Non-inferiority studies efficacy and safety: review of methodological and statistical aspects in clinical trials and non-interventional studies with medicinal products.

e202209074

Authors

  • Diana González Bermejo División de Farmacoepidemiología y Farmacovigilancia, Agencia Española de Medicamentos Sanitarios y Productos Sanitarios. Madrid. España.
  • Almudena López-Fando Santafé Ministerio de Asuntos Exteriores, Unión Europea y Cooperación. Madrid. España.
  • Ana Fernández Dueñas Área de Programas de Vacunación, Dirección General de Salud Pública, Ministerio de Sanidad. Madrid. España.
  • Dolores Montero Corominas División de Farmacoepidemiología y Farmacovigilancia, Agencia Española de Medicamentos Sanitarios y Productos Sanitarios. Madrid. España.
  • Consuelo Huerta Álvarez Departamento de Salud Pública, Universidad Complutense de Madrid. Madrid. España.

Keywords:

Methodology, Review, Clinical trials, Observational studies

Abstract

Non-inferiority studies are increasingly more common for introducing new medicines in the market. Despite being situations where the use of this study design is justified, there is not a common analytical approach on how to conduct them. Pursuing a rigorous methodology, both in the study conduction and in its disseminations, is critical to ensure robust results to enable regulatory agencies and clinicians to reach valid conclusions and decisions which ultimately will benefit clinical practice. Most of the published reviews focus on the efficacy outcomes of non-inferiority clinical trials. We are unaware of other reviews that goes beyond and includes specific aspects for non-interventional designs and for studies focused on safety. Moreover, this review provides a simple and practical perspective with a minimum mathematical content on this complex type of studies.

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Published

2022-09-29

How to Cite

1.
González Bermejo D, López-Fando Santafé A, Fernández Dueñas A, Montero Corominas D, Huerta Álvarez C. Non-inferiority studies efficacy and safety: review of methodological and statistical aspects in clinical trials and non-interventional studies with medicinal products.: e202209074. Rev Esp Salud Pública [Internet]. 2022 Sep. 29 [cited 2025 Feb. 15];96:13 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/266

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