Means: Correlated, Paired, and Cross-Over Designs
Approximate sample size for a balanced 2×2 crossover population-bioequivalence study using the moment-estimator and linearization formula of Chow, Shao & Wang. The calculation accounts for the mean difference, total test/reference variances, between-subject variances, and their correlation.
Population bioequivalence (PBE) extends ordinary average bioequivalence by considering both the difference in population means and the variability of the test and reference formulations. For a 2×2 crossover design, Chow, Shao & Wang formulate the PBE criterion through the quantity λ.
PBE corresponds to the alternative λ < 0. Thus, the sample-size calculation is intended for parameter settings in which the assumed value of λ is negative.
For equal sample sizes in the two crossover sequences, with n subjects per sequence, Chow, Shao & Wang give the following large-sample approximation:
Here, zq is the q-th standard-normal quantile. The scaling coefficient is
The calculator rounds the resulting value of n upward to the next whole subject because the formula gives the required number of subjects per sequence. The total evaluable sample size is therefore 2n.
The published TrialSize implementation of the Chow, Shao & Wang procedure gives a worked PBE example with α = 0.05, β = 0.20 (80% power), σ1,1 = 0.20, σTT = σTR = √0.17, σBT = σBR = 0.40, ρ = 0.75, θPBE = 1.74, δ = 0, and λ = −0.2966. The published result is n = 12 per sequence.
Using the same inputs, the implementation evaluates the approximation at approximately 11.73 before rounding, giving 12 subjects per sequence, or 24 total evaluable subjects. This reproduces the published worked-example result.
This is an approximate planning formula for the balanced 2×2 crossover PBE procedure described by Chow, Shao & Wang. It is not the same calculation as the commonly used average-bioequivalence 90% confidence-interval/TOST approach. The authors specifically developed the method for PBE under 2×2, 2×3, and 2×4 crossover designs.
Chow, S.-C., Shao, J., & Wang, H. (2003). Statistical Tests for Population Bioequivalence. Statistica Sinica, 13, 539–554.
The paper derives the 2×2 crossover PBE test and the approximate equal-sequence sample-size formula used here.
Chow, S.-C., Shao, J., & Wang, H. Sample Size Calculation in Clinical Research. Marcel Dekker.
The TrialSize documentation identifies this text as the reference for its Population Bioequivalence sample-size function and reproduces the worked example yielding n = 12.
this method / the software documentation. this method provides procedure-specific documentation and validation examples for its sample-size procedures; its current documentation identifies crossover bioequivalence procedures within its equivalence-design collection.