The goal of this research is to develop new statistical methods for analyzing, interpreting, and designing clinical trials for patients with Acquired Immune Deficiency Syndrome (AIDS). Methods will be developed to model the relationship of repeated biological markers such as CD4 counts to clinical outcomes such as death. The primary purpose of this research is to study whether biological markers could be identified that may be used as early surrogates of clinical outcome. This would be useful for defining biological endpoints that may be used to determine treatmnt efficacy earlier than waiting for the clinical outcome to occur. A class of flexible group sequential designs will be developed which include lower boundaries for stopping a trial in favor of the null hypothesis as well as upper boundaries for stopping when there is a large treatment difference. The upper and lower boundaries will be defined by two """"""""spending functions"""""""" which will dictate how much of a type I, as well as type II error, could be used as a function of time. These rethods could yield substantial savings in the average length of """"""""AIDS"""""""" clinical trials compared to the methods currently used. Semiparametric estimates of parameters for the ordinary multiple linear regression model will be studied when the dependent variable is interval censored. The estimates proposed will be a generalization of the Buckley-James estimate for right censored data.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Project (R01)
Project #
5R01AI031789-03
Application #
3146768
Study Section
AIDS and Related Research Study Section 2 (ARRB)
Project Start
1991-07-01
Project End
1994-06-30
Budget Start
1993-06-01
Budget End
1994-06-30
Support Year
3
Fiscal Year
1993
Total Cost
Indirect Cost
Name
Harvard University
Department
Type
Schools of Public Health
DUNS #
082359691
City
Boston
State
MA
Country
United States
Zip Code
02115
Yuan, Shuai; Zhang, Hao Helen; Davidian, Marie (2012) Variable selection for covariate-adjusted semiparametric inference in randomized clinical trials. Stat Med 31:3789-804
Tsiatis, Anastasios A; Davidian, Marie; Cao, Weihua (2011) Improved doubly robust estimation when data are monotonely coarsened, with application to longitudinal studies with dropout. Biometrics 67:536-45
Thomas, Laine; Stefanski, Leonard; Davidian, Marie (2011) A moment-adjusted imputation method for measurement error models. Biometrics 67:1461-70
Cao, Weihua; Tsiatis, Anastasios A; Davidian, Marie (2009) Improving efficiency and robustness of the doubly robust estimator for a population mean with incomplete data. Biometrika 96:723-734
Serroyen, Jan; Molenberghs, Geert; Verbeke, Geert et al. (2009) Non-linear Models for Longitudinal Data. Am Stat 63:378-388
Johnson, Brent A; Tsiatis, Anastasios A (2004) Estimating mean response as a function of treatment duration in an observational study, where duration may be informatively censored. Biometrics 60:315-23
Leon, Selene; Tsiatis, Anastasios A; Davidian, Marie (2003) Semiparametric estimation of treatment effect in a pretest-posttest study. Biometrics 59:1046-55
Song, Xiao; Davidian, Marie; Tsiatis, Anastasios A (2002) A semiparametric likelihood approach to joint modeling of longitudinal and time-to-event data. Biometrics 58:742-53
Lunceford, Jared K; Davidian, Marie; Tsiatis, Anastasios A (2002) Estimation of survival distributions of treatment policies in two-stage randomization designs in clinical trials. Biometrics 58:48-57
Bang, Heejung; Tsiatis, Anastasios A (2002) Median regression with censored cost data. Biometrics 58:643-9

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