The P-value after a repeated significance test is a useful measure of
the strength of evidence against the null hypothesis. Its computation,
however, requires a computer-intensive numerical integration method.
The P-value is not conceptually straightforward, because it depends on
how the sample space is ordered, which can be arbitrary. We look at t
wo orderings of the sample space, one proposed by Tsiatis et al. and t
he other by Rosner and Tsiatis, and Chang. Although studies have shown
that the latter ordering gives more reasonable confidence intervals t
han the former, the former gives a conservative and therefore more rea
sonable P-value. Both, however, should yield an identical P-value in m
ost applications. In this paper we present a simple method of approxim
ating P-values. We provide tables to implement the method for two to t
en stages with alpha = 0.1, 0.05 and 0.01 for the Pocock and O'Brien-F
leming procedures. The proposed method can be applied to both ordering
s.