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Table 3 The model comparison for hypothetical observed event rates with probability of flagged trials for the AE of special interest between Beta-Binomial independent model and Bayesian hierarchical model

From: Two-stage Bayesian hierarchical modeling for blinded and unblinded safety monitoring in randomized clinical trials

Example AEs

Expected Event Rate (πM)

True Proportion (π0)

Proportion of Flagged Trials

After N = 53 Subjects Treated

Beta-Binomial Independent Model

\( \left({P}_{cri{t}_{Ind}}=0.9\right) \)

Bayesian Blinded Hierarchical Model

\( \left({P}_{crit_I}=0.9\right) \)

Pneumothorax

Induced by HBO therapy

2%

2%

0.14

0.02

2%

12%

1.00

0.98

2%

17%

1.00

1.00

Signs of Pulmonary Dysfunction

25%

25%

0.10

0.05

25%

35%

0.83

0.75

25%

40%

0.97

0.91

Pneumonia

40%

40%

0.09

0.06

40%

50%

0.76

0.72

40%

55%

0.96

0.90

Critical decreased CPP (< 60 mmHg)

75%

75%

0.10

0.07

75%

85%

0.89

0.87

75%

90%

1.00

0.99

Critical hypotension (MAP< 70 mmHg)

75%

75%

0.10

0.06

75%

85%

0.89

0.88

75%

90%

1.00

0.99

Seizures during HBO treatment

1%

1%

0.27

0.01

1%

11%

1.00

0.99

1%

16%

1.00

1.00

Hypercarbia during transportation (PaCO2 > 45 mmHg)

10%

10%

0.12

0.04

10%

20%

0.95

0.86

10%

25%

1.00

0.97

 

No Signal Pattern

Family-Wise Error Rate (FWER)

Overall

Adverse

Events

Safe: π0 = πM

0.62

0.19