普通外文研报
Takeaways From Our Well-Attended NYC Dinner
研报英文原文证据摘录
Takeaways From Our Well-Attended NYC Dinner
e approaching the maximal MACE benefit
where mgmt estimates ~90-95% of the separation of placebo occurs by the 2-year mark. As
such, understand that if the study were not stopped and continued to YE27 the MACE benefit
achieved is unlikely to change from the 2-year point, but the number of total events will have
increased so that there is more power to assess the separation from placebo.
What are the stopping criteria for interim? To start, it is important to first make clear that NAMS
can provide the guide rails for the DSMB about how to make decisions regarding the interim
analysis, but ultimately it is the DSMB which has discretion for how to proceed. Accordingly, the
1Q27 decision will indicate what decision has been made, but they will not disclose the reasoning
for that decision. Thus, there are multiple potential reasons (both positive and negative) which
may dictate why the study may or may not need to continue. While mgmt noted that a mortality
benefit has not yet been observed in prior outcomes studies, if there were evidence of a mortality
benefit mgmt indicated that the DSMB would likely want the study to continue in order to
demonstrate that with more statistical power. On the other side, it is possible the DSMB could
decide to continue the study if low rates of a new safety event were observed, and they want
to see whether it was related to obicetrapib. However, we believe there is low likelihood of this
considering the totality of the large safety database accumulated for obicetrapib and the dozen
safety analyses that have already been completed. Altogether, NAMS disclosed the below details
regarding the interim analysis trigger and the criteria provided to the DSMB to inform interim
analysis decision-making.
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