Recent Method Development in Establishing Equivalence Limits for Bioassay Parallelism Testing Harry Yang, PhD Sr. Director in Statistics, Non-Clinical Biostatistics, Translational Sciences MedImmune, LLC Midwest Biopharmaceutical Statistics Workshop, May 21 – 23, 2012, Muncie, Indiana Parallelism Testing A broad concept Can be difficult 2 An Example Source: Steve Novick, GSK, 2011 MWBS 3 Parallelism Testing for Bioassay Assay Response Linear case Standard Test log10 Concentration 4 Parallelism Testing for Bioassay (Cont’d) Assay Response Nonlinear case Standard Test log10 Concentration 5 Metric of Non-parallelism Difference in model parameters Slope (Hauck et al. 2005) Dilution effect (Schofield, 2000) Lower, upper asymptotes and Hillslope at EC50 (Jonkman and Sidik, 2009) Upper asymptote, “effect window”, slope at EC50 (Yang and Zhang, 2012) Difference in dose-response curves Residual sum of squares (Gottschalk and Dunn, 2005) Difference at each concentration level (Liao, 2011) Difference in entire concentration region of interest (Novick, Yang and Peterson, 2011) 6 Significance Test verus Equivalence Test (Yang and Zhang, 2011) G( ) PRSIG ( ) PREQ ( ). F ( ) CR SIG ( ) CR EQ ( ) 7 ROC Curve Analysis: A Unified Method for Method Comparison Area under the curve (AUC) = Probability[ metric of nonparallel curves > metric of parallel curves] 8 Equivalence Test vs. Significance Test With right selections of equivalence limits, the former outperforms the latter 9 Equivalence Approach Equivalence test (Hauck et al, 2005; equivalence bounds +/-∆ Lansky, 2009; Draft USP Ch. <111>, OCT 2006) H0: Parallel when 90% confidence | T R | vs. H1: | T R | interval falls within equivalence bounds Equivalent to two one-sided ttests Claim to reward precise assays 0 10 Impact of Equivalence Limits Sensitivity (Se) and Specificity (Sp) Se = Pr[Test non-parallel | True non-parallel curves] Sp =Pr[Test parallel | True parallel curves] -/+∆ True non-parallel True parallel 0 1 2 ∆ 0 1 2 3 Se 1.00 1.00 0.50 0.00 Sp 0.00 0.50 1.00 1.00 3 11 How to Choose Equivalence Limits? Capability-based method (Hauck et al, 2005) Test reference standard against itself Provisional Appropriate early in assay life cycle Need to be revised as more data become available 12 Equivalence Bounds Non-parametric method (Hauck et al, 2005) Use n pairs of historical parallel 4-PL curves Construct n intervals for each of r1 , r2 , r3 ( LCLi , UCLi ), i 1, ...,n 1 Let Vi max( , UCLi ), LCLi and V the2 nd largest of {Vi , i 1, ...,n} The equivalence bound is given by ( 1 , V) V 13 Drawback of Capability-based Method No direct linkages between the acceptance limits and product quality Unsure consumer’s risk is protected 14 ROC Curve Method Sensitivity (Se) and Specificity (Sp) Se = Pr[Test non-parallel | True non-parallel curves] Sp =Pr[Test parallel | True parallel curves] Best trade-off between Se and Sp can be made by choosing equivalence limits ∆ 15 Optimizing Limits Based On AUC Choose equivalence limits to achieve the maximum overall accuracy of the assay parallelism testing 16 An Alternative Method Based on Risk Analysis True status Test outcome Two curves are Parallel Non-parallel Accept L0 L1 Reject L2 L3 Choose cut point, Δ, to minimize the mean risk: R(Δ) = pL0Sp(Δ) + (1-p)L1[1-se(Δ)] + pL2[1-sp(Δ)] +(1- p)L3Se(Δ) where p is the prevalence of the two dose response curves of test sample and reference standard being parallel. Advantages of Risk-based Approach Risk management approach in line with quality by design principles Tie parallelism testing to assurance of product quality Render flexibility in assigning different “weight” factors to non-parallelism and parallelism claims, pending on other factors such as intent of use of the product under testing 18 Conclusions Establishing equivalence limits is an important aspect of parallelism testing Capability-based method can be used to set up provisional limits ROC curve analysis can be used to make best tradeoff consumer’s and producer’s risk A decision theory method can be used to give different treatment to consequences of parallelism and nonparallelism claims 19 Acknowledgement Steve Novick 20 References Gottschalk PG, Dunn JR (2005). Measuring parallelism, linearity, and relative potency in bioassay and immunoassay data. Journal of Biopharmaceutical Statistics, 15, 237-463. 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