OS Data Maturity — SCE Medical Oncology MCQ
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Correct answer: D — Forty percent of the target OS events have occurred, so this remains a relatively imprecise interim estimate
Explanation lettering: D = shown as A · E = shown as C · A = shown as D · C = shown as E
A is correct. Event-driven maturity is the observed proportion of the prespecified event target: 200 divided by 500 is 40%. It is not necessarily the proportion of participants who have died, elapsed calendar time or accumulated person-time. B ignores the protocol denominator. C confuses follow-up duration with event information and makes an invalid claim about censoring. D neither defines maturity nor proves proportional hazards. E counts analyses rather than deaths and ignores increasing precision. Statistical conclusions must follow the prespecified interim boundaries and multiplicity plan; there is no universal percentage at which every OS result becomes definitive.
Reference: EMA ICH E9 statistical principles for clinical trials: https://www.ema.europa.eu/en/ich-e9-statistical-principles-clinical-trials-scientific-guideline