Group sequential multi-arm multi-stage survival trial design with treatment selection

Multi-arm trials are increasingly of interest because for many diseases; there are multiple experimental treatments available for testing efficacy. Several novel multi-arm multi-stage (MAMS) clinical trial designs have been proposed. However, a major hurdle to adopting the group sequential MAMS routinely is the computational effort of obtaining stopping boundaries. For example, the method of Jaki and Magirr for time-to-event endpoint, implemented in R package MAMS, requires complicated computational efforts to obtain stopping boundaries. In this study, we develop a group sequential MAMS survival trial design based on the sequential conditional probability ratio test. The proposed method is an improvement of the Jaki and Magirr's method in the following three directions. First, the proposed method provides explicit solutions for both futility and efficacy boundaries to an arbitrary number of stages and arms. Thus, it avoids complicated computational efforts for the trial design. Second, the proposed method provides an accurate number of events for the fixed sample and group sequential designs. Third, the proposed method uses a new procedure for interim analysis which preserves the study power.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Journal of biopharmaceutical statistics - (2023) vom: 16. Juli, Seite 1-16

Sprache:

Englisch

Beteiligte Personen:

Wu, Jianrong [VerfasserIn]
Li, Yimei [VerfasserIn]

Links:

Volltext

Themen:

Group sequential design
Journal Article
Log-rank test
Multi-arm multi-stage
Sequential conditional probability ratio test
Time-to-event

Anmerkungen:

Date Revised 17.07.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1080/10543406.2023.2235409

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM35956108X