDAR
