On tests of linearity for dose response data: asymptotic, exact conditional and exact unconditional tests

The approximate chi-square statistic, X 2 Q , which is calculated as the difference between the usual chi-square statistic for heterogeneity and the Cochran-Armitage trend test statistic, has been widely applied to test the linearity assumption for dose-response data. This statistic can be shown to be asymptotically distributed as chi-square with K - 2 degrees of freedom. However, this asymptotic property could be quite questionable if the sample size is small, or if there is a high degree of sparseness or imbalance in the data. In this article, we consider how exact tests based on this X 2 Q statistic can be performed. Both the exact conditional and unconditional versions will be studied. Interesting findings include: (i) the exact conditional test is extremely sensitive to a small change in dosages, which may eventually produce a degenerate exact conditional distribution; and (ii) the exact unconditional test avoids the problem of degenerate distribution and is shown to be less sensitive to the change in dosages. A real example involving an animal carcinogenesis experiment as well as a fictitious data set will be used for illustration purposes.