Av. Niselman et al., ROBUST METHODS IN BIOEQUIVALENCE ASSAY - PRELIMINARY-RESULTS, European journal of drug metabolism and pharmacokinetics, 23(2), 1998, pp. 148-152
The aim of this study is to compare four statistical methods for outli
er identification in Bioequivalence tests. The methods are based in fo
ur confidence intervals, 'parametric','non- parametric','robust with t
he asymptotic distribution of the M-estimator' and 'robust with the bo
otstrap distribution'. The drug we used was Diltiazen, in a two sequen
ce randomized crossover study design. The pharmacokinetic parameters m
easured were the area under the plasma concentration curve (AUC), and
the peak drug concentration (CMAX). Time to peak drug concentration (T
MAX), was not used here in order to separate the efficiency of the met
hods from the efficiency of the measurements. The methods were applied
to simulated and experimental data. We made two simulations, one with
normal data and another one with outliers data. When simulating norma
l data all methods showed similar profiles and high power. On the cont
rary, when simulating experiments with outliers data, the parametric m
ethod showed low power, whereas robust methods showed just a slight de
crement in power. When we analized experimental data of AUG, if we use
d the parametric method (recommended by U.S.P), we were not able to co
nclude Bioequivalence, but with the other methods, this was possi- ble
. This disagreement between parametric and robust procedures was a sig
n of outliers data. We conclude that the robust methods in bioequivale
nce assays help us in the identification of outliers as observations w
ith weight equal zero.