JSM 2005 - Toronto

Abstract #304320

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Legend: = Applied Session, = Theme Session, = Presenter
Activity Number: 140
Type: Contributed
Date/Time: Monday, August 8, 2005 : 10:30 AM to 12:20 PM
Sponsor: General Methodology
Abstract - #304320
Title: Optimal Two-stage Designs in Phase II Trials
Author(s): Anindita Banerjee*+ and Anastasios A. Tsiatis
Companies: North Carolina State University and North Carolina State University
Address: 2309 Champion Court, Raleigh, NC, 27606, United States
Keywords: two-stage trials ; adaptive design ; optimality criteria ; backward induction ; bayesian decision theory ; simulated annealing
Abstract:

Two-stage designs have been widely used in phase II clinical trials. Such designs are desirable because they allow a decision to be made on whether a treatment is effective after the accumulation of the data at the end of each stage. Optimal, fixed, two-stage designs, where the sample size at each stage is fixed in advance, were proposed by Simon (1989) when the primary outcome is a binary response. This paper proposes an adaptive two-stage design that allows the sample size at the second stage to depend on the results at the first stage. Using a Bayesian decision theoretic construct, we derive optimal adaptive two-stage designs; the optimality criterion being minimum expected sample size under the null hypothesis. Comparisons are made between Simon's two-stage fixed design and the new design with respect to this optimality criterion.


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