@jepcastel

Adaptive two-stage designs in phase II clinical trials.

, and . Statistics in medicine, 25 (19): 3382-95 (October 2006)5259<m:linebreak></m:linebreak>LR: 20071115; CI: Copyright 2006; GR: R01-CA051962/CA/NCI NIH HHS/United States; GR: R37-AI031789/AI/NIAID NIH HHS/United States; JID: 8215016; ppublish;<m:linebreak></m:linebreak>Fase II.
DOI: 10.1002/sim.2501

Abstract

Two-stage designs have been widely used in phase II clinical trials. Such designs are desirable because they allow a decision to be made on whether a treatment is effective or not after the accumulation of the data at the end of each stage. Optimal fixed two-stage designs, where the sample size at each stage is fixed in advance, were proposed by Simon when the primary outcome is a binary response. This paper proposes an adaptive two-stage design which allows the sample size at the second stage to depend on the results at the first stage. Using a Bayesian decision-theoretic construct, we derive optimal adaptive two-stage designs; the optimality criterion being minimum expected sample size under the null hypothesis. Comparisons are made between Simon's two-stage fixed design and the new design with respect to this optimality criterion.

Links and resources

Tags