Physical Sciences and Mathematics Commons^™

Estimating Sensitivity And Specificity From A Phase 2 Biomarker Study That Allows For Early Termination, Margaret S. Pepe Phd

UW Biostatistics Working Paper Series

Development of a disease screening biomarker involves several phases. In phase 2 its sensitivity and specificity is compared with established thresholds for minimally acceptable performance. Since we anticipate that most candidate markers will not prove to be useful and availability of specimens and funding is limited, early termination of a study is appropriate if accumulating data indicate that the marker is inadequate. Yet, for markers that complete phase 2, we seek estimates of sensitivity and specificity to proceed with the design of subsequent phase 3 studies.

We suggest early stopping criteria and estimation procedures that adjust for bias caused by …

Evaluating The Roc Performance Of Markers For Future Events, Margaret Pepe, Yingye Zheng, Yuying Jin

UW Biostatistics Working Paper Series

Receiver operating characteristic (ROC) curves play a central role in the evaluation of biomarkers and tests for disease diagnosis. Predictors for event time outcomes can also be evaluated with ROC curves, but the time lag between marker measurement and event time must be acknowledged. We discuss different definitions of time-dependent ROC curves in the context of real applications. Several approaches have been proposed for estimation. We contrast retrospective versus prospective methods in regards to assumptions and flexibility, including their capacities to incorporate censored data, competing risks and different sampling schemes. Applications to two datasets are presented.