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Table 5 Fitted mean of sample size and 95% confidence interval (CI), 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 with adjustment for other covariates

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

Parallel 2-arm adjusting for other covariatesa

Single-group (1-arm) adjusting for other covariatesb

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

   

6.32

0.0004

   

8.86

<.0001

 <1/1,000,000

5

45.19

(20.92–97.64)

  

12

21.15

(7.95–56.26)

  

 1–9/1,000,000

14

50.72

(29.96–85.87)

  

50

70.68

(43.15–115.77)

  

 1–9/100,000

154

112.53

(77.92–162.52)

  

276

84.64

(55.38–129.36)

  

 1–5/10,000

146

96.42

(69.18–134.38)

  

171

143.51

(90.06–228.69)

  

Phase of investigation c

   

8.59

0.0036

   

1.13

0.2873

 Phase 2

167

51.75

(33.71–79.44)

  

455

56.97

(37.66–86.17)

  

 Phase 3

152

96.36

(61.60–150.74)

  

54

74.80

(40.53–138.05)

  

Prevalence x Phase

   

1.05

0.3727

   

5.32

0.0013

Phase 2

<1/1,000,000

3

31.71

(12.42–80.93)

  

11

29.10

(15.32–55.27)

  

1–9/1,000,000

8

48.03

(25.40–90.80)

  

39

62.95

(39.30–100.84)

  

1–9/100,000

85

72.78

(49.53–106.94)

  

244

76.86

(50.96–115.92)

  

1–5/10,000

71

64.72

(45.54–91.98)

  

161

74.79

(49.48–113.06)

  

Phase 3

<1/1,000,000

2

64.41

(20.93–198.25)

  

1

15.37

(2.61–90.47)

  

1–9/1,000,000

6

53.57

(26.74–107.31)

  

11

79.36

(40.81–154.35)

  

1–9/100,000

69

174.00

(117.36–257.98)

  

32

93.21

(56.91–152.67)

  

1–5/10,000

75

143.65

(100.29–205.75)

  

10

275.36

(147.46–514.19)

  
  1. a Gender, age, whether or not the trial had a DMC, trial regions, number of countries participating in the trial and types of arm
  2. b Lead sponsor, trial regions, number of countries participating in the trial and year that enrolment to the protocol begins
  3. c As defined by the US FDA for trials involving investigational new drugs