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Adaptive Endpoints Selection with Application in Rare Disease 自适应终点选择及其在罕见疾病中的应用
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-02-22 DOI: 10.1080/19466315.2023.2183252
Heng Xu, Yi Liu, R. Beckman
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引用次数: 1
Methods for Informative Censoring in Time-to-Event Data Analysis 时间-事件数据分析中的信息性审查方法
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-02-21 DOI: 10.1080/19466315.2023.2182355
Man Jin, Yixin Fang
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引用次数: 2
Modified Simon’s Two-Stage Design for Phase IIA Clinical Trials in Oncology – Dynamic Monitoring and More Flexibility 肿瘤学IIA期临床试验改进Simon的两阶段设计——动态监测和更灵活
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-02-21 DOI: 10.1080/19466315.2023.2177332
W. Shih, Yunqi Zhao, Tai Xie
Abstract The traditional Simon’s two-stage design for phase IIA clinical trials is modified to enhance the flexibility in conducting the interim analysis and sample size adjustment. The modification is based on the well-established methodology in adaptive designs using the conditional probability and allows for early termination as well as extension with sample size adjustment. The dynamic data monitoring system is naturally suitable for basket trials where several tumor types are monitored simultaneously with different enrollment rates.
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引用次数: 0
Joint Analysis of Longitudinal Data and Zero-Inflated Recurrent Events 纵向数据与零膨胀复发事件的联合分析
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-02-07 DOI: 10.1080/19466315.2023.2177726
Chenchen Ma, K. Crimin
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引用次数: 0
Examples of Applying RWE Causal-Inference Roadmap to Clinical Studies RWE因果推理路线图应用于临床研究的例子
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-02-07 DOI: 10.1080/19466315.2023.2177333
M. Ho, Susan Gruber, Yixin Fang, Douglas E Faris, P. Mishra-Kalyani, D. Benkeser, M. J. van der Laan
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引用次数: 2
Modified Robust Meta-Analytic-Predictive Priors for Incorporating Historical Controls in Clinical Trials 用于将历史对照纳入临床试验的改进稳健元分析预测先验
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-30 DOI: 10.1101/2023.01.28.23285146
Qiang Zhao, Haijun Ma
Incorporating historical information in clinical trials has been of much interest recently because of its potential to reduce the size and cost of clinical trials. Data-conflict is one of the biggest challenges in incorporating historical information. In order to address the conflict between historical data and current data, several methods have been proposed including the robust meta-analytic-predictive (rMAP) prior method. In this paper, we propose to modify the rMAP prior method by using an empirical Bayes approach to estimate the weights for the two components of the rMAP prior. Via numerical calculations, we show that this modification to the rMAP method improves its performance regarding multiple key metrics.
将历史信息纳入临床试验最近引起了人们的极大兴趣,因为它有可能减少临床试验的规模和成本。数据冲突是整合历史信息的最大挑战之一。为了解决历史数据和当前数据之间的冲突,已经提出了几种方法,包括鲁棒元分析预测(rMAP)先验方法。在本文中,我们建议通过使用经验贝叶斯方法来估计rMAP先验的两个分量的权重,来修改rMAP先验方法。通过数值计算,我们表明对rMAP方法的这种修改提高了其在多个关键指标方面的性能。
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引用次数: 1
What Can Be Achieved with the Estimand Framework? Estimand框架可以实现什么?
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-30 DOI: 10.1080/19466315.2023.2173645
Susan Mayo, Yongman Kim
Abstract The ICH E9(R1) guidance on estimands is a key tool for the creation and review of protocol design and analysis planning, for both industry and regulatory statisticians. The framework has been described as useful for improving study design, intercurrent event handling, data collection, analysis, and interpretation to align the estimand with the primary clinical question to add clarity and precision to support regulatory decision-making. In this article, we describe our experience as regulatory statisticians in review of Investigational New Drug protocols and statistical analysis plans, with an emphasis on trials used to support substantial evidence of effectiveness in New Drug Applications and Biologic License Applications. Our intent is to describe our experience with this powerful and effective framework tool, to align the clinical trial’s primary objective with its analysis outcomes and interpretation.
ICH E9(R1)评估指南是行业和监管统计人员创建和审查方案设计和分析计划的关键工具。该框架被描述为有助于改进研究设计、并发事件处理、数据收集、分析和解释,以使评估与主要临床问题保持一致,从而增加清晰度和准确性,以支持监管决策。在本文中,我们描述了我们作为监管统计学家在审查新药研究方案和统计分析计划方面的经验,重点是用于支持新药申请和生物许可证申请中有效性的实质性证据的试验。我们的目的是描述我们使用这个强大而有效的框架工具的经验,使临床试验的主要目标与其分析结果和解释保持一致。
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引用次数: 1
Statistical Considerations and Challenges for Pivotal Clinical Studies of Artificial Intelligence Medical Tests for Widespread Use: Opportunities for Inter-Disciplinary Collaboration 广泛使用的人工智能医学测试关键临床研究的统计考虑和挑战:跨学科合作的机会
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-18 DOI: 10.1080/19466315.2023.2169752
Arkendra De
Abstract The application of Artificial Intelligence to medical testing has received much attention in recent years, as evidenced by the flurry of published studies describing Artificial Intelligence software developed to solve problems in medical testing. While this recent activity is exciting, developed Artificial Intelligence medical tests ultimately can only be considered as candidates for widespread use if these tests demonstrate good performance in pivotal clinical studies. What are pivotal clinical studies for Artificial Intelligence medical tests aimed for widespread use? What are some of the major considerations and challenges for assessing performance of these tests in this context? What are some of the outstanding areas where statisticians, in collaboration with professionals outside the statistical community, could help in this endeavor? This article addresses these questions. This article is meant to appeal to a broad audience with varying levels of statistical and medical testing knowledge so that inter-disciplinary collaboration could be enhanced.
摘要近年来,人工智能在医学检测中的应用受到了极大的关注,一系列已发表的研究证明了这一点,这些研究描述了为解决医学检测问题而开发的人工智能软件。虽然最近的这项活动令人兴奋,但只有在关键临床研究中表现出良好性能的情况下,开发的人工智能医学测试才能最终被视为广泛使用的候选测试。人工智能医学测试的关键临床研究是什么?在这种情况下,评估这些测试的性能的主要考虑因素和挑战是什么?统计学家与统计界以外的专业人士合作,可以在哪些方面提供帮助?本文解决了这些问题。这篇文章旨在吸引具有不同水平统计和医学检测知识的广大受众,以便加强学科间的合作。
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引用次数: 1
Designing Dose-Optimization Studies in Cancer Drug Development: Discussions with Regulators 设计癌症药物开发中的剂量优化研究:与监管机构的讨论
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-09 DOI: 10.1080/19466315.2023.2166099
Olga V. Marchenko, R. Sridhara, Qi Jiang, Elizabeth Barksdale, Y. Ando, D. D. Alwis, Katie Brown, L. Fernandes, M. V. van Bussel, Qiuyi Choo, M. Coory, E. Garrett-Mayer, T. Gwise, Lorenzo Hess, Rong Liu, S. Mandrekar, D. Ouellet, J. Pinheiro, M. Posch, N. Rahman, K. Rantell, A. Raven, Sarem Sarem, S. Sen, M. Shah, Y. Shen, Richard Simon, M. Theoret, Ying Yuan, R. Pazdur
Abstract The article provides a summary of discussions from the American Statistical Association (ASA) Biopharmaceutical (BIOP) Section Open Forums on March 18th, June 10th, and July 8th of 2021, organized by the ASA BIOP Statistical Methods in Oncology Scientific Working Group in coordination with the U.S. Food and Drug Administration (FDA) Oncology Center of Excellence and the LUNGevity Foundation. Diverse stakeholders including oncologists, patient advocates, experts from regulatory agencies across the world, academicians, and representatives from the pharmaceutical industry engaged in a lively discussion on strategies for and designs of dose-optimization studies in cancer drug development. Dose-optimization is one of the major challenges in oncology drug development. The discussions were focused on considerations in designing dose-optimization studies of products for treatment of cancer patients in pre-approval and post-approval stages. Presenters and panelists discussed diverse ideas and methods and agreed that a shift in paradigm is required in oncology drug development that should improve dose optimization while not unnecessarily delaying patient access to potentially efficacious new treatments.
摘要:本文提供了2021年3月18日、6月10日和7月8日美国统计协会(ASA)生物制药(BIOP)分会公开论坛的讨论总结,该论坛由ASA BIOP肿瘤科学工作组与美国食品和药物管理局(FDA)肿瘤卓越中心和LUNGevity基金会协调组织。包括肿瘤学家、患者倡导者、来自世界各地监管机构的专家、学者和制药行业代表在内的各种利益相关者就癌症药物开发中剂量优化研究的策略和设计进行了热烈的讨论。剂量优化是肿瘤药物开发的主要挑战之一。讨论的重点是在批准前和批准后阶段设计用于治疗癌症患者的产品的剂量优化研究的考虑因素。演讲者和小组成员讨论了不同的想法和方法,并一致认为肿瘤药物开发需要转变模式,以改善剂量优化,同时不会不必要地延迟患者获得潜在有效的新治疗方法。
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引用次数: 0
The NISS Ingram Olkin Forum on Unplanned Clinical Trial Disruptions NISS Ingram Olkin非计划临床试验中断论坛
IF 1.8 4区 医学 Q3 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2023-01-02 DOI: 10.1080/19466315.2022.2152090
N. Flournoy
CONTACT Nancy Flournoy flournoyn@missouri.edu Department of Statistics, University of Missouri (emerita), Columbia. The efforts arose from working groups formed during a NISS Ingram Olkin Forum series on the following topics: (1)Estimands and Missing Data, (2) The Role of Randomization Tests, (3) Methods to Cope with Information Loss and the Use of Auxiliary Sources of Data and (4) Bayes and Frequentist Approaches to Rescuing Disrupted Trials. These groups consider how existing methods can be applied in the context of unplanned clinical trial disruptions and uncover unsolved issues requiring further research. In addition to introducing you to these research projects, I am pleased to provide a brief introduction to the NISS Ingram Olkin Forums. The National Institute of Statistical Sciences (NISS) created Ingram Olkin Forums (IOFs) to foster Statistics Serving Society (S3) in memory of Professor Ingram Olkin. Motivated by the aspirations set forth by Olkin et al. (1990), each forum focuses on a current societal issue that might benefit from new or renewed attention from the statistical community. IOFs aim to bring the latest innovations in statistical methodology and data science into new research and public policy collaborations, working to accelerate the development of innovative approaches that impact societal problems. As a Forum brings a particular group of experts together for the first time to consider an issue, new energy and synergy is expected to produce a flurry of new ideas and approaches. The inaugural IOF was held in June 1919 on Gun Violence, prior to the arrival of the Covid-19 pandemic. Knowing that many statisticians would use their expertise to monitor the pandemic and to design vaccine and therapeutic trials, the IOF Committee looked for a need that might be neglected and decided to host an online IOF on Unplanned Clinical Trial Disruptions. A major concern in moving online was not to get stuck with one-directional webinars, but to get statisticians and other scientists who did not know each other previously to work together without meeting in-person. I am delighted to announce four papers resulting from this IOF will appear in Statistics in Biopharmaceutical Research. NISS is very happy with how well the IOF on Unplanned Clinical Trial Disruptions met its S3 objectives, with enthusiastic collegiality and productivity, and although in-person and hybrid launches will again be possible, this IOF is now NISS’s model.
联系Nancy Flournoy flournoyn@missouri.edu哥伦比亚密苏里大学统计学系(荣誉退休)。这些努力来自于NISS英格拉姆·奥尔金论坛系列会议期间组成的工作组,讨论以下主题:(1)估计和丢失数据;(2)随机化测试的作用;(3)处理信息丢失和使用辅助数据源的方法;(4)挽救中断试验的贝叶斯和频率方法。这些小组考虑如何将现有方法应用于计划外临床试验中断的背景下,并发现需要进一步研究的未解决问题。除了向大家介绍这些研究项目外,我还很高兴为NISS英格拉姆·奥尔金论坛做一个简短的介绍。为了纪念英格拉姆•奥尔金教授,国立统计科学研究所(NISS)创建了英格拉姆•奥尔金论坛(IOFs),以培育“统计服务社会”(S3)。在Olkin等人(1990)提出的愿望的推动下,每个论坛都侧重于当前的社会问题,这些问题可能会从统计界的新关注或重新关注中受益。IOFs旨在将统计方法和数据科学的最新创新引入新的研究和公共政策合作中,努力加速影响社会问题的创新方法的发展。由于论坛首次将一群特定专家聚集在一起审议一个问题,预计新的能量和协同作用将产生一系列新的想法和方法。首届IOF于1919年6月在2019冠状病毒病大流行到来之前举行,主题是枪支暴力。认识到许多统计学家将利用他们的专门知识来监测大流行并设计疫苗和治疗试验,临床试验联合会委员会寻找可能被忽视的需求,并决定举办一次关于意外临床试验中断的在线临床试验联合会。转向网络的一个主要问题是不要陷入单向的网络研讨会,而是要让以前互不认识的统计学家和其他科学家在没有面对面会面的情况下一起工作。我很高兴地宣布,这次IOF的四篇论文将发表在《生物制药研究中的统计学》杂志上。NISS对IOF在计划外临床试验中断方面的表现感到非常高兴,因为它具有热情的合作精神和生产力,能够很好地实现其S3目标,尽管面对面和混合发射将再次成为可能,但这种IOF现在是NISS的模式。
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Statistics in Biopharmaceutical Research
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