Proportional constrained longitudinal data analysis models for clinical trials in sporadic Alzheimer's disease

Abstract Introduction Clinical trials for sporadic Alzheimer's disease generally use mixed models for repeated measures (MMRM) or, to a lesser degree, constrained longitudinal data analysis models (cLDA) as the analysis model with time since baseline as a categorical variable. Inferences using...

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Main Authors: Guoqiao Wang, Lei Liu, Yan Li, Andrew J. Aschenbrenner, Randall J. Bateman, Paul Delmar, Lon S. Schneider, Richard E. Kennedy, Gary R. Cutter, Chengjie Xiong
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Alzheimer’s & Dementia: Translational Research & Clinical Interventions
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Online Access:https://doi.org/10.1002/trc2.12286
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author Guoqiao Wang
Lei Liu
Yan Li
Andrew J. Aschenbrenner
Randall J. Bateman
Paul Delmar
Lon S. Schneider
Richard E. Kennedy
Gary R. Cutter
Chengjie Xiong
author_facet Guoqiao Wang
Lei Liu
Yan Li
Andrew J. Aschenbrenner
Randall J. Bateman
Paul Delmar
Lon S. Schneider
Richard E. Kennedy
Gary R. Cutter
Chengjie Xiong
author_sort Guoqiao Wang
collection DOAJ
description Abstract Introduction Clinical trials for sporadic Alzheimer's disease generally use mixed models for repeated measures (MMRM) or, to a lesser degree, constrained longitudinal data analysis models (cLDA) as the analysis model with time since baseline as a categorical variable. Inferences using MMRM/cLDA focus on the between‐group contrast at the pre‐determined, end‐of‐study assessments, thus are less efficient (eg, less power). Methods The proportional cLDA (PcLDA) and proportional MMRM (pMMRM) with time as a categorical variable are proposed to use all the post‐baseline data without the linearity assumption on disease progression. Results Compared with the traditional cLDA/MMRM models, PcLDA or pMMRM lead to greater gain in power (up to 20% to 30%) while maintaining type I error control. Discussion The PcLDA framework offers a variety of possibilities to model longitudinal data such as proportional MMRM (pMMRM) and two‐part pMMRM which can model heterogeneous cohorts more efficiently and model co‐primary endpoints simultaneously.
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spelling doaj-art-156b39a76da5402b9763580e7d3ca7c62025-08-20T02:50:40ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372022-01-0181n/an/a10.1002/trc2.12286Proportional constrained longitudinal data analysis models for clinical trials in sporadic Alzheimer's diseaseGuoqiao Wang0Lei Liu1Yan Li2Andrew J. Aschenbrenner3Randall J. Bateman4Paul Delmar5Lon S. Schneider6Richard E. Kennedy7Gary R. Cutter8Chengjie Xiong9Division of Biostatistics Washington University School of Medicine St. Louis Missouri USADivision of Biostatistics Washington University School of Medicine St. Louis Missouri USADepartment of Neurology Washington University School of Medicine St. Louis Missouri USADepartment of Neurology Washington University School of Medicine St. Louis Missouri USADepartment of Neurology Washington University School of Medicine St. Louis Missouri USAF. Hoffmann‐La Roche Ltd. Basel SwitzerlandDepartment of Psychiatry and The Behavioral Sciences Department of Neurology Keck School of Medicine University of Southern California Los Angeles USADepartment of Medicine University of Alabama at Birmingham Birmingham USADepartment of Biostatistics University of Alabama at Birmingham Birmingham USADivision of Biostatistics Washington University School of Medicine St. Louis Missouri USAAbstract Introduction Clinical trials for sporadic Alzheimer's disease generally use mixed models for repeated measures (MMRM) or, to a lesser degree, constrained longitudinal data analysis models (cLDA) as the analysis model with time since baseline as a categorical variable. Inferences using MMRM/cLDA focus on the between‐group contrast at the pre‐determined, end‐of‐study assessments, thus are less efficient (eg, less power). Methods The proportional cLDA (PcLDA) and proportional MMRM (pMMRM) with time as a categorical variable are proposed to use all the post‐baseline data without the linearity assumption on disease progression. Results Compared with the traditional cLDA/MMRM models, PcLDA or pMMRM lead to greater gain in power (up to 20% to 30%) while maintaining type I error control. Discussion The PcLDA framework offers a variety of possibilities to model longitudinal data such as proportional MMRM (pMMRM) and two‐part pMMRM which can model heterogeneous cohorts more efficiently and model co‐primary endpoints simultaneously.https://doi.org/10.1002/trc2.12286Alzheimer's diseaseproportional constrained longitudinal data analysis model (PcLDA)MMRMproportional MMRM (pMMRM)proportional treatment effect
spellingShingle Guoqiao Wang
Lei Liu
Yan Li
Andrew J. Aschenbrenner
Randall J. Bateman
Paul Delmar
Lon S. Schneider
Richard E. Kennedy
Gary R. Cutter
Chengjie Xiong
Proportional constrained longitudinal data analysis models for clinical trials in sporadic Alzheimer's disease
Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Alzheimer's disease
proportional constrained longitudinal data analysis model (PcLDA)
MMRM
proportional MMRM (pMMRM)
proportional treatment effect
title Proportional constrained longitudinal data analysis models for clinical trials in sporadic Alzheimer's disease
title_full Proportional constrained longitudinal data analysis models for clinical trials in sporadic Alzheimer's disease
title_fullStr Proportional constrained longitudinal data analysis models for clinical trials in sporadic Alzheimer's disease
title_full_unstemmed Proportional constrained longitudinal data analysis models for clinical trials in sporadic Alzheimer's disease
title_short Proportional constrained longitudinal data analysis models for clinical trials in sporadic Alzheimer's disease
title_sort proportional constrained longitudinal data analysis models for clinical trials in sporadic alzheimer s disease
topic Alzheimer's disease
proportional constrained longitudinal data analysis model (PcLDA)
MMRM
proportional MMRM (pMMRM)
proportional treatment effect
url https://doi.org/10.1002/trc2.12286
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