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RANDOMIZED CLINICAL TRIAL

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INPUT ID GROUP CENSOR. DAY1 MON1 YEAR1 DAY2 MON YEAR2 ; TIME1 = MDY(MON1, DAY1, YEAR1) ... ID TIME1 TIME2 CENSOR FOLLOWUP. 1 16837 16860 1 23. 2 16835 16860 0 ... – PowerPoint PPT presentation

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Title: RANDOMIZED CLINICAL TRIAL


1
  • RANDOMIZED CLINICAL TRIAL
  • TEN INDIVIDUALS RANDOMLY ALLOCATED TO TWO DRUG
    GROUPS AND FOLLOWED OVER TWO MONTHS FROM JANUARY
    1 TO FEBRUARY 28
  • THREE INDIVIDUALS DIED

2
  • ID G CEN D1 M1 Y1 D2 M2 Y2
  • 1 1 0 5 2 2006 28 2 2006
  • 2 0 0 3 2 2006 28 2 2006
  • 3 1 0 25 1 2006 28 2 2006
  • 4 0 0 21 1 2006 28 2 2006
  • 5 1 0 20 1 2006 28 2 2006
  • 6 0 1 18 1 2006 24 2 2006
  • 7 0 0 17 1 2006 28 2 2006
  • 8 1 1 16 1 2006 25 2 2006
  • 9 0 0 14 1 2006 28 2 2006
  • 10 1 1 5 1 2006 23 1 2006

3
  • DATA STUDY
  • INPUT ID GROUP CENSOR
  • DAY1 MON1 YEAR1 DAY2 MON YEAR2
  • TIME1 MDY(MON1, DAY1, YEAR1)
  • TIME2 MDY(MON2, DAY2, YEAR2)
  • START MDY( 1 , 1 , 2006 )
  • DIFF1 TIME1 - START
  • DIFF2 TIME2 - START
  • DD TIME2 - TIME1
  • DATALINES

4
  • DATASET STUDY
  • ID TIME1 TIME2 CENSOR FOLLOWUP
  • 1 16837 16860 1
    23
  • 2 16835 16860 0
    25
  • 3 16826 16860 0
    34
  • 4 16822 16860 0
    38
  • 5 16821 16860 1
    39
  • 6 16819 16856 0
    37
  • 7 16818 16860 0
    42
  • 8 16817 16857 1
    40
  • 9 16815 16860 0
    45
  • 10 16806 16824 0
    18

5
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6
  • PROC LIFEREG DATA STUDY
  • MODEL FOLLOWUP
  • / DIST EXPONENTIAL
  • OUTPUT OUT OUTSURV
  • CDF CDFEXP
  • DATA CDFSURV SET OUTSURV
  • SURVEXP 1 - CDFEXP

7
  • LIFEREG Procedure
  • Data Set WORK.STUDY
  • Dependent Variable Log(FOLLOWUP)
  • Number of Observations 10
  • Noncensored Values 10
  • Right Censored Values 0
  • Left Censored Values 0
  • Interval Censored Values 0
  • Name of Distribution Exponential
  • Log Likelihood -10.3766
  • Parameter DF Beta StdErr 95 CI X2 P
  • Intercept 1 3.53 0.316 2.9 4.2 125 lt0.0001
  • Scale 0 1.00 0.000 1.0 1.0
  • Weib Scale 1 34.10 10.783 18.4 63.4
  • Weib Shape 0 1.00 0.000 1.0 1.0

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9
WEIBULL SURVIVAL FUNCTION
10
  • INTERCEPT ONLY MODEL

11
  • PROC MEANS DATA STUDY N SUM
  • VAR FOLLOWUP
  • The MEANS Procedure
  • Analysis Variable FOLLOWUP
  • N Sum
  • 10 341
  • RATE 10 / 341 0.0293

12
  • DATA STUDY
  • MODEL FOLLOWUP CENSOR(0)
  • / DIST EXPONENTIAL
  • OUTPUT OUT OUTSURV
  • CDF CDFEXP

13
  • The LIFEREG Procedure
    (Correct Analysis)
  • Censoring Variable CENSOR
  • Censoring Value(s) 0
  • Number of Observations 10
  • Noncensored Values 3
  • Right Censored Values 7
  • Name of Distribution
    Exponential
  • Log Likelihood
    -7.00964
  • Parameter DF Beta StdErr 95
    CI X2 P
  • Intercept 1 4.73 0.577 3.60
    5.86 67.2 lt0.0001
  • Scale 0 1.0 0.0
    1.00 1.00
  • Weib Scale 1 113.7 65.6 36.66
    352.43
  • Weib Shape 0 1.0 0.0 1.00
    1.00
  • RATE 3 / 341 0.0088
    exp(-4.73) 0.0088

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15
  • KAPLAN MEIER SURVIVAL FUNCTION
  • ID CENSOR TIME
  • 10 1
    18
  • 1 0
    23
  • 2 0
    25
  • 3 0
    34
  • 6 1
    37
  • 4 0
    38
  • 5 0
    39
  • 8 1
    40
  • 7 0
    42
  • 9 0
    45

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17

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19
  • PROPORTIONAL
  • HAZARDS
  • MODEL

20
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28
  • COMPARING SURVIVAL TIMES IN
  • TWO GROUPS
  • USING THE SAS PROCEDURE PHREG
  • TO PERFORM A
  • PROPORTIONAL HAZARDS ANALYSIS

29
  • REVIEW LIKELIHOOD AND LOG LIKELIHOOD
  • INTERCEPT ONLY MODEL

30
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31
  • HOMEMADE LIKELIHOOD PROGRAM
  • DATA PH DO BETA -6 TO 6 BY 0.001
  • K EXP(BETA)
  • L1 K / ( 5 K 5 ) L2 1 / (2
    K 4 )
  • L3 K / ( K 2 )
  • L L1 L2 L3 LOGL LOG(L)
  • OUTPUT
    END
  • PROC SORT BY DESCENDING LOGL
  • PROC PRINT DATA PH(OBS 3 ) RUN

32
  • HOMEMADE LIKELIHOOD PROGRAM
  • BETA K L1 L2 L3
    PROD LOGL
  • 1.174 3.235 0.153 0.096 0.618
    .009017 -4.7086
  • 1.175 3.238 0.153 0.095 0.618
    .009017 -4.7086
  • 1.173 3.232 0.153 0.096 0.618
    .009017 -4.7086
  • NOTE Dataset WORK.PH has 10001 observations.

33
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36
  • PROC PHREG DATA STUDY
  • MODEL
  • FOLLOWUP CENSOR(0) GROUP

37
  • Model Fit Statistics
  • Without
    With
  • Criterion Covariates
    Covariates
  • -2 LOG L 10.386
    9.417
  • Testing Global Null Hypothesis BETA0
  • Test ChiSquare
    DF P
  • Likelihood Ratio 0.969 1
    0.325
  • Wald 0.900
    1 0.343
  • Parameter
    Hazard
  • Variable Estimate StdErr X2
    P Ratio
  • GROUP 1.174 1.238 0.900
    0.34 3.24

38
  • TIME DEPENDENT
  • COVARIATES

39
  • FOUR POSSIBLE SCENARIOS
  • __________________

  • _____________________

  • _________DIE

  • ____________DIE
  • START
    END
  • DATE
    DATE

40
  • The CONTENTS Procedure
  • Alphabetic List of Variables and Attributes
  • Variable Type Len Format Label
  • 5 AGEGROUP Num 3 Age group at
    enrollment
  • 2 AIDSDATE Num 4 Date of AIDS
    diagnosis
  • 10 ASYMDATE Num 8 Date last
    asymptomatic
  • 12 CD200 Num 8 CD4lt200 ever?
  • 13 CD200D Num 8 Date first CD4lt200
  • 14 CD200V Num 8 Value first CD4lt200
  • 8 CENSDATE Num 8 Date censored
  • 6 DEATH Num 3 Deceased
  • 7 DTH_DATE Num 8 Date of death
  • 15 ID Num 8
  • 4 MALE Num 3 Male gender?
  • 1 PCP Num 3 PCP?
  • 11 PCP_DATE Num 8 Date of first PCP

41
  • PROC PRINT DATA LOVE.HIVCLASS NOOBS
  • VAR ID RX_START AIDSDATE
  • DTH_DATE CENSDATE
  • ID RX_START AIDSDATE DTH_DATE CENSDATE
  • 375 88-02-01 10927 11413
    .
  • 303 88-03-01 10713 11474
    .
  • 418 88-03-01 .
    . 12692
  • 429 88-03-01 10774 10958
    .

42
  • PROC PRINT DATA TEMP NOOBS
  • VAR ID RX_START DEATH
    DTH_DATE
  • FORMAT RX_START DTH_DATE DATE9.
  • ID RX_START DEATH
    DTH_DATE
  • 375 01FEB1988 1
    01APR1991
  • 303 01MAR1988 1
    01JUN1991
  • 418 01MAR1988 0
    .
  • 429 01MAR1988 1
    01JAN1990

43
  • CREATING THE TIME DEPENDENT
  • VARIABLE XCD200 BY PROGRAMMING
  • WITHIN THE SAS PROCEDURE PHREG
  • USING THE VARIABLE CDTIME

44
  • DATA TTT SET TO.HIVCLASS
  • IF DEATH 1 THEN LASTTIME DTH_DATE
  • IF DEATH 0 THEN LASTTIME CENSDATE
  • FOLLOWUP LASTTIME - RX_START
  • CDTIME CD200D - RX_START

45
  • PROC PHREG
  • MODEL FOLLOWUP DECEASED(0) XCD200
  • IF (CDTIME . OR CDTIME GT FOLLOWUP )
  • THEN DO XCD200 0
    END
  • ELSE XCD200 1
    RUN

46
  • TIME DEPENDENT VARIABLES
  • SCENARIO

  • CD4(X) 1
  • 1 CD4(0) 0 ______X_____________DIE


  • 2 CD4(0) 0 ___________________________
    _DIE

  • CD4(X) 1
  • 3 CD4(0) 1 _______________X__________D
    IE



  • 4 CD4(0) 1 ____________DIE

  • CD4(X)1
  • 5 CD4(0) 0 ______________X________CENS
    OR
  • 6 CD4(0) 0 ____________________CENSOR

  • CD4(X)1
  • 7 CD4(0) 1 ________X________________CEN
    SOR

  • 8 CD4(0) 1 ________________CENSOR

47
  • SUPPOSE RESPONSE VARIABLE
  • IS AIDS AND NOT DEATH
  • _______________DEATH
  • ____________AIDS____CENSOR
  • __________AIDS_________DEATH
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