Limb-Leaf designs for adaptive exploration of the dose-response curve

Copyright © 2017 Elsevier Inc. All rights reserved..

We propose a two-stage strategy, called the Limb-Leaf method, to explore the dose-response curve using dose promotion and addition in the context of adaptive seamless Phase II/III trials. Strong control of the overall type 1 familywise error rate of the proposed method is enforced by the closed testing principle. The design constants are determined to minimize the risk-adjusted expected total sample size while maintaining a target power. In the case of a nonmonotonic dose response curve where more doses are required to adequately explore the curve, substantial savings in sample size are achieved compared with a traditional strategy which offers only selection and promotion from among initial first stage doses.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:64

Enthalten in:

Contemporary clinical trials - 64(2018) vom: 14. Jan., Seite 210-218

Sprache:

Englisch

Beteiligte Personen:

Spivack, John [VerfasserIn]
Cheng, Bin [VerfasserIn]
Levin, Bruce [VerfasserIn]

Links:

Volltext

Themen:

Adaptive design
Closed testing principle
Dose addition
Dose-response curve
Journal Article
Nonmonotonicity

Anmerkungen:

Date Completed 26.02.2019

Date Revised 26.02.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cct.2017.10.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM276582624