Endpoints and benchmark rationale

Define outcomes and comparison basis

A success threshold, an aggregate historical benchmark and participant-level external controls are different comparison bases. Record why the benchmark is applicable; none creates randomized exchangeability.

Flow diagram

Endpoints and benchmark rationaleF1.S1Define study objectivesF1.S2Primary endpointsprimary · unspecifiedF1.S3Secondary endpointssecondary · unspecifiedF1.S4Safety endpointssafety · unspecifiedF1.S5Justify comparison basisF1.S6Specify estimand and missingnessF1.N1Benchmark evidenceBenchmarkSourcePopulationEraOutcomedefinitionUncertaintyComparabilityF1.N2Endpoint registerEndpointRoleScaleAssessmentSuccesscriterionMissingnessF1.N3Comparison rationaleF1.S0 Start flowEndpoints and benchmark rationaleF1.S999 End flowEnd flow

Steps

Define study objectives

Choose estimation, benchmark testing or another justified objective.

Primary endpoints

Define outcome scale, assessment window and success criteria.

Secondary endpoints

Define secondary and exploratory measures.

Safety endpoints

Specify safety outcomes and ascertainment.

Justify comparison basis

Distinguish a threshold, historical estimate and patient-level external comparator.

Specify estimand and missingness

Define population, outcome, event strategies, summary and incomplete-data approach.

Endpoints and benchmark rationale

End flow

Tables and supporting information

Benchmark evidence

Benchmark evidenceBenchmarkSourcePopulationEraOutcomedefinitionUncertaintyComparability

External-comparator data require additional selection and confounding flows.

Endpoint register

Endpoint registerEndpointRoleScaleAssessmentSuccesscriterionMissingness

Support multiple primary and secondary endpoints.

Comparison rationale

Attach sources and limitations for the proposed comparison.

Sources