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Activity Number: 315 - Statistical Innovation in Biomarker-Guided Clinical Development
Type: Invited
Date/Time: Tuesday, August 9, 2022 : 2:00 PM to 3:50 PM
Sponsor: General Methodology
Abstract #320739
Title: Bayesian Adaptive Alpha Allocation for Phase III Trials with Biomarker and Overall Population Objectives
Author(s): Yue Shentu* and Cong Chen and Xuekui Zhang
Companies: Daiichi Sankyo Inc. and Merck & Co., Inc. and University of Victoria
Keywords: biomarker subgroup; adaptive design; Bayesian; multiplicity
Abstract:

Phase III trials with dual hypotheses in both a biomarker subpopulation and the overall population is often seen in clinical development programs where the predictive strength and prevalence for the pre-determined biomarker is uncertain. Sponsors often want to be able to establish the drug's efficacy in the all-comer population but also have a chance to demonstrate the efficacy in the biomarker subpopulation in case if the benefit-risk assessment in the biomarker negative subpopulation is not favorable. Alpha allocation to the overall population and the biomarker subpopulation is often informed by limited phase I and II data, but further optimization based on the current trial is possible in an adaptive framework. We will investigate a stepwise Bayesian alpha allocation adaptation design with the goal to improve the probability of success for either a positive trial in the overall population or the biomarker subpopulation.


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