Adaptive Clinical Trials: Overview of Early-Phase Designs and Challenges

被引:10
作者
Marchenko, Olga [1 ]
Fedorov, Valerii [2 ]
Lee, J. Jack [3 ]
Nolan, Christy [4 ]
Pinheiro, Jose [5 ]
机构
[1] Quintiles Inc, Ctr Stat Drug Dev, Innovat, Durham, NC 27703 USA
[2] Quintiles Inc, Predict Analyt, Innovat, Durham, NC 27703 USA
[3] Univ Texas MD Anderson Canc Ctr, Dept Biostat, Div Quantitat Sci, Houston, TX 77030 USA
[4] Quintiles Inc, Innovat, Durham, NC 27703 USA
[5] Janssen Res & Dev LLC, Quantitat Decis Strategies, Raritan, NJ USA
关键词
adaptive design; early-phase designs; clinical trial management; data monitoring committee; modeling and simulation; BATTLE TRIAL; LUNG-CANCER; RANDOMIZATION; EFFICACY; DRUG; STRATEGIES; THERAPY; MODELS;
D O I
10.1177/2168479013513889
中图分类号
R-058 [];
学科分类号
摘要
In this paper, the authors describe developments in adaptive design methodology and discuss implementation strategies and operational challenges in early-phase adaptive clinical trials. The BATTLE trialthe first completed biomarker-based Bayesian adaptive randomized study in lung canceris presented as a case study to illustrate main ideas and share learnings.
引用
收藏
页码:20 / 30
页数:11
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