TABLE 5

Matrix to evaluate biomarkers using the criteria for surrogacy of Boissel et al. (1992) as modified by Espeland et al. (2005)

Criteria QCA cIMT IVUS CRP
B1: Efficiency
   Easy to measure ?
   Precedes the standard
   Quicker, easier (noninvasive)
B2: Linkage
   Quantitative and qualitative relationship based on epidemiologic and clinical trials ?
   Relationship understood via pathophysiology ?
B3: Congruency
   Parallel estimates of risk ?
   Different with/without disease
   Intervention trials show clinical benefit from Δ surrogate ? ?
  • √, yes; –, no; ?, questionable