Table 4.
Efficacy metric | Drug 1 | Drug 2 | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Trial 1 in population | Trial 2 in population | Trial 1 in population | Trial 2 in population | |||||||||
A | B | C | A | B | C | A | B | C | A | B | C | |
NPEpop | ||||||||||||
OR | 313 | 282 | 105 | 335 | 302 | 507 | 429 | 313 | 535 | 548 | 400 | 684 |
RR | 285 | 257 | 148 | 325 | 293 | 492 | 285 | 208 | 356 | 448 | 327 | 560 |
AB | 100 | 90 | 151 | 63 | 57 | 96 | 100 | 73 | 125 | 87 | 64 | 109 |
NNTpop | ||||||||||||
RR | 100 | 111 | 107 | 88 | 97 | 94 | 100 | 137 | 130 | 64 | 87 | 83 |
Example of interpretation: the true NPE for population 2 and drug 2, directly computed on the Rc distribution in population 2 with the Wang model (see Sect. 2) is 1265. The NPE in this population with drug 2 computed with the AB from trial 2 summary data is 1382. The ratio 1382/1265 in percent is 109%. It gives the value of the bias in estimating population C NPE with the AB computed on trial data. As it is often done in translation process, RR computed from trial summary data is used for translating the efficacy of new drug. In the considered case, this gives a translated NPE = 7084, thus a bias ratio = 560%
AB absolute benefit, N population size, NNT number needed to treat, NNTpop number needed to treat in the population, NPEpop number of prevented events in the population, OR odds ratio, RR relative risk
aThe NPE and NNT are expressed as a percentage of the true values