Table 1.
Scenario | Binary outcome: Preterm birth (<37 weeks gestational age at delivery)a | Continuous outcome: Standardized Bayley-III score of infant at 12 months |
---|---|---|
(i) No effects | P(Y1)=0.12 | E(Y2)=0 |
(ii) A class of drugs has a subtle effect | P(Y1)=0.12+0.04*PI (ORPI=1.40) | E(Y2)=0–0.3*PI |
(iii) One ARV drug has a moderate effect | ||
(a) more common ARV drug (>15% exposure) | P(Y1)=0.12+0.09*LPV/r (ORLPV/r=1.95) | E(Y2)=0–0.5*LPV/r |
(b) less common ARV drug (5–15% exposure) | P(Y1)=0.12+0.09*ABC (ORABC=1.95) | E(Y2)=0–0.5*ABC |
(c) rarely used ARV drug (<5% exposure) | P(Y1)=0.12+0.09*EFV (OREFV=1.95) | E(Y2)=0–0.5*EFV |
(iv) Two drugs from the same drug class have moderate effects, but in opposite directions | P(Y1)=0.12+0.09* LPV/r – 0.05*DRV (ORLPV/r=1.95, ORDRV=0.55) | E(Y2)=0–0.5*LPV/r + 0.5*DRV |
ABC: abacavir; DRV: darunavir; E: expected value; EFV: efavirenz; LPV/r: ritonavir-boosted lopinavir; ORABC: odds ratio comparing ABC-exposed to ABC-unexposed; ORDRV: odds ratio comparing DRV-exposed to DRV-unexposed: OREFV: odds ratio comparing EFV-exposed to EFV-unexposed; ORLPV/r: odds ratio comparing LPV/r-exposed to LPV/r-unexposed; ORPI: odds ratio comparing PI-exposed to PI-unexposed; P: probability; PI: protease inhibitor; Y1: preterm birth; Y2: standardized Bayley-III cognitive score.
The corresponding logistic models are: (i) logit(P(Y1))= −1.9924; (ii) logit(P(Y1))=−1.9924)0.3365*PI; (iii) logit(P(Y1))=−1.9924)0.6678*Xj (where Xj indicates LPV/r, ABC, or EFV); and (iv) logit(P(Y1))=−1.9924)0.6678*LPV/r – 0.5978*DRV. Note that LPV/r and DRV are mutually exclusive (women are never exposed to both drugs simultaneously).