Evaluation of Animal Carcinogenicity Studies: Cochran‐Armitage Trend Test vs. Multiple Contrast Tests

Typical animal carcinogenicity studies involve the comparison of several dose groups to a negative control. The uncorrected asymptotic Cochran‐Armitage trend test with equally spaced dose scores is the most frequently used test in such set‐ups. However, this test based on a weighted linear regression on proportions. It is well known that the Cochran‐Armitage test lacks in power for other shapes than the assumed linear one. Therefore, dichotomous multiple contrast tests are introduced. These build the maximum over several single contrasts, where each of them is chosen appropriately to cover a specific dose‐response shape. An extensive power study has been conducted to compare multiple contrast tests with the approaches used so far. Crucial results will be presented in this paper. Moreover, exact tests and continuity corrected versions are introduced and compared to the traditional uncorrected approaches regarding size and power behaviour. A trend test for any shape of the dose‐response relationship for either crude tumour rates or mortality‐ adjusted rates based on the simple Poly‐3 transformation is proposed for evaluation of carcinogenicity studies.     

Choice of Scores in Trend Tests for Case‐Control Studies of Candidate‐Gene Associations

When applying the Cochran‐Armitage (CA) trend test for an association between a candidate allele and a disease in a case‐control study, a set of scores must be assigned to the genotypes. Sasieni (1997, Biometrics 53 , 1253–1261) suggested scores for the recessive, additive, and dominant models but did not examine their statistical properties. Using the criteria of minimizing the required sample size of the CA trend test to achieve prespecified type I and type II errors, we show that the scores given by Sasieni (1997) are optimal for the recessive and dominant models and locally optimal for the additive one. Moreover, the additive scores are shown to be locally optimal for the multiplicative model. The tests are applied to a real dataset.