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. Author manuscript; available in PMC: 2024 Aug 29.
Published in final edited form as: Clin Trials. 2023 Oct 25;21(1):114–123. doi: 10.1177/17407745231203327

Table 2.

Bias, standard deviation, and empirical coverage for estimates of prevention efficacy (PE) based on M external cohorts used to estimate the association between HIV and an exposure biomarker with correlation ρ. A total of nx=2000 person-years follow-up accrue in the active arm of the trial. Counterfactual placebo HIV incidence and true PE vary. Performance is shown for working model and likelihood-based estimation approaches, assuming log link function for marginal incidences.

M PE estimate ρ=0.98 ρ=0.5
HIV incidence (cases per 100 person-years) 3 4.5 6 3 4.5 6
Exposure marker incidence (cases per 100 person-years) 7.1 11.8 17.0 4.8 13.2 26.7

Working model approach

PE=0.3 10 Bias × 100 −1.42 −0.83 −0.96 −3.72 −2.28 −4.88
nx=2000 Standard deviation × 100 14.49 11.45 10.20 28.78 19.50 28.72
Coverage (%) 93.0 93.4 93.2 92.2 92.7 90.1
20 Bias × 100 −1.09 −0.77 −0.63 −1.93 −1.20 −1.88
Standard deviation × 100 13.55 10.58 9.20 19.89 14.38 18.24
Coverage (%) 92.5 93.4 93.1 93.0 94.4 92.7

PE=0.6 10 Bias × 100 −0.70 −0.23 −0.53 −2.08 −1.11 −2.81
nx=2000 Standard deviation × 100 10.03 7.97 7.03 17.51 12.04 16.99
Coverage (%) 93.3 93.1 93.8 92.6 93.6 90.8
20 Bias × 100 −0.46 −0.33 −0.42 −1.04 −0.44 −1.05
Standard deviation × 100 9.49 7.47 6.56 12.63 9.45 11.1
Coverage (%) 93.3 93.8 93.9 93.8 93.7 93.3

PE=0.75 10 Bias × 100 −0.33 −0.21 −0.22 −1.14 −0.62 −1.19
nx=2000 Standard deviation × 100 7.48 5.95 5.29 11.80 8.30 10.38
Coverage (%) 93.3 93.9 93.6 93.0 92.9 91.9
20 Bias × 100 −0.17 −0.17 −0.20 −0.53 −0.36 −0.48
Standard deviation × 100 7.18 5.80 5.03 8.91 6.65 7.49
Coverage (%) 93.4 93.7 93.7 94.0 94.3 93.6

Likelihood-based approach

PE=0.3 20 Bias × 100 0.08 −0.11 0.04 −0.62 −0.64 −1.04
nx=2000 Standard deviation × 100 12.36 9.90 8.90 18.55 13.83 18.02
Coverage (%) 94.9 95.0 93.9 93.8 94.3 92.8

PE=0.6 20 Bias × 100 −0.20 −0.29 0.10 −0.31 0.04 −0.26
nx=2000 Standard deviation × 100 8.83 7.27 6.30 11.80 9.06 10.92
Coverage (%) 95.3 94.8 94.5 94.3 94.6 93.0

PE=0.75 20 Bias × 100 −0.16 0.00 −0.05 −0.20 −0.03 −0.54
nx=2000 Standard deviation × 100 6.81 5.48 4.86 8.44 6.55 7.38
Coverage (%) 95.3 95.5 95.1 94.7 94.3 94.4