Group Comparisons Involving Zero-Inflated Count Data in Clinical Trials

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Abstract

In clinical trials, outcomes of count data sometimes have excess zeros. When a test drug is compared to a control, zero-inflated data may be ignored or interest is taken only in the proportion of zero counts. By applying the two-part model, Lachenbruch (2001a) suggested a test statistic called the two-part statistic that combines the test statistics of the zero part and the non-zero part. The test for the zero part is the chi-square test. The test for the non-zero part may be a Wilcoxon test, a t-test, etc. This article proposes methods for calculating the sample size and power for the two-part statistic with zero-inflated Poisson data. We developed the methods of sample size and power for the two-part statistic using the Wilcoxon test adjusted for ties. The relationship between the non-zero part and zero-truncated Poisson distribution is also described. Furthermore, we examine the power of the two-part statistic, conventional methods, and the zero-inflated Poisson model.

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