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Table 1 Fitted mean of sample size and 95% confidence interval back transformed from logarithmic values, type III F statistic and the corresponding p value of the effect of class of prevalence on sample size adjusting for phase and interaction between prevalence and phase, and without adjustment for other covariates and with adjustment for other covariatesa

From: Does the low prevalence affect the sample size of interventional clinical trials of rare diseases? An analysis of data from the aggregate analysis of clinicaltrials.gov

Characteristics

Without adjustment for other covariates

With adjustment for other covariates

No. of trials, m

Fitted mean

95% CI

F test

p value

No. of trials, m

Fitted mean

95% CI

F test

p value

Prevalence class

   

17.38

<.0001

   

20.73

<.0001

 <1/1,000,000

19

21.21

(11.63–38.67)

  

18

28.61

(14.43–56.73)

  

 1–9/1,000,000

88

40.57

(32.18–51.14)

  

66

55.23

(33.76–90.37)

  

 1–9/100,000

587

74.19

(67.71–81.29)

  

483

90.09

(58.66–138.36)

  

 1–5/10,000

454

86.37

(78.32–95.25)

  

359

93.10

(60.58–143.08)

  

Phase of investigation b

   

21.56

<.0001

   

324.97

<.0001

 Phase 2

841

32.84

(28.61–37.69)

  

677

46.34

(29.86–71.90)

  

 Phase 3

307

71.50

(53.05–96.38)

  

249

78.57

(47.48–130.02)

  

Prevalence × Phase

   

6.40

0.0003

   

2.75

0.0415

 Phase 2

<1/1,000,000

16

18.05

(11.20–29.09)

  

15

26.96

(14.74–49.31)

  

1–9/1,000,000

65

35.23

(27.80–44.65)

  

48

49.04

(29.87–80.51)

  

1–9/100,000

442

41.52

(37.92–45.47)

  

365

58.70

(38.14–90.32)

  

1–5/10,000

318

44.04

(39.57–49.02)

  

249

59.42

(38.62–91.43)

  

 Phase 3

<1/1,000,000

3

24.92

(8.28–75.06)

  

3

30.37

(10.37–88.92)

  

1–9/1,000,000

23

46.71

(31.37–69.56)

  

18

62.21

(34.40–112.49)

  

1–9/100,000

145

132.56

(113.12–155.35)

  

118

138.28

(88.39–216.34)

  

1–5/10,000

136

169.39

(143.80–199.53)

  

110

145.86

(92.79–229.30)

  
  1. aGender, age, whether or not the trial had a DMC, whether or not the intervention was FDA regulated, intervention model, trial regions, number of countries participating in the trial, year that enrolment to the protocol begins and number of arms
  2. bAs defined by the US FDA for trials involving investigational new drugs