Hello:

On March 7, 2016, the American Statistical Association announced a statement 
regarding p-value (click 
"Statement<http://amstat.tandfonline.com/doi/abs/10.1080/00031305.2016.1154108>").
 I welcome this statement, especially because of some clinical teams that 
design PoC studies to focus mainly on generating a "good p-value" for Go/No-go 
decisions rather than "learning". In my opinion, a p-value that follows a 
hypothesis test could be useful but, with the same budget, a PoC study should 
be informative to design the next study for confirming efficacy (and/or safety) 
with a good p-value for a clearer regulatory decision.

This is a seminal paper that emphasizes the importance of clinical pharmacology 
approach over empirical p-value driven drug development approach:


      Learning versus confirming in clinical drug development.
      Sheiner 
LB<http://www.ncbi.nlm.nih.gov/pubmed/?term=Sheiner%20LB%5BAuthor%5D&cauthor=true&cauthor_uid=9084453>.
 Clin Pharmacol 
Ther.<http://www.ncbi.nlm.nih.gov/pubmed/?term=peck+shiener+rubin> 1997 
Mar;61(3):275-91.


A recent development in considering "totality" of data in designing and/or 
approving a pediatric drug with less emphasis on p-value (my interpretation) 
can be found in:

      (Draft) Reflection paper on extrapolation of efficacy and safety in 
paediatric medicine development (April 1, 2016) Click 
here<http://www.ema.europa.eu/docs/en_GB/document_library/Regulatory_and_procedural_guideline/2016/04/WC500204187.pdf>


I look forward to living in the post p< .05 era in drug development!

Kind regards,
Holly Kimko
Clinical Pharmacology & Pharmacometrics
Janssen Research & Development, LLC

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Monday, March 07, 2016 11:15 AM

Today, the American Statistical Association Board of Directors issued a 
statement on p-values and statistical significance. We intend the statement, 
developed over many months in consultation with a large panel of experts, to 
draw renewed and vigorous attention to changing research practices that have 
contributed to a reproducibility crisis in science.
"Widespread use of 'statistical significance' (generally interpreted as 'p < 
0.05') as a license for making a claim of a scientific finding (or implied 
truth) leads to considerable distortion of the scientific process," says the 
ASA statement (in part). By putting the authority of the world's largest 
community of statisticians behind such a statement, we seek to begin a 
broad-based discussion of how to more effectively and appropriately use 
statistical methods as part of the scientific reasoning process.
In short, we envision a new era, in which the broad scientific community 
recognizes what statisticians have been advocating for many years. In this 
"post p < .05 era," the full power of statistical argumentation in all its 
nuance will be brought to bear to advance science, rather than making decisions 
simply by reducing complex models and methods to a single number and its 
relationship to an arbitrary threshold. This new era would be marked by radical 
change to how editorial decisions are made regarding what is publishable, 
removing the temptation to inappropriately hunt for statistical significance as 
a justification for publication. In such an era, every aspect of the 
investigative process would have its appropriate weight in the ultimate 
decision about the value of a research contribution.
Is such an era beyond reach? We think not, but we need your help in making sure 
this opportunity is not lost.
The 
statement<http://amstat.tandfonline.com/doi/abs/10.1080/00031305.2016.1154108> 
is available freely online to all at The American Statistician Latest Articles 
website<http://amstat.tandfonline.com/action/showAxaArticles?journalCode=utas20>.
 You'll find an introduction that describes the reasons for developing the 
statement and the process by which it was developed. You'll also find a rich 
set of discussion papers commenting on various aspects of the statement and 
related matters.
This is the first time the ASA has spoken so publicly about a fundamental part 
of statistical theory and practice. We urge you to share this statement with 
appropriate colleagues and spread the word via social media. We also urge you 
to share your comments about the statement with the ASA Community via ASA 
Connect<http://community.amstat.org/home>. Of course, you are more than welcome 
to email your comments directly to us at 
r...@amstat.org<mailto:r...@amstat.org>.
On behalf of the ASA Board of Directors, thank you!
Sincerely,

Jessica Utts
President
American Statistical Association

Ron Wasserstein
Executive Director
American Statistical Association


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