The STE is obtained by solving the equation
l
(\(\alpha\)) = 0
(resp.
u
(\(\alpha\)) = 0
), where
\(\alpha\) represents
the corresponding STE, and
l
(\(\alpha\)) (resp.
u
(\(\alpha\))) is the lower (resp. upper) bound of the prediction interval
of the treatment effect on the true endpoint (\(\beta\) + b) . Thereby,

where
represents the set of estimates for the fixed-effects and the
variance-covariance parameters of the random effects obtained from the joint surrogate
model
(Sofeu et al., 2019).
If the previous equations gives two solutions, STE can be the
minimum (resp. the maximum) value or both of them, according to the shape of the function.
If the concavity of the function is turned upwards, STE is the first value and
the second value represents the maximum (res. the minimum) treament value observable
on the surrogate that can predict a nonzero treatment effect on true endpoint.
If the concavity of the function is turned down, both of the solutions
represent the STE and the interpretation is such that accepted values of the
treatment effects on S
predict a nonzero treatment effects on T
Given that negative values of treatment effect indicate a reduction of the risk
of failure and are considered beneficial, STE is recommended to be computed from
the upper prediction
limit
u
(\(\alpha\)).
The details on the computation of STE are described in
Burzykowski et al. (2006).