Abstract #300682

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JSM 2003 Abstract #300682
Activity Number: 204
Type: Contributed
Date/Time: Tuesday, August 5, 2003 : 8:30 AM to 10:20 AM
Sponsor: Section on Bayesian Stat. Sciences
Abstract - #300682
Title: Robust Bayesian Randomized Clinical Trials
Author(s): J Andrés Christen*+ and Peter Mueller and J. Kyle Wathen
Companies: CIMAT and University of Texas M.D. Anderson Cancer Center and University of Texas M.D. Anderson Cancer Center
Address: AP 402, Guanajuato, GTO, , 36000, Mexico
Keywords: clinical trials ; backward induction ; utility functions ; robustness
Abstract:

We investigate a novel phase II randomized clinical trial design using sequential Bayesian inference. The benefits and drawbacks of obtaining any response by applying a particular treatment, for each patient in the trial, are taken into consideration. Robustness is introduced by considering several utility functions representing various, perhaps conflicting, perspectives commonly present in any clinical trial (patients' perspectives, physician' perspectives, etc.). Randomization is introduced among the "nondominated" set of treatments, allowing for interim removal of treatments and early stopping. A case study is developed and the operating characteristics of the trial are investigated using simulation.


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