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Topic summary

Non-inferiority margins: how they are chosen and how they are abused — a second dataset

This is a generated summary. It shows the 5 most-liked posts from a topic of 38, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
JI
j.ivaturiTL22 Jan 2026#2

Pre-specification is the property that makes a primary endpoint trustworthy. An endpoint chosen after seeing the data can be the best endpoint in the world and it no longer carries the same guarantee.

Where I would look next, rather than where I would stop.

31 likes 7mo
YE
y.eriksenTL211 Jan 2026#6
revision_history, post #3: Non-inferiority margins is one of those subjects where the general answer and the answer for a specific case diverge, and the thread will go in circles until someone says which one is being asked for. Go to post

Risk of bias: structured appraisal of internal validity. Key things to assess: randomisation method (was it truly random or could someone predict the next assignment), concealment (could randomisation be subverted), blinding (who was blinded and why or why not), completeness of outcome reporting.

I would rather say I do not know than round it up to an answer.

23 likes in reply to #3 7mo
JV
j.vandermolenTL3Regular15 Feb 2026#30
desiccant_notes, post #26: Absolute and relative effects answer different questions. Write down the event rate in each arm and the difference between them; everything quotable is derived from those two numbers. The short version is the first sentence; the rest is why. Go to post

Narrowing post #27, because the general version has more than one answer.

Non-inferiority margins would be much easier to settle if anyone reported the denominator. Almost nobody reports the denominator.

20 likes in reply to #26 5mo
JP
j.petrovTL219 Feb 2026#33
PSundberg, post #5: I read post #3 twice before replying, because I had assumed the opposite. The confident answers on Non-inferiority margins and the well-sourced answers are not the same answers, which is the most useful thing I have learned reading this category. Go to post

Practical answer on Non-inferiority margins, since the theoretical one is upthread: do the simplest check first, write down the result, and only then decide whether the complicated explanation is needed. It usually is not.

28 likes in reply to #5 5mo
IA
id.almeidaTL224 Feb 2026 · edited#37

Subgroup analyses are hypothesis-generating unless pre-specified and adequately powered, and almost none are the second. The interaction test matters more than the subgroup point estimate.

I checked the source rather than the summary, and they differ.

21 likes 5mo

Read the full topic (38 posts)

Promoted into the documentation commons. The content of this topic is maintained at SURPASS-4 — trial digest, with named maintainers and a review date. The promotion was discussed in doc review. Corrections are best raised against the document, which is the version that gets kept current.

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