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Overview

We consider group sequential design examining the risk difference between two treatment groups for a binary outcome. There are several issues to consider:

  • The measure of treatment difference or natural parameter; we focus on risk difference.
  • Incorporation of both null and alternate hypothesis variances.
  • Superiority, non-inferiority and super-superiority designs.
  • Stratified populations.
  • Fixed and group sequential designs.

For single stratum designs, we focus on sample size or power using the method of Farrington and Manning (1990) for a trial to test the difference between two binomial event rates. The routine can be used for a test of superiority, non-inferiority or super-superiority. For a design that tests for superiority, the methods are consistent with those of Fleiss, Tytun, and Ury (1980), but without the continuity correction. Methods for sample size and power are the same as gsDesign::nBinomial() when testing on the risk-difference scale for a single stratum. This is also consistent with the Hmisc R package routines bsamsize() and bpower() for superiority designs.

For trials with multiple strata, testing for a risk difference is often done by weighting each stratum according to the inverse of the variance (Mantel and Haenszel (1959)). Since risk differences may also be assumed to be different for different strata, we will also explore weighting by strata sample sizes as in Mehrotra and Railkar (2000).

The focus here is for sample sizes that are large enough for asymptotic theory to work well without continuity corrections. The concepts are incorporated in the following functions intended for use in fixed and group sequential designs:

Simulation is used throughout to check the examples presented.

Notation

  • K: total number of analyses (including the final analysis) in the group sequential design. For fixed design, K= 1.

  • S: total number of strata. If the population is un-stratified population, then S=1.

  • w_{s,k}: the underlying weight assigned for the s-th strata at the k-th analysis. WHY SWITCH ORDER OF s, k FROM w?

  • \widehat w_{s,k}: the estimated weight assigned for the s-th strata at the k-th analysis.

  • N_{C,k,s}, N_{E,k,s}: the planned sample size in the control/treatment group at the k-th analysis of the s-th strata.

  • \widehat N_{C,k,s}, \widehat N_{E,k,s}: the observed sample size in the control/treatment group at the k-th analysis of the s-th strata.

  • r: planned randomization ratio, i.e., r = N_{E,k,s} / N_{C,k,s} \;\; \forall k = 1, \ldots, K \;\; \text{and} \;\; s = 1, \ldots, S.

  • p_{C,s}, p_{E,s}: the planned rate of the control/treatment arm, i.e., the independent observations in the control/treatment group with a binary outcome that is observed with probability p_{C,s} at any k-th analysis of the s-th strata.

  • d: an indicator whether is an outcome is failure (bad outcome) or response (good outcome), i.e., d = \left\{ \begin{array}{lll} -1 & \text{if } p_{C,s} < p_{E,s} & \text{the control arm is better}\\ 1 & \text{if } p_{C,s} > p_{E,s} & \text{the treatment arm is better}\\ \end{array} \right. Here we assume if \exists s^* \in \{1, \ldots, S\}, s.t., p_{C,s^*} < p_{E,s^*}, then p_{C,s} < p_{E,s}, \forall s \in \{1, \ldots, S\}, and vice versa.

  • X_{C,k,s}, X_{E,k,s}: random variables indicating the number of subjects failed in control/treatment arm, i.e., X_{C,k,s} \sim \text{Binomial}(N_{C,k,s}, p_{C,k,s}), X_{E,k,s} \sim \text{Binomial}(N_{E,k,s}, p_{E,k,s}) at the k-th analysis of the s-th strata.

  • x_{C,k,s}, x_{E,k,s}: the observed outcome of X_{C, k, s}, X_{E, k, s} at the k-th analysis of the s-th strata, respectively.

  • \widehat p_{C,k,s}, \widehat p_{E,k,s}: observed rates of the control/treatment group at the k-th analysis of the s-th strata, i.e., \widehat p_{C,k,s} = x_{C,k,s} / \widehat N_{C,k,s}.\\ \widehat p_{E,k,s} = x_{E,k,s} / \widehat N_{E,k,s}.

  • \delta_{s}^{null}: the planned risk difference under H_0 at any k-th analysis of the s-th strata.

  • \delta_{s}: the planned risk difference under H_1 at any k-th analysis of the s-th strata is denoted by \delta_{s} = |p_{C,s} - p_{E,s}|.

  • \hat\delta_{s}: estimation of risk difference with \widehat\theta_{k,s} = |\widehat p_{C,k,s} - \widehat p_{E,k,s}| We have E(\widehat\theta_{k,s}) = \theta_{s}, \;\forall k = 1, \ldots, K.

Testing

The test statistics at the k-th analysis is Z_{k} = \frac{ \sum_{s=1}^S \widehat w_{s,k} \; |\widehat \delta_{k,s} - \delta_{s}^{null} | }{ \sqrt{\sum_{s=1}^S \widehat w_{s,k}^2 \widehat\sigma_{H_0,k,s}^2} } where \widehat\sigma^2_{k,s} = \widehat{\text{Var}}(\widehat p_C -\widehat p_E). And the value of \widehat\sigma^2_{k,s} depends on the hypothesis and design, i.e., whether it is a superiority design, or non-inferiority design, or super-superiority design. We will discuss \widehat\sigma^2_{k,s} in the following 3 subsections.

Superiority Design

A superiority design (\delta_{s}^{null} = 0) is to show that experimental group is superior to the control group above some thresholds. Its hypothesis is H_0: \delta_{s} = 0 \text{ vs. } H_1: \delta_{s} > 0, \; \forall k = 1, \ldots, K, s = 1, \ldots, S

  • Variance per strata per analysis:

    • Under the null hypothesis, we have \begin{array}{ll} \sigma^2_{H_0,k,s} & = \text{Var}(p_C - p_E | H_0) = p_{k,s}^{pool} \left(1 - p^{pool}_{k,s} \right) \left(\frac{1}{N_{C,k,s}} + \frac{1}{N_{E,k,s}} \right), \\ \widehat\sigma^2_{H_0,k,s} & = \widehat{\text{Var}}(\hat p_C - \hat p_E | H_0) = \widehat p_{k,s}^{pool} \left(1 - \widehat p^{pool}_{k,s} \right) \left(\frac{1}{N_{C,k,s}} + \frac{1}{N_{E,k,s}} \right), \end{array} where p_{k,s}^{pool} = (p_{C,s} N_{C,k,s} + p_{E,s} N_{E,k,s}) / (N_{C,k,s} + N_{E,k,s}) and \widehat p_{k,s}^{pool} = (x_{C,k,s} + x_{E,k,s}) / (\widehat N_{C,k,s} + \widehat N_{E,k,s}).

    • Under the alternative hypothesis, we have \begin{array}{ll} \sigma_{H_1,k,s}^2 & = \text{Var}(p_C - p_E | H_1) = \frac{p_{C,s} (1- p_{C,s})}{N_{C,k,s}} + \frac{p_{E,s} (1 - p_{E,s})}{N_{E,k,s}} \\ \widehat\sigma_{H_1,k,s}^2 & = \widehat{\text{Var}}(\hat p_C - \hat p_E | H_1) = \frac{\widehat p_{C,k,s} (1- \widehat p_{C,k,s})}{N_{C,k,s}} + \frac{\widehat p_{E,k,s} (1 - \widehat p_{E,k,s})}{N_{E,k,s}} \end{array} where \widehat p_{C,k,s} = x_{C,k,s} / N_{C,k,s} \text{ and } \widehat p_{E,k,s} = x_{E,k,s} / N_{E,k,s}. Testing will be one-sided at level \alpha \in (0, 1) and the null hypothesis will be rejected if Z_k cross the upper boundary. And the upper boundary can be either fixed or derived from spending functions.

  • Standardized treatment effect per analysis:

    • Under the null hypothesis, we have \theta_{H_0,k} = 0 \\ \widehat \theta_{H_0,k} = 0

    • Under the alternative hypothesis, we have \begin{array}{ll} \theta_{H_1,k} & = \frac{\sum_{s=1}^S w_{k,s} (p_{C,s} - p_{E,s})}{\sqrt{\sum_{s=1}^S w_{k,s}^2 \sigma_{H_1, k,s}^2}}\\ \widehat\theta_{H_1,k} & = \frac{ \sum_{s=1}^S \widehat w_{k,s} (\widehat p_C - \widehat p_E) }{ \sqrt{\sum_{s=1}^S \widehat w_{k,s}^2 \widehat\sigma_{H_1, k,s}^2} }. \end{array}

  • Standardized information per analysis:

    Lachin (2009) or Lachin (1981) provide fixed sample size calculations based on the values \psi_0 under the null hypothesis and \psi_1 under the alternate hypothesis. Here we propose using the same variance calculations to compute statistical information for a group sequential design and apply the formulation for power and sample size calculation in the vignette Computing Bounds Under Non-Constant Treatment Effect.

    • Under the null hypothesis, we have \begin{array}{ll} \mathcal I_{H0,k} & = \left[ \sum_{s=1}^S w_{k,s}^2 \frac{p_{k,s}^{pool} (1 - p_{k,s}^{pool})}{N_{C, k, s}} + w_{k,s}^2 \frac{p_{k,s}^{pool} (1 - p_{k,s}^{pool})}{N_{E, k, s}} \right]^{-1} \\ \widehat{\mathcal I}_{H0,k} & = \left[ \sum_{s=1}^S \widehat w_{k,s}^2 \frac{\widehat p_{k,s}^{pool} (1 - \widehat p_{k,s}^{pool})}{\widehat N_{C,k,s}} + \widehat w_{k,s}^2 \frac{\widehat p_{k,s}^{pool} (1 - \widehat p_{k,s}^{pool})}{\widehat N_{C,k,s}} \right]^{-1} \end{array}

    • Under the alternative hypothesis, we have \begin{array}{ll} \mathcal I_{H1,k} = \left[ \sum_{s=1}^S w_{k,s}^2 \frac{p_{C,k,s} (1 - p_{C,k,s})}{N_{C,k,s}} + \sum_{s=1}^S w_{k,s}^2 \frac{p_{E,k,s} (1 - p_{E,k,s})}{N_{E,k,s}} \right]^{-1}\\ \widehat{\mathcal I}_{H1,k} = \left[ \sum_{s=1}^S \widehat w_{k,s}^2 \frac{\widehat p_{C,k,s} (1 - \widehat p_{C,k,s})}{\widehat N_{C,k,s}} + \sum_{s=1}^S \widehat w_{k,s}^2 \frac{\widehat p_{E,k,s} (1 - \widehat p_{E,k,s})}{\widehat N_{E,k,s}} \right]^{-1} \end{array}

Super-Superiority Design

The hypothesis of the super-superiority design is

H_0: \delta_{k,s} = \delta_{k,s}^{null} \;\; vs. \;\; H_1: \delta > \delta_{k,s}^{null} \text{ with } \delta_{k,s}^{null} > 0. Here \theta_{k,s_1}^{null} = \theta_{k,s_2}^{null} or \theta_{k,s_1}^{null} \neq \theta_{k,s_2}^{null} for s_1 \neq s_2.

Under the null hypothesis \theta_{0,k,s} \neq 0, the estimation of rates \widehat p_{C0,k,s}, \widehat p_{E0,k,s} satisfy \left\{ \begin{array}{l} \widehat p_{C0,k,s} = \widehat p_{E0,k,s} + d_{k,s} \times \delta_{k,s}^{null} \\ \widehat p_{C0,k,s} + r\widehat p_{E0,k,s} = \widehat p_{C,k,s} + r\widehat p_{E,k,s} . \end{array} \right. Solving these 2 equations with 2 unknowns yields \left\{ \begin{array}{l} \widehat p_{E0,k,s} & = (\widehat p_{C,k,s} + r \widehat p_{E,k,s} - d_{k,s} \delta_{k,s}^{null}) / (r + 1)\\ \widehat p_{C0,k,s} & = \widehat p_{E0,k,s} + d_{k,s} \delta_{k,s}^{null}. \end{array} \right.

  • Variance per strata per analysis:

    • Under H_0, we have

\hat\sigma^2_{H_0,k,s} = \frac{\widehat p_{C0,k,s}(1- \widehat p_{C0,k,s})}{N_{C,k,s}} + \frac{ \widehat p_{E0,k,s} (1 - \widehat p_{E0,k,s})}{N_{E,k,s}}.

  • Under H_1, we have

\widehat\sigma_{H_1,k,s}^2 = \frac{\widehat p_{C,k,s} (1- \widehat p_{C,k,s})}{N_{C,k,s}} + \frac{\widehat p_{E,k,s} (1 - \widehat p_{E,k,s})}{N_{E,k,s}}.

  • Standardized treatment effect per analysis:

    • Under the null hypothesis, we have

\widehat \theta_{H_0,k} = \frac{ \sum_{s=1}^S w_{k,s} \delta_{s,k}^{null} }{ \sqrt{\sum_{s=1}^S w_{k,s}^2 \widehat \sigma_{H_0,k,s}}^2 }.

  • Under the alternative hypothesis, we have

\widehat \theta_{H_1} = \frac{ \sum_{s=1}^S w_{k,s} d_{k,s} \times (\widehat p_{C,k,s} - \widehat p_{E,k,s}) }{ \sqrt{\sum_{s=1}^S w_{k,s}^2 \widehat \sigma_{H_1,k,s}^2} }.

  • Standardized information per analysis:

    • Under the null hypothesis, we have

\widehat{\mathcal I}_{H0,k} = \left[ \sum_{s=1}^S w_{k,s}^2 \frac{\bar p_{C0,s} (1 - \bar p_{C0,s})}{N_{C,s}} + w_{k,s}^2\frac{\bar p_{E0,s} (1 - \bar p_{E0,s})}{N_{E,s}} \right]^{-1}.

  • Under the alternative hypothesis, we have

\widehat{\mathcal I}_{H1,k} = \left[ \sum_{s=1}^S \left( w_{k,s}^2 \frac{\bar p_{C,k,s} (1 - \bar p_{C,k,s})}{N_{C,k,s}} + w_{k,s}^2 \frac{\bar p_{E,k,s} (1 - \bar p_{E,k,s})}{N_{E,k,s}} \right) \right]^{-1}.

Non-inferiority Design

The non-inferiority Design means that, while the treatment group is definitely not better than the control group, it is not unacceptably worse. Its hypothesis is H_0: \delta_{k,s} = \delta_{k,s}^{null} \;\; vs. \;\; H_1: \delta_{k,s} > \delta_{k,s}^{null} with \delta_{k,s}^{null} <0. Its variance, standardized treatment effect and statistical information is the same as that from super-superiority design by setting \delta_{k,s}^{null} as negative numbers.

Weighting Options

As previously noted, we will consider weighting based on either inverse-variance weights (Mantel and Haenszel (1959)) or strata sample size weights (Mehrotra and Railkar (2000)).

  • Inverse-variance weights (INVAR): w_{s,k} = \frac{1/\sigma^2_{s,k}}{\sum_{s=1}^S 1/\sigma^2_{s,k}}. \\ \widehat w_{s,k} = \frac{1/\widehat\sigma^2_{s,k}}{\sum_{s=1}^S 1/\widehat\sigma^2_{s,k}}. where \widehat\sigma_{s,k}^2 \in \{\widehat\sigma_{H_0, k,s}^2, \widehat\sigma_{H_1, k,s}^2 \} depending on the information scale info_scale = ... in gs_info_rd(), gs_power_rd() and gs_design_rd().

  • Sample-Size Weights (SS): w_{s,k} = \frac{ (N_{C, s, k} \; N_{E, s, k}) / (N_{C, s, k} + N_{E, s, k}) }{ \sum_{s=1}^S (N_{C, s, k} \; N_{E, s, k}) / (N_{C, s, k} + N_{E, s, k}) },\\ \widehat w_{s,k} = \frac{ (\widehat N_{C, s, k} \; \widehat N_{E, s, k}) / (\widehat N_{C, s, k} + \widehat N_{E, s, k}) }{ \sum_{s=1}^S (\widehat N_{C, s, k} \; \widehat N_{E, s, k}) / (\widehat N_{C, s, k} + \widehat N_{E, s, k}) }, where N_{C,s,k}, N_{E,s,k} are the planned sample size of the s-th strata and k-th analysis of the control group and experimental group, respectively. And \widehat N_{C,s,k}, \widehat N_{E,s,k} are the observed sample size of the s-th strata and k-th analysis of the control group and experimental group, respectively.

Simulations

We do a quick 20,000 simulations and compare the density histogram of outcomes to the standard normal density. Assume r=1, d = 1, p_C=p_E=0.125, N=200. We then compute \sigma as 0.047. Even for this not huge sample size the normal density fits quite well other than some flatness in the middle.

# Hypothesized failure rate
p <- .125
#  Other parameters
set.seed(123)
r <- 1
n <- 200
n_c <- n / (r + 1)
n_e <- r * n / (r + 1)
library(ggplot2)
# Generate random counts of events for each treatment
x_c <- rbinom(n = 20000, size = n_c, prob = p)
x_e <- rbinom(n = 20000, size = n_e, prob = p)
# Treatment difference estimate
thetahat <- x_c / n_c - x_e / n_e
# Standard error under H0
pbar <- (x_c + x_e) / n
se0 <- sqrt(pbar * (1 - pbar) * (1 / n_c + 1 / n_e))
# Z to test H0
z <- thetahat / se0
x <- seq(-4, 4, .1)
se0a <- sqrt(p * (1 - p) * (1 / n_c + 1 / n_e))
y <- data.frame(z = x, Density = dnorm(x = x, mean = 0, sd = 1))

ggplot() +
  geom_histogram(data = data.frame(z), aes(x = z, y = ..density..), color = 1, fill = "white") +
  geom_line(data = y, aes(x = z, y = Density), linetype = 1) +
  ylab("Density") +
  ggtitle("Binomial outcomes by simulation vs. asymptotic normal density",
    subtitle = "Histogram of 20,000 simulations"
  )
#> Warning: The dot-dot notation (`..density..`) was deprecated in ggplot2 3.4.0.
#>  Please use `after_stat(density)` instead.
#> This warning is displayed once every 8 hours.
#> Call `lifecycle::last_lifecycle_warnings()` to see where this warning was
#> generated.

Examples

Unstratified Fixed Design

The example discussed in this section is an unstratified fixed design with equal sized groups to detect a 30% reduction in mortality associated with congestive heart failure, where the 1-year mortality in the control group is assumed to be no greater than 0.4. So p_C=0.4, p_E = .28. Under the null hypothesis, we assume p_C=p_E =0.34. We desire 90% power for a two-sided test for two proportions at \alpha = 0.05. And we would like to calculate the sample size to achieve the 90% power.

gsDesign2

First, we set the parameters.

p_c <- .28
p_e <- .4
p_pool <- (p_c + p_e) / 2

n <- 1
ratio <- 1
n_c <- n / (1 + ratio)
n_e <- n_c * ratio

Then we calculate the variance under H_0 and H_1. Their mathematical formulation are shown as follows. \begin{array}{ll} \sigma^2_{H_0} = p^{pool} \left(1 - p^{pool} \right) \left(\frac{1}{N_C} + \frac{1}{N_{E}} \right) = p^{pool} \left(1 - p^{pool} \right) \left(\frac{1}{N \xi_C} + \frac{1}{N \xi_E} \right) \overset{r=1}{=} p^{pool} \left(1 - p^{pool} \right) \frac{4}{N} \\ \sigma^2_{H_1} = \frac{p_C \left(1 - p_C \right)}{N_C} + \frac{p_E \left(1 - p_E \right)}{N_E} = \frac{p_C \left(1 - p_C \right)}{N \xi_C} + \frac{p_E \left(1 - p_E \right)}{N \xi_E} \overset{r=1}{=} \left[ p_C \left(1 - p_C \right) + p_E \left(1 - p_E \right) \right] \frac{2}{N} \end{array} And their calculation results are

sigma_h0 <- sqrt(p_pool * (1 - p_pool) * 4 / n)
sigma_h1 <- sqrt((p_c * (1 - p_c) + p_e * (1 - p_e)) * 2 / n)

info_h0 <- 1 / (sigma_h0^2)
info_h1 <- 1 / (sigma_h1^2)

Next, we calculate the standardized treatment effect under H_0 and H_1, whose mathematical formulation are \begin{array}{ll} \theta_{H_0} = 0; \\ \theta_{H_1} = \frac{|p_c - p_e|}{\sigma_{H_1}} \end{array}.

And their calculation results are

theta_h0 <- 0
theta_h1 <- abs(p_c - p_e) / sigma_h1

tibble::tribble(
  ~n_c, ~n_e, ~p_c, ~p_e, ~theta_h1, ~theta_h0, ~info_h1, ~info_h0,
  n_c, n_e, p_c, p_e, theta_h1, theta_h0, info_h1, info_h0,
) %>% gt::gt()
n_c n_e p_c p_e theta_h1 theta_h0 info_h1 info_h0
0.5 0.5 0.28 0.4 0.1276885 0 1.132246 1.114082

The above logic is implemented in the function gs_info_rd().

x <- gs_info_rd(
  p_c = tibble::tibble(stratum = "All", rate = .28),
  p_e = tibble::tibble(stratum = "All", rate = .4),
  n = tibble::tibble(stratum = "All", n = 1, analysis = 1),
  rd0 = 0,
  ratio = 1,
  weight = "unstratified"
)

x %>%
  gt::gt() %>%
  gt::fmt_number(columns = 5:8, decimals = 6)
analysis n rd rd0 theta1 theta0 info1 info0
1 1 0.12 0 0.120000 0.000000 1.132246 1.114082

By plugging the theta and info above into gs_design_npe(), one can calculate the sample size to achieve the 90% power.

# under info_scale = "h0_info"
y_0 <- gs_design_npe(
  theta = .4 - .28,
  info = x$info0,
  info0 = x$info0,
  info_scale = "h0_info",
  alpha = .025,
  beta = .1,
  upper = gs_b,
  lower = gs_b,
  upar = list(par = -qnorm(.025)),
  lpar = list(par = -Inf)
)

# under info_scale = "h1_info"
y_1 <- gs_design_npe(
  theta = .4 - .28,
  info = x$info1,
  info0 = x$info0,
  info_scale = "h1_info",
  alpha = .025,
  beta = .1,
  upper = gs_b,
  lower = gs_b,
  upar = list(par = -qnorm(.025)),
  lpar = list(par = -Inf)
)

# under info_scale = "h0_h1_info"
y_2 <- gs_design_npe(
  theta = .4 - .28,
  info = x$info1,
  info0 = x$info0,
  info_scale = "h0_h1_info",
  alpha = .025,
  beta = .1,
  upper = gs_b,
  lower = gs_b,
  upar = list(par = -qnorm(.025)),
  lpar = list(par = -Inf)
)

tibble(
  `info_scale = "h0_info"` = y_0$info0[1] / x$info0[1],
  `info_scale = "h1_info"` = y_1$info1[1] / x$info1[1],
  `info_scale = "h0_h1_info"` = y_2$info[1] / x$info1[1]
) %>%
  gt::gt() %>%
  gt::tab_header(title = "The sample size calculated by gsDesign2 under 3 info_scale")
The sample size calculated by gsDesign2 under 3 info_scale
info_scale = "h0_info" info_scale = "h1_info" info_scale = "h0_h1_info"
654.9627 644.4553 650.7984

The above logic is implement in gs_design_rd() to calculate the sample size given fixed power in one-step.

z_info_scale_0 <- gs_design_rd(
  p_c = tibble::tibble(stratum = "All", rate = .28),
  p_e = tibble::tibble(stratum = "All", rate = .4),
  rd0 = 0,
  alpha = 0.025,
  beta = 0.1,
  ratio = 1,
  weight = "unstratified",
  upper = gs_b,
  lower = gs_b,
  upar = -qnorm(.025),
  lpar = -Inf,
  info_scale = "h0_info"
)

z_info_scale_1 <- gs_design_rd(
  p_c = tibble::tibble(stratum = "All", rate = .28),
  p_e = tibble::tibble(stratum = "All", rate = .4),
  rd0 = 0,
  alpha = 0.025,
  beta = 0.1,
  ratio = 1,
  weight = "unstratified",
  upper = gs_b,
  lower = gs_b,
  upar = -qnorm(.025),
  lpar = -Inf,
  info_scale = "h1_info"
)

z_info_scale_2 <- gs_design_rd(
  p_c = tibble::tibble(stratum = "All", rate = .28),
  p_e = tibble::tibble(stratum = "All", rate = .4),
  rd0 = 0,
  alpha = 0.025,
  beta = 0.1,
  ratio = 1,
  weight = "unstratified",
  upper = gs_b,
  lower = gs_b,
  upar = -qnorm(.025),
  lpar = -Inf,
  info_scale = "h0_h1_info"
)

gsDesign

EAST

Sample size calculated by EAST

Sample size calculated by EAST

Summary

tibble::tibble(
  gsDesign2_info_scale_0 = z_info_scale_0$analysis$n,
  gsDesign2_info_scale_1 = z_info_scale_1$analysis$n,
  gsDesign2_info_scale_2 = z_info_scale_2$analysis$n,
  gsDesign = x_gsdesign$n,
  EAST_unpool = 645,
  EAST_pool = 651
) %>%
  gt::gt() %>%
  gt::tab_spanner(
    label = "gsDesign2",
    columns = c(gsDesign2_info_scale_0, gsDesign2_info_scale_1, gsDesign2_info_scale_2)
  ) %>%
  gt::tab_spanner(
    label = "EAST",
    columns = c(EAST_unpool, EAST_pool)
  ) %>%
  cols_label(
    gsDesign2_info_scale_0 = "info_scale = \"h0_info\"",
    gsDesign2_info_scale_1 = "info_scale = \"h1_info\"",
    gsDesign2_info_scale_2 = "info_scale = \"h0_h1_info\"",
    EAST_unpool = "un-pooled",
    EAST_pool = "pooled"
  )
gsDesign2
gsDesign
EAST
info_scale = "h0_info" info_scale = "h1_info" info_scale = "h0_h1_info" un-pooled pooled
654.9627 644.4553 650.7984 650.7984 645 651

Unstratified Group Sequential Design

The example discussed in this section is an unstratified group sequential design with equal sized groups to detect p_C = 0.15, p_E = .1.
Under the null hypothesis, we assume p_C = p_E = 0.125. We desire 90% power for a two-sided test for two proportions at \alpha = 0.05. And we would like to calculate the sample size to achieve the 90% power.

gsDesign2

To calculate the sample size, one can use gs_design_rd(). The logic of gs_design_rd() is to calculate the sample size of fixed design first.

x_gs <- gs_info_rd(
  p_c = tibble::tibble(stratum = "All", rate = .15),
  p_e = tibble::tibble(stratum = "All", rate = .1),
  n = tibble::tibble(stratum = "All", n = 1:3 / 3, analysis = 1:3),
  rd0 = 0,
  ratio = 1,
  weight = "unstratified"
)

x_gs %>%
  gt::gt() %>%
  gt::tab_header(title = "The statistical information of the group sequential design")
The statistical information of the group sequential design
analysis n rd rd0 theta1 theta0 info1 info0
1 0.3333333 0.05 0 0.05 0 0.7662835 0.7619048
2 0.6666667 0.05 0 0.05 0 1.5325670 1.5238095
3 1.0000000 0.05 0 0.05 0 2.2988506 2.2857143
y_gs0 <- gs_design_npe(
  theta = .05,
  info = x_gs$info0,
  info0 = x_gs$info0,
  info_scale = "h0_info",
  alpha = .025, beta = .1, binding = FALSE,
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE
)

y_gs1 <- gs_design_npe(
  theta = .05,
  info = x_gs$info1,
  info0 = x_gs$info1,
  info_scale = "h0_h1_info",
  alpha = .025, beta = .1, binding = FALSE,
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE
)

y_gs2 <- gs_design_npe(
  theta = .05,
  info = x_gs$info1,
  info0 = x_gs$info0,
  info_scale = "h0_h1_info",
  alpha = .025, beta = .1, binding = FALSE,
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE
)

tibble(
  `info_scale = "h0_info"` = y_gs0$info0 / x_gs$info0[3],
  `info_scale = "h1_info"` = y_gs1$info1 / x_gs$info1[3],
  `info_scale = "h0_h1_info"` = y_gs2$info / x_gs$info1[3]
) %>%
  gt::gt() %>%
  gt::tab_header(
    title = "The sample size calculated by `gsDesign2` under 3 info_scale",
    subtitle = "under group sequential design"
  )
The sample size calculated by `gsDesign2` under 3 info_scale
under group sequential design
info_scale = "h0_info" info_scale = "h1_info" info_scale = "h0_h1_info"
620.1976 616.6536 618.3786
620.1976 616.6536 618.3786
1240.3952 1233.3072 1236.7572
1240.3952 1233.3072 1236.7572
1860.5927 1849.9608 1855.1358
1860.5927 1849.9608 1855.1358

The above logic is implemented in gs_design_rd().

x_gsdesign2_info_scale_0 <- gs_design_rd(
  p_c = tibble::tibble(stratum = "All", rate = .15),
  p_e = tibble::tibble(stratum = "All", rate = .1),
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .1,
  ratio = 1,
  weight = "unstratified",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE,
  info_scale = "h0_info"
)

x_gsdesign2_info_scale_1 <- gs_design_rd(
  p_c = tibble::tibble(stratum = "All", rate = .15),
  p_e = tibble::tibble(stratum = "All", rate = .1),
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .1,
  ratio = 1,
  weight = "unstratified",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE,
  info_scale = "h1_info"
)

x_gsdesign2_info_scale_2 <- gs_design_rd(
  p_c = tibble::tibble(stratum = "All", rate = .15),
  p_e = tibble::tibble(stratum = "All", rate = .1),
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .1,
  ratio = 1,
  weight = "unstratified",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE,
  info_scale = "h0_h1_info"
)

gsDesign

n_fix <- nBinomial(
  # Control event rate
  p1 = .15,
  # Experimental event rate
  p2 = .1,
  # Null hypothesis event rate difference (control - experimental)
  delta0 = 0,
  # 1-sided Type I error
  alpha = .025,
  # Type II error (1 - Power)
  beta = .1,
  # Experimental/Control randomization ratio
  ratio = 1
)

cat("The sample size of fixed-design calculated by `gsDesign` is ", n_fix, ".\n")
#> The sample size of fixed-design calculated by `gsDesign` is  1834.641 .

x_gsdesign <- gsDesign(
  k = 3,
  test.type = 1,
  # 1-sided Type I error
  alpha = .025,
  # Type II error (1 - Power)
  beta = .1,
  # If test.type = 5 or 6, this sets maximum spending for futility
  # under the null hypothesis. Otherwise, this is ignored.
  astar = 0,
  timing = 1:3 / 3,
  sfu = sfLDOF,
  sfupar = NULL,
  sfl = sfLDOF,
  sflpar = NULL,
  # Difference in event rates under alternate hypothesis
  delta = 0,
  # Difference in rates under H1
  delta1 = .05,
  # Difference in rates under H0
  delta0 = 0,
  endpoint = "Binomial",
  # Fixed design sample size from nBinomial above
  n.fix = n_fix
)

cat("The sample size calcuated by `gsDesign` is ", x_gsdesign$n.I, ".\n")
#> The sample size calcuated by `gsDesign` is  618.7954 1237.591 1856.386 .

gsBoundSummary(x_gsdesign, digits = 4, ddigits = 2, tdigits = 1)
#>   Analysis                  Value Efficacy
#>  IA 1: 33%                      Z   3.7103
#>     N: 619            p (1-sided)   0.0001
#>                   ~delta at bound   0.0985
#>               P(Cross) if delta=0   0.0001
#>            P(Cross) if delta=0.05   0.0338
#>  IA 2: 67%                      Z   2.5114
#>    N: 1238            p (1-sided)   0.0060
#>                   ~delta at bound   0.0472
#>               P(Cross) if delta=0   0.0060
#>            P(Cross) if delta=0.05   0.5603
#>      Final                      Z   1.9930
#>    N: 1857            p (1-sided)   0.0231
#>                   ~delta at bound   0.0306
#>               P(Cross) if delta=0   0.0250
#>            P(Cross) if delta=0.05   0.9000

EAST

Sample size calculated by EAST

Sample size calculated by EAST

Sample size calculated by EAST

Sample size calculated by EAST

Sample size calculated by EAST

Sample size calculated by EAST

Summary

tibble::tibble(
  gsDesign2_info_scale_0 = x_gsdesign2_info_scale_0$analysis$n,
  gsDesign2_info_scale_1 = x_gsdesign2_info_scale_1$analysis$n,
  gsDesign2_info_scale_2 = x_gsdesign2_info_scale_2$analysis$n,
  gsDesign = x_gsdesign$n.I,
  EAST_unpool = c(617, 1233, 1850),
  EAST_pool = c(619, 1238, 1857)
) %>%
  gt::gt() %>%
  gt::tab_spanner(
    label = "gsDesign2",
    columns = c(gsDesign2_info_scale_0, gsDesign2_info_scale_1, gsDesign2_info_scale_2)
  ) %>%
  gt::tab_spanner(
    label = "EAST",
    columns = c(EAST_unpool, EAST_pool)
  ) %>%
  cols_label(
    gsDesign2_info_scale_0 = "info_scale = \"h0_info\"",
    gsDesign2_info_scale_1 = "info_scale = \"h1_info\"",
    gsDesign2_info_scale_2 = "info_scale = \"h0_h1_info\"",
    EAST_unpool = "un-pooled",
    EAST_pool = "pooled"
  )
gsDesign2
gsDesign
EAST
info_scale = "h0_info" info_scale = "h1_info" info_scale = "h0_h1_info" un-pooled pooled
620.1976 616.6536 618.3786 618.7954 617 619
1240.3952 1233.3072 1236.7572 1237.5909 1233 1238
1860.5927 1849.9608 1855.1358 1856.3863 1850 1857

Stratified Group Sequential Design

In this example, we consider 3 strata in a group sequential design with 3 analyses.

ratio <- 1
prevalence_ratio <- c(4, 5, 6)
p_c_by_stratum <- c(.3, .37, .6)
p_e_by_stratum <- c(.25, .3, .5)

p_c <- tibble::tibble(stratum = c("S1", "S2", "S3"), rate = p_c_by_stratum)
p_e <- tibble::tibble(stratum = c("S1", "S2", "S3"), rate = p_e_by_stratum)
ratio_strata_c <- tibble::tibble(stratum = c("S1", "S2", "S3"), ratio = prevalence_ratio)
ratio_strata_e <- ratio_strata_c

n <- 1
info_frac <- 1:3 / 3
n_c <- n / (1 + ratio)
n_e <- ratio * n_c

x <- p_c %>%
  rename(p_c = rate) %>%
  left_join(p_e) %>%
  rename(p_e = rate) %>%
  mutate(p_pool = (p_c + p_e) / 2) %>%
  mutate(
    xi_c = (
      ratio_strata_c %>% mutate(prop = ratio / sum(ratio))
    )$prop
  ) %>%
  mutate(
    xi_e = (
      ratio_strata_e %>% mutate(prop = ratio / sum(ratio))
    )$prop
  ) %>%
  mutate(n_c = n_c * xi_c, n_e = n_e * xi_e)

x %>%
  gt::gt() %>%
  gt::fmt_number(columns = 4:8, decimals = 4) %>%
  gt::tab_footnote(
    footnote = "p_pool = (p_c * n_c + p_e * n_e) / (n_c * n_e).",
    locations = gt::cells_column_labels(columns = p_pool)
  ) %>%
  gt::tab_footnote(
    footnote = "xi_c = sample size of a strata / sample size of the control arm.",
    locations = gt::cells_column_labels(columns = xi_c)
  ) %>%
  gt::tab_footnote(
    footnote = "xi_e = sample size of a strata / sample size of the experimental arm.",
    locations = gt::cells_column_labels(columns = xi_e)
  ) %>%
  gt::tab_footnote(
    footnote = "n_c = total sample size of the control arm.",
    locations = gt::cells_column_labels(columns = n_c)
  ) %>%
  gt::tab_footnote(
    footnote = "n_e = total size of the experimental arm.",
    locations = gt::cells_column_labels(columns = n_e)
  ) %>%
  gt::tab_header(title = "Stratified Example")
Stratified Example
stratum p_c p_e p_pool1 xi_c2 xi_e3 n_c4 n_e5
S1 0.30 0.25 0.2750 0.2667 0.2667 0.1333 0.1333
S2 0.37 0.30 0.3350 0.3333 0.3333 0.1667 0.1667
S3 0.60 0.50 0.5500 0.4000 0.4000 0.2000 0.2000
1 p_pool = (p_c * n_c + p_e * n_e) / (n_c * n_e).
2 xi_c = sample size of a strata / sample size of the control arm.
3 xi_e = sample size of a strata / sample size of the experimental arm.
4 n_c = total sample size of the control arm.
5 n_e = total size of the experimental arm.

First, we calculate the variance \left\{ \begin{array}{ll} \sigma^2_{H_0,k,s} & = p_{k,s}^{pool} \left(1 - p^{pool}_{k,s} \right) \left(\frac{1}{N_{C,k,s}} + \frac{1}{N_{E,k,s}} \right) = p_{k,s}^{pool} \left(1 - p^{pool}_{k,s} \right) \left(\frac{1}{ \frac{\xi_s}{1+r} N_{k}} + \frac{1}{ \frac{r \xi_s}{1+r} N_{k}} \right) \\ \sigma_{H_1,k,s}^2 & = \frac{p_{C,s} (1- p_{C,s})}{N_{C,k,s}} + \frac{p_{E,s} (1 - p_{E,s})}{N_{E,k,s}} = \frac{p_{C,s} (1- p_{C,s})}{\frac{\xi_s}{1+r} N_{k}} + \frac{p_{E,s} (1 - p_{E,s})}{\frac{r \xi_s}{1+r} N_{k}} \end{array} \right.

x <- x %>%
  union_all(x) %>%
  union_all(x) %>%
  mutate(Analysis = rep(1:3, each = 3)) %>%
  left_join(tibble(Analysis = 1:3, IF = info_frac)) %>%
  mutate(n_c = n_c * IF, n_e = n_e * IF) %>%
  select(Analysis, stratum, p_c, p_pool, p_e, n_c, n_e, xi_c, xi_e) %>%
  mutate(
    sigma_h0 = sqrt(p_pool * (1 - p_pool) * (1 / n_c + 1 / n_e)),
    sigma_h1 = sqrt(p_c * (1 - p_c) / n_c + p_e * (1 - p_e) / n_e)
  )

x %>%
  gt() %>%
  gt::fmt_number(6:11, decimals = 4) %>%
  gt::tab_footnote(
    footnote = "sigma_h0 = the H0 sd per stratum per analysis.",
    locations = gt::cells_column_labels(columns = sigma_h0)
  ) %>%
  gt::tab_footnote(
    footnote = "sigma_h1 = the H0 sd per stratum per analysis.",
    locations = gt::cells_column_labels(columns = sigma_h1)
  )
Analysis stratum p_c p_pool p_e n_c n_e xi_c xi_e sigma_h01 sigma_h12
1 S1 0.30 0.275 0.25 0.0444 0.0444 0.2667 0.2667 2.9953 2.9906
1 S2 0.37 0.335 0.30 0.0556 0.0556 0.3333 0.3333 2.8319 2.8241
1 S3 0.60 0.550 0.50 0.0667 0.0667 0.4000 0.4000 2.7249 2.7111
2 S1 0.30 0.275 0.25 0.0889 0.0889 0.2667 0.2667 2.1180 2.1147
2 S2 0.37 0.335 0.30 0.1111 0.1111 0.3333 0.3333 2.0025 1.9970
2 S3 0.60 0.550 0.50 0.1333 0.1333 0.4000 0.4000 1.9268 1.9170
3 S1 0.30 0.275 0.25 0.1333 0.1333 0.2667 0.2667 1.7293 1.7266
3 S2 0.37 0.335 0.30 0.1667 0.1667 0.3333 0.3333 1.6350 1.6305
3 S3 0.60 0.550 0.50 0.2000 0.2000 0.4000 0.4000 1.5732 1.5652
1 sigma_h0 = the H0 sd per stratum per analysis.
2 sigma_h1 = the H0 sd per stratum per analysis.

Second, we calculate the weight by using inverse variance

w_{s,k} = \frac{1/\sigma^2_{s,k}}{\sum_{s=1}^S 1/\sigma^2_{s,k}}.

temp <- x %>%
  group_by(Analysis) %>%
  summarise(
    sum_invar_H0 = sum(1 / sigma_h0^2),
    sum_invar_H1 = sum(1 / sigma_h1^2),
    sum_ss = sum((n_c * n_e) / (n_c + n_e))
  )

x <- x %>%
  left_join(temp) %>%
  mutate(
    weight_invar_H0 = 1 / sigma_h0^2 / sum_invar_H0,
    weight_invar_H1 = 1 / sigma_h1^2 / sum_invar_H1,
    weight_ss = (n_c * n_e) / (n_c + n_e) / sum_ss
  ) %>%
  select(-c(sum_invar_H0, sum_invar_H1, sum_ss))

x %>%
  gt() %>%
  fmt_number(6:14, decimals = 4) %>%
  gt::tab_footnote(
    footnote = "weight_invar_H0 = the weight per stratum per analysis calculated by INVAR by using variance under H0.",
    locations = gt::cells_column_labels(columns = weight_invar_H0)
  ) %>%
  gt::tab_footnote(
    footnote = "weight_invar_H1 = the weight per stratum per analysis calculated by INVAR by using variance under H1.",
    locations = gt::cells_column_labels(columns = weight_invar_H1)
  ) %>%
  gt::tab_footnote(
    footnote = "weight_ss = the weight per stratum per analysis calculated by SS.",
    locations = gt::cells_column_labels(columns = weight_ss)
  )
Analysis stratum p_c p_pool p_e n_c n_e xi_c xi_e sigma_h0 sigma_h1 weight_invar_H01 weight_invar_H12 weight_ss3
1 S1 0.30 0.275 0.25 0.0444 0.0444 0.2667 0.2667 2.9953 2.9906 0.3006 0.2996 0.2667
1 S2 0.37 0.335 0.30 0.0556 0.0556 0.3333 0.3333 2.8319 2.8241 0.3362 0.3359 0.3333
1 S3 0.60 0.550 0.50 0.0667 0.0667 0.4000 0.4000 2.7249 2.7111 0.3632 0.3645 0.4000
2 S1 0.30 0.275 0.25 0.0889 0.0889 0.2667 0.2667 2.1180 2.1147 0.3006 0.2996 0.2667
2 S2 0.37 0.335 0.30 0.1111 0.1111 0.3333 0.3333 2.0025 1.9970 0.3362 0.3359 0.3333
2 S3 0.60 0.550 0.50 0.1333 0.1333 0.4000 0.4000 1.9268 1.9170 0.3632 0.3645 0.4000
3 S1 0.30 0.275 0.25 0.1333 0.1333 0.2667 0.2667 1.7293 1.7266 0.3006 0.2996 0.2667
3 S2 0.37 0.335 0.30 0.1667 0.1667 0.3333 0.3333 1.6350 1.6305 0.3362 0.3359 0.3333
3 S3 0.60 0.550 0.50 0.2000 0.2000 0.4000 0.4000 1.5732 1.5652 0.3632 0.3645 0.4000
1 weight_invar_H0 = the weight per stratum per analysis calculated by INVAR by using variance under H0.
2 weight_invar_H1 = the weight per stratum per analysis calculated by INVAR by using variance under H1.
3 weight_ss = the weight per stratum per analysis calculated by SS.

Third, we calculate the weighted risk difference and weighted statistical information. \left\{ \begin{array}{ll} \delta_{H_0,k} & = 0\\ \delta_{H_1,k} & = \sum_{s=1}^S w_{k,s} |p_{C,s} - p_{E,s}| \end{array} \right. \\ \left\{ \begin{array}{ll} \mathcal I_{H_0,k} & = \left[ \sum_{s=1}^S w_{k,s}^2 \frac{p_{k,s}^{pool} (1 - p_{k,s}^{pool})}{N_{C, k, s}} + w_{k,s}^2 \frac{p_{k,s}^{pool} (1 - p_{k,s}^{pool})}{N_{E, k, s}} \right]^{-1}\\ \mathcal I_{H_1,k} & = \left[ \sum_{s=1}^S w_{k,s}^2 \frac{p_{C,k,s} (1 - p_{C,k,s})}{N_{C,k,s}} + \sum_{s=1}^S w_{k,s}^2 \frac{p_{E,k,s} (1 - p_{E,k,s})}{N_{E,k,s}} \right]^{-1} \end{array} \right. \\

x <- x %>%
  group_by(Analysis) %>%
  summarise(
    rd_invar_H0 = sum(weight_invar_H0 * abs(p_c - p_e)),
    rd_invar_H1 = sum(weight_invar_H1 * abs(p_c - p_e)),
    rd_ss = sum(weight_ss * abs(p_c - p_e)),
    rd0 = 0,
    info_invar_H0 = 1 /
      sum(
        weight_invar_H0^2 * p_c * (1 - p_c) /
          n_c + weight_invar_H0^2 * p_e * (1 - p_e) / n_e
      ),
    info_invar_H1 = 1 /
      sum(
        weight_invar_H1^2 * p_c * (1 - p_c) /
          n_c + weight_invar_H1^2 * p_e * (1 - p_e) / n_e
      ),
    info_ss = 1 /
      sum(
        weight_ss^2 * p_c * (1 - p_c) / n_c + weight_ss^2 * p_e * (1 - p_e) / n_e
      ),
    info0_invar_H0 = 1 /
      sum(
        weight_invar_H0^2 * p_pool * (1 - p_pool) / n_c +
          weight_invar_H0^2 * p_pool * (1 - p_pool) / n_e
      ),
    info0_invar_H1 = 1 /
      sum(
        weight_invar_H1^2 * p_pool * (1 - p_pool) /
          n_c + weight_invar_H1^2 * p_pool * (1 - p_pool) / n_e
      ),
    info0_ss = 1 /
      sum(
        weight_ss^2 * p_pool * (1 - p_pool) / n_c +
          weight_ss^2 * p_pool * (1 - p_pool) / n_e
      )
  )
x %>%
  gt::gt() %>%
  fmt_number(c(2:4, 6:11), decimals = 6) %>%
  gt::tab_footnote(
    footnote = "info_invar_H0 = the statistical information under H1
    per stratum per analysis calculated by INVAR by using variance under H0.",
    locations = gt::cells_column_labels(columns = info_invar_H0)
  ) %>%
  gt::tab_footnote(
    footnote = "info_invar_H1 = the statistical information under H1
    per stratum per analysis calculated by INVAR by using variance under H0.",
    locations = gt::cells_column_labels(columns = info_invar_H1)
  ) %>%
  gt::tab_footnote(
    footnote = "info_ss = the statistical information under H1
    per stratum per analysis calculated by SS.",
    locations = gt::cells_column_labels(columns = info_ss)
  ) %>%
  gt::tab_footnote(
    footnote = "info0_invar_H0 = the statistical information under H0
    per stratum per analysis calculated by INVAR by using variance under H0.",
    locations = gt::cells_column_labels(columns = info0_invar_H0)
  ) %>%
  gt::tab_footnote(
    footnote = "info0_invar_H1 = the statistical information under H0
    per stratum per analysis calculated by INVAR by using variance under H0.",
    locations = gt::cells_column_labels(columns = info0_invar_H1)
  ) %>%
  gt::tab_footnote(
    footnote = "info0_ss = the statistical information under H0
    per stratum per analysis calculated by SS.",
    locations = gt::cells_column_labels(columns = info0_ss)
  )
Analysis rd_invar_H0 rd_invar_H1 rd_ss rd0 info_invar_H01 info_invar_H12 info_ss3 info0_invar_H04 info0_invar_H15 info0_ss6
1 0.074884 0.074944 0.076667 0 0.373240 0.373244 0.370617 0.370829 0.370826 0.368039
2 0.074884 0.074944 0.076667 0 0.746481 0.746487 0.741235 0.741659 0.741652 0.736079
3 0.074884 0.074944 0.076667 0 1.119721 1.119731 1.111852 1.112488 1.112479 1.104118
1 info_invar_H0 = the statistical information under H1 per stratum per analysis calculated by INVAR by using variance under H0.
2 info_invar_H1 = the statistical information under H1 per stratum per analysis calculated by INVAR by using variance under H0.
3 info_ss = the statistical information under H1 per stratum per analysis calculated by SS.
4 info0_invar_H0 = the statistical information under H0 per stratum per analysis calculated by INVAR by using variance under H0.
5 info0_invar_H1 = the statistical information under H0 per stratum per analysis calculated by INVAR by using variance under H0.
6 info0_ss = the statistical information under H0 per stratum per analysis calculated by SS.
# Sample size under H0 ----
y_invar_h0 <- gs_design_npe(
  theta = x$rd_invar_H0,
  info = x$info0_invar_H0,
  info0 = x$info0_invar_H0,
  info_scale = "h0_h1_info",
  alpha = 0.025,
  beta = 0.2,
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE,
)

y_invar_h1 <- gs_design_npe(
  theta = x$rd_invar_H1,
  info = x$info0_invar_H1,
  info0 = x$info0_invar_H1,
  info_scale = "h0_h1_info",
  alpha = 0.025,
  beta = 0.2,
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE,
)

y_ss <- gs_design_npe(
  theta = x$rd_ss,
  info = x$info0_ss,
  info0 = x$info0_ss,
  info_scale = "h0_h1_info",
  alpha = 0.025,
  beta = 0.2,
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE,
)

# Sample size under H1 ----
yy_invar_h0 <- gs_design_npe(
  theta = x$rd_invar_H0,
  info = x$info_invar_H0,
  info0 = x$info0_invar_H0,
  info_scale = "h0_h1_info",
  alpha = 0.025,
  beta = 0.2,
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE,
)

yy_invar_h1 <- gs_design_npe(
  theta = x$rd_invar_H1,
  info = x$info_invar_H1,
  info0 = x$info0_invar_H1,
  info_scale = "h0_h1_info",
  alpha = 0.025,
  beta = 0.2,
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE,
)

yy_ss <- gs_design_npe(
  theta = x$rd_ss,
  info = x$info_ss,
  info0 = x$info0_ss,
  info_scale = "h0_h1_info",
  alpha = 0.025,
  beta = 0.2,
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = rep(-Inf, 3),
  test_lower = FALSE,
)

ans_math <- tibble::tibble(
  `Weighting method` = rep(c("INVAR-H0", "INVAR-H1", "Sample Size"), 2),
  `Calculated under` = c(rep("H0", 3), rep("H1", 3)),
  `Sample size` = c(
    y_invar_h0$info[3] / x$info0_invar_H0[3],
    y_invar_h1$info[3] / x$info0_invar_H1[3],
    y_ss$info[3] / x$info0_ss[3],
    yy_invar_h0$info[3] / x$info_invar_H0[3],
    yy_invar_h1$info[3] / x$info_invar_H1[3],
    yy_ss$info[3] / x$info_ss[3]
  )
)

ans_math %>%
  gt::gt() %>%
  gt::tab_header(title = "Sample size calculated by INVAR and SS")
Sample size calculated by INVAR and SS
Weighting method Calculated under Sample size
INVAR-H0 H0 849.4965
INVAR-H1 H0 848.1421
Sample Size H0 816.5992
INVAR-H0 H1 845.1771
INVAR-H1 H1 843.8182
Sample Size H1 812.1270

The above logic is implemented in gs_design_rd().

## sample size weighting + information scale = "h0_info"
x_ss0 <- gs_design_rd(
  p_c = p_c,
  p_e = p_e,
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .2,
  ratio = 1,
  stratum_prev = tibble::tibble(stratum = c("S1", "S2", "S3"), prevalence = 4:6),
  weight = "ss",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = c(qnorm(.1), rep(-Inf, 2)),
  info_scale = "h0_info",
  binding = FALSE
)
## sample size weighting + information scale = "h1_info"
x_ss1 <- gs_design_rd(
  p_c = p_c,
  p_e = p_e,
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .2,
  ratio = 1,
  stratum_prev = tibble::tibble(stratum = c("S1", "S2", "S3"), prevalence = 4:6),
  weight = "ss",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = c(qnorm(.1), rep(-Inf, 2)),
  info_scale = "h1_info",
  binding = FALSE
)
## sample size weighting + information scale = "h0_h1_info"
x_ss2 <- gs_design_rd(
  p_c = p_c,
  p_e = p_e,
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .2,
  ratio = 1,
  stratum_prev = tibble::tibble(stratum = c("S1", "S2", "S3"), prevalence = 4:6),
  weight = "ss",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = c(qnorm(.1), rep(-Inf, 2)),
  info_scale = "h0_h1_info",
  binding = FALSE
)
## inverse variance weighting + information scale = "h0_info"
x_invar0 <- gs_design_rd(
  p_c = p_c,
  p_e = p_e,
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .2,
  ratio = 1,
  stratum_prev = tibble::tibble(stratum = c("S1", "S2", "S3"), prevalence = 1:3),
  weight = "invar",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = c(qnorm(.1), rep(-Inf, 2)),
  info_scale = "h0_info",
  binding = FALSE
)
## inverse variance weighting + information scale = "h1_info"
x_invar1 <- gs_design_rd(
  p_c = p_c,
  p_e = p_e,
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .2,
  ratio = 1,
  stratum_prev = tibble::tibble(stratum = c("S1", "S2", "S3"), prevalence = 1:3),
  weight = "invar",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = c(qnorm(.1), rep(-Inf, 2)),
  info_scale = "h1_info",
  binding = FALSE
)
## inverse variance weighting + information scale = "h0_h1_info"
x_invar2 <- gs_design_rd(
  p_c = p_c,
  p_e = p_e,
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .2,
  ratio = 1,
  stratum_prev = tibble::tibble(stratum = c("S1", "S2", "S3"), prevalence = 1:3),
  weight = "invar",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = c(qnorm(.1), rep(-Inf, 2)),
  info_scale = "h0_h1_info",
  binding = FALSE
)
## inverse variance weighting + information scale = "h0_info"
x_invar_h1_0 <- gs_design_rd(
  p_c = p_c,
  p_e = p_e,
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .2,
  ratio = 1,
  stratum_prev = tibble::tibble(stratum = c("S1", "S2", "S3"), prevalence = 1:3),
  weight = "invar",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = c(qnorm(.1), rep(-Inf, 2)),
  info_scale = "h0_info",
  binding = FALSE
)
## inverse variance weighting + information scale = "h1_info"
x_invar_h1_1 <- gs_design_rd(
  p_c = p_c,
  p_e = p_e,
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .2,
  ratio = 1,
  stratum_prev = tibble::tibble(stratum = c("S1", "S2", "S3"), prevalence = 1:3),
  weight = "invar",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = c(qnorm(.1), rep(-Inf, 2)),
  info_scale = "h1_info",
  binding = FALSE
)
## inverse variance weighting + information scale = "h0_h1_info"
x_invar_h1_2 <- gs_design_rd(
  p_c = p_c,
  p_e = p_e,
  info_frac = 1:3 / 3,
  rd0 = 0,
  alpha = .025,
  beta = .2,
  ratio = 1,
  stratum_prev = tibble::tibble(stratum = c("S1", "S2", "S3"), prevalence = 1:3),
  weight = "invar",
  upper = gs_b,
  lower = gs_b,
  upar = gsDesign(k = 3, test.type = 1, sfu = sfLDOF, sfupar = NULL)$upper$bound,
  lpar = c(qnorm(.1), rep(-Inf, 2)),
  info_scale = "h0_h1_info",
  binding = FALSE
)
ans <- tibble::tibble(
  INVAR0 = x_invar0$analysis$n[1:3],
  INVAR1 = x_invar1$analysis$n[1:3],
  INVAR2 = x_invar2$analysis$n[1:3],
  SS0 = x_ss0$analysis$n[1:3],
  SS1 = x_ss1$analysis$n[1:3],
  SS2 = x_ss2$analysis$n[1:3]
)

ans %>%
  gt::gt() %>%
  gt::tab_header(title = "Sample size calculated by INVAR and SS") %>%
  gt::tab_spanner(
    label = "Inverse variance weighting ",
    columns = c(
      "INVAR0",
      "INVAR1",
      "INVAR2"
    )
  ) %>%
  gt::tab_spanner(
    label = "Sample size weighting",
    columns = c(SS0, SS1, SS2)
  ) %>%
  cols_label(
    INVAR0 = "info_scale = \"h0_info\"",
    INVAR1 = "info_scale = \"h1_info\"",
    INVAR2 = "info_scale = \"h0_h1_info\"",
    SS0 = "info_scale = \"h0_info\"",
    SS1 = "info_scale = \"h1_info\"",
    SS2 = "info_scale = \"h0_h1_info\""
  )
Sample size calculated by INVAR and SS
Inverse variance weighting
Sample size weighting
info_scale = "h0_info" info_scale = "h1_info" info_scale = "h0_h1_info" info_scale = "h0_info" info_scale = "h1_info" info_scale = "h0_h1_info"
379.3680 376.6377 377.2186 408.5056 405.6640 406.2689
758.7361 753.2753 754.4373 817.0112 811.3281 812.5379
1138.1041 1129.9130 1131.6559 1225.5168 1216.9921 1218.8068

Summary

Parameters Notes
risk difference:
\widehat\delta _{H_0,k} = \sum_{s=1}^S w _{k,s} \delta_{k,s}^{null}

\delta_{k,s}^{null} is the risk difference under H_0.

It is 0, positive, and negative for superiority, super-superiority and non-inferiority design, respectively.

\widehat \delta_{H_1,k} =\sum_{s=1}^S w_{k,s} (p_{C,k,s} -\widehat p_{E,k,s}) \widehat p_{C,k,s} = \frac{ x _{C,k,s}}{N_{C,k,s}}, \; \widehat p_{ E,k,s} = \frac{x_{E,k,s} }{N_{E,k,s}}
standardized treatment effect:
\widehat\theta_{H_0,k} = \frac{\sum_{s=1}^S w_{k,s}\delta_{s,k}^{null}} {\sqrt { \sum_{s=1}^S w_{k,s}^2 \widehat \sigma _{H_0,k,s}^2}}

For superiority design, \widehat \sigma^2_{H_0,k,s} = \widehat p _{k,s}^{pool} \left(1 - \widehat p ^{pool}_{k,s} \right) \left( \frac{1}{N_{C,k,s}} + \frac{1}{N_{E,k,s}} \right)

For super-superiority design and non-inferiority design, \hat \sigma^2 _{H_0,k,s} = \frac {\widehat p _{C0,k,s}(1- \widehat p_{C0,k,s})}{N_ {C,k,s}} + \frac{ \widehat p_{E0,k,s} (1 - \widehat p_{E0,k,s})}{N_{E,k,s}}

\widehat\theta_{H_1 ,k} = \frac{\sum_{s=1}^S w_{k ,s} (\widehat p_{C,k,s} - \widehat p_{E,k,s})}{\sqrt {\sum_{s=1}^S w_{k,s}^2 \widehat \sigma_{H_1,k,s}^2}} \widehat \sigma_{H_1,k,s} = \sqrt{\frac{\widehat p_{C,k,s} (1- \widehat p_{C,k,s})}{ N_{C,k,s}} + \frac{\widehat p_{E,k,s} (1 - \widehat p_{E,k,s})}{N_{E,k,s}}}
statistical information:
\widehat{\mathcal I} _{H_0,k} = \left\{ \begin {array}{ll} \left[ \sum_{ s=1}^S w_{k,s}^2 \frac{p_ { k,s}^{pool} (1 - p_{k,s}^{ pool})}{N_{k,s}}\right]^{-1} & \text{for superiority design } \\ \left[ \sum_{s=1 }^S w _{k,s}^2 \frac{\bar p_{C0,s} (1 - \bar p_{C0,s})} {N _{C,s}} + w_{k,s}^2 \frac{ \bar p_{E0,s} (1 - \bar p _{E0,s})}{N_{E,s}} \right] ^{-1} & \text{for super-superiority and non-inferiority design} \end{array} \right. N_{k,s} = N_{C,k,s} + N_{E,k,s} and \widehat p_{k,s } = (x_{C,k,s} + x_{E,k,s}) / N_{k,s}
\widehat{ \mathcal I}_{H_1,k} = \left[ \sum_{s=1}^S w_{k,s}^2 \frac {\widehat p_{C,k,s} (1 - \widehat p_{C,k,s})}{N_{C,k, s}} + \sum_{s=1} ^S w _{k,s}^2 \frac{\widehat p _{E,k,s} (1 - \widehat p _{E,k,s})}{N_{E,k,s}} \right]^{-1}

References

Farrington, Conor P, and Godfrey Manning. 1990. “Test Statistics and Sample Size Formulae for Comparative Binomial Trials with Null Hypothesis of Non-Zero Risk Difference or Non-Unity Relative Risk.” Statistics in Medicine 9 (12): 1447–54.
Fleiss, Joseph L, Alex Tytun, and Hans K Ury. 1980. “A Simple Approximation for Calculating Sample Sizes for Comparing Independent Proportions.” Biometrics 36 (2): 343–46.
Lachin, John M. 1981. “Introduction to Sample Size Determination and Power Analysis for Clinical Trials.” Controlled Clinical Trials 2 (2): 93–113.
———. 2009. Biostatistical Methods: The Assessment of Relative Risks. John Wiley & Sons.
Mantel, Nathan, and William Haenszel. 1959. “Statistical Aspects of the Analysis of Data from Retrospective Studies of Disease.” Journal of the National Cancer Institute 22 (4): 719–48.
Mehrotra, Devan V, and Radha Railkar. 2000. “Minimum Risk Weights for Comparing Treatments in Stratified Binomial Trials.” Statistics in Medicine 19 (6): 811–25.