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. Author manuscript; available in PMC: 2026 May 28.
Published in final edited form as: Stat Med. 2025 Sep;44(20-22):e70262. doi: 10.1002/sim.70262

TABLE 3 ∣.

Simulation results for the comparator frequentist trial design.

Scenario Possible final
decision
Overall trial
decision rate
Average
sample size
Average marker
prevalence
1: No treat effect, No marker effect No Marker Detected 0.713 N = 254.8
Marker Detected 0.287 0.505
Overall Efficacy 0.010
Overall Inferiority 0.017
Overall Futility 0.846
M+ Eff/M− Fut 0.063
M+ Eff/M− Inf 0.005
M+ Fut/M− Eff
M+ Fut/M− Inf 0.059
M+ Inf/M− Eff
M+ Inf/M− Fut
2: Constant treat effect, No marker effect No Marker Detected 0.726 N = 250
Marker Detected 0.274 0.505
Overall Efficacy 0.891
Overall Inferiority
Overall Futility
M+ Eff/M− Fut 0.109
M+ Eff/M− Inf
M+ Fut/M− Eff
M+ Fut/M− Inf
M+ Inf/M− Eff
M+ Inf/M− Fut
3: Prognostic marker effect, No treat effect No Marker Detected 0.302 N = 253.5
Marker Detected 0.698 0.472
Overall Efficacy 0.006
Overall Inferiority 0.008
Overall Futility 0.859
M+ Eff/M− Fut 0.066
M+ Eff/M− Inf 0.001
M+ Fut/M− Eff
M+ Fut/M− Inf 0.060
M+ Inf/M− Eff
M+ Inf/M− Fut
4: Predictive marker effect, (perfectly dichotomous) No Marker Detected 0.009 N = 251
Marker Detected 0.991 0.515
Overall Efficacy 0.015
Overall Inferiority
Overall Futility
M+ Eff/M− Fut 0.947
M+ Eff/M− Inf 0.037
M+ Fut/M− Eff
M+ Fut/M− Inf 0.001
M+ Inf/M− Eff
M+ Inf/M− Fut
5: Predictive marker effect, (nearly dichotomous) No Marker Detected 0.025 N = 251
Marker Detected 0.975 0.527
Overall Efficacy 0.030
Overall Inferiority
Overall Futility
M+ Eff/M− Fut 0.946
M+ Eff/M− Inf 0.024
M+ Fut/M− Eff
M+ Fut/M− Inf
M+ Inf/M− Eff
M+ Inf/M− Fut
6: Predictive marker effect, (linear) No Marker Detected 0.189 N = 254.25
Marker Detected 0.811 0.545
Overall Efficacy 0.229
Overall Inferiority
Overall Futility 0.008
M+ Eff/M− Fut 0.759
M+ Eff/M− Inf 0.004
M+ Fut/M− Eff
M+ Fut/M− Inf
M+ Inf/M− Eff
M+ Inf/M− Fut
7: Predictive marker effect, (non-linear and monotone) No Marker Detected 0.428 N = 250.5
Marker Detected 0.572 0.665
Overall Efficacy 0.558
Overall Inferiority
Overall Futility
M+ Eff/M− Fut 0.442
M+ Eff/M− Inf
M+ Fut/M− Eff
M+ Fut/M− Inf
M+ Inf/M− Eff
M+ Inf/M− Fut
8: Predictive marker effect, (nonlinear and monotone) No Marker Detected 0.179 N = 261.5
Marker Detected 0.821 0.498
Overall Efficacy 0.188
Overall Inferiority
Overall Futility 0.024
M+ Eff/M− Fut 0.779
M+ Eff/M− Inf 0.008
M+ Fut/M− Eff
M+ Fut/M− Inf 0.001
M+ Inf/M− Eff
M+ Inf/M− Fut
9: Predictive marker effect, (nonlinear and non-monotone) No Marker Detected 0.128 N = 263.25
Marker Detected 0.872 0.261
Overall Efficacy 0.189
Overall Inferiority
Overall Futility 0.058
M+ Eff/M− Fut 0.753
M+ Eff/M− Inf
M+ Fut/M− Eff
M+ Fut/M− Inf
M+ Inf/M− Eff
M+ Inf/M− Fut
10: Predictive marker effect, (nonlinear and non-monotone) No Marker Detected 0.177 N = 251.25
Marker Detected 0.823 0.767
Overall Efficacy 0.173
Overall Inferiority
Overall Futility 0.007
M+ Eff/M− Fut 0.812
M+ Eff/M− Inf 0.007
M+ Fut/M− Eff
M+ Fut/M− Inf 0.001
M+ Inf/M− Eff
M+ Inf/M− Fut
11: Constant inferior treat effect, No marker effect No Marker Detected 0.763 N = 250
Marker Detected 0.237 0.420
Overall Efficacy
Overall Inferiority 0.916
Overall Futility
M+ Eff/M− Fut
M+ Eff/M− Inf
M+ Fut/M− Eff
M+ Fut/M− Inf 0.084
M+ Inf/M− Eff
M+ Inf/M− Fut
12: Prognostic and predictive marker effect, (linear; nearly dichotomous) No Marker Detected 0.157 N = 255.75
Marker Detected 0.843 0.509
Overall Efficacy 0.088
Overall Inferiority
Overall Futility 0.104
M+ Eff/M− Fut 0.789
M+ Eff/M− Inf 0.016
M+ Fut/M− Eff
M+ Fut/M− Inf 0.003
M+ Inf/M− Eff
M+ Inf/M− Fut