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Optimizing the analysis strategy for the CANVAS Program: A prespecified plan for the integrated analyses of the CANVAS and CANVAS‐R trials

机译:优化CANVAS计划的分析策略:针对CANVAS和CANVAS-R试验进行综合分析的预定计划

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摘要

Two large cardiovascular outcome trials of canagliflozin, comprising the CANVAS Program, will complete in early 2017: the CANagliflozin cardioVascular Assessment Study (CANVAS) and the CANagliflozin cardioVascular Assessment Study–Renal (CANVAS‐R). Accruing data for the sodium glucose co‐transporter 2 (SGLT2) inhibitor class has identified questions and opportunities that were not apparent when the trials were designed. Accordingly, a series of modifications have been made to the planned analyses. These updates will ensure that the data from the CANVAS Program will maximize advances in scientific knowledge and patient care. The specification of the analysis strategy prior to knowledge of the trial results, their design by the independent scientific trial Steering Committee, the detailed a priori definition of the analysis plans, and the external review provided by the US Food and Drug Administration all provide maximally efficient and robust utilization of the data. The style="fixed-case">CANVAS Program should significantly advance our understanding of the effects of canagliflozin, and the broader style="fixed-case">SGLT2 inhibitor class, on a range of important efficacy and safety outcomes.
机译:canagliflozin的两项大型心血管预后试验(包括CANVAS计划)将于2017年初完成:CANagliflozin心血管评估研究(CANVAS)和CANagliflozin心血管评估研究-肾脏(CANVAS-R)。钠葡萄糖共转运蛋白2(SGLT2)抑制剂类别的数据积累已经确定了设计试验时并不明显的问题和机会。因此,对计划的分析进行了一系列修改。这些更新将确保CANVAS计划中的数据将最大程度地提高科学知识和患者护理水平。在知道试验结果之前进行分析策略的说明,由独立的科学试验指导委员会进行设计,对分析计划进行详细的先验定义以及美国食品和药物管理局提供的外部审查,都可以最大程度地提高效率以及数据的强大利用。 style =“ fixed-case”> CANVAS 程序应该大大提高我们对canagliflozin的作用以及更广泛的 style =“ fixed-case”> SGLT2 抑制剂类的了解。一系列重要的功效和安全性结果。

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