BEST PRACTICES FOR NETWORK META-ANALYSIS METHODOLOGY- COMPARATIVE EFFECTIVENESS OF INTERFERON-BETA THERAPIES IN RELAPSING-REMITTING MULTIPLE SCLEROSIS
Author(s)
Beckerman R1, Locklear JC2, Jiang Y3, Solon C4, Smith NJ3, Phillips AL2
1Maple Health Group, LLC, New York, NY, USA, 2EMD Serono, Inc., Rockland, MA, USA, 3CBPartners, New York, NY, USA, 4CBPartners, San Francisco, CA, USA
OBJECTIVES: To evaluate different statistical methodologies in a network meta-analysis (NMA) comparing the effectiveness of interferon-beta (IFNβ) therapies across several endpoints in relapsing-remitting multiple sclerosis (RRMS) to determine potential best practices. METHODS: A systematic literature review (1996-2014) was conducted to identify randomised, controlled trials of FDA- and EMA-approved IFNβ DMDs in RRMS, including subcutaneous (SC) IFNβ-1a (44μg or 22μg 3x/wk), SC pegIFNβ-1a (125μg every 2wks), intramuscular (IM) IFNβ-1a (30μg 1x/wk), and SC IFNβ-1b (250μg EOD). Data were extracted for patients relapse-free, patients without disability progression, and patients without new MRI activity at study end. A random-effects Bayesian model was utilised for the base case analysis, and sensitivity analyses investigated results using different analysis frameworks or effects distributions. RESULTS: CONCLUSIONS: While similar estimates for treatment effects were found across statistical methodologies, the combination of a Bayesian approach and a random-effects distribution with informative prior allowed for methodological robustness while yielding interpretable findings.
Conference/Value in Health Info
2015-11, ISPOR Europe 2015, Milan, Italy
Value in Health, Vol. 18, No. 7 (November 2015)
Code
PRM77
Topic
Methodological & Statistical Research
Topic Subcategory
Modeling and simulation
Disease
Neurological Disorders