ABSTRACT

In a clinical trial with multiple coprimary endpoints, the efficacy require-

ment is defined as meeting two or more endpoints simultaneously. There-

fore, in an adaptive design of multiple endpoint trial, we have to deal with

the multiplicity due to multiple endpoints and multiple analyses at differ-

ent times. We will use mathematical induction to prove that the stopping

boundaries from group sequential stopping boundaries with a single end-

point can be use directly without inflation or deflation the type-I error. We

will also derive the formulations for conditional power and power for group

sequential design with multiple endpoints, which is an extension of the con-

ditional power for single endpoint developed by Lan and Wittes (1988). The

extension of the method to sample-size reestimation design is also provided

with illustrative examples (Cheng, 2014; Cheng, Menon, and Chang, 2014).

13.1 Introduction