JSM 2005 - Toronto

Abstract #304109

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Legend: = Applied Session, = Theme Session, = Presenter
Activity Number: 91
Type: Topic Contributed
Date/Time: Monday, August 8, 2005 : 8:30 AM to 10:20 AM
Sponsor: General Methodology
Abstract - #304109
Title: Selecting Drug Combinations: Adaptive Approach
Author(s): Vladimir Dragalin*+ and Valerii Fedorov
Companies: GlaxoSmithKline and GlaxoSmithKline
Address: 1250 Collegeville Rd, Collegeville, PA, 19426-0989, United States
Keywords: adaptive design ; drug combination ; optimal experimental design ; dose-finding ; optimal safe dose
Abstract:

A parametric model is considered for the joint probability of the efficacy-toxicity response as a function of two doses of the combined drugs. Based on fixed trial-specific standards of the minimum acceptable efficacy response rate and the maximum tolerated toxicity rate, the therapeutic region is defined as a region on the plane of available doses of the two combined drugs. The optimization problem is formulated as a maximization, within the therapeutic region, of the probability of positive efficacy response with nontoxicity as a function of the two doses. The proposed penalized adaptive design selects the successive dose combinations by maximizing the increment of information per cost unit given the current data. Great flexibility can be achieved by using a penalty function, tailored to the desired goal of the considered clinical trial. The design is shown by simulation to have a good performance finding the optimal safe drug combinations and allocating patients at or near dose combinations that are both safe and efficacious.


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Revised March 2005