PMID- 17803255 OWN - NLM STAT- MEDLINE DCOM- 20071129 LR - 20071008 IS - 1053-8569 (Print) IS - 1053-8569 (Linking) VI - 16 IP - 10 DP - 2007 Oct TI - A note on post-marketing safety study design to characterise time-dependent adverse events. PG - 1146-52 AB - PURPOSE: To investigate a suitable post-marketing safety study design, that is number of patients and duration of exposure, to well characterise adverse events (AEs) profiles under limited resources, fixed patient-months. METHODS: A simulation study is conducted to investigate a suitable study design that can appropriately characterise the shape of the hazard function of AEs using the Weibull model. The reliability of the estimates is evaluated by referring their bias and mean squared error (MSE). RESULTS: In general, patients should be followed for a longer period even if the number of patients is relatively small for characterising delayed AEs. Patients' drop-out affects the estimation and deteriorates its reliability. For AEs that are likely to occur soon after the exposure, a study with relatively shorter duration and large number of patients is preferable. CONCLUSIONS: It is important to evaluate statistically the appropriate study design in planning a safety study so that a good estimate of the hazard function would be obtained. FAU - Narukawa, Mamoru AU - Narukawa M AD - Division of Pharmaceutical Medicine, Kitasato University Graduate School, Tokyo, Japan. mnarukawa@hkg.odn.ne.jp FAU - Yafune, Akifumi AU - Yafune A LA - eng PT - Journal Article PL - England TA - Pharmacoepidemiol Drug Saf JT - Pharmacoepidemiology and drug safety JID - 9208369 SB - IM MH - Humans MH - Product Surveillance, Postmarketing/*methods MH - *Research Design MH - Time Factors EDAT- 2007/09/07 09:00 MHDA- 2007/12/06 09:00 CRDT- 2007/09/07 09:00 PHST- 2007/09/07 09:00 [pubmed] PHST- 2007/12/06 09:00 [medline] PHST- 2007/09/07 09:00 [entrez] AID - 10.1002/pds.1472 [doi] PST - ppublish SO - Pharmacoepidemiol Drug Saf. 2007 Oct;16(10):1146-52. doi: 10.1002/pds.1472.