I am designing a clinical trial to test the efficacy of a new therapeutic
modality of bone fusion.  I plan to run a double blind superiority study to
prove clinical efficacy.  In my preparation for estimating the study size I
have calculated that the efficacy of this device will be around 10% better
than a placebo.  Furthermore, there will be some variability in the data due
to drug effects (which I can identify, but not control for).  Previous
similar studies have used between 220 - 350 patients.

My question is this:  If I assume that a placebo group (no treatment)
demonstrates improvement in bone growth among 40% of the patients, will I
need a larger sample size to power the study, than if I assume 65% of the
placebo group will demonstrate improvement in bone growth?

Please provide an answer with a simple example for this
statistically-challenged researcher.

Thanks

Jay


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