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Unified exact design with early stopping rules for single arm clinical trials with multiple endpoints
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7 2021
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Source: Stat Methods Med Res. 30(7):1575-1588
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Alternative Title:Stat Methods Med Res
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Description:Adaptive designs are gaining popularity in early phase clinical trials because they enable investigators to change the course of a study in response to accumulating data. We propose a novel design to simultaneously monitor several endpoints. These include efficacy, futility, toxicity and other outcomes in early phase, single-arm studies. We construct a recursive relationship to compute the exact probabilities of stopping for any combination of endpoints without the need for simulation, given pre-specified decision rules. The proposed design is flexible in the number and timing of interim analyses. A R Shiny app with user-friendly web interface has been created to facilitate the implementation of the proposed design.
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Pubmed ID:34159859
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Pubmed Central ID:PMC8959087
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Volume:30
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Issue:7
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