JSM 2004 - Toronto

Abstract #302177

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Activity Number: 372
Type: Topic Contributed
Date/Time: Wednesday, August 11, 2004 : 2:00 PM to 3:50 PM
Sponsor: Biometrics Section
Abstract - #302177
Title: Adaptive Stagewise Designs in Clinical Trials
Author(s): Shelemyahu Zacks*+
Companies: Binghamton University
Address: Dept. of Math and Science, Binghamton, NY, 13902-6000,
Keywords: adaptive procedures ; search for optimal dosage ; cancer phase I clinical trials ; quantal response analysis ; Bayesian procedures ; randomized designs
Abstract:

Adaptive stagewise procedures are those which incorporate in the design of each stage all the information gathered in previous stages. In contrast with sequential procedures, there are no stopping rules. Adaptive stagewise designs are applied in different fields of treatments and data collection. We focus attention on cancer phase I clinical trials (CPICT), in which the toxicity of new drugs is tested. The objective in these trials is to find the Maximum Tolerated Dose (MTD), and give all patients this dose. We discuss parametric and nonparametric models relating the observed toxicity to the MTD. We discuss Bayesian and non-Bayesian procedures and their efficacy. Randomized play the winner procedures are compared with parametric Bayesian procedures.


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Revised March 2004