\name{spower} \alias{spower} \alias{Quantile2} \alias{print.Quantile2} \alias{plot.Quantile2} \alias{logrank} \alias{Gompertz2} \alias{Lognorm2} \alias{Weibull2} \title{ Simulate Power of 2-Sample Test for Survival under Complex Conditions } \description{ Given functions to generate random variables for survival times and censoring times, \code{spower} simulates the power of a user-given 2-sample test for censored data. By default, the logrank (Cox 2-sample) test is used, and a \code{logrank} function for comparing 2 groups is provided. For composing S-Plus functions to generate random survival times under complex conditions, the \code{Quantile2} function allows the user to specify the intervention:control hazard ratio as a function of time, the probability of a control subject actually receiving the intervention (dropin) as a function of time, and the probability that an intervention subject receives only the control agent as a function of time (non-compliance, dropout). \code{Quantile2} returns a function that generates either control or intervention uncensored survival times subject to non-constant treatment effect, dropin, and dropout. There is a \code{plot} method for plotting the results of \code{Quantile2}, which will aid in understanding the effects of the two types of non-compliance and non-constant treatment effects. \code{Quantile2} assumes that the hazard function for either treatment group is a mixture of the control and intervention hazard functions, with mixing proportions defined by the dropin and dropout probabilities. It computes hazards and survival distributions by numerical differentiation and integration using a grid of (by default) 7500 equally-spaced time points. The \code{logrank} function is intended to be used with \code{spower} but it can be used by itself as long as the \code{group} variable has only the values \code{1} and \code{2} and there are no missing data. It returns the 1 degree of freedom chi-square statistic. The \code{Weibull2} function accepts as input two vectors, one containing two times and one containing two survival probabilities, and it solves for the scale and shape parameters of the Weibull distribution (\code{S(t)=exp(-alpha*t^ gamma)}) which will yield those estimates. It creates an S-Plus function to evaluate survival probabilities from this Weibull distribution. \code{Weibull2} is useful in creating functions to pass as the first argument to \code{Quantile2}. The \code{Lognorm2} and \code{Gompertz2} functions are similar to \code{Weibull2} except that they produce survival functions for the log-normal and Gompertz distributions. } \usage{ spower(rcontrol, rinterv, rcens, nc, ni, test=logrank, nsim=500, alpha=0.05, pr=TRUE) Quantile2(scontrol, hratio, dropin=function(times)0, dropout=function(times)0, m=7500, tmax, qtmax=.001, mplot=200, pr=TRUE, \dots) \method{print}{Quantile2}(x, \dots) \method{plot}{Quantile2}(x, what=c('survival','hazard','both','drop','hratio','all'), dropsep=FALSE, lty=1:4, col=1, xlim, ylim=NULL, label.curves=NULL, \dots) logrank(S, group) Gompertz2(times, surv) Lognorm2(times, surv) Weibull2(times, surv) } \arguments{ \item{rcontrol}{ a function of \code{n} which returns \code{n} random uncensored failure times for the control group. \code{spower} assumes that non-compliance (dropin) has been taken into account by this function. } \item{rinterv}{ similar to \code{rcontrol} but for the intervention group } \item{rcens}{ a function of \code{n} which returns \code{n} random censoring times. It is assumed that both treatment groups have the same censoring distribution. } \item{nc}{ number of subjects in the control group } \item{ni}{ number in the intervention group } \item{scontrol}{ a function of a time vector which returns the survival probabilities for the control group at those times assuming that all patients are compliant } \item{hratio}{ a function of time which specifies the intervention:control hazard ratio (treatment effect) } \item{x}{ an object of class \code{"Quantile2"} created by \code{Quantile2} } \item{S}{ a \code{Surv} object or other two-column matrix for right-censored survival times } \item{group}{ group indicators have length equal to the number of rows in \code{S}. Only values allowed are 1 and 2. } \item{times}{ a vector of two times } \item{surv}{ a vector of two survival probabilities } \item{test}{ any function of a \code{Surv} object and a grouping variable which computes a chi-square for a two-sample censored data test. The default is \code{logrank}. } \item{nsim}{ number of simulations to perform (default=500) } \item{alpha}{ type I error (default=.05) } \item{pr}{ set to \code{FALSE} to cause \code{spower} to suppress progress notes for simulations. Set to \code{FALSE} to prevent \code{Quantile2} from printing \code{tmax} when it calculates \code{tmax}. } \item{dropin}{ a function of time specifying the probability that a control subject actually becomes an intervention subject at the corresponding time } \item{dropout}{ a function of time specifying the probability of an intervention subject dropping out to control conditions } \item{m}{ number of time points used for approximating functions (default is 7500) } \item{tmax}{ maximum time point to use in the grid of \code{m} times. Default is the time such that \code{scontrol(time)} is \code{qtmax}. } \item{qtmax}{ survival probability corresponding to the last time point used for approximating survival and hazard functions. Default is \code{.001}. For \code{qtmax} of the time for which a simulated time is needed which corresponds to a survival probability of less than \code{qtmax}, the simulated value will be \code{tmax}. } \item{mplot}{ number of points used for approximating functions for use in plotting (default is 200 equally spaced points) } \item{...}{ optional arguments passed to the \code{scontrol} function when it's evaluated by \code{Quantile2} } \item{what}{ a single character constant (may be abbreviated) specifying which functions to plot. The default is \code{"both"} meaning both survival and hazard functions. Specify \code{what="drop"} to just plot the dropin and dropout functions, \code{what="hratio"} to plot the hazard ratio functions, or \code{"all"} to make 4 separate plots showing all functions (6 plots if \code{dropsep=TRUE}). } \item{dropsep}{ set \code{dropsep=TRUE} to make \code{plot.Quantile2} separate pure and contaminated functions onto separate plots } \item{lty}{ vector of line types } \item{col}{ vector of colors } \item{xlim}{ optional x-axis limits } \item{ylim}{ optional y-axis limits } \item{label.curves}{ optional list which is passed as the \code{opts} argument to \code{labcurve}. }} \value{ \code{spower} returns the power estimate (fraction of simulated chi-squares greater than the alpha-critical value). \code{Quantile2} returns an S-Plus function of class \code{"Quantile2"} with attributes that drive the \code{plot} method. The major attribute is a list containing several lists. Each of these sub-lists contains a \code{Time} vector along with one of the following: survival probabilities for either treatment group and with or without contamination caused by non-compliance, hazard rates in a similar way, intervention:control hazard ratio function with and without contamination, and dropin and dropout functions. \code{logrank} returns a single chi-square statistic, and \code{Weibull2}, \code{Lognorm2} and \code{Gompertz2} return an S function with three arguments, only the first of which (the vector of \code{times}) is intended to be specified by the user. } \section{Side Effects}{ \code{spower} prints the interation number every 10 iterations if \code{pr=TRUE}. } \author{ Frank Harrell \cr Department of Biostatistics \cr Vanderbilt University School of Medicine \cr f.harrell@vanderbilt.edu } \references{ Lakatos E (1988): Sample sizes based on the log-rank statistic in complex clinical trials. Biometrics 44:229--241 (Correction 44:923). Cuzick J, Edwards R, Segnan N (1997): Adjusting for non-compliance and contamination in randomized clinical trials. Stat in Med 16:1017--1029. Cook, T (2003): Methods for mid-course corrections in clinical trials with survival outcomes. Stat in Med 22:3431--3447. Barthel FMS, Babiker A et al (2006): Evaluation of sample size and power for multi-arm survival trials allowing for non-uniform accrual, non-proportional hazards, loss to follow-up and cross-over. Stat in Med 25:2521--2542. } \seealso{ \code{\link{cpower}}, \code{\link{ciapower}}, \code{\link{bpower}}, \code{\link[Design]{cph}}, \code{\link[survival]{coxph}}, \code{\link{labcurve}} } \examples{ # Simulate a simple 2-arm clinical trial with exponential survival so # we can compare power simulations of logrank-Cox test with cpower() # Hazard ratio is constant and patients enter the study uniformly # with follow-up ranging from 1 to 3 years # Drop-in probability is constant at .1 and drop-out probability is # constant at .175. Two-year survival of control patients in absence # of drop-in is .8 (mortality=.2). Note that hazard rate is -log(.8)/2 # Total sample size (both groups combined) is 1000 # \% mortality reduction by intervention (if no dropin or dropout) is 25 # This corresponds to a hazard ratio of 0.7283 (computed by cpower) cpower(2, 1000, .2, 25, accrual=2, tmin=1, noncomp.c=10, noncomp.i=17.5) ranfun <- Quantile2(function(x)exp(log(.8)/2*x), hratio=function(x)0.7283156, dropin=function(x).1, dropout=function(x).175) rcontrol <- function(n) ranfun(n, what='control') rinterv <- function(n) ranfun(n, what='int') rcens <- function(n) runif(n, 1, 3) set.seed(11) # So can reproduce results spower(rcontrol, rinterv, rcens, nc=500, ni=500, test=logrank, nsim=50) # normally use nsim=500 or 1000 # Simulate a 2-arm 5-year follow-up study for which the control group's # survival distribution is Weibull with 1-year survival of .95 and # 3-year survival of .7. All subjects are followed at least one year, # and patients enter the study with linearly increasing probability after that # Assume there is no chance of dropin for the first 6 months, then the # probability increases linearly up to .15 at 5 years # Assume there is a linearly increasing chance of dropout up to .3 at 5 years # Assume that the treatment has no effect for the first 9 months, then # it has a constant effect (hazard ratio of .75) # First find the right Weibull distribution for compliant control patients sc <- Weibull2(c(1,3), c(.95,.7)) sc # Inverse cumulative distribution for case where all subjects are followed # at least a years and then between a and b years the density rises # as (time - a) ^ d is a + (b-a) * u ^ (1/(d+1)) rcens <- function(n) 1 + (5-1) * (runif(n) ^ .5) # To check this, type hist(rcens(10000), nclass=50) # Put it all together f <- Quantile2(sc, hratio=function(x)ifelse(x<=.75, 1, .75), dropin=function(x)ifelse(x<=.5, 0, .15*(x-.5)/(5-.5)), dropout=function(x).3*x/5) par(mfrow=c(2,2)) # par(mfrow=c(1,1)) to make legends fit plot(f, 'all', label.curves=list(keys='lines')) rcontrol <- function(n) f(n, 'control') rinterv <- function(n) f(n, 'intervention') set.seed(211) spower(rcontrol, rinterv, rcens, nc=350, ni=350, test=logrank, nsim=50) # normally nsim=500 or more par(mfrow=c(1,1)) } \keyword{htest} \keyword{survival} \concept{power} \concept{study design}