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Predicting Probability of Success for Phase III Trials via Propensity-Score-Based External Data Borrowing 通过基于倾向分数的外部数据借用预测 III 期试验的成功概率
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-12-12 DOI: 10.1080/19466315.2023.2292815
Jennifer L. Proper, Veronica Bunn, Bradley Hupf, Jianchang Lin
Given the rising costs and time length of confirmatory phase III trials, drug developers have become increasingly reliant on quantitative methods to support critical decisions such as whether drug ...
鉴于成本的上升和验证性三期试验的时间长度,药物开发人员越来越依赖定量方法来支持关键决策,例如药物是否……
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引用次数: 0
Treatment Comparisons in Adaptive Platform Trials Adjusting for Temporal Drift 调整时间漂移的自适应平台试验中的治疗比较
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-12-11 DOI: 10.1080/19466315.2023.2292238
Beibei Guo, Li Wang, Ying Yuan
An adaptive platform trial (APT) is a multi-arm trial in the context of a single disease where treatment arms are allowed to enter or leave the trial based on some decision rule. If a treatment ent...
自适应平台试验(APT)是一种针对单一疾病的多臂试验,允许治疗臂根据某种决策规则进入或退出试验。如果一个治疗臂进入或退出试验,则该治疗臂将被淘汰。
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引用次数: 0
DODII: Bayesian Dose Optimization Design for Randomized Phase II Trials DODII:随机 II 期试验的贝叶斯剂量优化设计
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-12-07 DOI: 10.1080/19466315.2023.2292816
Ziji Yu, Yanzhao Wang, Jianchang Lin
The traditional MTD-based dose selection paradigm commonly used for cytotoxic chemotherapies might not be optimal for targeted therapies because a higher dose does not necessarily result in improve...
细胞毒性化疗常用的基于MTD的传统剂量选择范式可能不是靶向治疗的最佳选择,因为剂量越大并不一定能改善靶向治疗的疗效。
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引用次数: 0
Joint Analysis of Longitudinal Ordinal Categorical Item Response Data and Survival Times with Cure Fraction 纵向有序分类项目反应数据与治愈分数生存时间的联合分析
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-11-30 DOI: 10.1080/19466315.2023.2290642
Ming Chi, Xiaogang Wang, Hui Song, Yingwei Peng, Dongsheng Tu
For longitudinal ordinal categorical item response data which may not be observable after a subject develops a terminal event, some statistical models have been proposed for the joint analysis of t...
对于在被试发展结束事件后可能无法观察到的纵向有序分类项目反应数据,提出了一些统计模型来联合分析这些数据。
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引用次数: 0
Adjusting for time-varying treatment switches in randomized clinical trials: the danger of extrapolation and how to address it 在随机临床试验中调整时变治疗开关:外推的危险及如何解决
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-11-29 DOI: 10.1080/19466315.2023.2289523
Hege Michiels, An Vandebosch, Stijn Vansteelandt
When choosing estimands and estimators in randomized clinical trials, caution is warranted, as intercurrent events, such as, due to patients who switch treatment after disease progression, are ofte...
在随机临床试验中选择估计值和估计值时,有必要谨慎,因为并发事件,例如,由于患者在疾病进展后切换治疗,通常是…
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引用次数: 0
Isotonic Phase I cancer clinical trial design utilizing patient-reported outcomes 等渗I期癌症临床试验设计利用患者报告的结果
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-11-28 DOI: 10.1080/19466315.2023.2288013
Nolan A. Wages, Ruitao Lin
This article considers the concept of designing Phase I clinical trials using both clinician- and patient-reported outcomes to adaptively allocate study participants to tolerable doses and determin...
本文考虑了设计I期临床试验的概念,使用临床医生和患者报告的结果,自适应地分配研究参与者耐受剂量,并确定…
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引用次数: 0
A method for ensuring a consistent dose-response relationship between an entire population and one region in multiregional dose-response studies using MCP-Mod 在使用MCP-Mod的多区域剂量-反应研究中确保整个人群和一个区域之间一致的剂量-反应关系的方法
4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-10-31 DOI: 10.1080/19466315.2023.2277175
Shuhei Kaneko
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引用次数: 0
Using Randomization Tests to Address Disruptions in Clinical Trials: A Report from the NISS Ingram Olkin Forum Series on Unplanned Clinical Trial Disruptions 使用随机试验解决临床试验中断:NISS Ingram Olkin论坛系列关于计划外临床试验中断的报告
4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-10-18 DOI: 10.1080/19466315.2023.2257894
Diane Uschner, Oleksandr Sverdlov, Kerstine Carter, Jonathan Chipman, Olga Kuznetsova, Jone Renteria, Adam Lane, Chris Barker, Nancy Geller, Michael Proschan, Martin Posch, Sergey Tarima, Frank Bretz, William F. Rosenberger
1. AbstractRecent examples for unplanned external events are the global COVID-19 pandemic, the war in Ukraine, or most recently Hurricane Ian in Puerto Rico. Disruptions due to unplanned external events can lead to violation of assumptions in clinical trials. In certain situations, randomization tests can provide non-parametric inference that is robust to violation of the assumptions usually made in clinical trials. The ICH E9 (R1) Addendum on estimands and sensitivity analyses provides a guideline for aligning the trial objectives with strategies to address disruptions in clinical trials. In this paper, we embed randomization tests within the estimand framework to allow for inference following disruptions in clinical trials in a way that reflects recent literature. A stylized clinical trial is presented to illustrate the method, and a simulation study highlights situations when a randomization test that is conducted under the intention-to-treat principle can provide unbiased results.DisclaimerAs a service to authors and researchers we are providing this version of an accepted manuscript (AM). Copyediting, typesetting, and review of the resulting proofs will be undertaken on this manuscript before final publication of the Version of Record (VoR). During production and pre-press, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal relate to these versions also. FundingThe author(s) reported there is no funding associated with the work featured in this article.
1. 最近发生的计划外外部事件包括全球COVID-19大流行、乌克兰战争,以及最近发生在波多黎各的飓风伊恩。由于计划外的外部事件造成的中断可能导致违反临床试验中的假设。在某些情况下,随机化试验可以提供非参数推理,这种推理对于违反临床试验中通常做出的假设是稳健的。ICH E9 (R1)关于估计和敏感性分析的附录提供了将试验目标与应对临床试验中断的策略相一致的指南。在本文中,我们在估计框架内嵌入随机化测试,以一种反映最新文献的方式,允许在临床试验中断后进行推断。一项程式化的临床试验展示了该方法,一项模拟研究强调了在意向治疗原则下进行的随机试验可以提供无偏结果的情况。免责声明作为对作者和研究人员的服务,我们提供了这个版本的已接受的手稿(AM)。在最终出版版本记录(VoR)之前,将对该手稿进行编辑、排版和审查。在制作和印前,可能会发现可能影响内容的错误,所有适用于期刊的法律免责声明也与这些版本有关。作者报告说,没有与本文所述工作相关的资金。
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引用次数: 1
A randomization-based theory for preliminary testing of covariate balance in controlled trials 对照试验中协变量平衡初步检验的随机化理论
4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-10-13 DOI: 10.1080/19466315.2023.2267774
Anqi Zhao, Peng Ding
AbstractRandomized trials balance all covariates on average and are the gold standard for estimating treatment effects. Chance imbalances nevertheless exist more or less in realized treatment allocations and intrigue an important question: what should we do if the treatment groups differ with respect to some important baseline characteristics? A common strategy is to conduct a preliminary test of the balance of baseline covariates after randomization, and invoke covariate adjustment for subsequent inference if and only if the realized allocation fails some prespecified criterion. Although such practice is intuitive and popular among practitioners, the existing literature has so far only evaluated its properties under strong parametric model assumptions in theory and simulation, yielding results of limited generality. To fill this gap, we examine two strategies for conducting preliminary test-based covariate adjustment by regression, and evaluate the validity and efficiency of the resulting inferences from the randomization-based perspective. The main result is twofold. First, the preliminary-test estimator based on the analysis of covariance can be even less efficient than the unadjusted difference in means, and risks anticonservative confidence intervals based on normal approximation even with the robust standard error. Second, the preliminary-test estimator based on the fully interacted specification is less efficient than its counterpart under the always-adjust strategy, and yields overconservative confidence intervals based on normal approximation. In addition, although the Fisher randomization test is still finite-sample exact for testing the sharp null hypothesis of no treatment effect on any individual, it is no longer valid for testing the weak null hypothesis of zero average treatment effect in large samples even with properly studentized test statistics. These undesirable properties are due to the asymptotic non-normality of the preliminary-test estimators. Based on theory and simulation, we echo the existing literature and do not recommend the preliminary-test procedure for covariate adjustment in randomized trials.Keywords: Causal inferencedesign-based inferenceefficiencyFisher randomization testregression adjustmentrerandomizationDisclaimerAs a service to authors and researchers we are providing this version of an accepted manuscript (AM). Copyediting, typesetting, and review of the resulting proofs will be undertaken on this manuscript before final publication of the Version of Record (VoR). During production and pre-press, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal relate to these versions also. FundingThe author(s) reported there is no funding associated with the work featured in this article.
随机试验平均平衡所有协变量,是估计治疗效果的金标准。然而,机会不平衡或多或少地存在于已实现的治疗分配中,并引发了一个重要的问题:如果治疗组在一些重要的基线特征方面存在差异,我们该怎么办?一种常见的策略是在随机化后对基线协变量的平衡进行初步测试,当且仅当实现的分配不符合某些预先规定的标准时,调用协变量调整以进行后续推断。虽然这种做法是直观的,在从业者中很受欢迎,但迄今为止,现有文献仅在理论和仿真中对其性质进行了强参数化模型假设的评估,结果的通用性有限。为了填补这一空白,我们研究了两种策略,通过回归进行初步的基于测试的协变量调整,并从基于随机化的角度评估所得推断的有效性和效率。主要结果是双重的。首先,基于协方差分析的初步检验估计量甚至比未经调整的均值差更低效,并且即使具有稳健的标准误差,也存在基于正态近似的反保守置信区间的风险。其次,基于完全交互规范的预测试估计器的效率低于始终调整策略下的预测试估计器,并且产生基于正态近似的过度保守置信区间。此外,尽管Fisher随机化检验对于检验对任何个体没有治疗效果的尖锐零假设仍然是有限样本精确的,但即使使用适当的学生化检验统计量,它也不再适用于检验大样本中平均治疗效果为零的弱零假设。这些不良性质是由于初步检验估计量的渐近非正态性。基于理论和模拟,我们赞同现有文献,不推荐随机试验中协变量调整的初步检验程序。关键词:因果推理基于设计的推理效率fisher随机化检验回归调整随机化免责声明作为对作者和研究人员的服务,我们提供此版本的已接受稿件(AM)。在最终出版版本记录(VoR)之前,将对该手稿进行编辑、排版和审查。在制作和印前,可能会发现可能影响内容的错误,所有适用于期刊的法律免责声明也与这些版本有关。作者报告说,没有与本文所述工作相关的资金。
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引用次数: 0
Covariate-adaptive biased coin randomization for master protocols with multiple interventions and biomarker-stratified allocation 具有多重干预和生物标记物分层分配的主方案的协变量自适应偏置硬币随机化
4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-10-09 DOI: 10.1080/19466315.2023.2268313
Tianhao Song, Lisa M. LaVange, Anastasia Ivanova
AbstractIn a multi-arm trial with predefined subgroups for each intervention to target, it is often desirable to enrich assignment to an intervention by enrolling more biomarker-positive participants to the intervention. We describe how to implement a biased coin design to achieve desired allocation ratios among interventions and between the number of biomarker-positive and biomarker-negative participants assigned to each intervention. We illustrate the proposed method with the randomization algorithm implemented in the Precision Interventions for Severe and/or Exacerbation-prone Asthma (PrecISE) trial.Key Words: Covariate-adaptive randomizationenrichmentbiomarker-positive subgroupbiased coin designDisclaimerAs a service to authors and researchers we are providing this version of an accepted manuscript (AM). Copyediting, typesetting, and review of the resulting proofs will be undertaken on this manuscript before final publication of the Version of Record (VoR). During production and pre-press, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal relate to these versions also. FundingThe author(s) reported there is no funding associated with the work featured in this article.
在一项多组试验中,每种干预措施都有预定义的亚组作为目标,通常需要通过招募更多生物标志物阳性的参与者来丰富干预的分配。我们描述了如何实施有偏硬币设计,以实现干预措施之间以及分配给每种干预措施的生物标志物阳性和生物标志物阴性参与者数量之间的理想分配比例。我们通过在严重和/或易加重哮喘的精确干预(PrecISE)试验中实施的随机化算法来说明所提出的方法。关键词:协变量-自适应随机化-富集-生物标志物阳性亚群偏差硬币设计免责声明作为对作者和研究人员的服务,我们提供此版本的已接受稿件(AM)。在最终出版版本记录(VoR)之前,将对该手稿进行编辑、排版和审查。在制作和印前,可能会发现可能影响内容的错误,所有适用于期刊的法律免责声明也与这些版本有关。作者报告说,没有与本文所述工作相关的资金。
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Statistics in Biopharmaceutical Research
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