Table 3.
Simulation setup based on IMpassion13033.
Parameter | Values |
---|---|
Experimental treatment effect: Hazard ratio between experimental and control arms of trial (HRExp) | 0.70 (More effective than expected) 0.78 (Target HR, i.e. alternative hypothesis) 0.85 (Less effective than expected) 1.00 (No treatment effect) |
Residual bias: Hazard ratio between real-world controls and randomized controls after careful alignment on I/E criteria, covariate balancing, and alignment of endpoints, index dates, and follow-up time (HRRWD) (composite bias) | Range from 0.5 to 2 by 0.1 (i.e. 0.5, 0.6, …, 1.9, 2.0): 0.5 (Extreme): External patients have longer median time-to-event than randomized controls 1 (No bias) 2 (Extreme): External patients have shorter median time-to-event than randomized controls |
Expected downweighting factor for external controlsa | 0.6 |
Total number of patients in RCT (control + experimental) | 675 (out of 900 planned in IMpassion130) |
Number of external patients potentially available to borrow | 375 (resulting in an expected 375 * 0.6 = 225 effectively borrowed external patients) |
Randomization ratio in trial | 2:1 (experimental:control) |
Target number of events (control + experimental + downweighted external control) | 655 |
Percent lost to follow-up in both the trial and external data source | 5% |
Accrual rate in trial | 34 patients per month |
Significance level for hypothesis test of experimental treatment effect | 0.025 one-sided |
At the time of study design, the downweighting factor is known with certainty if using a power prior model with fixed power parameter, and is predicted if using a dynamic borrowing method.