Dmitrienko Millen Brechenmacher Paux 2011

From MultXpert

Jump to: navigation, search

Dmitrienko, A., Millen, B.A., Brechenmacher, T., Paux, G. (2011). Development of gatekeeping strategies in confirmatory clinical trials. Biometrical Journal. 53, 875-893.


This paper discusses multiplicity issues arising in confirmatory clinical trials with hierarchically ordered multiple objectives. In order to protect the overall Type I error rate, multiple objectives are analyzed using multiple testing procedures. When the objectives are ordered and grouped in multiple families (e.g., families of primary and secondary endpoints), gatekeeping procedures are employed to account for this hierarchical structure. We discuss considerations arising in the process of building gatekeeping procedures, including proper use of relevant trial-specific information and criteria for selecting gatekeeping procedures. The methods and principles discussed in this paper are illustrated using a clinical trial in patients with Type II diabetes mellitus.


Download Dmitrienko Millen Brechenmacher Paux 2011.

Review papers and chapters

For more information on gatekeeping procedures in clinical trials, see

Other papers

For information on other publications on gatekeeping procedures in clinical trials, see Gatekeeping Papers.