bio-clinical-biostatistics-power-sample-size

bio-clinical-biostatistics-power-sample-size is a skill for Claude Code, Codex from GPTomics/bioSkills. It costs 125 tokens per session (8,484 once invoked), scanned A, original, MIT.

A statistical planning tool for estimating clinical-trial sample size and statistical power. Power is the chance of detecting a real effect under specified assumptions; sample size is the number of participants needed.

In plain words
What is it for?
Use it to plan trials with continuous, binary, or time-to-event outcomes, choose sample sizes, assess power, and account for significance levels, dropout, multiple comparisons, and stratification.
Why use it?
It helps prevent trials from being too small to answer their question or larger than necessary. It also accounts for designs such as superiority, non-inferiority, equivalence, and expected dropout.

Skill for Claude CodeCodex

Written for no agent in particular: nothing here depends on one.

Good fit Use it to plan trials with continuous, binary, or time-to-event outcomes, choose sample sizes, assess power, and account for significance levels, dropout, multiple comparisons, and stratification.

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Install with agentmods
npx agentmods add skills/gptomics/bioskills/power-and-sample-size
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Any agent
npx skills add GPTomics/bioSkills --skill power-and-sample-size
Clone the repo
git clone --depth 1 https://github.com/GPTomics/bioSkills

Made for: Claude Code, Codex.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for bio-clinical-biostatistics-power-sample-size

README.md
[![agentmods](https://agentmods.dev/badge/skills/gptomics/bioskills/power-and-sample-size/github.svg)](https://agentmods.dev/skills/gptomics/bioskills/power-and-sample-size)
Your own site
<a href="https://agentmods.dev/skills/gptomics/bioskills/power-and-sample-size"><img src="https://agentmods.dev/badge/skills/gptomics/bioskills/power-and-sample-size/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for bio-clinical-biostatistics-power-sample-size

Your own site · 80×15
<a href="https://agentmods.dev/skills/gptomics/bioskills/power-and-sample-size"><img src="https://agentmods.dev/badge/skills/gptomics/bioskills/power-and-sample-size.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 125 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 8,484 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00125 $0.08484
Opus 5 $0.00063 $0.04242
Sonnet 5 $0.00025 $0.01697
Haiku 4.5 $0.00013 $0.00848

Measured 6d ago against content hash 473bdeda34a4, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-09, from the pricing page.

Security

Grade A, and why

bio-clinical-biostatistics-power-sample-size scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 6d ago.

The scan reads SKILL.md. This mod also ships 1 executable file (examples/power_sample_size.py), listed below but not scanned — reading those needs a real analyzer, not pattern matching.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

Origin

Copies of this mod

1 near-identical copy found in the catalogue:

clinical-biostatistics/power-and-sample-size/SKILL.md · 496 lines

How it starts

The opening of the file, as written. The whole thing — 496 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Version Compatibility

Reference examples tested with: statsmodels 0.14+, scipy 1.12+, numpy 1.26+, pandas 2.1+. R packages cited: pwr, gsDesign (Anderson/Merck), gsDesign2, rpact (Wassmer/Brannath), presize, npsurvSS, nph, simtrial.

Before using code patterns, verify installed versions match. If versions differ:

  • Python: pip show <package> then help(module.function) to check signatures
  • R: packageVersion('<pkg>') then ?function_name

If code throws ImportError, AttributeError, or TypeError, introspect the installed package and adapt the example to match the actual API rather than retrying.

Power and Sample Size for Clinical Trials

"Justify the trial's sample size" -> Compute the n needed to detect a pre-specified alternative δ with power 1-β at significance α, accounting for endpoint distribution, design (superiority/NI/equivalence), expected dropout, multiplicity, and stratification — and distinguish δ (the effect the trial is powered to detect) from MCID (the clinically meaningful difference).

The Foundational Distinction -- δ vs MCID

δ (the alternative effect): what the trial is powered to detect. Usually set above the MCID because sponsors want a strong signal that exceeds noise + design uncertainty.

MCID (Minimum Clinically Important Difference): the smallest effect size considered clinically meaningful. Jaeschke-Singer-Guyatt 1989 Control Clin Trials 10:407 (anchor-based) and Norman-Sloan-Wyrwich 2003 Med Care 41:582 ("the remarkable universality of half a standard deviation") established the modern conventions.

Confusing the two has produced both:

  • Underpowered trials where sponsor sets δ = MCID and gets a CI straddling zero
  • Overgenerous NI margins where sponsor sets M2 = full MCID (NI margin should be a fraction of MCID)

Postdoc rule of thumb: for superiority, δ >= 1.5 × MCID; for NI, M2 <= 0.5 × MCID.

Algorithmic Taxonomy

Design Formula / approach Software Strength Fails when
Two-sample t-test, continuous Cohen's d; n = 2 × (z_α/2 + z_β)² / d² pwr::pwr.t.test (R); statsmodels.power.tt_ind_solve_power (Py) Standard Heteroscedasticity; non-normal outcomes
Two-sample proportions (Fleiss) Asymptotic normal approximation with/without continuity correction power.prop.test (R) -- uncorrected; pwr::pwr.2p.test; statsmodels Standard n < 100/arm: continuity correction debate (D'Agostino 1988)
Survival (Schoenfeld 1981) events ≈ 4(z_α/2 + z_β)² / (log HR)² for 1:1 gsDesign::nSurv; npsurvSS::size_two_arm Standard PH-conformant PH violated (immuno-oncology) under-estimates by 20-50%
Survival under non-PH (Lakatos 1988) Markov chain accommodating time-varying HR, accrual, dropout gsDesign::nSurv; npsurvSS; simtrial Handles immuno-oncology delayed effects Requires explicit specification of HR(t) and accrual
MaxCombo SS under NPH Simulation-based; pre-specify weight family nphRCT; simtrial Robust to NPH pattern Computationally heavier
Non-inferiority fixed-margin n = (z_α + z_β)² × variance / M² pwr::pwr.t2n.test adapted; rpact::getSampleSizeMeans Pre-discounted M Constancy assumption violation invisible
Non-inferiority synthesis Pool historical control-vs-placebo + current test-vs-control gsDesign::ssTwoArmTest More efficient than fixed-margin Constancy assumption MUST hold exactly
Equivalence TOST Two one-sided tests at α each pwr::pwr.t.test adapted; presize No multiplicity adjustment needed Wrong question when superiority/NI is intended
Group-sequential Lan-DeMets spending function rpact; gsDesign Interim analyses; early stopping More complex SAP
Sample-size re-estimation (Mehta-Pocock) Promising-zone conditional power rpact::getSampleSizeMeans with reestimation Recovers power if interim shows promise Unblinded SSR scares FDA
Cluster-randomised Adjust for design effect = 1 + (m-1)ICC clusterPower; pwr adapted Standard ICC misspecification

Read the full file on GitHub · 496 lines

Files

What ships with it

2 files beside SKILL.md in the same directory: the scripts, references and assets a skill reads on demand. Not counted in the per-session cost; read them before you install if any of them is executable.

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 6d ago First seen · 496 lines · 125 tokens per session scan A 473bdeda34a4

Subscribe to this mod's changes

bio-clinical-biostatistics-power-sample-size is a skill published in the GitHub repository GPTomics/bioSkills (1,199 stars, last pushed 25d ago), licensed MIT. It adds 125 tokens to every session and 8,484 once invoked, about $0.0006 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-09-03.

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