NNT Quiz Flashcards

1
Q

A registration clinical trial reported results as follows:

Primary efficacy event rate
Test medication: 25%
Reference medication: 20%

Primary hazard event rate
Test medication: 6%
Reference medication: 4%

What is the absolute efficacy improvement for the primary efficacy outcome?

A) 25%
B) 20%
C) 5%
D) None of the above

A

C (test medication efficacy event rate - reference medication efficacy event rate)

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2
Q

A registration clinical trial reported results as follows:

Primary efficacy event rate
Test medication: 25%
Reference medication: 20%

Primary hazard event rate
Test medication: 6%
Reference medication: 4%

What is the absolute difference in the primary hazard outcome?

A) 2%
B) 4%
C) 6%
D) None of the above

A

A (test medication primary hazard event rate - reference medication primary hazard event rate)

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3
Q

A registration clinical trial reported results as follows:

Primary efficacy event rate
Test medication: 25%
Reference medication: 20%

Primary hazard event rate
Test medication: 6%
Reference medication: 4%

What is the relative improvement in efficacy?

A) 10%
B) 15%
C) 20%
D) 25%

A

D (absolute efficacy improvement/reference medication primary efficacy event rate) –> 0.05/0.20 = 0.25 or 25%

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4
Q

A registration clinical trial reported results as follows:

Primary efficacy event rate
Test medication: 25%
Reference medication: 20%

Primary hazard event rate
Test medication: 6%
Reference medication: 4%

What is the relative hazard?

A) 50%
B) 25%
C) 10%
D) 5%

A

A (absolute change in hazard/primary hazard rates for reference medication) –> (0.02/0.04) = 0.5 or 50%

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5
Q

What is the NNT for the primary efficacy outcome, and what is the number needed to harm for the primary hazard outcome?

A) 5 and 10
B) 50 and 75
C) 20 and 50
D) 1 and 2

A

NNT = 1/ARR
ARR = difference between test and reference

Efficacy ARR: 0.25 - 0.20 = 0.05
Hazard ARR: 0.06 - 0.04 = 0.02

then plug this in to the NNT equation

NNT efficacy = 1/0.05 = 20
NNT hazard (same as the number needed to harm) = 1/0.02 = 50

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