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Activity Number: 323 - Adaptive Enrichment Designs in Clinical Trials
Type: Topic Contributed
Date/Time: Tuesday, August 9, 2022 : 2:00 PM to 3:50 PM
Sponsor: Biopharmaceutical Section
Abstract #322518
Title: Overview of Existing Methods for Biomarker-Driven Adaptive Designs
Author(s): Ilya Lipkovich* and Sarah Johnston and Alex Dmitrienko and Daniel Zhao
Companies: Eli Lilly and Company and Bristol-Myers Squibb and Mediana, Inc and University of Oklahoma
Keywords: adaptive clinical trial; biomarkers; subgroup identification; utility function
Abstract:

In this presentation, we provide an overview of existing methodologies for seamless two-stage designs (e.g. Phase 2-3 trial) with a possibility of biomarker-driven selection of a subpopulation based on the results of the first stage. As an example, we consider randomized controlled clinical trials comparing two treatments in efficacy assessment using a time to event outcome. The efficacy subgroup is to be defined by one or two biomarkers and cut-offs that are unknown to the investigator and must be learned from the data. We present the results of a simulation study comparing operating characteristics of two-stage designs with different subgroup-identification methods applied at the first stage.


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