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Table 2 Proposed decisions depending on results of the interim analysis of the primary outcome

From: Detailed statistical analysis plan for ALBINO: effect of Allopurinol in addition to hypothermia for hypoxic-ischemic Brain Injury on Neurocognitive Outcome — a blinded randomized placebo-controlled parallel group multicenter trial for superiority (phase III)

Result of interim analysis

Resulting new sample sizea

Proposed recommendation

Risk reduction in the experimental group much smaller than expected before the start of the study.

> 780

Immediate discontinuation of recruitment, because sample size cannot be reached with the available resources.

Risk reduction in the experimental group smaller than expected before the start of the study.

> 680–780 (resulting in a prolongation of recruitment of about one year)

Consider to extend recruitment according to the new sample size.

No protocol amendment needed due to prolongation of at maximum 1 year.

Risk reduction in the experimental group as expected before the start of the study.

680

Continue to full pre-defined sample size.

Risk reduction in the experimental group higher than expected before the start of the study.

<680

Continue recruitment until actually needed (reduced) sample size is reached.

  1. aNo. of patients with primary endpoint ascertained to be analyzed for confirmatory analysis (power 80%)