Poster for BEBPA Sept 2013 conference

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Transcript Poster for BEBPA Sept 2013 conference

Statistical approaches to outliers in bioassay data
Kelly Fleetwood1, Catriona Keerie1, Ann Yellowlees1, Karie Hirst2,Robin Sun2, Peter Fusco2
1. Quantics Consulting, Edinburgh, UK; 2. PharmAthene Inc, Annapolis, Maryland, USA.
Introduction
• Outliers within bioassay data are not uncommon
(especially when animal models are used).
• Hawkins [1] defined an outlier as:
“An observation which deviates so much from the
other observations as to arouse suspicions that it was
generated by a different mechanism.”
• Outliers may result from:
• experimental error;
• variability in experiment materials; or
• variability in experiment technique.
• It is necessary to use an appropriate method to analyse
bioassay data that includes outliers. USP <1032> suggests
that robust regression can be applied to such data.
Immunopotency assay
• The purpose of the assay is to measure the relative potency
of PharmAthene’s recombinant Protective Antigen (rPA)
based Anthrax Vaccine Final Drug Product.
• PharmAthene has developed a parallel line immunopotency
assay (IPA) which uses 4 doses and measures rPA specific
functional antibody activity in vaccinated mouse serum.
• The assay consists of an in vivo phase, where mice are
vaccinated on Day1 with the doses of final drug product and
bled on Day 28 and an in vitro phase, where the mouse serum
is tested using the mouse toxin neutralization assay (mTNA).
• For each mouse the mTNA result is reported as the NF50
(neutralization factor at ED50; the ratio of the test sample
ED50 to the reference serum ED50 on the same assay plate).
• Outliers have been identified in some in vivo assays. Outliers
are most likely attributable to the known biological variability
of out-bred mice.
• This graph
illustrates the results
of one of the in vivo
assays. Three outliers
are identified. For
this assay each of the
outliers was nonreportable (NR) (i.e.
the outliers
represent mice
where the antibody
activity was below
the limit of
quantitation (LOQ)
of the mTNA).
Conclusions
Remove outliers?
• It is difficult to define objectively which observations are
outliers. Algorithms for the detection of outliers exist,
however different algorithms may give different results.
• If an outlier can be traced back to an experimental error
(e.g. incorrect dose of product) then it is acceptable to
exclude the outlier from the analysis.
• It is not acceptable to remove an outlier for any other
reason. It is wasteful of data and leads to underestimates of
the variance (confidence intervals will be too narrow).
Apply robust regression?
• Robust regression is an extension of LMs that has been
developed for the analysis of datasets that include outliers [2].
• Include outliers in an ordinary LM?
Advantages
Disadvantages
None
Ordinary LMs are sensitive to outliers
and even a single outlier can have a large
effect on the results.
• Never recommended
• Remove outliers?
Advantages
Useful when an
outlier can be
traced back to an
experimental
error.
Disadvantages
Difficult to objectively identify outliers.
If the outlier can’t be traced back to an
experimental error then removal is
wasteful of data and can lead to
underestimates of the variance.
• It is recommended in USP <1032>. It was first
recommended for bioassays in 1971 [3], however it has not
been widely applied, primarily because it is computationally
intensive and so it has not been practical to implement until
relatively recently.
• Only when the outlier can be traced back
to an experimental error
• No outliers  robust regression gives similar estimates to
ordinary LMs, with some increase in variance. The increase in
variance depends upon the specific robust regression method,
but is generally small.
Advantages
When outliers are present in
the data, robust regression
produces unbiased estimates of
relative potency. The estimates
are more precise than those
based on ordinary LMs.
• Outliers  robust regression gives more reliable results
(unbiased and with lower variance).
• Two key variants of robust regression are generally
recommended and available in standard statistical software:
• M-estimation: outliers in the response variable only;
• MM-estimation: outliers may occur in the predictor or
response variable.
• Hence M-estimation is sufficient for bioassay data.
• Specifically we apply M-estimation based on the Huber
function (k=1.345). This offers a good balance between
efficiency (how precise the robust regression estimates are, if
there are no outliers) and resistance to outliers.
• When an ordinary
LM is applied to the
example data,
outliers pull down
the test slope and RP
is underestimated.
RP
95% CI
LM 79% (53%, 116%)
RR 90% (68%, 118%)
• Apply robust regression?
Disadvantages
When no outliers are
present in the data the
estimates are a little less
precise than those based on
ordinary LMs.
More difficult to implement.
• Recommended
• Robust regression is available in modern statistics packages.
R: ‘rlm’ in MASS [4] or ‘lmrob’ in robustbase [5]
SAS: ROBUSTREG procedure [6]
• Applications to other bioassay models
• This poster focuses on the analysis of parallel-line models
for relative potency assays however the concepts are
equally relevant to slope ratio models, four and five
parameter models and generalised linear models.
Acknowledgements
This work was funded under BARDA Contract BARDA
Contract No. HHSO100200900103C. This presentation
reflects PharmAthene’s opinion and does not represent that
of the U.S. Government.
The authors would like to thank reviewers from BARDA for
their valuable comments on the text.
Include outliers in an
ordinary linear model?
• Relative potency could be calculated from the NF50 raw data
using a parallel-line ordinary linear model (LM).
• However, ordinary LMs rely on three key assumptions:
1.The observations must be independent.
2.The observations must have a common variance.
3.The observations must be normally distributed.
• Robust regression was applied to data from 59
immunopotency assays. The effects on RP, its precision and the
suitability criteria were examined. The precision is measured
by the precision factor (PF) (defined as the ratio of the upper
95% confidence limit to the lower 95% confidence limit of the
estimate).
Outliers
All ordinary LM
assumptions hold (there
are no outliers)
Assumptions 2 & 3 don’t
hold
Ordinary LMs produce
biased results with inflated
variance (increasing the
width of confidence
intervals and reducing the
power of statistical tests)
• Estimates of relative potency from the ordinary LM and
robust regression are generally similar (differences occur for
assays with outliers).
• Outliers in the bioassay results can lead to biased
estimates of relative potency. Outliers may also affect
system suitability parameters.
• Under robust regression, more assays passed the suitability
criteria, including a test for parallelism because estimates are
less biased and more precise.
Ordinary LMs
appropriate and produce
optimal unbiased results
• Precision of the relative potency is improved when robust
regression is applied.
References
[1] Hawkins DM. Identification of Outliers. London: Chapman
and Hall, 1980.
[2] Maronna R, Martin, D and Yohai,V. Robust Statistics. Theory
and Methods. Chichester: Wiley, 2006.
[3] Sen PK. Robust statistical procedures in problems of linear
regression with special reference to quantitative bioassays, I.
Review of the International Statistical Institute. 1971. 39:1,
pp 21-38.
[4] Venables WN and Ripley BD. Modern Applied Statistics with
S. 4th. New York: Springer, 2002.
[5] Rousseeuw P et al. robustbase: Basic Robust Statistics. R
package version 0.9-8. 2013.
[6] SAS Institute Inc. 2011. SAS/STAT® 9.3 User’s Guide. Cary,
NC: SAS Institute Inc.
About the authors
PharmAthene was formed to meet the critical needs of the
United States and its allies by developing and
commercializing medical countermeasures against biological
and chemical threats. www.PharmAthene.com
Quantics provides best practice statistical consultancy for
bioassay design, optimisation and validation. We can analyse
your data in line with ICH, US Pharmacopeia and European
Pharmacopeia guidelines. www.Quantics.co.uk