Table 2.
(a) Sample size calculations for a randomized, controlled trial and change in ppFEV1. Note that standard deviation (SD) estimates for the change in ppFEV1 are generally stable over time so these estimates apply independent of duration of the trial. Careful consideration will be necessary to inform the baseline lung function eligibility criteria for a given trial, balancing enrichment for a population that may have more perceived room for improvement with the need to enable a more expansive development population (e.g., by not having an upper limit of 90% for ppFEV1 as an eligibility criteria). (b) Sample size calculations for a one-year randomized, placebo-controlled trial and reduction in rate of CF pulmonary exacerbations (PEx). PEx rate of 1.0/year reflects rates in the absence of CFTR modulators and 0.3 reflects expect rates in the presence of CFTR modulators. Sample size estimates based on ppFEV1 variability and PEx rates from(9, 10).
(a) | ||||
---|---|---|---|---|
Total Sample Size – ppFEV1 Endpoint (assuming one-sided 0.025 α) | ||||
80% Power | 90% Power | |||
Treatment Effect (Active – Control) |
SD=6 | SD=8 | SD=6 | SD=8 |
3% | 126 | 224 | 170 | 300 |
4% | 72 | 126 | 96 | 170 |
5% | 46 | 82 | 62 | 108 |
7% | 24 | 42 | 32 | 56 |
10% | 12 | 22 | 16 | 28 |
(b) | ||||
Total Sample Size – PEx Endpoint (assuming one-sided 0.025 α) | ||||
80% Power | 90% Power | |||
Treatment Effect (Rate Ratio) |
Placebo Rate 0.3/yr |
Placebo Rate 1.0/year |
Placebo Rate 0.3/yr |
Placebo Rate 1.0/year |
0.5 | 316 | 104 | 426 | 140 |
0.55 | 406 | 136 | 548 | 182 |
0.6 | 536 | 178 | 722 | 240 |
0.65 | 728 | 242 | 978 | 326 |
0.7 | 1028 | 344 | 1380 | 460 |
0.75 | 1532 | 514 | 2054 | 688 |